#only 3billion the 2nd place

[intelacia]

How absolutely necessary CONTINUOUS GLUCOSE MONITORING is ?

Everybody knows about diabetes at this point. It can cause serious damage to several of the body functions mainly marring the nervous and vascular systems. A 300% jump in number of diabetic patients was observed in less than 35 years (According to WHO) and as reported by International Diabetes Federation in 2021, roughly 540 million adults between age 20 – 80 are diabetic. Diagnosis at prediabetic stage and controlling blood sugar levels early-on, greatly diminishes the possibility of advancements to Type 1 and Type 2 diabetes; and glucometer or glucose meter helps monitor blood glucose levels on a regular basis, aiding in maintaining sufficient concentration of sugar or glucose in the blood.

Continuous Glucose Monitoring Systems

Continuous Glucose Monitoring or CGM measures and tracks glucose level continuously, enabling either the patient or the doctor or both, to gain understanding of the trends like spike and fluctuations. CGM supports people by letting them efficiently adapt to variations. It helps in accurate diabetes management and drug prescription for Type 1 and Type 2 diabetes. Lifestyle changes can be implemented effortlessly as well. CGM is facilitated by CGM System that fundamentally are constituted by sensors, transmitters and receivers.

But WHAT exactly is a CGM System?

It is an electronic medical device employed to continuously monitor blood glucose levels in the blood stream day and night, from anywhere between couple of days to couple of weeks. It is a home glucose monitor worn continuously for long durations. It relieves the patients’ trauma of repeatedly pricking their fingers. Traditionally the sensor and transmitter of the CGM system is packaged into a single unit that stays either on the abdomen or arm with adhesives; and the receiver is a handheld device to which the data is transmitted.  

And HOW does it work?

A tiny sensor is placed right under the skin with the help of an applicator. Adhesives on the applicator holds the sensor in-place and prevents accidental dislodging. These sensors measure the concentration of sugar in the body fluids. Usually, the blood sugar level reading is taken every 5 minutes. The CGM sensors are non-reusable and requires replacement. The electronics in the CGM system relays the accumulated blood glucose data, mostly wirelessly, via transmitters to receivers in a handheld electronic device (like a smart watch, digital display or smart phones).

So WHICH one to choose?

As always, the market is flooded with variety of Continuous Glucose Monitors. It is always difficult to choose and trust one’s decision when it comes to medical devices and instruments. The digital device market for diabetes monitoring is eying to reach $12 billion which was $3billion 2018, by 2025.

1. Abbott Freestyle Libre 2

It is 2nd generation continuous glucose monitor developed by Abbott laboratories. It was released in 2020 and addressed certain issues with Freestyle Libre such as interreference due to presence of Aspirin, absence of alarms & alerts and usage approval for only 18 years or older. It is one of the popular CGM system mainly due to its low cost. With Libre 3 on the horizon, thinner and sustainable option, which also claims to have the smallest sensor in the world, will be welcomed. In the last month itself Abbott Diabetes Care Inc. were granted more than 5 patents for CGM related technologies – An automatic sensor insertion device, Connectors for analyte sensor & associated systems and System displays for monitoring devices to name a few; which makes cogent the development of this CGM system is towards lesser inaccuracies.

2. Dexcom G6

G6 is the next iteration of Dexcom G5. Improving on the newer version, the technological aspect has been given importance.  Direct-to-mobile app technology eliminates the need of a separate reader. This also enables real-time monitoring of blood glucose levels. Data sharing capability allows the user to get immediate attention, if necessary. Analyte sensor are not impacted by any medication like acetaminophen or vitamin C. Above all, Dexcom G6 has an automatic sensor insertion applicator.

3.Medtronic Guardian Sensor 3

Developed by Medtronic, being a stand-alone system, unrestricted usage and compatibility with insulin pumps, unchallenging sensor insertion and predictive alerts are some pros of Guardian sensor 3 But requiring extra adhesion, lack of user-friendly design of transmitter & involving many steps to set-up, calibration every 12-hours, 2 hours of warm-up time and comparative higher price point together with false reading reported by users, makes it the most unreliable and difficult to recommend CGM system. According to mean absolute relative difference or MARD (The lower the better) Guardian Sensor 3 landed in the range of 9 – 11 percent.

4.Eversense CGM System

The only, first-of-its-kind CGM system with implanted sensor, with a wear life of 90 days, eliminating the need to replace it very frequently. The transmitter is attached over the implant that can be removed as per the user without damaging the sensor; but which needs adhesive reapplication every 24 hours of continuous use. It has an excellent UI for the mobile app offering range of customizations including personalized sugar level fluctuation alert. As per FDA, it requires calibration once a day and one-time 24 hours long warm-up Eversense 90-day received 8.5% to 9.6% MARD score.

Why DEXCOM G6 is the ultimate CGM?

With a MARD score of 9%, and 9.3% for Freestyle Libre 2, Dexcom G6 is the most precise and accurate CGM system in the market. The lower priced Freestyle Libre 2 attracts potential users but data accuracy and reliability surpasses concerns of financial nature. The continuous fetching of data facilitated by a smartphone along with reported less sensor failures places it over its competition.

