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Best Glucose Meters And Monitor 2020


Which are the best most accurate glucose
meters for diabetics to use for blood sugar control? Do the cheapest meters and test drips perform well? The FDA has now changed the standards and tightened up
regulations. So we will cover some of the new independent studies done to confirm
which brands meet expectations. And it is not good news at all, actually it’s
shocking if you ask me. Because I bet the meter you’re probably using right now
fail that test. So today I will also show you how to test your own meter to
determine how exact and error-free it may be. But before we begin let me
welcome all of you Resilient Diabetics out there this is the channel we turn
ordinary struggling diabetics into extraordinarily well controlled
diabetics. If you don’t know who I am and you are brand new to this channel I
welcome you. My name is Jay Sampat and I became an insulin dependent diabetic a
little over six years ago. Due to an autoimmune attack which caused the
destruction of my pancreas. Due to a severe gluten allergy response. So
basically I am the proud owner of a pancreas that’s gone on a permanent and
lifelong vacation. So not only am I a diabetic just like you, where we will be
walking that walk and talking that talk together but I do also have a University
of Bachelors Science degree in Nutrition Dietetics and that does come in handy in
helping discuss all the intricacies of being a diabetic. Don’t forget to hit
that subscribe button followed by the grey notification bell then choose turn
on all notifications if you want to be notified when a Resilient Diabetic video
has been published. As with all of my videos this should not be considered
personal medical advice. This is my interpretation of the latest research
if you want medical advice please always
consult your doctor. Monitoring our blood sugar or blood glucose is extremely
important for many of us diabetics. And in order to avoid all the horrific
complications that come with this disease it becomes an absolute
requirement. The further my understanding of diabetes the more I have realized not
all glucose meters were and are created equal.
I was initially fine with the discrepancies my meter displayed. I
thought you know, it wasn’t a big deal. But over time as I’ve progressed I’ve
needed tighter and tighter control, thus more accuracy from this very very
important tool. This is especially true if one wants to keep their a1c in those
non-diabetic ranges. It is even more critical for those of us complicated
insulin-dependent diabetics like myself on multiple insulins like a bolus and a
basal insulin. The wrong readings equates to mismanagement. One false reading means either too much insulin or not enough throwing off the entire day’s sequence
of events. The diabetic community has been pounding the table and screaming
when it comes to the wild variations many of these meters give. Having a
reliable glucose meter can make your life so much easier and help you get
right on track with diet with exercise and the treatment plan. If you are a
newly diagnosed diabetic you are going to have a myriad of choices when it
comes to that glucose meter. And it can become both overwhelming and highly
confusing, especially if you have to go out in the marketplace and buy one for
yourself. Which ones do you get should it be based on the price of the mete, or
the price of the strips, the accuracy of the meter. How much blood will the meter
require? What about the size and the ease of execution of the meter? How about one
of those really new cool smart phone readers? One out of every three adults
here in the United States now pre-diabetic and this trend is
growing and it will only get worse. Why is this just the tip of the iceberg? Well
here’s a funny story for you just yesterday, I had an appointment with my
diabetic endocrinologist and the RN actually to confirm whether or not I
would qualify for a prescription for a continuous glucose monitor. As I was
leaving the meeting I actually ended up taking the elevator down, and this is
what I saw in the lobby of the hospital right when the elevator opened. A cart
full of nothing but highly dense sugar based snacks and junk food. Imagine every newly diagnosed diabetic in shock just leaving the same doctor’s offices whose
world has been turned upside down with and new, carbohydrates are killing you!!
And in order to fight this really complicated disease you’re going to have
to change your diet and lifestyle. Then sees this right when they exit the
elevator door. And let me remind you this is in the lobby of the hospital
specifically treating diabetes. If you’re brand new to this channel, I will set up
a video in both the description box below and at the end this video called
How Long Can You Live With Diabetes. I will cover all the hurdles and the brick
walls you may face as a diabetic and most importantly, how one removes all the
noise and the clutter so that you are put on the right path from day one. You
will not only grasp the mistakes our institutions are making but why this is
leading to an area of diabetic supplies becoming a multi-billion dollar market
and growing. It is a highly competitive market with new players coming in all
the time all wanting a piece of that burgeoning pie. Diabetes as you have to
remember is a world wide epidemic. By 2021 the global market for blood glucose
strips alone will be worth an estimated 13 billion dollars. Global sales of
diabetic drugs will also reach a record of around 121 billion dollars. If you
think everyone wants to play nice in this competitive field you are highly
mistaken. So you decided to a google search for the best glucose meter. What
you may not know is that many of the top positions are actually paid and bought
off advertisements, pushing their brand as the very best over the competitors.
And here’s what I want to warn you. Those second sets of positions are also
highly manipulated too. As you will find out certain glucose meters work best in
certain blood sugar ranges, and the manufacturers know this. So unbeknownst
to you, they will set up tests where their meters are put up against others
at ranges they do not perform well at. So basically they are also glorified paid
for commercials, as they push their meter as the best. For someone like myself when
I was first diagnosed I was actually given a meter by my health insurance and
I never questioned its accuracy. I figured as a large health based
institution, they know what is best for me. Plus my strips are covered for a
