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41 Responses

  1. Joe
    Joe September 5, 2014 at 4:21 am | | Reply

    I hope this device does make it the States. However you can rest assured that NO Insurance company will cover it initially.

    1. Moe
      Moe October 30, 2014 at 8:31 am | | Reply

      Austria does

  2. Terry
    Terry September 5, 2014 at 7:51 am | | Reply

    This product makes a lot of sense to me. A strong economic case can be made for replacing my 12-a-day strip habit, something the CGM could never claim. And the Libre would give me numbers to inform treatment decisions. I would still wear my CGM.

    It’s ironic that Abbott Diabetes is headquartered just miles from where I live yet they will market to Europeans, first.

  3. Ronel
    Ronel September 5, 2014 at 8:56 am | | Reply

    It would have been great if it had alarms that could predict low or high BG levels and if it was integrated with a pump..

  4. Laddie
    Laddie September 5, 2014 at 11:00 am | | Reply

    As I get closer to Medicare age and have to think about persuasive arguments for CGM coverage, the strongest argument is that the CGM alerts me to lows and highs when I’m not testing. Times like when I’m sleeping, driving, or working out, etc. This device is very interesting and if it totally replaces fingersticks at a somewhat similar cost, that would be great. But as much as I get annoyed by alarms, I need them. Without alarms, this device won’t replace my CGM and I can’t imagine any insurance covering both. But still exciting nonetheless.

    1. AmyT
      AmyT September 5, 2014 at 3:15 pm | | Reply

      Well said, Laddie. I totally agree that alarms annoy me, but they do bring the core value of the CGM to life.

  5. Elizabeth
    Elizabeth September 5, 2014 at 2:28 pm | | Reply

    Agree with Laddie, it’s a nice idea and certainly better than finger sticks, but definitely doesn’t replace a CGM, which many of us wear because of hypo unawareness and to be notified of highs/lows at night. (And this only stores 8 hours of data??)

    It’s great to have options, but I see this more as a device for those Type 2′s who are not on insulin, and want to be able to easily monitor and get away from finger sticks. (Maybe that’s their target population?)

    Now…if they could make an accurate 14 day sensor (especially one this small) that monitored continuously, alarmed, and stored weeks of data so you could plot trends? The best of both worlds? That would be something for T1′s to really get excited about.

    1. Elizabeth
      Elizabeth September 5, 2014 at 2:32 pm | | Reply

      (Just realize I described a typical CGM in my last paragraph, haha. I meant to add “without fingerstick calibration.” But really calibrating a couple of times a day is no big deal, and I’d hope nobody would trust this new device’s accuracy without also testing periodically to make sure it was on track.)

  6. denise
    denise September 7, 2014 at 4:59 pm | | Reply

    As a mom of a 12 yr old d kid I have no use for anything that doesn’t send data to the cloud. Cgm in the cloud is the only way to go. Now that I’ve experienced nightscout I will never go back to a regular cgm.

  7. Anon
    Anon September 8, 2014 at 8:50 am | | Reply

    Hi! I live in the UK, just had this fired into my arm today! Will report back later!

    1. Amanda Los-Jensen
      Amanda Los-Jensen September 23, 2014 at 10:03 pm | | Reply

      Hi Anon, was wondering your thoughts of the Abbott Libre? It looks like an amazing device, how have you found it?
      Cheers
      Amanda

    2. jane
      jane September 25, 2014 at 5:37 am | | Reply

      me too! I have had it for just over a week and I can report that it is totally painless, comfortable and amazingly reliable. I love it, love it, love it!!! only problem is you do need to be a little careful as i knocked the sensor and it pulled off my arm. also my clinician cannot access remotely my test results which would be useful. on the other plus side, my clinician, on the strength of the graphs and results, has changed my insulin.

    3. Hannelie
      Hannelie October 29, 2014 at 2:38 am | | Reply

      Goodday!! Today i read about this abbott system…. This would be totally amazing for my 3year old daughter!! How’s it working?

  8. Laurie Dyer
    Laurie Dyer September 10, 2014 at 4:58 pm | | Reply

    No thanks, the only reason we use a CGM is for the alarms. Besides, my daughter is down to 3 finger sticks a day with her Dexcom. Isn’t the next generation Dexcom supposed to be finger stick-less? I’ll wait for them!

  9. Phil
    Phil September 11, 2014 at 10:36 am | | Reply

    Why I like this for my 10yo:

    1) 14 day duration. With the pump site changes every 2 days, adding a CGM change every 7 (dexcom G4) it’s too much for her

    2) no fingerstick calibration. A reason she lost interest in the CGM is that it added no value to her management (according to her. We of course loved the insights). Having to calibrate and to use regular meter before bolus meant no reduction in finger sticks. I assume you can use this for bolus calculations w/I finger stick.

