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Thoughts on expert glucose meters

MickyFinn

Well-Known Member
Messages
158
Type of diabetes
Type 1
Just wanted to ask opinions of those using expert meters. I’ve been T1 for just over two years and used a bog standard Nexus mini from the start. Always had good control, learnt to spot BG trends and adjust depending on circumstances such as exercise etc.

Last year my 10 year old nephew was diagnosed as T1, and was given an expert meter because of his age, which I can understand. Over the last few weeks. He has started to have quite high BG, often over 12 m/mol, but if the meter says it’s okay, the boy and his parents ignore it and never question it.

The other week, because they blindly followed the meters instructions, my nephew ended up in hospital with ketones because of a virus. I had spent the whole trying to convince them something was not quite right, but was ignored, because meter says everything was okay.

It’s happening rather often, and I’m wondering others have experienced thus with expert meters. Do the meters go wrong? I’m assuming expert meters don’t take into account exercise, or extraordinary circumstances. Do they flag up issues and suggest testing ketones etc?

I’m having some difficulty getting through to my brother that my nephew having BG of 12.4 and higher all day that never comes back into range is not acceptable because the meter says it is. Is it likely the meter has gone wrong, how reliable are they? I intend to try and get my brother to raise the issue with my nephew’s DN, with the intention of checking his insulin ratios etc.
 
I have an 11y old daughter and while she doesnt have a smart meter she has a pump that calculates for me so a similar thing. The bits that drive me mad are that it "aims" for the top of range when correcting and the range is preset by dsn (hers is 4-7). Also they are some days that we just csnt get on top of it and i suspect she is having a growth spurt - your nephew could well b having one. I tend to up the basal on the pump on those days as it doesnt recognise that she isnt responding to correction doses
 
His BG came down after his evening injection of Lantus, so I do wonder if his basal needs upping a bit. He only takes one injection per day, and it appears it might be slightly less effective during the day. Upshot is I told my brother he has to speak to his DN ASAP. He actually admitted it had been happening a while but they had let it drift and did nothing!
 
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