Speaker 1 (00:09.9)
Welcome to the Glucose Never Lies podcast where science meets real life experience to empower diabetes management. I'm John Pemberton. I've lived with type 1 diabetes since 2008 and have spent nearly 20 years mastering both the science and art of managing it. Through personal experimentation, published research and my work as a diabetes specialist dietician, I've gained deep insights into what truly makes a difference. When my son Jude tested positive for type 1 diabetes antibodies,

I realised that all the knowledge in my head was wasted if I couldn't communicate it in a way that was clear, actionable and easy to come back to. So I built the Glucose Nebuliser Education Programme, a free online resource designed to teach people diabetes management exactly the way I'd want people to understand it if they were looking after my son. After battling a functional motor disorder for many years and recently experiencing a major depressive episode, I was eventually pulled out of that hole by my friends, family and professionals who helped me get back to being me.

That experience taught me the power of giving and this podcast is my way of giving back. My co-host Louise is a highly experienced diabetes nurse with over 20 years in the field. She brings a wealth of knowledge and her superpower is making complex diabetes science accessible and practical for everyday life. She is the best diabetes nurse I've ever worked with and there have been some good ones. Most importantly, she keeps me in check and keeps the podcast on point. So if you're living with diabetes or supporting someone who is,

We want to make things easier, clearer, and importantly, more enjoyable. We hope you enjoy the content. If you do, please share it with those who may like it too. As a disclaimer, the information shared on the Glucose Nebulize podcast is for informational and educational purposes only. While we discuss strategies and insights for diabetes management, this podcast is not a substitute for professional medical advice. Always consult your healthcare team before making any changes to your diabetes plan. That done with...

Let's get into the content.

Speaker 1 (02:14.222)
to podcast number 12. And this is the fun part. This is part three of the CGM series, which is the bells and whistles. What features, alarms, sensorware integrations do these things have? So if you've jumped straight to this because you want the good stuff, I'm going to have to stop you. You need to go back to part one, which is study design first to understand which CGM systems have been tested robustly. And then second of all, if you don't understand what 2020 and 4040 means, then you definitely need to go to the second one on accuracy and performance.

But if you've got your A's and B's in place, we're now in the C's. And what we're going to be talking about is the devices that we have left, which for insulin dosing purposes, we can feel confident with the AcuChick Smart Guide, Dexcom G6 and 1, Dexcom G7 and 1 Plus, the EverSense, which we'll mention briefly, but only because it has a good level of approval for insulin dosing across Europe and America, although we've got very little actual personal knowledge of that. The Feastal Libre 2 and 3 Plus.

the Medtronic Guardian IV and the Medtronic Simplar.

So this is like the home straight. So this is you've done all your really hard homework and this is the nice bit.

Yeah, we get to choose on things that would be advantageous to you. So again, here, there'll be certain things that sing to you and certain things that you kind of like that means nothing to me. And I'll pop in a little bit of personal things as we go along what suits me. Just kind of add some context, but please don't think that that's important for you because what's important for me is not important for you. And Lou, maybe you can pretend like you you've won enough CGMs in your time to get a feel.

Speaker 2 (03:53.399)
three yeah

to kind of throw in if you had type one, it is that you would be, what would sing to you on it? Also, I'll talk about a perspective from my kids, Grace and Jude, what would be important for them, because what's important for them will be different from what's important for me.

Absolutely, absolutely. And the analogy of thinking about it like a smartphone is probably the right analogy.

So we're going to cover many things. We're going to go over calibration. We're going to go over alarms. We're going to go over some of the new AI-powered forecasts, sensorware duration, whether you can have followers, what type of hardware you need for it, what AID systems does it integrate with, and then some of the age restrictions as well. So we'll kind of try and cover those main things. We will clearly miss some things out, but I don't think we'll miss any of the main things. And if you do, we're sorry.

So the first thing to say is the vast majority, in fact, almost every single sensor that's on there that I've described is now factory calibrated, which is important because previously what you had to do with the previous continuous glucose monitoring systems is you would have to start the sensor and then every eight hours or every meal you would need to do a finger prick.