    3) size. Appears less obtrusive than her Dexcom g4 sensor

    I hope the FDA can get out of its own way on this.

    1. Emily B
      Emily B September 24, 2014 at 11:25 am | | Reply

      Yes. Yes. Yes.

  10. David
    David September 11, 2014 at 1:59 pm | | Reply

    The dream would be if sensors can replace fingersticks entirely, be obtainable at pharmacy copay, and cost almost as cheap as fingersticking 7x daily with the added benefit of trend info.

  11. Phillip Carr
    Phillip Carr September 12, 2014 at 5:31 am | | Reply

    “No finger prick calibration” is not quite true. Abbott say in their small print “A finger prick test using a blood glucose meter is required during times of rapidly changing glucose levels when interstitial fluid glucose levels may not accurately reflect blood glucose levels or if hypoglycaemia or impending hypoglycaemia is reported by the System or when symptoms do not match the System readings”.

  12. andrew
    andrew September 12, 2014 at 2:39 pm | | Reply

    I have had the new free style in since 3rd September and think this device is a god send. Pity not available on prescription but will buy if I can.

  13. dayz
    dayz September 15, 2014 at 3:19 am | | Reply

    WE KNOW a cgm is better , but some people CAN’T AFFORD A CGM !!!

  14. Heather
    Heather September 16, 2014 at 8:38 am | | Reply

    So why wouldn’t I get an appointment with a private (not NHS) British Endo, fly to the UK, get one of these and come home to the US? Obviously it would not be covered by my health insurance but the cost does not appear to be prohibitive especially taking into account the drastic reduction in test strip usage over time.

    Are we allowed to import medical devices for personal use that are not FDA approved? Would I be unable to re-order censors from the US?

    Knowing that American’s routinely and legally go abroad for surgeries – and routinely and Illegally order medications from overseas, both at their own risk of course, I’m very curious about how this might work.

    Thoughts?

    1. libby
      libby October 16, 2014 at 4:45 pm | | Reply

      Heather, did you find out anything about flying to Europe to get one of these? I would do it in a heartbeat! If you find out anything, let us know!

      1. anne
        anne October 27, 2014 at 4:15 pm | | Reply

        I would think your problem would be getting sensors. You would have to come back routinely to purchase them (the companies won’t be allowed to ship to the USA) or know someone in the country who can order them for you and ship them to you.

  15. antonio
    antonio September 17, 2014 at 1:42 pm | | Reply

    I live in spain and you don’t need a spanish endo, you probably can buy directly thought abbot webpage.

    1. Heather
      Heather September 19, 2014 at 9:43 am | | Reply

      Thank you Antonio. The UK page is blocked in the US and I assume the same for the others… but I will continue to explore this. -

  16. Nevet
    Nevet September 19, 2014 at 1:33 pm | | Reply

    Wow! I can’t believe what enthusiasm for this terrific fingerstick-freeing product abounds here – not! Doesn’t compute altho many seem to be either CGM wearers or CGM employees. LOL However, with both added together likely less than 1% of all diabetics, I’m wondering where all the fans are hiding.

    I, for one, a 25yr 6sticks/day T1d in SoCA can’t wait…so have already googled for a UK mail-order pharmacy to get on their list to be notified as soon as the product’s available there.

    p.s. Great review, Mike, thanks! Keep up the good work!

    1. libby
      libby October 16, 2014 at 4:49 pm | | Reply

      I’m with you Nevet! It’s Oct 16 and I’m just hearing about this. I decided to do some conservative calculations and figure I’ve poked myself at least 44,000 times over the past 30 years. C’mon man! Hated the CGM, couldn’t count on it. I’d definitely like to know more about this!

  17. Kevin
    Kevin September 22, 2014 at 7:26 pm | | Reply

    Living in Western Australia I am constantly in and out of the ocean and swimming pool , does anyone know if the sensor would handle it and also can you insert the sensor yourself?

  18. andrew
    andrew September 29, 2014 at 7:52 am | | Reply

    I was back at clinic today and was unable to get a sensor
    Alas got an old style senor not compatible with the freestyle.
    I have registered to buy one and will,my question is if I buy the cgm can I get the senors on prescription . I currently use 8 or more of my current resting strips a day and finger pricking too.
    I’m sure they would be cheaper !!!!!

  19. 22ax
    22ax October 9, 2014 at 11:06 am | | Reply

    dose anyone remember hearing Dexcom state one of there main goals was to eradicate the use of test strips. It seems they’ve been beaten to it. Although this isn’t a cgm, it has a sensor that lasts for longer than a Dexcom sensor and doesn’t require calibration. – a feature Dexcom talked speculatively about when discussing future products such as the g6 which would be around 3 years away?

