People living with diabetes may choose to use CGMs, especially people who have type 1 diabetes. CGMs measure blood sugar every few minutes. They use a device placed on the skin along with a sensor placed under the skin. These disposable sensors last for 10 days to two weeks before they need to be changed. Other types of implanted sensors can last up to 6 months.
CGMs include a wireless device worn on the body called a transmitter. The transmitter sends information from the sensor to a program that lets you view your blood sugar level. The program is viewed on a receiver, a smartphone or an insulin pump.
Some CGMs show your blood sugar reading at all times. They often include an alarm that goes off if your blood sugar goes up or down too quickly. Other CGMs require that you check your blood sugar by running the receiver over the sensor. You may need to do this every few hours. Some people have to do it more often.
With some CGMs, you still need to do finger-stick blood tests. These tests set the CGM. This is called calibration. The finger-stick blood tests also help keep the CGM readings precise. Check your device's user's guide to learn if you need to do finger-stick blood tests, and if so, how often.
Wine might make some CGM readings less precise. Some medicines also can have an effect on the readings, especially when used with older CGMs. Medicines that may affect blood sugar readings include:
- Acetaminophen (Tylenol, others).
- Albuterol (Proair HFA, Ventolin HFA, others).
- Aspirin.
- Atenolol (Tenoretic, Tenormin).
- Atorvastatin (Atorvaliq, Lipitor).
- Ethanol oleate (Ethamolin).
- Lisinopril (Zestril, Qbrelis).
- Vitamin C (Airborne, Emergen-C, others), also sold as ascorbic acid supplements.
Readings on newer CGMs don't seem to be affected by standard doses of acetaminophen — up to 1,000 milligrams for an adult. Newer CGM readings also don't appear to be affected by ascorbic acid supplements that are less than 500 milligrams.
If you need to take medicines that may affect the accuracy of the readings, check the package insert that comes with the sensor. Or talk to your healthcare professional. You may be told to double-check your CGM results with a standard blood sugar meter. Check with your healthcare professional about using a CGM if you are:
- Pregnant.
- On dialysis.
- Very ill.
These conditions may affect the blood sugar readings from a CGM.