Speaker 1 (05:05.806)
and let you know what the fingerprint is so it could calibrate where the continuous glucose monos was reading to bring it back in line because the algorithm required that. And that poses a real problem because over a 10 day period of sensor wear, 40 tests, you're not gonna get 40 good ones. Like you just don't have the patience and the skill level to get 40 really good ones, which means you're gonna be chucking some glucose readings in there either because you've got a crappy meter.

or you haven't washed your hands, or you've squeezed the life out of your finger when you get in the drop, introducing that level of error, or introducing the risk of error 40 times is not going to be, it's going to be a problem. So pretty much every, all of those systems are now a factory calibrated. The only one at the moment that requires a initial calibration is the, the Roche Smart Guide system, which requires

a calibration after 12 hours, two calibrations pretty much within that two hour period. So once you've had 12 hours of wear, you've got two hours through two calibrations and then you don't need to do any after that. So there's an initial calibration routine, but once you've done that, it's then good for insulin dosing. And I believe I'm told to believe that's going to change in about October's time. So essentially that will become defunct. But if you're going to go on that at the beginning, it's just something to be aware of. So that's good from a factory calibration, but then comes to the big one.

for me anyway, it's probably not a big one for you but it's a big one for me.

definitely say this is a big one. Definitely.

Speaker 1 (06:30.272)
Okay. So, optional calibration, is it a good or a bad thing? So the first thing to say is when you're given advice about using a continuous glucose monitor, you're told that they're good to make insulin-dosed decisions apart from if you feel different to what the sensor's saying, check your fingerprint. Or if you don't have any readings on your or are missing an arrow, do a fingerprint. So that there, you can't rely on that reading you to do it.

So there's a likelihood you're gonna need to do a finger prick potentially at some point over the month or two months or three months. So you're gonna have to have to do it. Now, reality is a lot of people just don't do any finger pricks at all. If that's the case, optional calibration is irrelevant to you because you don't do any and you just trust it till it doesn't matter which system that you use. But if you're someone who does do occasional finger pricks and understands that if you've got an accurate glucose meter,

that is going to be slightly more accurate than the continuous glucose monitor because it's measuring glucose directly from the blood and it's a lot more of a stable situation, then there may be a time or two and it's usually about sort of one to five times a month where the finger prick is considerably out from the sensor. Now, the key thing with this is if you get one test and you see that you don't rely on that one test, you make sure that you wash your hands, do it properly and you do it again.

And if the two are definitely way out, you average it. And then if you wanted to, and you've got a system that can do, you can optionally calibrate. So let's just take the example. This is quite a common example for me. My sensor pings off at 3.4. And then I know I'm not low. So I then do my fingerprint, wash my hands, do it properly again. And it's definitely that I'm 4.2. Now that's an accurate reading. That's within 1.1. Very accurate reading. There's nothing wrong with that apart from

that alarm is going to keep going off because it's thinking I'm 3.4. So if I've got the ability to calibrate up that 4.2 because I've done it twice and I've averaged it out and it's all good, then it brings the center value up to 4.2 and therefore it stops the low alarms.

Speaker 2 (08:36.194)
Would you say that that's one of the most important times that you would want to do it? Is that because you don't want the alarm going off?

Yeah, I mean that's just for me. The one is typical one is overnight. It's really annoying or just during the day and I know I'm not low and I want to stop it low alarming. The other option is that you just know that you're not low and you don't do anything you leave it off but then what if you happen to fall lower again you kind of like left in that position. But this is just me and my personal hang-ups with needing things to be precise. So for other people that is like not a thing whatsoever.

but it's just important to know that if that is something that's important to you, you would need a system that allows you to do that. What I would say is if you're not willing to wash your hands properly, do two samples and actually use a blood glucose meter, which is shown to be the most accurate against capillary glucose. And within the show notes we put that there, I would only consider using a contour next one or an acu-check guide meter.

because on independent research, those are the two that are the most closely aligned to capillary glucose with the highest level of accuracy. If you maybe use one that currently is very poor accuracy, you're introducing a problem there. So first of all, you need a very accurate blood glucose meter. You need to wash your hands properly. You need to do the sample twice, and you need to average it out. If you're not prepared to do that, then you're potentially going to introduce more problems by calibrating than not.

Yeah, so there's a couple of things there. So obviously that then we're talking about potentially different meters that don't have dual functionality of testing for ketones. So you're then going to two meters. Yep. That's another commitment. And then let's say I get a glucose level of 13 and then a glucose level of eight after washing my hands. Really? Shouldn't I do the same?