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[financialthreesixfive-blog]

Thousands deal with Universal Credit chaos with no Christmas payment

Universal Credit is triggering unacceptable challenge for numerous of its claimants, according to a report from a public costs watchdog.It suggested

the Department for Work and Pensions (DWP) seems turning a "deaf ear" to these concerns.The Public Accounts Committee(PAC )said the department's"fortress mindset "is failing claimants who are struggling to adapt.Christmas is fast approaching-and thousands of households face the danger of a monetary gap over the holiday season, reports the Mirror. That's due to the fact that there is a basic five-week wait on your first payment when you start declaring Universal Credit.So if you begin claiming at the end of November or midway through December, you are not likely to get your very first payment till the New Year. Universal Credit, which is being rolled out slowly, replaces six existing benefits with a single payment-however critics have argued the program, which has gone through numerous delays, is flawed.Some 8.5 million people are expected to be on Universal Credit by 2023- however the PAC stated there is a"real threat that we will see claimants facing challenge on a much larger scale". The PAC stated the DWP has actually constantly dismissed proof Universal Credit is triggering difficulty for claimants and additional concerns for local organisations and "refuses to determine what it does not want to see ". Universal Credit is taking too long to pay people the cash they need to live on, the PAC stated, including food bank usage has actually increased more rapidly in locations where Universal Credit has actually been rolled out.The proportion of complaintants paid completely and on time needs to be substantially enhanced and techniques for measuring plaintiffs 'hardship should be developed, the PAC said.Universal Credit and benefits It stated the plan of support to help claimants get used to Universal Credit is "not fit for purpose". Individual budgeting assistance

is typically provided to plaintiffs when they are currently in financial obligation and may not consist of debt advice.A DWP spokesperson stated:" We will carefully think about the findings in the report-a variety of which we are currently working on. We have actually recently begun a brand-new partnership with People Recommendations to deliver much better support to the most susceptible, and are working with stakeholders to make sure the handled migration procedure for people moving onto Universal Credit works efficiently."Up until now this year we have actually currently revealed a number of improvements to Universal Credit, such as plans to restore real estate advantage for susceptible 18 to 21-year-olds, making direct payments to landlords, using 100%advances and providing an extra two weeks of real estate advantage for plaintiffs." Click to play Tap to play The video will start in Cancel Play now What is Universal Credit?One system to replace 6 benefits: Kid Tax Credit, Working Tax Credit, Jobseeker's Allowance, Earnings Assistance, Employment Assistance Allowance and Real estate Benefit.Tory minister Iain Duncan Smith launched it in 2013 to"make work pay", by guaranteeing your advantages taper away slowly as you earn more wage, instead of disappearing in one go.Am I being carried on to Universal Credit?If you are on one of the above benefits, then yes. But this article only deals with people who are being moved onto Universal Credit at the moment.Universal Credit is rollingout in two stages, and it

is necessary to know which one you're in. The first phase is currently happening now-the 2nd phase is

n't. The very first phase-individuals who ARE affected New complaintants and existing claimants whose scenarios alter are being placed on the advantage right now.This process started in one area at a time, with

each Jobcentre having its own launch date.The initially Jobcentre introduced UC in November 2015. Now it remains in almost every Jobcentre, and the last 107 will introduce it in November and December 2018. That suggests that by this Christmas, anyone who makes a brand-new claim anywhere in Britain will be placed on Universal Credit.There were already 1.2 million individuals in this position

by September 2018. By May 2019 it will be 2million, and byDecember 2019 it'll be 3million. The 2nd phase- people who AREN'T impacted Approximately 4million existing plaintiffs will move onto UC later on through a process called" managed migration ". They are not affected by the issue in this article.Unlike in the first stage

, they will be able to access a ₤ 3billion transition fund to guarantee their advantage payments do not unexpectedly drop.They will also mainly not begin moving over till summer season 2020.

Just 10,000 individuals are being moved over in the very first year from July 2019 after Tory ministers slowed the process down.But beware-even if you're an existing plaintiff, you might still be moved previously if the DWP decides you have actually had a" modification of circumstances". So why the concentrate on Christmas?Campaigners'fears are greatest when Universal Credit is new to an area.It implies Jobcentre staff are

dealing with their first cases under the brand-new advantage, which it's declared might lead to teething problems and delays.So while anybody who declares from late November faces a wait over Christmas, it's those in new Universal Credit areas who are being highlighted.There will be 107 Jobcentres introducing Universal Credit in November and December.We have noted those locations in full at the bottom of this article.How do I ensure I'm not left high and dry?It's essential to understand the DWP has a system to ensure your money is not cut off.It's called an advance payment. As quickly as you make a claim for Universal Credit, you can request 100%of your first month's payment.You use

through your online account or Jobcentre work coach, and it ought to get here within five days. If you require help using, call 0800 3285644. There's a big drawback-you have to pay the advance back out of your

future advantages. The payments can be spread over 12 months and there is no interest.Elsewhere, real estate advantage will likewise keep being spent for the very first 2 weeks of a Universal Credit claim, to assist bridge the gap.