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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.

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?’’

Why do people need an echo test?Your doctor may use an echo test to look at your heart’s structure and check how well your heart functions.The test helps your doctor find out: The size and shape of your heart, and the size, thickness and movement of your heart’s walls.How your heart moves.The heart’s pumping strength.If the heart valves are working correctly.If blood is leaking backwards through your heart valves (regurgitation).If the heart valves are too narrow (stenosis).If there is a tumor or infectious growth around your heart valves.The test also will help your doctor find out if there are: Problems with the outer lining of your heart (the pericardium).Problems with the large blood vessels that enter and leave the heart.Blood clots in the chambers of your heart.Abnormal holes between the chambers of the heart.

Cardiomyopathy

Every 10 minutes, someone is added to the national transplant waiting list, and every day, 22 people on average die waiting for a match, according to the United Network for Organ Sharing. But, thanks to innovations in bioengineering, all of that could change.

Conceived nearly 60 years ago, the total artificial heart (TAH) has helped sustain the sickest biventricular failure patients waiting for a transplant. While the design of the primary TAH used today has mostly remained stagnant since the ’80s, when it was first implanted in a patient, new models and clinical trials may lead to a better device and, one day, a permanent solution.

The longest an individual has lived with the most widely used device worldwide, the SynCardia temporary TAH, was nearly four years.

At the Cleveland Clinic and the Texas Heart Institute, scientists are exploring how continuous-flow total artificial hearts (CFTAH) may suit patients with biventricular failure who aren’t eligible for an organ transplant, or either don’t have access to the SynCardia temporary TAH or are ineligible to receive it due to its size. The SynCardia temporary TAH can only fit in large chest areas. Researchers at the Cleveland Clinic have completed a three-month study on two calves implanted with their CFTAH, which operates without a diaphragm or valves, and doesn’t require an external driver like the SynCardia temporary TAH.

According to data from the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS), of the upwards of 40 percent of patients with end-stage heart failure— a majority of which suffer from biventricular failure— only less than 3 percent receive a TAH.  

The shortage of heart transplants and the need for a solution

In the late 1960s, when patients began receiving heart transplants, supply was relatively high and demand was low, Donald Isaacs, vice president of communications for SynCardia, told FoxNews.com. The Department of Health and Human Services (HHS) estimates about 4,000 people wait for donor heart transplants each day, while only about 2,300 hearts are donated.

Heart disease is the No. 1 cause of death in the U.S., claiming more than 611,000 lives in 2015, according to the Centers for Disease Control and Prevention (CDC).

“The big question, which no one knows the answer to, is ‘What are the long-term ramifications of continuous flow in the arterial system?” Manning told FoxNews.com, “and that, unfortunately, has not yet been determined because there hasn’t been a study to look at that.”

“Everyone talks about tissue engineering a heart— that’s a long way away— so there are people that are desperate for this technology,” Manning said. “I think it has the potential to save a lot of people’s lives, and with donor hearts not really increasing and in fact decreasing, there’s got to be a solution.”

“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.”