Speaker 1 (10:33.454)
Yeah, you want to after you've washed your hands, sorry, probably didn't make that clear. if you've done and they change massively when you've washed your hands, do two from the washed hands one. Yeah, absolutely. So the reason why it's important to say this is if you take the wave message from this, it's important to calibrate your CGEM. You got the wrong message. The message is it may happen one to five times a month that you're going to be out and you may want to stop a false alarm or get it back on track.

If you're prepared to have a very accurate meter, a contour next to one or an accurate guide meter, for example, and you're prepared to wash your hands and do it properly before you calibrate, you might get the benefit of it. If you're not prepared to do that, you won't get the benefit from it. So you know yourself as to whether that's important for you. But there is definitely a problem where people will just do a one off finger prick and we'll calibrate it and it messes the sensor up and it's all just a waste of time. So again, it's a bit of a nuanced conversation. But if you're someone who

as having problems with false lows, it will be very helpful to calibrate up out of that when you're not low, if you're prepared to do those steps. If you're not prepared to do those steps, it doesn't really matter.

quite important for parents of very young children as well. Yeah.

mind. Absolutely, yeah, absolutely. And I think

Speaker 2 (11:47.33)
when you're almost responsible for another individual's diabetes.

Yeah. And again, if you're willing to do that, you know, do that, it's an option for you. I think there's probably a thing to say on that is all the other systems would allow you to option calibrate the freestyle Libra options don't allow you to calibrate, but it's an important caveat there that if you look at all the accuracy tables, the freestyle Libra two and three plus are the highest on the accuracy. So although you can't optionally calibrate, that's arguably the most accurate system when you look at the data. Not much, not much difference seeing the Dexcom and that. So again,

It's a nuanced conversation. If you don't really do your thing together, it's a completely worthless conversation. If you do and you're currently on the wild west and sticking any number in and calibrating, that's a really bad idea. If you're prepared to do it properly, it may offer some optional benefits for you for getting out of false alarms. And also if the sensor's running off track a little bit on the higher side, you might just pull it back in line. A typical one for me is I like my timing range at 99%. If I don't feel like I'm a 12,

And I do my finger prick and it's definitely a 9.5. I do it twice. I'm calibrating back down. My timing range. Don't steal my timing range. Yeah, if you're not a freak like that, again, it might not be so important. So again, just really important to bear that in mind.

competitive.

Speaker 1 (13:09.09)
So the second one is thinking about the alerts and the alarms and what additional things have to offer. So pretty much every single CGM has an alarm when you go low and alarm when you go high. So we're not going to talk about those because those are just standard. Probably the things to discuss are the systems with additional alarms that are quite helpful. Now there are all sensors or a lot of sensors have rise and fall alerts, which means it doesn't really matter where your glucose levels. If it's going up fast, it goes off and it doesn't matter where your glucose levels, it drops fast. Pretty pointless alarm because

You're gonna get pinged for no reason. If you're going from 5 to 9 very quickly, who cares?

Yeah, it's about thinking about, you going to do anything with that? Isn't it? Is it going to be a base and a treatment decision on that? And absolutely will get alarm fatigue with things like that.

And that's a really important point of where to set your high alarm. So if you're someone who wants really tight control, then you set your high alarm at 10. If you're prepared to take action at 10. If you're not prepared to take action at 10, don't set it at 10. Only set it where you're prepared to take action. For most people that might be 14 or 12. If you want really tight control, you might set it at 10. I did go for a spell of setting it eight, but it just became such a pest.

that I was doing nothing but kind of doing walking to bring my glucose level down. It's like, this isn't manageable, but I guess you've got to go to those nerdy extremes to pull back from there a little bit. So what are the other arms off that? So the Dexcom G7 offers, well, the G6 and G7 offer sort of an urgent low soon, which is 20 minutes before you hit 3.1, or I believe is about 60 milligrams per deciliter. It will alarm you 20 minutes before. So that is a useful.

Speaker 1 (14:44.502)
rate of change alarm that's very context driven on when you're going to go low. So you can take a go before them. And then similarly, it's got a delayed first high, which is actually quite nice because if you've got a high alarm, for like, for example, me set at 10, but you only want that to go off once it's got past that post meal period of say 90 minutes, you could say, I want to delay, you know, the first alarm by 90 minutes. So therefore you don't get pinged for a post meal high, but you will get pinged.

if it's been longer than that so it's a context important. That's on the G7 yeah.

funny with G7 isn't it that?

