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How many strips do you get through a month?

AndBreathe

Master
Retired Moderator
Messages
11,582
Type of diabetes
I reversed my Type 2
Treatment type
Diet only
I see lots of “test, test, test”, and “eat to your meter” quoted here, and as I'm considering my long term management, I thought I'd go gathering information. Personally, I need to calculate the number of strips I could expect to use over a six month period, when access to replacements are likely to be inconsistent, at best. I am an un-medicated T2, so testing for true hypos isn't necessary, for me.

Could I have some feedback from those with experience? I'm hoping for responses from T2s, who have been diagnosed a while, or who have effectively managing their condition for a while, to mirror my own situation. Could I ask you to tell me:

  • How many strips you get through a month?
  • If you are self-funded or prescription
  • Your testing regime (e.g. a couple of tests every day, versus a few days each month intensive testing)
  • If you test a couple of times a day, is it random or do you some sort of structure?
  • The meter you use
  • Your last HbA1c

I appreciate that's a lot to ask, but I am hoping the information gathered could help others at a similar milestone. Obviously contributions from absolutely everyone would be appreciated.
 
I'm a type 2.
On metformin.
Prescribed 100 strips a month.
No great argument over it, I said I wanted to test, convinced them I could make use of it, they prescribed them.
Initially I went through them quickly, (I got a couple of months in advance by ordering repeats at two weeks), but now I know what spikes me, but I have been using a few more again recently as I'm adjusting my diet a bit, so checking a bit more often, and also within the two hours I used to
I use whatever meter comes on prescription, it changed occasionally. They all seem to be the same readings though.
 
I'm on insulin so have to test for driving purposes as well as pre meal

On average 8 tests a day

Mine are prescribed


Sent from the Diabetes Forum App
 
On 3 x 500mg Metformin

Prescribed 50 strips a month. Got them after three months when I showed the GP I was self funding and he could see it made me happy and was working.

For the first 6 months I kept a dairy of 7 tests a day then gradually reduced once I gained confidence that I had it under control. I now do 2 tests a day first thing in the morning and two hours after my main meal. I base my average carbs / day intake on what my first thing in the morning test is saying i.e. if I begin to see a rise over a few days I'll cut down the carbs until it comes back in line.

I use a One Touch Ultra meter that I inherited from my T1 eldest son. If I didn't have that then I'd use an SD Codefree that you can get off Amazon or eBay. It is more than accurate enough for T2's on diet only or diet only + Metformin and is the cheapest meter to run.

My last hBA1c was 28 or 4.7% in old money. I was diagnosed at 100 or 11.3%
 
On 3 x 500mg Metformin

Prescribed 50 strips a month. Got them after three months when I showed the GP I was self funding and he could see it made me happy and was working.

For the first 6 months I kept a dairy of 7 tests a day then gradually reduced once I gained confidence that I had it under control. I now do 2 tests a day first thing in the morning and two hours after my main meal. I base my average carbs / day intake on what my first thing in the morning test is saying i.e. if I begin to see a rise over a few days I'll cut down the carbs until it comes back in line.

I use a One Touch Ultra meter that I inherited from my T1 eldest son. If I didn't have that then I'd use an SD Codefree that you can get off Amazon or eBay. It is more than accurate enough for T2's on diet only or diet only + Metformin and is the cheapest meter to run.

My last hBA1c was 28 or 4.7% in old money. I was diagnosed at 100 or 11.3%


Thanks xyzzy - That really is an impressive HbA1c reduction.
 
I have been diagnosed 11 years.
I always been given my strips on prescription.
In the early days I was obsessive about testing and did at least 8 per day. I think this was because I was determined to get to grips with managing my diabetes. This probably lasted for about 2 - 3 months.
I can still get strips but only use a few per month for If I am feeling unwell, trying something new or a full days testing at least once a month to make sure that my levels are not starting to rise.
 
Thanks xyzzy - That really is an impressive HbA1c reduction.

Thank you. The majority of the reduction actually came in the first 3 months. I went from 11.3% down to 5.3%. I put that down to swapping to low carb, losing some weight and the testing regime. For me testing was a big thing as I don't have a lot of will power but I found actually recording the measurements rather than just looking at the number on the meter made a lot of difference. I designed an all singing all dancing colourful spreadsheet that was interesting to maintain and appealed to my very competitive nature by turning the whole thing into a battle between me and the T2.
 
