| Blood Glucose Monitoring |
A patient information leaflet on self-testing can be found here
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| See 'Guidance for Self-monitoring of Blood Glucose' ELHE |
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Blood glucose monitoring using a meter gives a direct measure of the glucose concentration at the time of the test and can detect
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hypoglycaemia as well as hyperglycaemia. Patients should be properly trained in the use of blood glucose monitoring systems
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| and be empowered to take appropriate action on the results obtained. Inadequate understanding of the normal fluctuations in |
blood glucose can lead to confusion and inappropriate action.
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A range of meters have been evaluated and approved locally for adults with Type 2 diabetes.
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These meters are:
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| > Contour® Plus [Note this is the meter used by DSN's/DN's for patients on insulin undergoing dose titration] |
| > Contour® Next Link [For use with insulin PUMPS] |
| > Contour® Next [For Type 1 & 2 insulin patients who are recommended by a specialist to use the CONTOUR®DIABETES app] |
| > CareSens® N Voice |
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For Type 2 diabetics that are diet controlled or on metformin alone then routine testing of blood glucose is NOT indicated.
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CLICK here to download the Guide to Blood Glucose Monitoring Patient Information Leaflet.
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TEE2 +® ,Contour® Plus are the formulary test strips of choice in the following patient groups:
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| > Type 1 or 2 diabetics on insulin alone |
| > Type 1 or 2 diabetics on insulin + oral therapy |
| > Those under the care of a secondary care/intermediate care specialist e.g. renal patients with low haematocrit levels |
| [NB for gestational diabetes see section below*] |
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GREEN TEE2+® test strips
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| GREEN Contour® Plus test strips (as well as the criteria above this product is used to facilitate insulin dose titration) |
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| Additional options |
GREEN Contour® Next
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| [for Type 1 & 2 Insulin patients who are recommend by a specialist to use the CONTOUR®DIABETES app] |
| GREEN CareSens® N [for those with visual impairment] |
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| *Gestational Diabetes only |
| AMBER WaveSense® JAZZ blood glucose testing strips |
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| Paediatric Treatment |
Accu-Check® Expert [uses AccuCheck® Aviva test strips AMBER]
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Accu-Check® Expert has been approved for use by paediatric patients only as it allows greater flexibility with respect to the
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incremental dosing that is often required for these patients. The choice of meter should be governed by individual need and
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suitability following a discussion with a clinician. For all paediatric patients the meter and initial supply of consumables will be
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made by the specialist service.
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In all instances of blood glucose monitoring a testing regimen should be agreed with the patient and must include the frequency
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of testing. This should be recorded in the patient's written management plan.
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| AMBER Accu-Check® Aviva |
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| Other approved 'specialist only' meter options for Type 1 Diabetic/paediatric patients [NOT to be initiated in Primary Care] |
| Accu-Check® mobile [uses AccuCheck® mobile test cassette AMBER] |
| FreeStyle® Optium [uses FreeStyle® Optimum test strips AMBER] |
| FreeStyle® Insulinx [uses FreeStyle® Lite tests strips AMBER] |
| FreeStyle® neo [uses FreeStyle® Optimum test strips AMBER] |
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