Speaker 1 (15:21.848)
So moving on, now coming is artificial intelligence delivered forecast. So the AkiCheck Smart Guide, the newest player to the market, which is just about to be released, has a few things. So the first, it has a similar kind of 30 minute hyper prediction window, which is not too dissimilar to the Dexcon Mergent Low Soon. So I'm not gonna talk too much about that, but again, you can set an alert 30 minutes before you go low and you can actually customize that level. So rather than it being 3.1, you can put it 3.545.

or in milligrams per deciliter, 60, 70, 80, 90, depending on where it's important for you to take action half an hour before. And that's been shown to be very accurate, I think 90 % or above prediction rate. So that one's quite useful, but that's not too new. What I think is more interesting, it's got two further forecasts. One is a two hour window. So normally with a CGM arrow, it kind of gives you where you're to be in the next 10, 15, 20 minutes push half an hour, but realistically, probably 15 minutes.

So you can think about what's going to be in the future and then you can make a decision. So I'm going to go low, have some glucose tablets, for example. But if you're like me, that means after 15 minutes time, your window's gone, you're checking again, you're checking again because it may have gone from a steady arrow to a down arrow or it have gone for an up. So this two hour forecast gives sort of like what's called a 95 % confidence level, basically a worm where it shows you where it's likely to be. And that worm might be quite fat.

So it might go from, well, you could be as low as five or as high as 11 in two hours time, or it could be a thin worm because things are a lot steadier and it might be that you're gonna be between, let's say, five and eight. So you can have a look at that worm over the next two hours and think, am I gonna fall outside of that? And it's shown again, I think about 95 % accuracy that the glucose level will be within that range in the next two hours. So again, that could take you from a person who micromanages, like me,

to having a two hour forecast. And that'd be useful for me, for example, in a meeting. if I'm meeting at the moment, I'm like, I'm okay for the next 15 minutes. I'll just be checking in again. And my concentration sometimes gets broken up. Whereas if I knew it was good for two hours on a 95 % accuracy, I can kind of check once, stick it in my pocket, crack on, do the meeting, do whatever, and then two hours time. So I haven't had a go of it yet, but I'm interested to stick it on and see. I think that's going to be the one for me.

Speaker 1 (17:46.306)
that will be really helpful for me because it will just mean my touch points at the moment. I'm checking like every 15, 20, 30 minutes and I'm happy to do that because it's important to me. But if I could have something that could just like take the edge off that for every couple of hours. And trust it. Just, yeah, well, and trust it, yeah. The other ones for driving as well, and obviously be driving your check before and you to check every two hours, but obviously be driving in between.

Now, like I'll have us to say to Danny, Danny, just check my level where I'm at, what I'm doing and then just, you know, deciding what I'm doing. But to know you'd be good for two hours on a 95 % accuracy could, it has the potential to be good. We'll know. Yeah, exactly. I mean, even for kids, like if you go and play sport, but it's not licensed for kids at the moment. It's only adults 18 and above. And the other one, so that's the two hour forecast. And then it has a seven hour forecast overnight where basically anywhere between nine AM or nine AM, nine PM.

It's been going to bed on a night out. So from 9 p.m. to 2 a.m. you can get a forecast where it will tell you what the likelihood of you going low over the next seven hours is. Now the important thing with this is if it tells it's got like a traffic light indicator, if it's in the green it means that you're, it's telling you you're not going to go low and it's got an accuracy above 90 % of that. So if you're in the green you can be pretty confident you're not going to go low that night, you can have a good night's sleep. Now if it comes up in the red

What it's suggesting is you're going to go low on those nights. And what would happen if you have no CGM is let's say it's six times a month that you go low overnight. You'll go low six times a month. Now, if you've got a CGM on, which is great. What happens six times a month in the middle of the night when you go low? The alarm goes off. You get an L word from your partner in the head and you're like, your thing's beeping again. Shut it off. So you stay away from the hypos, which is great, but it costs you some night sleepings to be the pain in the ass.

Now what this seven hour prediction window overnight does is half of the time is absolutely correct and it stops you from having those low, but half of the time it doesn't predict it correctly. So you're basically halving the number of alarms you'll get overnight. So it's not perfect, but I don't know, I'm quite interested to see you on the half. Now I don't use an AID system, although I love them and I think they're great, because for me, I can outperform an AID system. So something like this.

