![]() ![]() ![]() Pregnant women who are on a multiple daily insulin injection regimen for type 1, type 2 or gestational diabetes should be advised to test their fasting, pre‑meal, 1‑hour post‑meal and bedtime blood glucose levels daily. Offer children and young people with type 1 diabetes blood ketone testing strips and a meter, to use if they are ill or have hyperglycaemia.ĭiabetes in pregnancy: management from preconception to the postnatal period Offer to children and young people with type 1 diabetes who have frequent severe hypoglycaemia, impaired awareness of hypoglycaemia associated with adverse consequences, or the inability to recognise, or communicate about, symptoms of hypoglycaemia.Ĭonsider for neonates, infants and pre‑school children, children and young people who have high levels of physical activity, and children and young people who have comorbidities or who are having treatments that can make blood glucose control difficult.Ĭonsider its use to help improve blood glucose control in children and young people who continue to have hyperglycaemia despite insulin adjustment and additional support. More frequent testing is often needed (for example with physical activity and during intercurrent illness). Perform at least 5 capillary blood glucose tests per day. Test up to 10 times a day in certain circumstances, such as in illness, pregnancy or during sport.Įnable testing more than 10 times a day if this is necessary because of the person's lifestyle (for example, driving for a long period of time, undertaking high‑risk activity or occupation, travel).ĭo not offer to adults with type 1 diabetes.Ĭonsider for adults with type 1 diabetes who are willing to commit to using continuous glucose monitoring at least 70% of the time and to calibrate as needed, and who have 1 of a number of criteria despite optimised use of insulin therapy and conventional blood glucose monitoring.Ĭonsider ketone monitoring (blood or urine) during illness.ĭiabetes (type 1 and type 2) in children and young people: diagnosis and management Test at least 4 times a day, including before each meal and before bed. Type 1 diabetes in adults: diagnosis and management It can be used with the LibreLinkUp app to share glucose readings through the LibreView software. LibreView can be used to upload and store data to cloud storage and to view data on mobile devices and web browsers.įreeStyle Libre does not provide real-time continuous glucose monitoring or a hypoglycaemia alarm. The LibreLink app can be used on Android mobile devices and has similar features to the reader. It also has built-in blood glucose and blood ketone meters, which can be used with FreeStyle Optium blood glucose strips or Optium Beta ketone test strips to test finger-prick blood samples.Īs an alternative to using the reader, the sensor can be scanned with a mobile device capable of near-field communication (NFC) and on which the LibreLink companion app has been installed. The reader is reusable and has a rechargeable battery that must be charged every 7 days. For a full 24 hours of data, users must scan the sensor at least once every 8 hours. This is called the ambulatory glucose profile. At each scan, the reader displays current glucose levels, levels over the previous 8 hours, and whether glucose levels are trending upwards or downwards (and how fast). Readings can be taken through the wearer's clothes. To scan the sensor, the reader is held 1 cm to 4 cm above the sensor for 1 second. Glucose levels can be seen at any time by scanning the reader over the sensor. ![]() The fibre draws interstitial fluid from the muscle into the sensor, where glucose levels are automatically measured every minute and stored at 15-minute intervals for 8 hours. A thin (0.4 mm), flexible and sterile fibre within the sensor is inserted in the skin to a depth of 5 mm most people have described this as being painless. ![]() It is applied to the skin, usually on the upper arm. The sensor is a few centimetres in diameter and is designed to stay in place for 14 days. An optional companion app for Android mobile devices is also available. The system comprises a sensor and a reader. The FreeStyle Libre flash glucose monitoring system (Abbott) measures interstitial fluid glucose levels. ![]()
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