Just a little bump for the evening shift. :)
 
when first diagnosed i tested about 12 times a day, just over a year on i test a couple of times a week sometimes less, its normally only if i eat something unusual or ive cheated

ive always had strips on script, never been limited, ive never mentioned it, the strips are the only good thing about my surgery and the only reason im still there

im a huge fan of testing, the more the better, it was essential in the beginning and would recommend it in the strongest way for newbies or anyone trying to gain better control, i just dont need to test these days otherwise i would be
 
I'm testing minimum 7 times a day, pre and post meal and pre bed. SO that's 50 strips a week.

Then there's pre- and during driving, and pre-, during and post-exercise.

My prescription is for 6x50 strips at a time which last me around a month depending what I'm doing.
 
I'm T1, test on average 5 times a day assuming no exercise, hypos or extra driving.

I go through roughly 150 strips a month, I get 8 boxes of 50 a time so I get a good few months before I need to get more


Blogging at drivendiabetic.wordpress.com
 
Thanks everyone. This thread, along with many others shows one size doesn't fit all!

Any more input for me, please?
 
I'm insulin dependent. And I sometimes test as many as 20 times per day. (But mostly, it's around 16 times per day: on average, around once per waking hour.)

However, mostly I use ultra-cheap visually read strips: either Betachek Visual or Glucoflex-R. (Both of these are on the Drug Tariff, but only the latter presently has a UK distributor.) And indeed, unlike meter-read sticks, each of these strips can be cut with scissors into 4 striplets!

I mostly use the meter-read sticks only for first-thing morning readings and last-thing evening readings. And because these readings are particularly crucial, I will sometimes take a DOUBLE reading using the meter.

The visually read strips are really quite accurate for readings below 8mmol/l. (The lower the blood sugar, the more accurate is the reading given by the visually read strips.) And so, IF one's blood sugar is fairly well controlled, then one simply doesn't need to use the - relatively speaking - highly expensive meter-read sticks for most readings.
 
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Michael - That's a lot of testing. Are your levels erratic? Aside from he obvious of knowing your levels, what do you get from testing so frequently? I must say that level of testing activity would impinge too much on the rest of my life.

The Glucoflex strips would have been useful when my meter died in an inconvenient place, and their long shelf life looks good. I need to "tool-up" for 6 months shortly, and I have some underlying concerns about storage in a hot climate. All of the meter strips I have looked at recommend storage at under 32c, which will be a challenge after Easter. But that's a whole new dilemma.
 
Hi,
My levels tend to describe a flat line, very close to that of someone who is perfectly healthy.

And indeed, I am pretty healthy myself, despite having been diabetic for a little over 30 years.

My levels are not erratic on account of a combination of what I eat, and blood-sugar testing!

But the testing doesn't really impose on my life much at all. For one thing, I don't need all the junk that's normally associated with testing: I don't have to carry around a stupid 'purse' full of stuff. I don't use one of those spring-loaded gadgets to get the blood sample: I simply (and gently) jab myself with a bare lancet - which I tend to use over and over until it gets blunt.

I'm sure I spend more time each day rolling cigarettes than I do testing my blood sugar.

I have just had a look on the packs of both Betachek Visual and Glucoflex-R. And they need to be stored between 2 and 30 degrees C. So that's no better for you than the meter-read sticks.

I'm able to keep my levels so safely near normal on account of what I eat. (Please see details on my Profile page.) Steadily eating rye bread throughout most of the day makes me far, far less likely to be caught out by a hypo than I would be if I ate normally.
 
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Thanks for explaining Michael, and for the info on storage parameters for the non-meter strips. That little nugget is something I'll have to decide upon in the coming days.

I'm pleased your personal regime returns you very stable results. You certainly seem committed to it. Is your diet varied, or do you find your commitment to rye bread influences what else you consume quite a bit?

For me, I would not be able to commit to test hourly, for anything other than a very brief period, as it would interfere with other things I do. I note, from your profile you are "professionally unemployed", perhaps your diabetes management has taken the focus others may be applying to working?

As I've said before in this thread, one size definitely doesn't fit all !
 
I'm a Type 2 on Metformin and Gliclazide. I test every morning to see what my baseline is. Once or twice a month I test intensively before and after meals to check what is happening. I also test before I drive on a long journey.

