Time to Replace Glucose Meter? Is it ACCURATE ? How to know? Doctor explains SugarMD
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- ฤas pลidรกn 14. 10. 2024
- My diabetic patients would ask " Why is my glucose meter not accurate? Is it my cheap glucose meter? The answer is yes and no. There are cheap glucose meters that are fairly accurate. There are very expensive meters and strips that are not super accurate either. Both type 1 diabetics and patients with type 2 diabetes need to check their blood sugars frequently. Getting different glucose readings when you check blood sugar can be frustrating but also it is inevitable. It is an inherent variability( unavoidable error) in every meter. Some meters are better than others. Dr. Ahmet Ergin discusses this in detail in this video. Sometimes expired or spoiled strips and inaccurate techniques also may give erroneous readings. At SugarMDs our coaches will teach you the most accurate way of checking blood sugars. We also have Bluetooth and cellular meters that transfer data to us instantly. Therefore, you get the support you need to manage your diabetes at any time.
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Who is Dr. Ergin? Dr. Ahmet Ergin is an endocrinologist with a particular interest and passion for diabetes care. Dr. Ergin earned his medical degree with honors at Marmara University School of Medicine in Istanbul, Turkey. Then, he completed his internal medicine residency and endocrinology fellowship at Cleveland Clinic in Cleveland, Ohio. He is a board-certified physician in Internal Medicine and Endocrinology, diabetes, and metabolism. He is also a certified diabetes education specialist.
Disclaimer: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for the advice provided by your doctor or other qualified healthcare professionals. Always seek the advice of your physician or other qualified healthcare professionals with questions you may have regarding your medical condition.
#diabeticmellitus #diabetes #diabetic
#type2diabetes #type1diabetes #diabeticmealplan
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Your content is very helpful, i had a Doctors appointment two weeks ago for a follow-up about my diabetes, my sugar was at 590, my A1C at 14.4, and I figured i should take my glucose meter with me, and the pharmacist was glad that I took my meter and it made it so much easier for her to check my sugar levels, she even reduced the insulin from 40 to 32 because I was progressing. So yes, like you said, always have your glucose meter every time you have a Doctors appointment.
Thank you so much for sharing your experience! I'm glad to hear that the content has been helpful, and it's great that you're staying on top of your glucose management. Bringing your glucose meter to appointments is such a smart move-it ensures that your healthcare team can get the most accurate information. It sounds like you're making fantastic progress, and reducing insulin is a huge step forward. Keep it up, and don't hesitate to reach out if you have any more questions or insights to share. Your dedication is inspiring!
doctor i think you are amazing. I've been a diabetic for about 10 years and since i started watching your videos i realize that not all doctors take the time to educate their patients about the thing's you do. I wish you were in N.Y. you give me hope.
Thank you so much. I am happy to be helpful for you. We see patients in NY but we do not take insurance. It is only concierge at this point and virtual only.
@@SugarMDs Kudos to you doctor for the educational videos and also for actively engaging with the commenters, much respect.
My doctor just looks at A1c and then just tells me watch my diet and take Metformin ๐
I live in Sweden, The Contour Next meter is free when you get a diabates diagnos here. My doctor gave me one and a prescripton on the strips, they are also free.
Thatโs awesome!
is it any good? who cares how much it costs if it's no good
@@daveforgot127the contour next meter is very good and inexpensive.
With technology today 20% is way too much.
Shamful
PLEASE SUBSCRIBE TO OUR CHANNEL SO YOU CAN LIVE YOUR BEST BY LEARNING MORE ABOUT DIABETES. KNOWLEDGE IS POWER!
At the end of the day the A1C test will determine your compliance with your health plan.
Mine is a Care Touch, and it has a variability of about 10 points from one hand to the other. The left hand is usually the highest. I came across this by playing with the thing. I am prediabetic, and my bg is actually normal in the low 90s even 80s lately, My first lab put my A1Cin the prediabetic, but it is normal now. I check myself frequently to check if my dietary plan is adequate to avoid DM. It seems it is working.
I noticed something odd about my Care Touch blood glucose monitoring system when I gave myself three (3) consecutive tests in a row and they all gave different readings. The readings were: 2:51 pm = 89, 2:53 pm = 100, 2:57 pm = 114. After researching the topic I found that blood testing devices available to the public only have to be 80% accurate. That means your numbers could be off 20 points in either direction. Can anyone say, "That's Huge.?"
