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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Replying to @GidMK @DoctorTro and
Also, yet another strawman - I never said that there'd be a benefit for people with HbA1c 6.5 but not 6.49 Not sure if you're aware, but pre-diabetes is a range. I can refer you to the WHO or ADA criteria if you'd like
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Okay great so you agree that the utility of a cgm may no different at 6.49 prediabetes and 6.5 diabetes .... glad we cleared that up
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Probably much less useful for an HbA1c of 5.9 tho
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Replying to @GidMK @DoctorTro and
(Or at least, far less of a measurable benefit that you could use to justify the expense)
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That was one of the main reasons against the glucometer in 1978... expense
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It remains a valid and reasonable argument against many expensive and useless methodologies today
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From an expense equation it’s less expensive to prescribe metformin to everyone and who knows it might possible be better for outcomes ... not sure that it makes it right.
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Actually that's very unlikely to be true (although I'm not sure it's been calculated). Cost/benefit loses out when there are very few if any benefits!
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