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Why meters cannot tell us our BS levels.

  • Thread starter Thread starter catherinecherub
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catherinecherub

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There are many posts here about the competence of particular meters and discussions involving their margin of error. Some even put forward an example of the best meter available.

This article explains the factors involved in their possible unreliable readings including the meters themselves, the strips and us.
http://www.diabetesmine.com/2012/09/why ... more-58088
 
That's an interesting article Catherine. I've always allowed + or - 15%ish on readings, and as a T2 looking for indicators of how food affects me, that's fine. But it's good to see the different factors that make up accuracy. I also knew about the "don't squeeze near the site" because of fluid, but not sure if that would raise or lower the reading. I suspect lower.
 
catherinecherub said:
There are many posts here about the competence of particular meters and discussions involving their margin of error. Some even put forward an example of the best meter available.

This article explains the factors involved in their possible unreliable readings including the meters themselves, the strips and us.
http://www.diabetesmine.com/2012/09/why ... more-58088

It must be different in the US because here hospitals [at least the one I attend} use the same meters we use at home.

The article did not appear to be talking HBA1Cs versus home meter readings .

I have a couple of meters but don't use them together and i always have a fairly accurate idea of what to expect from HBA1C.

I use mine now to watch trends and make sure my bgs don't creep up or occasionally oo far down..
They are what they are- a valuable tool if used wisely and not obsessively in T2 and , of course essential for Ti.

I really wold not feel happy without some means of testing my blood. I take a very small amount of blood sugar lowering medication but he drops I was recently given for glaucoma - especially those taken at night - can cause unexpected and very sudden hypos and I wouldn't have had a clue what was happening without my meter.

I really believe that all T"2s should be given meters or advised on how to obtain them on diagnosis and hen advised to use hem , in cases of illness at least. To do otherwise seems irresponsible to me.
 
catherinecherub said:
There are many posts here about the competence of particular meters and discussions involving their margin of error. Some even put forward an example of the best meter available.

This article explains the factors involved in their possible unreliable readings including the meters themselves, the strips and us.
http://www.diabetesmine.com/2012/09/why ... more-58088

It must be different in the US because here hospitals [at least the one I attend} use the same meters we use at home.

The article did not appear to be talking HBA1Cs versus home meter readings .

I have a couple of meters but don't use them together and i always have a fairly accurate idea of what to expect from HBA1C.

I use mine now to watch trends and make sure my bgs don't creep up or occasionally too far down..
They are what they are- a valuable tool if used wisely and not obsessively in T2 and , of course essential for Ti.

I really wold not feel happy without some means of testing my blood. I take a very small amount of blood sugar lowering medication but he drops I was recently given for glaucoma - especially those taken at night - can cause unexpected and very sudden hypos and I wouldn't have had a clue what was happening without my meter.

I really believe that all T"2s should be given meters or advised on how to obtain them on diagnosis and hen advised to use hem , in cases of illness at least. To do otherwise seems irresponsible to me.
 
That really is an interesting article Catherine! :)

As a type 1 using insulin +/- 15% is a lot and is one of the reasons I don't like to be or stay in the low 4's.
 
Interesting read. Unfortunately, the author never follows up on the initial observation that allegedly lead to this investigation:
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.
That is to say, her observation was that the meter lacked accuracy. She went on to explain why meters cannot achieve lab precision. What she said is correct, but it's completely missing the point.
300px-Accuracy_and_precision.svg.png


It's a simple matter of statistics - no amount of variation in strip age, interstitial fluid, etc can explain away a consistent trend. If one meter always reports a different BG (e.g. my Navigator is always 1 mmol/l less than any of my other meters*), they are not measuring the same thing.

Worse, this makes the meter useless - if you know that it always produces false hypos, you'll just start ignoring them so you might just as well not bother testing.

* Latest example: I tested after an intense cardio workout. Navigator said 2.6 mmol/l (which is impossible, I'd have noticed BG falling to 2.6 mmol/l), and I checked with my AccuCheck Mobile which reported 4+ mmol/l. I went to wash my hands and do another test, which came back as 2.8 mmol/l and 4+ mmol/l respectively. It doesn't matter in which order I do them, or if I use a different finger, etc. Abbott says the variation is perfectly normal, of course, perhaps showing that their call centres are not staffed by statisticians. With my Optium Xceed or (trial) Contour, the same thing happens all the time.
 
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