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Conflicting BG readings

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Lauras87

Well-Known Member
Relationship to Diabetes
Type 1
I did a test as I felt funny, first one was 19.5 which freaked me out as an hour earlier I was at 12.0
So I did another test on my other hand & I'm 15.3

Erm I don't see how in 2 mins I could of dropped 4.3mmol

Can anyone explain? I've done a solution test on my kit today but that cant be it but how can 2 hands differ?
 
where your hands clean?

Try a toe!

I did wash them very well like I usually do

I was told no to blood from your feet due to infection
 
I've actually only done my toes a couple of times.

No idea what is going on I would prob test again in 30 mins?!
 
I've actually only done my toes a couple of times.

No idea what is going on I would prob test again in 30 mins?!

Paramedics did my toe once when I was going off on one when I was younger as he couldn't get blood out of me

My fingers are getting tough now tho from 10 years of testing.

I definitely have no clue as to what's going on, am testing at 10 & then every 30 mins til midnight when ill have calmed down from watching twilight 😱
 
Basic strip/meter variability I'm afraid. By law meters have to be within + or - 20% of a lab test 95% of the time. All meters (I think) exceed this requirement by a considerable margin, but if one test/strip is under and another over there is plenty of room for that kind of movement, especially at higher levels - and of course 5% of tests could be further out than that!

Most meter instructions say to retest if a meter reading doesn't seem right/fit with how you feel.
 
Basic strip/meter variability I'm afraid. By law meters have to be within + or - 20% of a lab test 95% of the time. All meters (I think) exceed this requirement by a considerable margin, but if one test/strip is under and another over there is plenty of room for that kind of movement, especially at higher levels - and of course 5% of tests could be further out than that!

Most meter instructions say to retest if a meter reading doesn't seem right/fit with how you feel.

Thanks mike, am going to use my old meter instead of my pump meter & see if it's the meter
 
Thanks mike, am going to use my old meter instead of my pump meter & see if it's the meter

Most meters are similar in terms if the number of 'dodgy' readings they provide (and many of the weird ones will be from a sample that means we don't even notice them eg 5.2 rather than 7.1).

I've done some meter vs meter testing in the past and it is a fast route to madness. What can be useful (eg if permanently switching meter for pump) can be to get a general 'feel' of whether one brand of chemistry/analysis generally measures slightly higher (or lower) than the one you are used to, but we should not even expect 2x readings by the same meter from the same drop of blood to be identical let alone different readings from different meters from different fingers(!). Its also not particularly wise to use different types of meters in parallel IMO (eg one at work, a different one at home) because the general 'skew' of readings could be enough to confuse things. Unfortunately the technology just isn't that accurate - hence the 1.7mmol/L 'buffer' on basal rests.

In some senses pretty much any reading within 1 or 2 mmol/L could be seen as effectively 'the same' since the technology just isn't up to providing much more accuracy with that with any reliability. Of course this isn't how we use them - but then D is not an exact science in any sense!
 
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Ah ha 'your pump meter', do you mean contour link? If so I won't touch that meter with a barge pole. We tried it last year as thought it was a great idea as it saved Jessica imputing her BG in the pump which she invariably forgets so we tested it 50 times against our very trusty meter and every single test bar 2 were way way lower and not what we expected. It would have meant less corrections, treating hypos that may not be hypos and therefore re less corrections it would mean high a1c.

I have chatted to the company about it and all I was told is there is a new one coming out at some point.

However forgetting all of that, do you test the second drop? I ask this because we always do, habit now, originally because sometimes you can't get to wash your hands so discard first drop of blood and test second. However I recently read an article which was really good and a part of it said always test the second drop as the first drop would contain interstitial fluid. This makes sense to me as the sensors go in the skin to swim around in interstitial fluid which is just under the skin. Also if you squeeze very hard you can be testing 'tissue' 😱 but you probably know all that anyway

x
 
Hi Adrienne.

You'll have to excuse me from appearing thick but contour link?

I have a pump meter which I was given to try & get on with before I get my pump in September & if I'm honest I hate the bloody thing.

I'd happily pump by using my old meter but I know I have to use this new one.

I've never been told to use the second drop but I'm a bit nuts about how clean I like my hands to be before testing
 
Hi Adrienne.