  20. Puddin
    Puddin October 20, 2014 at 10:09 am | | Reply

    I think this is good news. But I do wonder why they would not have introduced it as a CGM? I find knowing the patterns and the alarms most useful. Perhaps something to do with the length of time the sensor lasts for this purpose versus and full CGM…?

    This is good progress though…

  21. James P
    James P October 22, 2014 at 3:14 pm | | Reply

    This makes a whole lot of sense to me. It’s not a replacement for CGM, it’s really a replacement for regular fingerstick testing. You have less hassle and more useful data. A total upgrade for people who test regularly, and would likely get other people to test as much as their doctors want them to, I mean once you have it in place, why not swipe it and look, right?

    I guess if you live by the alarms (and don’t just ignore them/disable them like my sister does) of CGM then this won’t be the device for you. But it seems like it’s right for so many people, type 1 and type 2! I only wish the FDA would allow things like this to get approval here as fast as countries in Europe do! We are the biggest market by far, so I doubt the manufacturer is holding back on us for no reason!

    Anyway, cross your fingers for this and other disruptive tech to make its way to the States!

  22. Bob
    Bob October 23, 2014 at 3:16 am | | Reply

    I am an American living full time in France. I have been diabetic since 1966. This morning I ordered a freestyle-libre. I expect it in the next few days and will send a report as to how it works for me. CGM have always been too slow for this active diabetic.

  23. Julie
    Julie October 23, 2014 at 9:49 am | | Reply

    I have been wearing, this and using it for over 24hrs now and it’s brilliant. Their is a lag between sensor readings and normal fingers tick tests. Husband and myself fund this, but hopefully the NHS, might look into funding sensors soon. I /we bought this because we can’t afford cgm and I only have 5 fingers to test from and Ast(alternate site testing, lower arm). So it cuts down on the tests I do. I do have 1 or 2 gripes though. The lowest, a low blood sugar can be set to is 3.9, I hypo at 3 down to 2.5 and the high blood sugar can only be set to 10.0, which I don’t consider hyper. Plus once you your blood sugar drops below a certain level you just get Lo.
    But Abbott don’t give a lot of information as to how low is Lo and how high is high. The only bits I can find are these for the reader it says 1.1-27.8mmol and the sensor reading range it’s 2.2 -27.8mmol.

  24. John Ellis
    John Ellis October 24, 2014 at 9:43 am | | Reply

    I am one of the “lucky ones” here in Germany that have been selected to test this setup! It is absolutely GREAT!!! I absolutely hated to prick a finger 5-7x / day! Now I just scan it whenever I want to. I really don’t care about the cost, because for something like this, I’m willing to pay for it, as long as I’m halfway able to! I have been better able to adjust my daily routine because of it. I highly recommend it!

    1. anne
      anne October 27, 2014 at 4:10 pm | | Reply

      where are you in Germany? I wish we could have gotten on that test! :) Enjoy!

  25. Scott
    Scott October 25, 2014 at 7:41 am | | Reply

    This “as needed” part bothers me. I currently use a constant glucose monitor, and I’d prefer this idea, but I’d want it to check automatically and often rather than requiring me to initiate the check.

    Also, I’d love it if they’d mix this into the insulin pumps I currently use. That’d be the best thing ever if they did.

  26. maria
    maria October 27, 2014 at 12:59 pm | | Reply

    how much it cost

  27. anne
    anne October 27, 2014 at 4:08 pm | | Reply

    I have looked at the Freestyle Libre UK site.
    It appears that the sensor is 58 british pounds (converts to about $93 USD) and each sensor is about the same. The sensor can last up to 14 days.
    They are offering a UK ‘starter pack’ containing a reader and two 14-day sensors for 159 british pounds (converts to about $256 USD)
    Once you purchase the reader, the sensors will run about $200/month…assuming you can use them 14 days.

  28. Max
    Max October 28, 2014 at 3:59 am | | Reply

    Sensors are £48 with VAT (sales tax) exemption, which Abbott apply at checkout. The applicator is much neater than Dexcom, and the sensors have a much lower profile so… combining the smaller thread and better form, I’ve found it significantly better to wear. No calibration is amazing – was tired of Dexcom “drift” and “???”.

    The scan versus transmit is interesting – I’m actually finding the scan better, it forces me to be proactive. And playing team sports where you can’t carry the reader, the fact that the sensor stores the values means I don’t lose data from not being close to the receiver.

    But I can see how with kids the transmission and alarms are important. But then for kids or teenagers who don’t want to wear bulky transmitter, Freestyle might be better than Dex.

    Ignoring cost, I’m so far much happier with the Freestyle than the Dexcom. Next stop: accurate implant syncing up with iWatch.

  29. Bob
    Bob October 28, 2014 at 1:50 pm | | Reply

    I have been using the Freestyle Libre for four days. It is the best. I am surprised that is is always within 5% of a regular BS.

    A pleased American in France.

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