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Practical Diabetic @practicaldiabetic.bsky.social · 20h

For those who use CamAPS in Australia and wondering where Liberty is, I was told at EASD that it would be fully rolled out by 6 Oct so hopefully in the next 24 hours or so. As to the difference? Apparently it is more aggressive at auto-bolusing than CamAPS Classic

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Practical Diabetic @practicaldiabetic.bsky.social · 04/10/2026

I never hear mention of 'diabetic thumb': a small callous that develops on the skin of the lower bone of the thumb from opening drink bottles. I got it prior to diagnosis and have a mild version since going on SGLT2i's ;)

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

That is a wrap for #EASD2026. Thank you to #dedoc⁰ for allowing me to come. I have just enough time to see Da Vinci's codex before heading to the airport and back to Australia.

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

Interventions that were tried but did not delay T1D progression, such as Barictinib #EASD2036 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

1/3 of T1D adults are misdiagnosed as T1D and while thry do not go into DKA as much as children, they progress more slowly with higher c-peptide levels giving more opportunity for intervention e.g. delaying insulin need by two years with Teplizumab. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

Screening works at saving lives. Screened children did not go into DKA. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

Diabetes rates are increasing the most in low income countries but it is the high income countries which are achieving the WHO targets for managing diabetes. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

The sleep study indicated 8 hours was the sweet spot for glycaemic control #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

I am reliably informed that #skechers are an excellent shoe for conferences like #EASD2026 where each lecture theatre is in a different postcode/zipcode #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

A study looking at smart insulin pens and how people responding to missed bolus alerts do better. However the best TIR was still 60%, so inferior to AID. Choice is good but I'll personally stick with my pump. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

Study on hypos during exercise on AID. Aerobic exercise is riskier. Regular exercise and using exercise mode on the pump help minimise the risk #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

Minimed show the results of their fully closed loop system. Basically 70% TIR and 50% TITR compared to 80/60 with announcements #EASD2023 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

I think 'caddies' is 'address'. Live tweeting, fat fingers ;)

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

Dual hormone system vs MDI and normal AID/Looping. No significant improvement compared to AID and a lot of dropouts because of the high maintenance of the dual hormone system. No clear benefit for dual hormone systems. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

Growing evidence that Semaglutide is effective at addressing addictions. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 02/10/2026

Not all GLP-1s are created equal. Sitting in on talk where they are saying the success of Semaglutide and Tirzepatide is the addition of a fatty acid molecule to stop it being cleared quickly from the body which happens to other GLP-1s such as those from diet #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

So in the US it connects with Twist and soon the iLet Beta Bionics but they have me the impression AID capability was still limited.

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

Comparing intermittent energy restriction to time restriction eating, IER led to more weight loss. Neither improved HbA1c but both reduced the need for T2D medication in 2/3 of participants. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

Sometimes the presenters have some fun with their slides. Anyone who has eaten modified sugar sweeteners in bulk can relate. EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

Second low carb study over 6 months showed no significant change in LDL with best adherence with a moderately low carb and improvements in TIR and TAR. 2/3 of participants dropped out of the low carb diet and there were 3 severe hypos. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

The weight loss was comparable to the conventional diabetes diet however the presenter confirmed LDL was increased in the high protein diet. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

Sitting in on a set of 'low carb' sessions. First point made is that while weight loss is seen in short term studies, the long term efficacy is less clear. This study looks at using meal kits to caddies this. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

For people with single autoantibodies, genetic risk scores help tease out which people will need insulin. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

Dysglycaemia is very predictive for T1D in children but less so in adults unless we increase the threshold. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

It is also really hard to differentiate adult onset T1D from T2D using the common measures. Even antibodies drop off with age. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

While half of type 1 cases are diagnosed in adulthood, the rising incidence of type 2 in age washes out the proportion of type 1 cases leading to misdiagnosis #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 01/10/2026

If you want to get your steps in, attend a diabetes conference #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 30/09/2026

The main news is the release of 'Liberty' designed for closed loop operation i.e no food bolusing. I'm already running Camaps closed loop but I'm interested to see if Liberty improves things even more

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Practical Diabetic @practicaldiabetic.bsky.social · 30/09/2026

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

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Practical Diabetic @practicaldiabetic.bsky.social · 30/09/2026

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 · 30/09/2026

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 · 30/09/2026

#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 · 30/09/2026

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 · 30/09/2026

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 · 30/09/2026

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 · 30/09/2026

Interestingly, the risk difference only applies if the mother had T1D during pregnancy, otherwise the risk is the same as paternal T1D. T2D does not offer the same reduced risk suggesting it is not exposure to high blood sugar. #EASD2026 #dedoc⁰

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Practical Diabetic @practicaldiabetic.bsky.social · 30/09/2026

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 · 30/09/2026

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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