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Her early morning high BG reading makes her feel as though her day is ruined before it's begun.

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A sensor-augmented pump (SAP) combines the use of an insulin pump with a continuous glucose sensor (CGM technology) that transmits glucose readings to the pump.

Use of CGM allows the patients to continuously, monitor their glucose level and take a more informed decision on blousing, meaning further improved Hb A1C level and reduced time spent in hypoglycaemia CHALLENGE The patient reports experiencing high overnight fasting blood glucose levels on a regular basis and is becoming frustrated.

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The Department offers a variety of services and supports for teens and young adults.

He is frustrated because he is still not reaching his target and he is well aware that due to his elevated Hb A1c he is at greater risk of developing diabetes-related complications.

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This provides a more physiological delivery of insulin and allows the patient to react, based on BG readings, to adjust the insulin levels across the day - for better control.

SAP gives the patient clear data updates allowing him to see how food, insulin, exercise and other daily activities affect his blood glucose level – potentially improving overall glucose management.

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Over the last 12 months, we have made rapid progress on the re-tender of care and support at home, reducing admissions to residential care, increasing the numbers of people on direct payments, delivering commissioning savings and in establishing a sound basis for change.