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View Full Version : Significant Errors In Insulin Dose Can Result When Blood Glucose Meters Are Miscoded


jimmys devoted
11-13-2006, 08:27 PM
07 Nov 2006
When persons with diabetes use miscoded blood glucose meters to determine how much insulin to take, significant errors in insulin dose can result that may potentially lead to short- and long-term health complications, according to findings of a new study presented at the Sixth Annual Diabetes Technology Meeting in Atlanta, Georgia.

The American Diabetes Association estimates that there are 14.6 million children and adults diagnosed with diabetes in the United States(1), of which an estimated 4.4 million, or 30%, require insulin to manage their disease(2). Those who require insulin must closely monitor their blood sugar with a blood glucose meter to plan their meals, exercise regimens and insulin dosage.

In this study, for certain miscoded meters, the probability of insulin error of plus or minus 2 units of insulin was 50% as compared to 8% for correctly, manually coded meters. The probability of insulin dose error of plus or minus 3 units of insulin was 23% for the miscoded meters but only 0.5% for the manually correctly coded meters.

Coding is the process by which a blood glucose meter is matched to each new box of test strips being used. This is done either by inserting a code strip or code chip into the meter, or by entering a code number into the meter. If this step is not performed, the meter may give inaccurate results leading to wrong therapy. For example, relying on a miscoded blood glucose meter to determine how much insulin to take can result in a potentially harmful overdose. Insulin overdose may cause dangerously low blood sugar (hypoglycemia) leading to behavioral changes, confusion, loss of consciousness and, if untreated, seizure, coma and even death. Chronic under-dosing of insulin may contribute to the long-term health problems associated with high blood sugar including kidney disease, nerve disease, eye problems, and heart disease.

"When dealing with patients with diabetes we've observed that many either do not understand what proper coding is, or do not realize its importance. Patients sometimes use expired test strips and/or fail to properly code their blood glucose meters to the lot of test strips they are using," said Dr. Steven Edelman, an author on the study and Professor of Medicine, division of Endocrinology and Metabolism, University of California, San Diego, and the Veterans Affairs Medical Center and founder of TAKING CONTROL OF YOUR DIABETES (http://www.tcoyd.org).

The study findings also showed that auto-coded meters (meters that automatically set the correct code anytime a test strip is inserted) gave more accurate blood glucose values than meters that had been correctly coded manually. This also translated into a lower probability of insulin dose error. For auto-coded meters, the probability of plus or minus 1 unit and plus or minus 2 units of insulin could be as high as 35.4% and 1.4% respectively. However, with the auto-coded meters, there were no calculated insulin dose errors above plus or minus 2 units.

"These findings are significant because studies have shown that approximately 16% - or one out of six - persons failed to properly manually code their blood glucose meters to the lot of test strips being used(3). Understanding the potentially serious consequences of relying on a meter that is not properly coded - is essential for every person with diabetes, especially those who need to take insulin," said Linda Schrock, a nurse and certified diabetes educator, who was also an investigator on the study, at Elkhart General Hospital, Elkhart, Indiana.

The study authors concluded that to avoid insulin dosing errors, people should be carefully instructed how to correctly code their meters or be advised to use an auto-coded meter.

Study Design

The study involved 116 patients at three clinical centers. The blood glucose values for patients in this study ranged from 52 - 498 mg/dL. After fasting, the patients were given a two-hour meal tolerance test. At zero, 60 and 120 minutes the study subjects' fingerstick blood was tested on five different popular blood glucose meters (two were auto-coded meters). Some of the meters were purposely miscoded to the lot of test strips. The auto-coded meters were always properly coded due to their inherent design. The values from all the meters were compared with blood glucose values measured on a laboratory glucose analyzer to determine how accurate (inaccurate) the meters were.

Glucose values obtained from some of the miscoded meters used for this study showed an average error ranging between plus 29% and minus 37%.

A Monte Carlo simulation, (a statistical method that uses existing data sets to forecast performance in the field) was conducted on the data from the clinical trial to generate 'ideal' and 'simulated-meter' glucose values, and subsequent insulin doses. This simulation was based on various assumptions such as, one unit (1U) of insulin covers 50mg/dL blood glucose.* From these calculations, the probability of insulin dose errors for the three types of blood glucose meters (miscoded, manually correctly coded and autocoded) were determined.