You'll have to excuse me from appearing thick but contour link?

I have a pump meter which I was given to try & get on with before I get my pump in September & if I'm honest I hate the bloody thing.

I'd happily pump by using my old meter but I know I have to use this new one.

I've never been told to use the second drop but I'm a bit nuts about how clean I like my hands to be before testing

Oh ok bit behind here so you haven't got a pump yet, that is coming this September. So you are not using the Contour Link meter - that one connects to the Medtronic pumps so when you do your finger the reading automatically gets entered into the pump bolus wizard so you don't have to input the number (if you have that function turned on).

Am guessing your using the expert or something similar which works out the insulin for you then, is that right?

Sorry for confusing things :(
 
If mine are out by that much then I tend to do 3 tests and see if there are 2 similar and one is out... it is annoying though given that that's how we calculate our insulin! Hope the mis-behaving strip was a one off 😉

xx
 
Oh ok bit behind here so you haven't got a pump yet, that is coming this September. So you are not using the Contour Link meter - that one connects to the Medtronic pumps so when you do your finger the reading automatically gets entered into the pump bolus wizard so you don't have to input the number (if you have that function turned on).

Am guessing your using the expert or something similar which works out the insulin for you then, is that right?

Sorry for confusing things :(

It's ok, I was a bit like huh but it was 2am when I read your message.

Am having the aviva expert pump, yeah the fact it works my insulin out for me confuses me slightly as it takes the fun out of it
 
If mine are out by that much then I tend to do 3 tests and see if there are 2 similar and one is out... it is annoying though given that that's how we calculate our insulin! Hope the mis-behaving strip was a one off 😉

xx

Me too, am really fed up of being diabetic at the minute 😡
 
Ah ha 'your pump meter', do you mean contour link? If so I won't touch that meter with a barge pole. We tried it last year as thought it was a great idea as it saved Jessica imputing her BG in the pump which she invariably forgets so we tested it 50 times against our very trusty meter and every single test bar 2 were way way lower and not what we expected. It would have meant less corrections, treating hypos that may not be hypos and therefore re less corrections it would mean high a1c.

I have chatted to the company about it and all I was told is there is a new one coming out at some point.

However forgetting all of that, do you test the second drop? I ask this because we always do, habit now, originally because sometimes you can't get to wash your hands so discard first drop of blood and test second. However I recently read an article which was really good and a part of it said always test the second drop as the first drop would contain interstitial fluid. This makes sense to me as the sensors go in the skin to swim around in interstitial fluid which is just under the skin. Also if you squeeze very hard you can be testing 'tissue' 😱 but you probably know all that anyway

x

Interested to read your experience Ardrienne. My own meter vs meter tests (Expert vs Contour vs iBGstar) showed very different er... differences :D.

In my compare and contast (which started because I had some *very* erratic results from the iBGstar) the Contour and Expert read fairly similar, with the Contour being usually very slightly higher than the Expert.

I am more and more forming the opinion that different blood chemistry (both haematocrit etc in the plasma and the chemistry/enzymes in the strips themselves) can make the difference between whether or not a particular brand works well for an individual, rather than necessarily is or isn't a reliable device.

I know several others who had the same confidence issues with the iBGStar as me, but I also know others who find it's perfect for them. For Jessica the Contour read lower all the time, for me it read a little higher.

And of course we don't have lab values to test against all those meter comparisons we were doing, so there's no real way for us to tell *which* meter was right.

I do take your point about a meter that seems to continually read low (in terms of A1c and failing to correct) though by contrast I was avoiding using a meter that more often than not was reading 2mmol/L higher than its two comparators and I was worried about giving myself corrections when I didn't need them.

I believe Bayer are working on a 'Link' version of the ContourUSB, so I'll be interested to see what that's like as I do really like the bluetooth transfer of results and for me, the Contour seems to perform well within acceptable limits.

Interesting about the 'second drip'. Not heard that in many places - do you have links to any research etc that covers it?
 
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Interesting about the 'second drip'. Not heard that in many places - do you have links to any research etc that covers it?

Oh I have no idea where I read that. It was online somewhere. I'll see if anyone on cwd remembers as I know I put the link there a while ago now.
 
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