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Re: [IP] Mini-med CGMS

Thanks for the update on Stephanie's involvement with the continuous glucose
monitor.  Her night bg's are something, aren't they?
----- Original Message -----
From: bsale <email @ redacted>
To: <email @ redacted>
Sent: Monday, January 31, 2000 9:08 AM
Subject: [IP] Mini-med CGMS

> For anyone interested in the new mini-med continuous glucose
> are our impressions after Stephanie's recent involvement in a study group
> verify accuracy in people with diabetes under the age of 18...
> Steph's reaction...the monitor needs to be waterproof or have quick
> capabilities...a month with no swimming is way too long! (don't forget,
> she's 10)
> Mom's reaction...eventhough we desperately needed the data to revise
> Stephanie's basals (she's really growing these days) the monitor became
> somewhat overwhelming. Stephanie was required by study protocol to wear a
> sensor for 6 3-day periods and we added a seventh because we weren't quite
> finished tweaking the basals. Study protocol also required detailed food,
> exercise, etc. logs and a trip to Denver (1.5 hours each way) to download
> the data at the end of each 3 day period. We discovered that Stephanie has
> very erratic blood sugars during the night (ranging from 40's to 400's),
> sometimes hittin both extremes in the same hour! Basals have been adjusted
> accordingly and seem to be much better now. We really liked the ability of
> the monitor to accurately record data (Stephanie's correlation
> ranged from 84% to 98%) and the way data is presented on the readout. We
> not like that there is no way to know (on the model we tested) if the
> stops working (just like infusion sets...sometimes you get the duration
> expect, other times it comes up short) only there is no alarm or readout
> say it's no longer collecting data. Twice out of the seven tries the
> stopped working after about 30 hours and we had no way to know it until we
> gat the data readout at the end of the 72 hours.
> I feel very fortunate that our hospital will keep the monitors at the end
> the study and allow patients to check them out when necessary. Although I
> think they are definitely on track with the technology, I don't think I'd
> invest the $$ at this stage.
> For what its worth...the researchers say that minimed has told the a model
> with user readable data should be okayed by FDA soon (especially since
> Cygnus got an okay for similar readout on the Glucowatch) and they truly
> reaasonably expect that a bionic pancreas tying the monitor with a pump in
> one piece should be on the market in 10 years! Let's keep hoping!
> Betsy Sale, mom of 10.5 yo Stephanie, who's back to being a $5k bionic
> kid-pumper now that she had to give the monitor back!)
> ----------------------------------------------------------
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