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foreign [Music] hello everybody Welcome to a dose of Dr E and Dr P today were going to talk about a really important topic Trend arrows and how to react to them now the Advent of continuous glucose monitors has has created a lot of conversation between provider and patient we talk about the mean glucose the standard deviation the estimated A1C time and range but what is rarely discussed are Trend arrows and how to react to them yeah so what is a trend error well it just tells you what direction your blood sugar is going and we always say that the direction that your blood sugar is going is just as important if not more important than the number itself so were going to give some specific examples but I think you guys living with diabetes and if youre taking insulin you know that theres a big difference between a blood sugar of 150 and just kind of cruising versus 150 and you know two arrows up youre screaming upwards or 150 going you know straight down and with that same exact bloo