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The difference is that these only measure blood sugar, while the new system also measures ketones, of keto diet fame, which are leading indicators of a really dangerous situation called diabetic ketoacidosis. It's treatable with a hospitalized IV insulin drip, but can be avoided if you have some advance notice.
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My mom had T1D onset in her 50s. (It's usually thought of as a children's disease.)

She figured it out because she recognized the symptoms of ketoacidosis. That sent her to the hospital, which has thankfully allowed her to outlive her pancreas.

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Diabetic ketoacidosis only happens in T1D, or when you have something extremely wrong going on metabolically (like failing organs, etc).

Normally it should never happen. It happens at ketones like ~10+ mmol, and it's ~impossible to go more than ~6 for a healthy human even eating 100% fat and fasting for a week+ and doing marathons or whatever all at the same time.

The keto diet, can actually help in T1D, by keeping blood sugar more stable overall, but you still need insulin, just less.

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It can happen in people with uncontrolled T2D as well. My cofounder is a pediatric ICU doctor who has treated hundreds of DKA patients.

Also there wasn't really a relationship of the keto diet to the rest of my post, just using it to contextualize a technical term with one that might be more familiar.

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> It can happen in people with uncontrolled T2D as well. My cofounder is a pediatric ICU doctor who has treated hundreds of DKA patients.

Yes, but you have to work really hard for many years to achieve this!

While on T1D it happens by default if you don't inject insulin.

> while the new system also measures ketones, of keto diet fame, which are leading indicators of a really dangerous situation called diabetic ketoacidosis

It was being said like ketones are bad, because they are known for this scenario, but should be noted that it only happens in these few scenarios, like in uncontrolled diabetes or organ failure or smth.

In most other cases they should be good. But won't happen randomly unless you're explicitly doing keto.

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Ah yes, I see what you mean! Ketones are not inherently bad, just the accumulation of them w.r.t having diabetes. Should have made that more clear.
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Those ‘only’ measure glucose levels. As the article says, this is the first approved device that monitors both ketone and glucose levels.
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Ketones don't come from nowhere, they come from your body breaking muscles down in a last ditch effort to control sugars after they are dangerously elevated for extended periods of time, I'm talking 500+ over weeks. It's sort of like adding a "your car has been completely out of gas for one week" monitor to your "gas tank level" monitor.
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Um, no ? Ketones come from fat burning, not muscle.

In T1D with no insulin, muscle break down from gluconesis will increase blood sugar in the blood even more. The absence of insulin also makes ketone production unrestricted, so you end up in ketoacidosis.

Muscle is used when you don't have fat, or when you eat completely nothing (burn both fat & muscle).

Like I've gained ~10KG of muscle while on keto diet. Blood sugar at 70-100 depending on scenario. Usually on the lower end.

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These are the same CGM technologies (Dexcom = Stelo and Lingo = Libre), just aimed at the over the counter "health and fitness" market.

This is not verified info, but I would assume these are either A) the exact same device, just with different marketing B) "binned" production runs that did not meet the accuracy threshold for clinical/prescribed use, but are otherwise "good enough" for someone looking to healthmaxx.

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I think they are the same with some software differences. I believe that the sampling rates and tolerances are different. For example, dexcom displays 5 minute samples while the stelo shows 15 minute averages (it internally gets a new sample every 5 minutes like the dexcom). I think the official accuracy is a bit lower for the Stelo as well, although in practice it's probably close to the dexcom.
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I can all but guarantee you they are the same device. IDK if they are even binned differently. The software is the main difference.

The "real" device gives you what it measures as your real highs and lows while the OTC devices won't report high highs or low lows.

I have a Stelo (I was curious and diabetes runs in my family) while my wife has the Dexcom.

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I t Looked into the OTC ones and it does seem they’re binned versions. The failure rate appears to be higher too, which is more acceptable in a non life threatening device.

It also probably gives the companies really valuable data.

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You can read the Stelo out into XDrip with some settings adjustments, last I checked, so it is just some “light” software tweaks between sensors.

https://navid200.github.io/xDrip/docs/Dexcom/G7.html

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No FDA authorization I guess
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