discount so why would I go out and pay full price for these really expensive
test strips. So then this begs, who do we trust? Which meters serve us better? And
here is the first problem the FDA is currently reviewing and updating the
guidelines for glucose meter accuracy. The 2016 rules called for a plus or
minus 20 percent accuracy for most blood sugar ranges. Many diabetic advocacy
groups appealed back to the FDA demanding better accuracy because
treatment decisions are based on these readings and can dramatically improve or
impact outcomes. So unfortunately these new revised rules issued in 2016 applied
to new products only, and did not impact meter and strips already on the market. So while these new tighter accuracy
requirements were positive changes we still have to keep in mind that a lot of
these less accurate meters are, and still out on the markets and in the hands of
us diabetics. The new 2019 FDA drafted rules for personal glucose meters will
require a 95% within plus or minus 15% across the measuring range or a 99%
within plus or minus 20% across the measuring range. The second issue
it was assumed that glucose meters are accurate if they were FDA cleared. But
often if that is not the case. All of the meters do require FDA clearance at some
point but the FDA only looks at their company reported trials when it reviews
their meters. Where have the independent studies been? Well the good news these
independent studies are now available. And I liked what they did. They actually
purchased these meters directly through the retailers and then test them
rigorously at their research centers. In a triple blinded multi-site independent
study done by the Diabetes Technology Society Blood Glucose Systems
Surveillance Program, also known as DTS, researchers found that only 1/3 of the
commercially available FDA cleared glucose meters here in the United States
could consistently perform to an accuracy standard set by the FDA.
Out of the 18 blood glucose monitors tested only six were consistently
accurate in each one of their three sites. Five were compliant in two out of
three sites. Three in just one, and four failed in all three sites. And what did
the tests show. The best-performing meter was called the contour next. Which was
accurate 100% of the time at two sites and 99% of the time at the third.
The other five consists in the accurate meters were the Roche accu-check Aviva
plus, the accucheck SmartView, Walmart’s rely on confirm micro, CVS’s
advanced glucose meter, and Abbott’s freestyle light. But be warned some of
the same manufacturers from the same outlet with two different models will
have a pass and a fail rating. Be sure you know which exact model passed and
which model failed. What was the disheartening blow, the best
sellers and the ones that have the most market share were the ones that tended
to be the least accurate. What was also troubling in the other clinical trials.
Researchers noted an unusual reporting pattern of blood glucose data. Their
results indicated a clear bias towards elevated values for blood glucose levels.
These observations are deeply concerning with regards to our safety sense over
estimation of blood glucose may result in false perception of real glycemic
control. I will add a link for all the studies below in the description box for
you to review each one in detail. So the question begs. What would be a
great overall meter if one were to choose? And there aren’t two more
problems. First, what is your target A1C set by your doctor. So in other words if
your doctor wants you to have blood sugars in the 90 to 180 range, one set of
meters generally works best in that range. If your doctor wants you low and
controlled with an a1c in the non-diabetic range at all times
then only a few meters are capable of really accurate readings in that 70 to
99 milligram range. And most importantly how would you test the accuracy of the
meter that you have? You can get a rough idea of the precision of any meter by
performing four blood glucose measurements in succession. They should
be within 5% of one another when blood Sugar’s are in the 70 to 120 milligram range.
Based on the doctors who want all their diabetic patients to be in the
non-diabetic range, including the type 1 diabetics, then the consensus is the
abbot’s freestyle light and the freestyle freedom are some of the best.
Depending on where you are and whether you can get them covered, the downside
may be, they may not be the cheapest option. A couple of very important notes
when it comes to getting that really accurate reading. It may not be the fault
of your meter, but your technique. Anything you touch or put on your skin
can end up in the blood sample and then on your test strip. Since many current
meters utilize a micro sized blood sample, just touching something that
contains sugar or not washing your hands properly can affect the readings. If you
recently washed your hands, but you did not dry them completely, the water left
on your fingers can have a diluting effect on the sample as well. In the
comments section below, I would love to know which glucose meters do you use?
Would you recommend that glucose meter to a brand new diabetic? What features in
particular do you like or hate? And how often, by the way, do you actually check
your blood sugar levels? If you’re on a desktop or laptop use that mouse to
click this upcoming box. If you’re on your mobile device just tap that with
your fingers. The first is the link to subscribe to this all-important channel.
The second is the link to the playlist mentioned on diabetes care. So have a
great and productive day and we will see you soon with a new episode like I
said, are generally released weekly. Bye for now.

2 thoughts on “Best Glucose Meters And Monitor 2020

  1. I have 2 different types of meters. Freestyle Libre CGM with a bluetooth adapter so I can get continuous results on my cellphone and an Accu-check performa. I have checked the accu-check against regular lab tests a few times and the results are normally close. The libre is usually close but if there is pressure on it (like if I am leaning against it) it will read low and if it is hot it will read high.
    It also consistently reads what it thinks are hypos as lower than actual values. So of the BS it's close to 70 it will read closer to 60. However on the whole the numbers address fairly close and it is very helpful to let me know if glucose is going up down or stable and if any intervention is needed.
    By the way get into the habit of checking your meter when doing lab tests for a comparison.

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