I knew what I was getting when I signed up for this CGM thing. I knew full well what could happen to myself when given the chance to know my blood sugar, all the time. The consequences of that gift have been two-sided. First, it’s drastically reduced really high highs and really low lows. Secondly, it’s created another distraction in a world full of attention grabbing things. I cherish the ability to be present, let things unfold, and react accordingly. At times, the CGM has challenged that mantra. With each alarm or urge to check it, that takes away undivided attention from studying, conversations, and work projects. With a set of rules developed through experience, I am now apt to deal with the CGM with balance, well, at least sometimes.
Here are those rules for diabetes management with a CGM:
1. Employ multiple ranges.
Most continuous glucose monitoring devices allow for flexibility in your CGM alarm ranges. At night, I prefer to loosen up the reins. Instead of being buzzed and beeped when I approach 200, I prefer to buzzed and beeped when I approach 250. Sleep is the priority. During the day, I take the opposite approach with the goal of being below 200, to optimize brain function. (more…)