Description

Alto et al used a simple checklist to identify factors affecting the accuracy of home glucose monitoring. The authors are from Maine-Dartmouth Family Practice Residency, Denison University and University of the South in Columbia.


 

The glucose monitor:

(1) is checked daily with the electronic function strip.

(2) is carefully cleaned regularly and as needed.

 

The control solution for the monitor:

(1) is used according to the manufacturer's instructions.

(2) has not expired.

(3) triggers troubleshooting if the results of the control solution exceed certain limits (typically +/- 10% of the expected value).

 

The glucose test strips:

(1) are in the original container, which is kept tightly shut when not being accessed.

(2) are not expired.

(3) the code on the vial of glucose test strips is the one entered into the monitor.

 

Testing is performed as follows:

(1) An approved site is pricked with a puncture device.

(2) The first drop of blood is wiped away.

(3) Testing is done on the second, hanging drop.

(4) Blood is applied correctly to the test strip.

(5) The test strip is inserted correctly into the monitor.

(6) The reading and recording the result properly.

 

Additional steps may include:

(1) Making sure that the monitor is kept fully charged or uses appropriate batteries.

(2) The monitor is stored properly.

(3) The monitor is checked if it is dropped or damaged.

 

Many people testing their glucose may fail one or more of these tasks. Some patients do not know what the control solution is used for or how to troubleshoot a problem.

 


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