The probability for an error of plus or minus one unit of insulin was 44.6% for correctly coded meters compared to 49.6% for incorrectly coded meters. The probability for an error with a miscoded meter of plus or minus four units of insulin was 2.8% and for plus or minus five units of insulin was 0.06%. There was no instance of a plus or minus four or five unit error with correctly, manually coded meters. For auto-coded meters there were no calculated insulin dose errors above plus or minus two units.

Bayer HealthCare, Diabetes Care

bra
11-15-2006, 12:13 PM
Okay, well we haven't been doing this. We read and keep a record and let the doctor look at our figures. He never adjusts his dosing without having an office visit. This is very confusing.

jimmys devoted
11-19-2006, 08:59 PM
This study means that it is important tomake sure that when you open a new vial of strips that you make sure that your meter raeds what that strip number is. Like fortehXtra theer is this little code key that comes witha new box of strips. MAke sure you use that stripe coder. On the vials of the Ultra, Freestyle etc theer is a batch number like 1-24.. make sure that when you put the strip in it reads what ever the vial is.
Thsi is important because batches ahve avraitions. If you dont do this on your meter it can read off just a little bit and make you adjust your diet or insulin to match that false reading.

Its liek trying to comapre readings of meters to one another. After many years you get two or three meteres that read within a few points of each other.
Thast all its saying.

Chi-Lover
07-16-2007, 01:48 PM
I strongly recommend the Ascencias Breeze 2 meter for people who sometimes forget to code. This meter codes itself each time a new disk is put in! Goof Proof!

bellagran
07-24-2007, 12:56 PM
I downloaded a coupon from dlife for a free Breeze. You need a doctor's prescription for it.
I also just bought Precision Xtra at Walgreen for $9.95. There are no strips included but the original price was 79.00. My husband is pre-diabetic and I needed an extra meter so this was great.

skatss
05-24-2008, 10:12 AM
Again, out comes yet another research report to diabetics that should really be aimed at the manufacturers of Blood Glucose machines. If people aren't coding their machines, then maybe the machines need to be redesigned to not need people to recalibrate each new vial of strips.

Instead of streamlining the machines, making the results much more reliable, the manufacturers seem to do all their work in trying to make the machines smaller and smaller and telling you the result faster and faster.

I just got a now machine that doesn't even tell me when I need to recalibrate, I just got a bit of a liquid that you use to see if your machine is within a good range. Not even that one totally correct number will come up to make certain that it is completely correct, but a range. That makes me think that the result of my blood test will also be within a correct range, not a specific number that points exactly to a correct result.

Come on manufactures, some diabetics have bad hands and eyes, we don't need a teeny, tiny machine to use. We also can't hide what we're doing when we're testing, so why make the machine so darn small?

I would rather get a right number than have a small machine tell me my result in four seconds. It takes me more than that to wipe the blood off my finger. If it takes 60 seconds to give me a trustworthy result -- that's fine.

What we need is a better machine, not a report that tells us that we are not testing right. After all, the people reading this report are the ones who already do a good job with their testing. It's the people who don't care that deeply about diabetes research who aren't testing correctly and who won't be reading this report.

faithib
05-24-2008, 11:06 AM
this is a strange report. I thought every new meter said how it needed to be calibrated on the box.
I do decide how much insulin to take by my blood sugars, as far as corrections anyway. Of course if the blood sugar is wrong than my correction is wrong.

jimmys devoted
05-25-2008, 08:30 AM
Most meters have a code num,ber on the vials. This is the essential batch code.
They have done away with the code key, except for some of the Precision products.
What coding means now is matching your meter to teh bacth code on teh vial you get.
To really calibrate the meters takes abit of doing and ability to adjust. so this term is actually becoming archaic.
But still according to johnson and johnson why they need to ahve the unity matched to the vials..

answer is simple, strips are made froma variety of different companies under contract from teh main company.
That way when you use your meter, the preset information fro that manufacturer will allow for adjustments if theer is a problem.
Teh enw codeless meters are strip guranteed manufactured from only the single company, no variations in manufacturing> So you get exactly what your supposed to, no calibration no coding.

I have some of teh new meters tha have no coding and i love them.
J&J and precision/abboit stuill seem to contract out strips for some of their meters. biut its easier now to match them up.

julie

faithib
05-25-2008, 06:13 PM
My accu chek meter have little computer chip that comes in the new box with the new vial of strips. You change the computer chip in your meter to match each new vial of strips.
It isn't hard to do but it would be simpler to have a meter that doesn't need to be coded or calibrated.
I know that if I don't change that little chip my blood sugars will not be as accurate.

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