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grahar64 6 hours ago

Looked after my son who has T1D for now 5 years, checked keytones maybe 20 times. Compared to blood glucose which we check look at every 5 minutes.

Maybe this is more for Type 2 or other diabetes, or for people prone to DKA. Or it is for people with a working pancreas who think looking at their blood sugars (and now keytones) tells them something like soothsayers reading tea leaves

happyopossum 6 hours ago | parent | next [-]

Considering that DKA accounts for 160k hospital admissions a year, your lived experience translates poorly to such a flippant dismissal.

[0] https://www.cdc.gov/diabetes/about/diabetic-ketoacidosis.htm...

cogman10 5 hours ago | parent | next [-]

I agree, but there are a lot of factors going on to contribute to that number.

For example, about 20% of that number is because someone is finding out for the first time they have T1D [1].

Insulin costs and monitoring costs are also going to be a pretty big contributing factor. CGMs and finger sticks aren't cheap.

IDK how often it happens that ketoacidosis happens when glucose appears to be fine, I assume it's pretty rare.

[1] https://www.sciencedirect.com/science/article/pii/S016882272...

crisnoble 5 hours ago | parent | prev | next [-]

A CGM that has ketone levels is quite literally pointless. If you have a CGM in the first place you would know if your sugars were high enough for long enough to get DKA.

3 hours ago | parent | prev | next [-]
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badc0ffee 6 hours ago | parent | prev [-]

DKA is what killed the legendary Dan Kaminsky.

cynicalsecurity 5 hours ago | parent | prev | next [-]

Mate they won't understand. People generally are exceptionally ignorant about type 1 diabetes and also eager to fall for marketing gimmicks like this one. They have no idea what type 1 diabetes is.

For anyone who doesn't get it: glucose is checked every five minutes because it changes very often, jumping or falling dangerously. It's a nightmare. Checking glucose is 1000 times more important than ketones which are almost never a problem. If you get accurate glucose readings you are highly unlikely to ever experience ketoacidosis in the first place. Before ketones become a problem, glucose has to stay high for hours. Abbott is pulling this marketing trick instead of improving the quality of their sensors. Libre 2 is absolute crap. Libre 3 is somewhat okay and sometimes even mediocre - which is still a pretty bad situation. Bad glucose sensor is a nightmare and it can kill a person or a child much likely than ketoacidosis. It will actually lead to ketoacidosis by showing incorrect glucose readings. Now I wonder whether they added a ketone sensor as a failsafe for their low quality glucose sensors.

No one asked them to add a ketone sensor as an add-on to their glucose sensor, except maybe their marketing department. People want higher quality glucose sensors that fail less often and are more accurate. Glucose sensors, not ketones!

gluboy1 6 hours ago | parent | prev [-]

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