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how many a month?

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macast

Well-Known Member
Relationship to Diabetes
Type 2
how many testing strips do people use in a month? how often are you allowed to have repeat prescriptions?

I seem to be going through so many strips with all my testing of different foods and I wondered what would be an average useage.... if there is anything such as 'average' 🙄
 
Type 1 so much easier access to strips.............so for informative purposes only, I use between 8-12 strips a day Monday - Friday.............🙂
 
I think that, for a T2 things will change once you have built a good picture of how various foods affect you, so the amount you use will decline. To some extent the same will happen to a T1 until some change in circumstances requires more testing (such as going on a pump or different insulin regime). For a T1 there will/should be a minimum amount - before injecting/bolusing, before driving/when hypo etc. My long-term average is 6 tests a day, but it can vary very much between people depending on how good/bad your control is. 🙂
 
Type 1 so much easier access to strips.............so for informative purposes only, I use between 8-12 strips a day Monday - Friday.............🙂

thanks 🙂 ..... I suppose there is no arguement that type 1s NEED to test. but us type 2s may have an 'arguement' about that with our DSN and GPs
 
thanks Northerner 🙂 I'm sure I won't use very many once I get my diet sorted and know what foods to avoid 🙂
 
thanks 🙂 ..... I suppose there is no arguement that type 1s NEED to test. but us type 2s may have an 'arguement' about that with our DSN and GPs

As long as you are using the information to improve your diabetes management, they have no real reason to complain - good long-term control for you will save the NHS a lot of money in the future by significantly reducing your risk of any complications and leading to a happy, healthier life for you. 🙂
 
I may be an exception, but for the first few months I was testing once a day at different times as I built up my knowledge.

More recently I've been averaging 1 strip a week because it really doesn't tell me anything useful anymore. My current strip usage is mainly because I've been testing various foods and posting the results here. But for me, I could probably get away with one strip a month now! But at that rate the strips would probably be out of date before I've used them all so 1/wk is probably going to be my ongoing rate.

As Northerner says, it's more down to whether you're still learning anything from the results.

Andy 🙂
 
200 every 4 weeks!!! 😱

they only give me 50 at a time :D

I bought 50 on ebay when I first got my meter ...before I had my second appointment with my DSN. she gave me a repeat prescription but didn't say how often I could have them :(

I've ordered another 50 today .... but that is less than 2 weeks since the last lot. a couple of my neighbours have diabetes type2 and they told me they only test No.1 once a week and No.2 twice a day. so what the NHS saves on them they can GIVE to me LOL:D

hopefully
 
Macast - i have to fight my gp for mine!!!!! And she is the D specialist at our practice!!!!! I have used nearly 50 since last wednesday and the hosp appt, so i have re-ordered, but i bet i dont get them. :(

I just make an appointment to see one of the other nicer GP's who always lets me have them :D
 
The debate over testing for Type 2s has been raging for years. According to NICE, it can be counter productive because it may encourage obsessive behaviour. The real reason is cost and some PCTs will allow Type 2s to test freely. Mine wasn't one of them, and I only began to get strips properly prescribed when they decided I'm not a Type 2 (there's still some debate about that apparently, in spite of the evidence). Even Type 1s are starting to get grief about the amount of strips they go through.

I'm of the firm opinion that it doesn't matter what Type you are, testing has value for everyone. For Type 2s an initial period of regular testing (up to 8 times per day) is essential as they discover what foods affect them most and what is 'safe'.
 
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I think it is definately possible to test too much, both for type 1 and type 2. Test strips are not free, the NHS pays for them. Having said that, obviously if there is a need to test and it makes a difference to treatment etc then you have a good case for asking for them.

