Yes, this is both an excellent illustration of the perils of double counting and the perils of overconfidence in behavioral interventions. The list of indications is over-broad & misrepresented; the practical utility of monitoring (ie. will it work as intended) is overestimated.
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No citation or clinical experience, no argument.pic.twitter.com/9CYSDG0LWs
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Yes, pls provide citations for your bombastic claim that at least 80% of the population will benefit from CGM based on your selective clinical experience with its use in a tiny non-representative fraction of the population. No citations and no relevant clinical exp = no argument.
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Evidence is the literature is there https://www.ncbi.nlm.nih.gov/m/pubmed/29380542/ … The rest is clinical experience which I do have and you don’t have
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Interesting strawman there - no one is arguing about the utility of CGM for T2DM I'd love to see the evidence for benefit in people with, say, pre-diabetes
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Ahh yes it makes plenty of clinical sense that an a1c of 6.49 wouldn’t benefit and an a1c of 6.5 would It was clearly written the rest is “clinical experience” Please explain how that would be a strawman... you people are exhausting
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Well, in this case "clinical experience" is basically taking your word for it. I don't know you nor your experience That being said, I'm optimistic for the use of CGM for some people with pre-diabetes, but even then the evidence isn't there yet
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I have offered to take time away from my clinic for at least half a day for anyone in this thread who wants to visit and see how it’s used
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I've seen how CGM is used. I'm evaluating a CGM program for T2DM at the moment, we've used it on quite a large number of patients
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How do you use it
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I'm not a clinician, but it's usually similar to the protocol you've described - patients with T2DM optimizing therapies/diet over a short period That being said, demonstrating benefit ~even in T2DM~ is extremely challenging
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