The Future of Glucose Monitoring | Freestyle Libre 4 CGM! 

CGM has been a life changing experience with my diabetes control

As a very brittle Type 1 who test ketones 10 times daily and a person living with mitochondrial disease who has suffered from lactic acidosis I am beyond happy to hear that my dreams of what I’ve been saying to my Endo for years are coming true A CKM continuous ketone monitor and Lactic acid monitor are coming true! This could not only help me beat off ketones but also prevent mito crisis induced lactic acidosis.

I started using Libre 3 system recently. The quick feedback helps me control my behavior much better. I measure ketones with the color paper. Thank you for alerting your viewers about Libre 4.

So cool to see new innovations with these devices! Looking forward to seeing what else we’ll be able to track in the future as things progress even more.

Thanks for providing the news on Abbott's upcoming CGMs. As a longtime Freestyle Libre user along with a Medtronic insulin pump, I recently switched to the Dexcom 6 and Omnipod 5 to achieve the imperative blood sugar/insulin compatibility. The great news about Abbott's prospective Libre 4 is not just its ability to measure ketones but also its connectivity with Omnipod and T-Slim.

Great news and tech advances. It is a shame that many of these devices are only available for the US and European countries and for patients living in LATAM are not available. Best case scenario is taking 3-4 additional years to be launched in this region. Right now, we are still on Freestyle ONE in LATAM and with very low probability to even get the TWO.

I’m on a keto diet so would love to be able to monitor ketones!

Hi, I am a 61 year old non diabetic who has been in Natural Ketosis for 3.5 years. In the first 4 months I easily reduced my bmi from 33 to 22. I used a freestyle libre 1 cgm for 2 two week periods to understand how my glucose levels were affected by food and exercise and took daily finger prick and regular keto breath levels. A freestyle 4 would give a much better understanding of peoples metabolism. The treatment potential for the obesity diseases, types 2 and 3 diabetes(dementia), for people to stay in ketosis is a huge market. a combined alcohol level reading would also help those who want to try it and continue to drink in moderation. Doctors would also end up understanding how each patient was doing without relying on their patients verbal answers. Diabetes type 1 individuals using less than 20 carbs per day and geting their carbs through the gluconeogenesis of protein, thus substantially reducing their injected insuline to maybe a 10th of their current dosages, would be able to gain control with much less stress. A type 1 diabetic who is fat adapted can have their brain fuelled by ketones when their blood sugar goes low. preventing them becoming unconcious and allowing them to fix their own glucose lows. The highest Natural ketone blood level that I measured was 7.1 mmol/L, well below the 15 to 24 mmol/L that only type 1 diabetics can reach. my concern with the Libre 4 woul be in the software being set to not allow this kind of value to be reached without alarms being forced to be reached. A step in the right direction by abbott - next step is to educate doctors and other health professionals in nutrition and human metabolics. Hopefully big pharna, the medical establishment, and food industry will not sabotage this step in the right direction. Thanks Rob in Sweden

I kept on seeing articles about how others were also using OUR CGMs for dietary or sports reasons. Thankfully Abbott is bringing them into the fold, which means more investment and better choice as the market grows. A win for everyone.

i love to be in ketosis

Ketoacidosis is not good but Ketosis is good. People often confuse the two.

I'm currently using libre 3 which I love but this is a game changer everything together no more finger picks again can't wait

Very interesting! I wish they would also be hard at work when it comes to their bad software, alarm settings, compatibility with smart watches and pumps etc., though😭

Next game changer watch 👍🏻👍🏻

This is amazing. I want the dual glucose/ketone monitor right now. I have been using Freestyle Libre2 for two years, and the addition of ketone monitoring would help me when I fast. I have tried urine test strips for ketones, but they didn't work for me. I am not excreting ketones in the urine when I fast. I did not bother buying ketone test strips for blood drops, because of the expense. I wonder if the Abbot Labs dual monitor will be more expensive than the current glucose only monitors.

I so wish my Blue Cross plan covered this.

Hi i am from Algeria i need to Know how i can introduce my Freestyle libre 3 on my phone thanks so much

The price of these needs to come down so type 2 diabetics can afford to use them regularly. Or at least extend their life to at least 4 weeks

Being able to gauge insulin levels could be useful to detect if artificial sweeteners elicited an insulin response even if blood sugar levels haven't gone up.

Any body know when the 4 is going to be available

I'm waiting for the libre that is linked to a pump to give insulin when needed automatically. That is what they should be working on.

Wish they would make an apple watch app and integrate to apple health!

In my country version 3 is not even released.. 😀

Will it become OTC like in other countries?

wow freestyle keytones cant wait for that

Yes acidosis should be added, an A1C should be added, If the freestyle libre 3 hasn't had the shortcomings fixed, what makes us think they're going to do the right thing on the freestyle libre 4, everybody knows about the shortcomings of the freestyle libre 3, I know we need as many features as we can get, and when the four comes out we don't want to see no shirt Cummings that we got to wait for, we'll have to see.

I just wish they'd get the reliability and quality control sorted. Currently about 40% failure rate and my diabetes care team agrees

I am so happy Dat l am not the only person Dat has libre

This will also be beneficial to type 2 diabetics during the period of adaptation to intentionally ketogenic diets as a strategy to manage their glycostasis.

Great information. Thank you.

That's important news: ketones, and +++ the ability for the new Freestyle to give glucose levels informations to your insulin pomp, if it matchs. I like my Medtronic 780, but I think I will have to change for Omnipod or Tandem. We will see, maybe by the end of this year, depending on FDA and insurance aproval.

This will be great for all low carbers who want high ketones for maximum health benefits. I'm still using the keto mojo meter.