Speaker 2 (20:01.793)
surprise

But you know, for most people it's brilliant. But for me, this could be interesting because the green is fine, but I'd be interested more in the reds. It's kind of what am I going to do when it's saying red? Well, the thing is I'm probably going to have either some protein that night to stop my glucose level dropping or some slow acting carbs. And I think it actually tells you whether you're more likely to go low in the first three and a half hours, in which case you'd have something a bit more fast acting. Although in the second half of that three and a half hours, you could have something a bit slower acting. So.

It's got the potential to be decent, whether it's any good or not. I'll let you know when I stick it on. But it's accurate, we know from the robust testing and it does have these features and the data that they've published on the accuracy of these predictive alarms looks good, but it's like anything, isn't it? You what looks good on paper may or may not turn out to be in real life. we'll kind of see. And now certainly from a pediatric perspective, I mean, most of our kids are in an AID system, but there are some who don't want to be attached to tech.

they may find something like that quite useful. And importantly for me, was like, is there nothing only on our phone? It's like, no, we've got a reader as well, but no one's going to use that. was like, damn right I'm going to use it. I want to save it on my phone. Well, it's just kind of, I don't want to have to carry my phone with me. And problem is if I check my phone, then I'm checking emails and everything else. You know, I would like to say social media, but I'm a hermit these days. So apart from podcasts. So yeah, that's been interesting from an AI generation perspective.

Okay.

Speaker 1 (21:27.386)
We'll kind of see what that has to offer. Okay, so they're kind of like the alarms and sort of the features, but I think for a lot of people, what they're really interested in is they don't want something bulky and sat on them that's massive and like shouts out, I've got diabetes, look at me. You want something which is fairly, you know, put away. So we've done a bit of a size guide here. And essentially, if size is your thing and you want something as small as possible, essentially it's the Freestyle Leaver 3. It's absolutely tiny. It's about the size of a penny.

The G7 is only a little bit bigger than that, to be fair, the G7 and the OnePlus. And then the Dexcom G6 and OnePlus is quite a bit bigger with an attachable transmitter as well, which as now most of them have transmitters in built. That's where the future's going. So it's just some considerations. And also to be fair for the Freestyle Libre 2 Plus and 3 Plus, it's a...

15 day wear compared to the Dexcom, which is a 10 day wear. So I mean, if you're looking for something that's small and long lasting, the Freestyle Libre products, if that's your go-to, they're the ones to use for sure. The AcuCheck Smart Guides, 14 days. The Dexcom is obviously 10 days, although in ATTD, we the data suggested it's going to be 15 days before long. And that looked good. I guess on the downside for the G4 and the Simplera from Medtronic, it's seven day wear.

definitely a competitor.

Speaker 1 (22:52.33)
nice that the Simplera is a transmitter within the sensor so again you're not having to put a

putting the transmitter on yeah

So basically if size is your thing and small is what you want and you want long wear, the Freestyle Libre is probably clearly the winner there. But if you know, if that's not something that's majorly important to you, you can have a think about that as you move along. I'll put the next one here is whether it has a receiver or whether it's a phone app only. So pretty much most of them have some form of receiver apart from the Medtronic product. So the Dexcom G6, one, Dexcom G7, one plus,

Freestyle Lever 3, Freestyle Lever 2 Plus, the Smart Guide all have a receiver. So if you're kind of a person like me who doesn't want to be tethered to your phone all the time, that can be particularly helpful because you don't have to carry your phone with you. And also we've got quite a few parents of young kids who don't want to be. Once the genie is out of the bottle and the kids got a phone, we use it for a medical device, honestly. It's like, yeah, next time. Yeah. So it's just something to consider.

I

Speaker 1 (23:58.574)
We've put that there and again, you've got a range of options for the devices, but from a Medtronic perspective, they don't have a receiver. So if that's something that's important to you, just important to know.

Okay, so connectivity with AID systems. Well, essentially at the moment, the winner hands down is the Dexcom products, whether it's the G6 or the G7, it pretty much connects to all of the options except the 780G. The Freestyle Libre 2 is available with the Omnipod 5 and the Freestyle Libre 3 is available with the Cam APS. And I'm boldly to believe the Freestyle Libre 2 is available with the Tandem in America and maybe in the UK soon.

