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Does CGM Replace Fingersticks? It is recommended that you calibrate CGM systems with fingersticks 3–4 times per day for optimal glucose sensor accuracy. CGM does require at least 1 fingerstick blood glucose reading every 12 hours to calibrate the CGM sensor1.

CGM Components CGM systems usually consist of a glucose sensor, a transmitter, and a small external monitor to view your glucose levels. MiniMed insulin pumps have built-in CGM so the information can be conveniently seen on your pump screen. The CGM monitor or insulin pump is small, discreet, and easy-to-wear. It can be attached to your belt, hidden in your pocket, or placed under your clothing. This component will show your current glucose levels and your historical glucose trends. It also notifies you before you reach your low or high glucose limits and if your glucose level rises or falls too quickly. The CGM transmitter is a small, lightweight device that attaches to the glucose sensor, gathers your glucose data, and sends it wirelessly to the glucose monitor unit. The Medtronic transmitter is waterproof and can be worn while swimming, bathing, or showering without worries. The glucose sensor is inserted under the skin to check glucose levels in tissue fluid. The glucose sensor has a small adhesive (sticky) patch to hold it in place for a few days and then it must be replaced with a new sensor. The glucose sensor is inserted with a needle, which is removed after the glucose sensor is in place. The most common place to wear a glucose sensor is in the abdomen. The glucose sensor is easily inserted under the skin using an insertion device. A sensor is placed into the insertion device, and with a push of a button the glucose sensor is inserted quickly and easily.

“Your blood pressure and heart rate are similarly changed by exercise and beta blockers,” said Gerald Fletcher, M.D., Professor of Medicine at the Mayo Clinic in Jacksonville, Florida.  “When you become exercise-trained your heart slows and your blood pressure lowers.”

“Exercise hard – to the point of being tired – but not excessively hard,” Dr. Fletcher said. “If you reach a point where it is hard to talk, that is probably too much.”

mployees widely describe as a dysfunctional work environment, abysmal morale, and the lure of private security companies paying top dollar

Mayorkas stressed that the churn of personnel has not affected the department’s ability to protect the country.

A parade of high-level departures, on top of other factors, has meanwhile helped slow the rollout of key cybersecurity initiatives, including a program aimed at blocking malicious software before it can infiltrate civilian government computers, former officials say.

Private-sector salaries for high-level career officials, especially cybersecurity experts, can be double or triple the roughly $180,000 they can make at DHS.

Many former and current officials said the most burdensome part of working for DHS is the demands of congressional oversight. More than 90 committees and subcommittees have some jurisdiction over DHS, nearly three times the number that oversee the Defense Department. Preparing for the blizzard of hearings and briefings, officials say, leaves them less time to do their jobs.

While DHS officials say their efforts to secure the border have not been affected,

In one nine-month period between June 2011 and March 2012, for example, four senior DHS cybersecurity officials quit and one retired — all headed to the private sector

he department battled the Pentagon and the National Security Agency over who should have responsibility for protecting critical private-sector networks

DHS was pressing to enshrine its authority in law.

The cybersecurity bill died, a victim of strong opposition from industry and its backers on the Hill.

delayed Einstein 3,

DHS can’t keep anyone in cyber. They just can’t do it,’’ said another former DHS official. “You can make $150,000 protecting the nation or you can make $650,000. Which one are you going to do?’’