Does the libre 4 allow you to consume more than 500 milligrams of vitamin C??

If its possible to detect ketone bodies via libre, why isn't it yet possible to measure insulin levels? It would be great to be able to monitor insulin level to detect early insulin resistance. BTW is it a viable option to perform a OGTT via libre? Is it accurate/sensitive enough?

Confused! I try to get high ketones. I am on a keto diet and try to keep carbs down and ketones up. In only 2 months on keto I was able to get off all meds.

Great information! Researching deeper I’ve learned there may be differences with resulting readings being less accurate then conventional measuring methods. Likewise, it’s important to realize what overall reading accuracies are expected from the new system. They don’t seem to be absolutely correct and need to be calibrated. Once calibrated the readings may be understood as close to accurate maybe within a certain percentage of true accurate reading. This usually is acceptable if user knows what to expect. Currently Only real system use will show these issues and doesn’t appear to be published.

I guess future is already here, I use the real-time CGM on watch without the need of a phone. I have been utilizing Ambrosia's real-time CGM system, which incorporates the FreeStyle Libre sensor along with the BluCon and LinkBluCon applications. This regimen has been instrumental in my weight loss journey, aiding me in shedding 15 lb within a span of 30 days. I make use of the app's food insights feature to monitor the impact of various foods on my glucose levels. This information allows me to minimize consumption of foods that cause significant glucose spikes. Moreover, it's proving to be a valuable tool in my practice of intermittent fasting.

I am very pleased to see this but I wish their marketing would get on with it. I live in Europe and I can only access version 1 other countries in Europe can access version 2 or 3 and they actually make the freestyle Libre in my country

Can it be used by non Diabetics, who are doing a Keto Diet, to monitor their keyone levrls?

I get my libre 2 free from NHS. I wish it was insulin pump compatible as I would definitely use one of those, that said I wish the NHS would issue the NFC insulin cartridge that sent dose info straight to the libre app

In your opinion as a diabetic, which insulin pump and CGM are the best overall to use right now? I'm currently using the Medtronics 770G but am looking to change. Thank you!

Awesome

Is Freestyle has a date limite expiré thanks

When will these new devices be released? I would love to be able to monitor ketone levels

Is libre 3 will be connected with the bump

Brother was recently diagnosed with diabetes. He’s pricking his fingers but gets 2 different reading where one finger will say 99 and the other will say 110. How do you know which one is correct???

My son is still on libre 2on the nhs ,can he get the libre 4

Abbott CGM progress and development is great news but their shortcomings is keeping up with Apple IOS which punishes IPhone users because they are forced to use old Apple operating systems to stay connected to existing Free style, libre CGM’s.

Does it automatically calculate Glucose to ketone Index for autophagy?

I find my libre 3 more annoying than helpful. It will alarm in the middle of the night saying my glucose is dangerously low (

Too bad Abbott and other CGM developers didn't consider the thousands of blind diabetics when they designed their CGM and the Reader that comes with it. "Line up the marks", and the Reader does not have audio output, which makes it inaccessible to the blind, which I consider inexcusable. My watch speaks to me, my alarm clocks speak to me, my HAM radios speak to me, my smart TV and cell phones speak to me, etc, yet my CGM, which is critical to my health, DOES NOT speak to me?? There is no excuse with the modern speech technology that is out there, and so affordable to implement too. You can purchase a talking watch for under $10 for example. I do own a cell phone, but unfortunately it will not work with the Libre 2, and I don't plan to go out and spend hundreds of dollars for a new cell phone that will work with the Libre CGM. To reiterate, the Reader should speak and be accessible to the blind, dyslexic, etc. Sad, and again, inexcusable in my opinion.

Wait. So ketones are bad now?

Yes, but will this be compatible with newer iPhones, such as iPhone 14 pro and updated iOS operating systems?

Am I missing something? As far as I was aware, ketones would only be a problem if you had high blood glucose values for long periods. If you are using a continuous blood glucose monitor - or even finger-pricking - you would be aware of these high values and adjust accordingly. The "Ground Breaking New CGM" you describe strikes me as a solution in search of a problem. There are better things that Abbott can do than this.

My worry is non-diabetics consuming all the supply of CGMs as they start monitoring more and more functions of the body. We’ve seen this with some insulin.

I’m currently in hospital and wearing a CGM but still being woken up every two hours for a ketone finger prick. Libre 4, where are you?

I imagine that this will be helpful for some T1D's. For me however this will do nothing at all as I have during me 20 years as T1D i have never had any problems with ketones.

I don't consider it as a big plus - a CGM itselfe is already a very nice indicator for possible ketones, therefore the effort for ketone-sensing isn't that necessary in my oppinion.

The Libre 2 and 3 are useless to me. Too many false low readings! The 4 told me I was at 53 and I was 130. Ridiculous!

I used the Freestyle Libre 14 day. I used 4 out of 6 boxes prescribed to me and paid by BlueCross. I had high hopes after listening to these promotion videos. My experience is that it was very inaccurate and worthless. They were on the average 30 to 50 points off all of the time. Now I hear others saying the same. What a rip off they are. You know that 4 grams of carbs = 1 teaspoon of sugar. Do the math and save your money. I hope in the future they get better. Good luck.

Libre 2 and 3 . Don't show your levels all time in the app .the are not real Waterproof. Really swimming for a long time.

Get a microphone you can move away from your head

I wish they would make it little less expensive so peasants like me can afford it. I have type 2 and take Jardiance and Levemir and United Health Care won’t approve it. BTW UHC’s stock price before ACA (Obama care) was around $28 and after ACA was implemented it is over $500, go figure.