But if you want ultimate flexibility in terms of connectivity with AID systems, you would want the Dexcom G6 or G7. However, if it's a specific AID system that you're interested in, like, for example, the Cambridge system, you've got a wide range of options depending on which sensor type that you like. So there's a bit of a guide in the show notes that will just kind of tell you what's what, essentially, moving forward. as, certainly from a pediatric perspective,

everyone should be entitled in the UK to an AID system. This is a really, really important thing. From an adult perspective, you may or may not be eligible for an AID system and you may or may not be waiting a long time. So it may not as be a big of a consideration for you. And along those lines, in terms of connected PEN devices, probably the Metronix Simplayer is the one for there with their Smart MDI system. If anyone knows Amy Joly, you'll know she's...

Mrs. Smart MDI. you know anything about it, maybe I'll get on a podcast to do about Smart MDI since she's the ambassador. yeah, essentially you've got the Medtronic Sinclair that speaks to the app on the phone, to the pen, and it looks like you can do it to a watch as well. So if you're on MDI and you want a system where you can do your insulin dosing and have everything housed in one, there's been a nice bit of data to suggest that that would be a good option, but maybe we'll get Amy on the podcast and get to talk about it.

Speaker 2 (26:00.967)
spoke at ATTJ.

she's a big name in the space now. Yeah. So within the show notes, we've kind of covered the main things that we wanted to talk about in terms of bells and whistles and choosing options. But just to kind of summarize, we put a chart for you. If you want the highest accuracy options, you probably look at the G7, OnePlus, Freestyle Libre 2, Freestyle Libre 3, although all of them are very accurate and more than robust for instance, that we're making decisions. If you're particularly hypo unaware,

The Simplera or G4 might be helpful because it's targeting venous glucose. It's going to say you're lower than you actually are, so you'll get notified earlier. So if you're really worried about lows, maybe that's a good option for you. If you want optional calibrations, the Freestyle Leber is probably not going to be for you, but the other options are all good. If you want advanced alarms in terms of urgent low, soon and delayed first high, the G7 is probably your one. If you want the smallest, longest wear, the Freestyle Leber 3 Plus.

If you want a standalone, you've got a range of options there. You just can't really use the Medtronic. If you want connectivity with an AID system, probably Dexcom products are the best options. And if you're interested in the kind of AI driven glucose predictions and forecasts, the new Smart Guide may have something valuable for you in terms of especially the two hour forecast and the seven hour overnight prediction. So that is the end of the CGM guide. So if you've stuck with us,

Definitely.

Speaker 1 (27:21.972)
You are probably now one of the most educated people on CGM you could know. You know what questions to ask about study design. You understand what 2020 and 4040 means. You've got a good idea of what why it should be capillary that we're comparing against. And now you've got a range of ideas of various different options from features and functionality that kind of CGMs have to offer you. And one thing I would say is if you really want to get super, super nerdy,

on this topic. You could follow Tim Street on DiabetTech. He's been on this for a long time, honestly 2015. Probably one of the most knowledgeable people that I know is a chap with type 1 and he has got extensive knowledge around continuous glucose monitoring accuracy, study design features. I mean, he knows the products like no one else. He's a very, very knowledgeable source. So I'd encourage you if you kind of want to go to the next level.

And his blog, Diabetic Tech, is probably the best place to keep tabs on for what's happening right now. You enjoyed that, Yeah.

My brain is slightly fried, but all good. All good.

I want to also give a final finish off with a massive thanks to the DSM Forum and a really valuable resource that will be on their website by the end of April will be the study design comparison and accuracy charts along with the key features for each of the systems and their availability on GP prescription and by the NHS supply chain if you are a UK consumer. So I think the next one that we're going to do is a special under fives.

Speaker 1 (29:01.88)
podcast where it's a passion of mine.

No, Got to it tomorrow.

So we're going to be going through the main challenges, the reason why it's extremely important, what AID technology is bringing, but also why we also need to think about lifestyle and support and managing nutrition and activity. The AID systems alone not going to be enough. We need to kind of make sure that the people with diabetes who are looking after someone of that age have got the skill level and the knowledge to be able to support them the best.

And if you're a healthcare professional, we've got loads of tips and tricks for the different AID systems about how to contact, how to manage the situation where all of a sudden the glucose level spikes at about 7 p.m. till midnight and then drops like a stone overnight. We've got loads of experience with that. So we're going to share a bit of that. So we'll see you in the under fives and we hope you've enjoyed it. Please either.

Yeah, all good.

Speaker 1 (30:03.756)
Leave us some comments or share if think so or if you think it's crap, that's fine. Also just let us know.