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Test strips and complacency

LittleGreyCat

Well-Known Member
Retired Moderator
Messages
4,435
Location
Suffolk, UK
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Diet drinks - the artificial sweeteners taste vile.
Having to forswear foods I have loved all my life.
Trying to find low carb meals when eating out.
I know that there are warnings on the site about this, but I find I start believing my test strips especially when they give what looks like good news.

Between batches I seemed to have suddenly upped my BG levels (which may be true as there is a lot going on at the moment).

I have a FreeStyle Freedom Lite and they send you a free test solution kit on request to check out your meter.

I had the usual confusion because I couldn't find anything on the solution bottles to say what value they should be.
In fact, this information doesn't seem to be published anywhere.

After checking with Abbott I realised that the acceptable range for the test strips with test solution is printed on the individual box of strips.
Now comes the scary bit.

The box says:
High.................................13.8 - 20.7 mmol/L
Low...................................1.7 - 3.3 mmol/L

That is one heck of a range, especially the 'High'.

I take this to mean that (assuming that the correct reading is in the middle) the true values should be

High....................................17.25 mmol/L................max difference 3.45................percentage +/- 20%
Low......................................2.5 mmol/L....................max difference 0.8..................percentage +/- 32%

A bit more accuracy further up the scale, but still.......

If we assume +/- 20% (for the sake of argument) in the range 5 mmol/L to 10 mmol/L, then a true value would be within acceptable range of the test strips if it showed

5 mmo/L....................................4 - 6 mmol/L
6 mmol/L...................................4.8-7.2 mmol/L
7 mmol-L...................................5.6-8.4 mmol/L
8 mmol/L...................................6.4-9.6 mmol/L
9 mmol/L...................................7.2 - 10.8 mmol/L
10 mmol/L..................................8 - 12 mmol/L

Which makes sobering reading when you look at it.
I am assuming that most strips will test somewhere along the middle line, but batches would be 'in spec' which gave you a reading with quite a different message.
Just looking at the 7 mmol/L you could test at 5.6 (which would make you feel virtuous) or 8.4 (which wouldn't).

My test strip calibration readings were High 18.1 Low 2.7 which may suggest a slightly pessimistic view of my BG compared to standard.
Unfortunately I didn't test my last batch to see where in the range they fell.

So the message to me is that you can use a batch of strips to compare progress when using that batch, but unless you calibrate each time you start a new box of strips then you cannot compare with any great confidence between the batches.

I am trying to resist a spreadsheet which shows the maximum variation of each reading and the probable real value based on the calibration test.
I have to remember that these meters are just not that accurate.

Oh, last batch was High 13.8-20.7 Low 2.2-3.9.
High range the same but low range significantly different.

Cheers

LGC
 
I still find it hard to believe that in this day and age and with the technology available we cannot get a more accurate meter. Still, I'm happy I've got one as many are not afforded such luxuries.
 
I still find it hard to believe that in this day and age and with the technology available we cannot get a more accurate meter. Still, I'm happy I've got one as many are not afforded such luxuries.

I was told a few months ago, by Sanofi, that changes to the allowable tolerances for meters were being brought in; reducing the potential variance from 20% to 10%. Obviously this would be a great step,in the right direction for we consumers, but it is allegedly causing headaches for some manufacturers. I can't recall if I was verbally given a target date for the changes, but it,certainly isn't in any of the email interactions I have had.

Fortunately, aside from my ego, the absolute numbers aren't so important for me as any changing a trends in my scores. I am neurotic enough to crave whatever accuracy I can achieve. In the meantime, I'll work with what I have.
 
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