Choosing a blood test meter, choosing a blood glucose meter

LIVINGLIVING

Devices are great

when they work, but

when they fail, then the

supplier's customer

service is where you

should turn... If you

think you might need

support, research

the brand and device

before making your

choice.

2. Accuracy

This area of meter performance is

contentious and difficult to quantify.

Officially, all blood glucose meters

need to meet a standard. However, in

a 2017 study1 it was found that just six

out of 18 meters cheked met accuracy

requirements. It might be thought that

these requirements are stringent, but at

most levels, the tolerance is at least 2

mmol/l. Finger prick testing with a home

meter may not be the gold standard that

many think it is.

3. Customer service

Devices are great when they work,

but when they fail, then the supplier's

customer service is where you should

turn. Some of the suppliers are easy to

contact with free phone support and

detailed websites. Others are almost

entirely uncontactable. If you think you

might need support, research the brand

and device before making your choice.

4. Data sharing/reporting

Until 10-15 years ago the only option for

recording levels, food, insulin etc., was to

jot it down in one of the infamous blood

glucose diaries. These were often works

of fiction or had the first page completed

and then nothing else. Modern meters

should enable you to download the

data to a computer so you can analyse

yourself. There may also be a companion

application that can be used to crunch

the data and produce informative reports.

These can then be printed out or emailed

to clinicians to enlighten discussions at

diabetes reviews.

5. Light on strip port

Night-time hypos are a fact of life for many

people with diabetes. Some meters have

small LEDs that enable the test strip

port to be illuminated. As well as in dark

conditions, having an illuminated display

can help if eyesight is compromised in any

way, or if you are a fan of the movies and

might need to do a test in the dark once

in a while.

6. Screensize

Again, related to eyesight, sometimes it

may be desirable to have a larger display.

7. Device size

For many, they will carry their device

around with them at all times. The device

may therefore need to be pocketable or

be smaller enough to fit in a handbag.

Some devices are sleek and miniaturised.

Others are far more bulky.

8. Bolus calculator

Most in-meter bolus calculations are

based on the target blood glucose

level, the current glucose level, the

carbohydrate-to-insulin ratio, total grams

of carbohydrate to be consumed in the

meal, insulin on board and an insulin

sensitivity factor. Not all meters give

this functionality, but it may be important

particularly for pump users.

9. Ketone testing

People with Type 1 should have the

ability to test for ketones. Unfortunately,

relatively few meters have the ability to

perform a ketone test.

10. Size of blood sample

Sample sizes range from around 0.3

microliters up to 1.0 microliters or more.

If people have difficulty getting a sample, a

drop requirement may be a useful feature.

1 Investigation of the Accuracy of 18 Marketed

Blood Glucose Monitors, Klonoff et al, Diabetes

Care Aug 2018, 41 (8) 1681-1688; DOI: 10.2337/

dc17-1960

Nick Cahm has lived with T1D since

2007 and worked on the campaign for

Libre access across the NHS. Find him at

www.t1tenor.com

Views expressed in this article are Mr

Cahm's and not those of the publisher. "

KIT

REPORT

Index

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  2. Abbott Freestyle Libre, Flash Glucose Monitoring
  3. Desang diabetes, magazine diabetes information, Sue Marshall diabetes
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  7. Diabetes technology education from Diabetes Technology Network DTN
  8. diabetes news, diabetes research news, diabetes information, diabetes news
  9. Dexcom G6 CGM, continuous glucose monitoring
  10. diabetes news, diabetes research news, diabetes information, diabetes news
  11. Medtronic Minimed 670G hybrid closed loop insulin pump
  12. diabetes food news, diabetic diet, counting carbohydrates
  13. Spirit Health, Spirit Digital, insulin injection devices, blood glucose monitors
  14. Type 1 diabetes, Type 2 diabetes, Diabetes diet, desang, blood testing, blood test meters, diabetic
  15. Insulet Omnipod DASH insulin pump with insulin pods, podders, Omnipod DASH Personal Diabetes Manager
  16. Diabetes technology education from Diabetes Technology Network DTN
  17. Desang diabetes magazine, diabetes news, diabetes and Covid-19
  18. diabetes news, diabetes research news, diabetes information, diabetes news, diabetes and Covid-19
  19. Page 0019
  20. Choosing a blood test meter, choosing a blood glucose meter
  21. Ascensia Contour Next One Diabetes blood test meters
  22. Choosing a blood test meter, choosing a blood glucose meter
  23. Medtrum A6 Touchcare patch pump and CGM in harmony
  24. Dexcom G6 CGM senor, continuous glucose monitoring in pregnancy for Type 1 diabetes
  25. Dexcom G6 CGM senor, continuous glucose monitoring in pregnancy for Type 1 diabetes
  26. Dexcom G6 CGM senor, continuous glucose monitoring in pregnancy for Type 1 diabetes
  27. Dexcom G6 CGM senor, continuous glucose monitoring in pregnancy for Type 1 diabetes
  28. Insulet Omnipod DASH insulin pump with insulin pods, Omnipod CEO Shacey Petrovic
  29. Abbott Freestyle Libre, Flash Glucose Monitoring
  30. Insulet Omnipod DASH insulin pump with insulin pods, Omnipod CEO Shacey Petrovic
  31. Medtronic Guardian Connect CGM sensor for diabetes
  32. Desang Diabetes Magazine, free diabetes magazine, living with diabetes
  33. Desang Diabetes Magazine, free diabetes magazine, living with diabetes
  34. Carbohydrate counting for diabetes
  35. drate counting for diabetes, alternatives to milk
  36. Carbohydrate counting for diabetes, alternatives to milk
  37. Desang diabetes kitbags
  38. Desang Diabetes Magazine, free diabetes magazine, living with diabetes

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