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Is interstitial fluid (ISF) a reasonable alternative for blood? What about the lag?

ISF is a reasonable alternative for blood. Glucose can be measured in the ISF–the fluid around the body’s cells where glucose freely diffuses from capillaries to the interstitial space.207 The physiological delay in ISF glucose with respect to changes in blood glucose is about 5-10 minutes208 which is unlikely to impact routine day-to-day treatment decisions. The average lag time of the FreeStyle Libre system is approximately 5 minutes.209
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