I get strips on prescription, but I don't abuse this and order 150 per year - I had my meter changed to a Glucolab one by the practice nurse which has cheaper strips. The rest I fund myself, usually from ebay. It is up to you what you think about mainly Type 1's who re-sell like this, usually the boxes are sticky from where the pharmacy label has been removed, but it makes testing more affordable for my One Touch machine which I prefer.
 
Thanks Denise. I hadn't really considered that T1s might be selling on their prescribed goods. Naively, I thought it was probably folks who had changed their meter and had a few left over.

Given your blend of prescribed and self-funded, roughly how many do you get through in an average month?
 
My diet is pretty varied. And I do like to eat well. (Yet I've always been slim.) But the only meals, as such, that I eat are a small lunch and (very) early evening meal: I cook for my 93-year-old mother and myself. And whatever else I may eat, I simply have to make sure that I eat around 220g of rye - from when I get up in the morning, until 4pm. This is what tends to keep my blood sugar stable for 24 hours.

I said that ON AVERAGE I test around once per waking hour. And if I were still 25 years old, then I believe I might now return to work as a motorcycle messenger just as I did soon after I was first diagnosed as needing insulin in 1983. (There might now be more of a problem with insurance, and with the motoring licence.) The visually read strips had only just then become available, and that's what I used pretty well as often as I do now. (Before that, it was urine testing or nothing.) But it's not always so easy in the cold and wet, I acknowledge.

My self-described state of being professionally unemployed is a bit of a joke, really. For I show some marked features of Asperger's syndrome; and I know that I have something important to contribute: something involving the very nature of autism itself. But I immediately need to qualify that: I'm NOT thinking ONLY of the developmental disorder for which the name 'autism' now tends widely to be exclusively reserved. And the very fact that I should need to make that qualification effectively serves to illustrate a certain quasi-medical 'problem of communication' I'm up against. On account of this problem of communication, I have to wait for the attention to come to me. And I have been waiting quite some time: I'm certainly one of those described by the Prime Minister as having been "left for dead". (That was around two years ago, I think.)

I can illustrate something of what I have to contribute, and also something of what I'm up against, in relation to the control of blood sugar in diabetes. (The illustration may be elaborated by some responses to what I write here.)

Here's a definition of 'hypoglycaemia' that I can live with: "(Symptoms resulting from) low blood glucose." (I found it somewhere on the internet, I'm not sure where.) However, that's quite different from the orthodox view. According to the current orthodoxy, a hypo is a reading of below around 4 mmol/l. This orthodox view makes no reference to symptoms at all.

Now, note that the first definition is ambivalent: it has "either or both of two contrary or parallel values, qualities of meanings". (I quote from the OED entry for the adjective.) And note also that the very word 'ambivalence' is one of a triad of terms coined by Eugen Bleuler: 'schizophrenia' (1910), 'ambivalence' (1910-11), and 'autism' (1912).

Hans Asperger himself wrote (in 1944): "The name 'autism', coined by Bleuler, is undoubtedly one of the great linguistic and conceptual creations of medical nomenclature." And of the developmental disorder which he described, versus the mental disorder of schizophrenia, he speculated: "It could well be that these two disorders of the will are closely related!" But he also wrote this: "The autistic psychopath is an extreme variant of masculine intelligence, of masculine character." And that's particularly significant for present purposes.

For since Hans Asperger and Leo Kanner, the term 'autism' has become intrinsically ambivalent in meaning, and yet also very strongly one-sided: it's just like English 'man', and 'masculine', and 'dexterous' and 'right'. (Isn't that right?!)

Moreover - at least in the case of those beyond the age of three or four - there is also an occasional, somewhat pathological human tendency to COMPLETE one-sidedness. This tendency is most certainly a masculine tendency. (And indeed it seems to involve a disorder of the will.) But note that the concept of masculinity is not itself completely one sided. (Otherwise that famously butch, pin-striped, necktie-wearing, cigar-smoking Spitting Image puppet of Margaret Thatcher would not have been so perfectly fitting as it so obviously was.)

Not dissimilarly, the concept of hypoglycaemia is not completely one-sided: notwithstanding the etymology, it doesn't simply mean 'low blood glucose'.

One has to take account of symptoms.

And because of my rye-based diet, I get low blood glucose readings pretty well throughout the day without experiencing symptoms. And if I do get symptoms (as I certainly will if I'm not careful), they are very much slower in onset than they used to be.

Before, experiencing a hypo was like going over a cliff. Now it's more like stepping over the crest of a windswept sand dune: I get a chance to climb back up.
 
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