As a type 1 I use about 200 test strips per month. I could easily use more to 'experiment' with and do detailed food tests etc but I just don't feel I can justify it. I test before each meal to decide how much insulin to inject and last thing before I go to bed to make sure I am high enough. I also test before cycling home to make sure I am not too low and any other time during the day when I am feeling hypo. I try to only test if I think it will have an immediate effect on what I do e.g. how much insulin to inject, whether to treat hypo etc.

for type 2 not on insulin it might be worth testing first thing in the morning to start with to have an idea of what your fasting glucose is but I'm not sure I see the point in doing detailed food tests. The HbA1c test is a much better marker of overall control than random glucose analysis so this will guide GP's to decide whether to change treatment or not. In terms of the effect of different foods on glucose results - for an immediate effect - low carb diet reduces glucose results for obvious reasons, for a long term effect - weight reduction, and hence lower fat/calorie diet may increase insulin sensitivity and improve glucose control.
 
for type 2 not on insulin it might be worth testing first thing in the morning to start with to have an idea of what your fasting glucose is but I'm not sure I see the point in doing detailed food tests. .

The point is that it is vital for new T2s to know what carbohydrates they can eat and in what portion sizes. The evidence suggests that post prandial spikes are just as likely to cause complications as high A1cs. T2s haven't got the luxury of correction doses of insulin and if they are not testing they won't even know they are high. How often have I come across other T2s in the last 19 years who have told me "I'm OK - the Doctor says I don't need to test". So I test them out of curiosity and they score something like 17.9 and say "Is that good ?".
"Blindfold yourself and drive down the motorway at top speed", I often tell them.

New T2s should start with Jennifer's Smart Advice ( it should be a sticky on its own) in our Newbies Info section.

-------------------------------------------------------------
"Test,test,test" and "Eat to your meter".
 
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No Fruitloaf, I don't agree. For Type 2s, it is essential to understand what different foods can do to blood sugars. There is a definite need to be given strips at last for the first year while they are learning. After that it may be less essential until things get to the stage where something like Byetta or Insulin is required. I do agree that later on, a fasting BG is likely to be sufficient unless there are problems.

As for the rest of us, let's use me as an example. I admit my situation is really odd, my bloods are all over the place at the moment and for the last few days I've been testing almost on the hour (slight exaggeration) because I've been pogoing between the low twos and high teens for four days now. An extreme example I know, and it's clear that some folk sail along with few problems and rarely need to test. For many though that just doesn't work and they need to have the strips available when they are needed.

I do realise the cost of strips (I used to have to buy my own), but that cost to PCTs is still a lot less than it might be given the long term complications we all face. Diabetes is a chronic condition, and self management may save longer term costs of care. Testing, to my mind, is a vital part of that.
 
I have test strips as a PRN item so order when ever I want more. I pick up 200 every 3 weeks on average. I am a pumper though.
 
We have had similar threads to this previously. The first thing is you need to separate insulin users from non-insulin users as it is a completely different usage.

I usually only test a couple of times a week if I remember. Really just to monitor that my pre-food level isn't creeping upwards and odd times after a meal just to see how high it goes. Although I wasted a good few strips on the breakfast thread which on told me that bacon and eggs causes my BG to rise less than Shredded Wheat which I already thought would be the case.

Most doctors and DSNs do not believe frequent testing by non-insulin (or non-sulphonurea) type 2s is of any medical value. It isn't because the whole of the NHS is out to get you.

Avoiding being overweight, exercising and eating a healthy diet in general is far more important than fretting over whether a bowl of cornflakes sends you 0.5 higher than a slice of toast. In my experience many type 2 testing 'junkies' are often very much overweight and their real problem is staring them in the face. But it is easier just to watch their numbers up an down and fret over their food and get themselves into right old panics over imagined hypers/hypos.

If these sort of cases think they really must test frequently (and we are talking about several times a day not whether they should test at all) it is their choice. The question is really should the NHS pay for it? I personally have never been refused any test strips but I use them sensibly (except for the the odd bacon and egg vs Shredded Wheat test 😉 )

Rob
 
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