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Rationale 5: To promote involvement and enable partnership in care. Rationale 4: To initiate appropriate intervention and management. A lower level of 3.0mmol/L ( Campbell 2008 ) may be accepted for children with other conditions before intervention but the named consultant for individual patients must direct this. Rationale 3: Children with Hyperinsulinism should not have blood glucose of less than 3.5mmol/L without intervention as are unable to produce alternative fuel sources such as ketones and are therefore at high risk of brain damage ( Hussain et al 2007 ). Rationale 2: To meet the manufacturers recommendations. Untrained staff may obtain inaccurate or misleading results that can lead to incorrect management and adversely affect the patient. Rationale 1: To achieve an accurate reading. To better know how accurate your own meter is (in percentage terms), you can "check the package insert that comes with the strips and look online at prescribing information," sa To better understand the science behind meter and strip technology, you can google "meter accuracy" for white papers and posts that would delight even the geekiest engineer. I talked with a number of Chief Medical Officers, MDs and Medical Safety Officers at several meter manufacturers and I'm going to tell you what I learned in layman's terms. I checked my blood sugar several times on my collection of 7 meters (some think I was a little obsessed) and saw it was rare when two meters gave me the same number! Given that I feel like my meter is my lifeline, I wanted to find out how meters work and why different meters give different results.
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There were several, (Sanofi studies show most people use 4 meters on average) and I even ordered two new free meters from FreeStyle. A Guest Post by Riva Greenberg After being lucky enough to receive an iBGStar meter from Sanofi the day before its launch, I ran a few comparison tests between it and the Bayer Contour USB, which I'd been using the past two years, and discovered that the iBGStar consistently gave me a reading 20-25 points higher. Truth is, she tells us, meter accuracy is only one part of a much larger story.
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Very timely considering I've been seeing loads of expensive TV ads for Accu-Chek's new Nano meter, claiming that it's "23% more accurate" (!) Riva recently published a piece at the Huffington Post on why meter accuracy is both less, and more, critical than you might think. Why Meters Can't Tell Us Our Blood Sugar LevelsÄiabetes advocate and author Riva Greenberg has been on a "meter accuracy kick" lately - researching the heck out of this controversial topic. What is A1C? Performed by your doctor during your regular visits, your A1C test measures your average blood sugar levels by taking a
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The calculation should not be used to make therapy decisions or changes. *Please discuss this additional information with your healthcare provider to gain a better understanding of your overall diabetes management plan. See how average daily blood sugar may correlate to A1C levels.2 Enter your average blood sugar reading and click Calculate. Use this information to become more familiar with the relationship between average blood glucose levels and A1C-never as a basis for changing your disease management. This calculation is not meant to replace an actual lab A1C result, but to help you better understand the relationship between your test results and your A1C. GET YOURS FREE The calculation below is provided to illustrate the relationship between A1C and average blood glucose levels. For some people, a tighter goal of 6.5% may be appropriate, and for others, a less stringent goal such as 8% may be better.1 Talk to your doctor about the right goal for you. For example, if you check blood glucose 100 times in a month, and your average result is 190 mg/dL this would lead to an A1C of approximately 8.2%, which is above the target of 7% or lower recommended by the American Diabetes Association (ADA) for many adults who are not pregnant. This can make it difficult to understand the relationship between the two. Unlike daily blood glucose test results, which are reported as mg/dL, A1C is reported as a percentage. Average blood glucose and the A1C test Your A1C test result (also known as HbA1c or glycated hemoglobin) can be a good general gauge of your diabetes control, because it provides an average blood glucose level over the past few months.