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Practical Diabetic @practicaldiabetic.bsky.social · 11h

Here is the T2D CGM summary. It is an option with modest benefits with low evidence #EASD2026 #dedoc⁰

Practical Diabetic @practicaldiabetic.bsky.social · 11h

Even with periodic use, the evidence is weak and the proposed benefits below clinical significance. Therefore it is an option but, as I see it, the cost vs benefit may be questionable when the same money could be used for interventions with more robust evidence #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 11h

Even when splitting T2D into insulin using populations, the benefits were marginally positive with weak evidence. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 11h

#EASD2026 present their guidelines for T2D CGM. Measuring HbA1c, TBR, and Quality of Life, the evidence shows there is a very small positive effect in the general T2D population. So an option but not essential. #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 15h

I saw this at #EASD2026, the Medeva Essenza. A passive cooling case with temperature sensor, GPS locator, follower capability. I like it a lot. About to be made available for sale, from what they tell me it won't be the cheapest in the market but it is an elegant option. #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 15h

Eversense is an implanted CGM which sits under the skin for a year. No sensor changes. Alas it is not coming to Australia in the foreseeable future. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 17h

The giant exhibition hall at #EASD2026. This only captures a fraction of it but highlights the content more by what is missing i.e. insulin. Lots on GLP1s. The Age of T1D focus is coming to an end and the age of obesity management begins.#dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 17h

Having a father or siblings with T1D leads to double the risk of getting T1D compared to having a mother with T1D #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 17h

Daniah population study looking at how relative history of allergy, auto-immune, T1D, and T2D leads to a risk of developing T1D. Allergy history not as strong but the others are very significant. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

Having T1D affects much more than just blood sugars. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

Good technology should help not hinder the person if affects. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

If you have heard about digital twins, this is a reasonable summary of what it means #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

Deniz Cengiz highlights not all we call AI is actually AI. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

Analysis of the menstrual cycle shows variance in insulin use and resistance #easd2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

I will be speaking at the #dedoc⁰ Symposium at #EASD2026 on the power of community

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

Welcome to #EASD2026 in Milan, Italy. I'll be live messaging on X, Threads, and Bluesky. Thank you to #dedoc⁰ for making it possible for me to attend.

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

Setting the tone and priority of diabetes care, the Presidential Address of #EASD2026 mentions GLP-1 research. Less so about novel insulins.

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Practical Diabetic @practicaldiabetic.bsky.social · 29/09/2026

The fabric softener and water in a spray bottle does the ironing again!

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Practical Diabetic @practicaldiabetic.bsky.social · 27/09/2026

Been flying and transiting for around 30 hours. I'm reasonably happy with the trace given I've been eating plane meals and snacks, and sitting on my behind for most of it.

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Practical Diabetic @practicaldiabetic.bsky.social · 26/09/2026

Another journey begins. This one a little over 30 hours to get to #EASD2026. Sydney security was very smooth. No issues with getting a pat down.

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Practical Diabetic @practicaldiabetic.bsky.social · 16/09/2026

My first time at #EASD2026 in person and first time in Milan. I'll be messaging live on the interesting stuff. All tips and tricks for Milan welcome.

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Practical Diabetic @practicaldiabetic.bsky.social · 06/09/2026

This is a db/db mouse on the left. It has a gene mutation so it doesn't use leptin well leading to obesity and high blood sugars. They are used to study T2D. He is proof that broken dna can lead to T2D-like diseases. Obesity doesn't cause T2D. Something else causes them both.

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Practical Diabetic @practicaldiabetic.bsky.social · 05/09/2026

In This Month in T1D Research: -The TIR vs HbA1c mismatch -How the luteal phase affects T1D -Tirzepatide for T1Ds -Helping children adapt to T1D -Auto-immune diseases increase T1D risk -Teplizumab delays the need for insulin -Evolution of diabetes prevention and care. youtu.be/k4sZXX5eFVw?...

youtu.be

This Month in Type 1 Research August 2026

YouTube video by This Month in Type 1 Diabetes Research

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Practical Diabetic @practicaldiabetic.bsky.social · 27/08/2026

I'm doing a task which will take a couple of hours and my pump's run out of insulin. My thought is "I can survive a few hours, I'll attend to it afterwards" It strikes me that, to a non type 1, the idea of putting off a task which stops me dying, is poor prioritisation.

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Practical Diabetic @practicaldiabetic.bsky.social · 26/08/2026

My new gizmo: SugarPixel Mini. Does not require a Bluetooth connection to your phone to display values so, in theory, it could sit on the dashboard of your car and pull data via WiFi

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Practical Diabetic @practicaldiabetic.bsky.social · 22/08/2026

(1/3) A final comment about #26ADC. One thing that truly impressed me was the integration of lived experience throughout the program. While I expect there are those who continue to question the value of lived experience at a medical conference, the value was clearly demonstrated.

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

That is a wrap for #26ADC. Exhausting but also energising, and always great to see other dedoc alumni. Until we meet again @renzas.bsky.social anitasabidi NupurLalvani davidburren @tadorna1959.bsky.social

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

Drew Harrisberg's Exercise Pharmacy. The right medicine for the circumstance #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

I missed the slide but Drew spoke of doing a 10 second all out sprint before or after exercise helps avoid a post-exercise low by artificially raising BGLs. #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

Drew Harrisberg gives a prescription of walking for blood glucose management. #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

Be curious, ask open questions, don't judge. Let the PWD guide the conversation and confirm that they won't be punished for it #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

The things which cause us the most mental distress may well be the things we are most reluctant to discuss. We need to create trust and lower the barriers of discomfort #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

The story for mortality among T2D populations is more optimistic.#26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

Some of the factors driving the T2D but mortality rates are improving. As Johnathan Shaw says, if your incidence (diagnosis) rate is more than the death rate, your prevalence (# who have it) may increase #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

Johnathan Shaw speaks at the future of type 2 diabetes i.e. there is going to be more of it globally #ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

I hear about the use of statins in diabetes a lot. I take one. Not because my lipids are out of range but because having a low LDL, beyond what can be achieved with food and exercise alone, has a lot of upside with minimal downside. #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

Oral Glucose Tolerance Tests are falling out of favour (I have literally never had one despite being misdiagnosed as T2D, then T1D/LADA). They are a hassle to administer, variable and less predictive #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

Fasting glucose + HbA1c was the best combo for type 2 diabetes diagnosis. #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 21/08/2026

How do we test for T2D? Basically if the person is 'sugary' and has been for a while. There is no one blood test for type 2 diabetes, it is the diabetes you have when you're not one of the others #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 20/08/2026

There is consistent evidence that GLP1s provide benefit to T1Ds #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 20/08/2026

@JenniferSnaith shows the evidence of benefit of GLP1s for T1D despite the high financial cost #26ADC

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Practical Diabetic @practicaldiabetic.bsky.social · 20/08/2026

@JenniferSnaith speaks at the anomalies resulting from beta cell destruction and insulin use, many of which are addressed by GLP1s #26ADC

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