Which meter should we use at home?
Thank you for the professional, very informative video!
What about sinocare glucose tester? Is it accurate?
Walmart brand Relion reading was very close to my lab results. Probably just a few points off. Plus i check my A1c every three months at my doctor.
Which Relion meter? I just bought the premier.
Yes which one. I use Freestyle Lite but since A1c is 5.2 I am now only 1x a day and I refer to do at night and in the am to see how much it spikes if it does. I totally understand that if I am off insulin not 3-4 times a day but I think before bed and when wake up is a lot safer.. can you please say which one cause there are a few of that kind at Walmart
Please do a video on turners syndrome and diabetes as not much is out there on both and yes I have both thank you?
Thank you! this is the video Iโve been waiting for. If you could please discuss the difference between blood glucose and the interstitial fluid readers would be great. I understand they are two different things but sometimes the point differences are very far apart and I would like to know which to believe. If I could believe my freestyle, I would have perfect blood sugar. But my blood glucose is always higher. Thanks for everything that you do to educate us.
Difference is inevitable. Interstitial fluid always lag behind. One day go to lab and compare all the values, check at the time of blood draw with libre, regular meter and compare to blood test results.
Extremely helpful information. All I needed to know about glucose meters, sugar testing and sugar levels.Youโre the best!
From Trinidad
You're welcome. If you like this video, you may find this playlist helpful too:
czcams.com/video/ckCwf_32YC4/video.html
When getting tested at a place like the hospital, where they use 1 device to test everyone, isn't that contamination of the device with someone else's blood? I am curious as I have been tested and its WILD every time but when tested with my device, its consistent and in normal levels.
No. Cross contamination of samples is impossible because strips are only good for one test and then they are junk. Also blood doesn't enter the machine. If blood or any liquid entered the machine it would damage or destroy it. Blood is only absorbed into the end of the test strip only where a chemical reaction takes place and creates an electrical signal (like turning on a switch). Blood has a little bit of resistance (restricts electrical flow), so depending on how much current passes through the blood sample a your result is displayed. Like testing a battery with a volt meter; chemical reaction creates current and the volt meter measures the electricity.
@@bdb3350 , I know , Thank you.
@@patriciairwin9491
Was the lancet a one time disposal or like one that comes with your meter? Single use lancets are fine to use out of the box as the needle is covered and doesn't penetrate deep enough to cause infection even after use. A good scratch from a cat is deeper. IF THEY REUSED a lancet like the one you have without changing the needle and sanitizing it then I would definitely file an infection control QA report (have them written up). That person really needs to have a sit down with their supervisor. Ive been in the health field for almost 30 years so Ive seen and never took home anything but my paycheck; Infection control protects everyone.
As for the strip getting contaminated probably not, unless she had allot of blood or other nasty stuff on her hands. As for hand washing, that is more a infection control issue. Usually if someone is wearing gloves and not contaminated fresh gloves are acceptable as long as they were not contaminated by other bio-hazard.
EXCELLENT POINTS on the alcohol. Yes, Alcohol if its not evaporated as well as many hand soaps can / will alter a test as they mimic sugar. Alcohol is only a topical (on the skin) or hard surface antiseptic. I recommend people be consistent either wash hands with plain water before checking BG or use alcohol every time.
โ@@bdb3350 , That was great information thank you! The one they used was the Accu-chek lancet and machine. It does lay against the finger but I did not see them change the needle inside however they could have before bringing the test to me. I have psoriasis, and I wonder if that somehow hurt the evaporation of the alcohol. She didn't wear gloves or wash her hands before testing me so I may report her. For now on I will make an effort to wash my hands before letting them test me again and say no to the alcohol and no gloves. I am just glad my levels are normal at home. Thank you for all the help.
@@patriciairwin9491 No problem. Like I mentioned just plain water and use a paper towel to wash your hands. Psoriasis although very minimum could possibly effect the drying time of the alcohol.
Try it out for a week and let me know how it works out.
Good luck.
BDB
This. Doc. Is. A. Great. Man. !!!
Thanks Doctor. You are the only one who has given the correct picture of the Glucometers.
You're welcome. If you like this video, you may find this playlist helpful too:
czcams.com/video/ckCwf_32YC4/video.html
Thank you Doctor for saying what my endocrinologist never say itโs not blood sugar control itโs blood sugar management Something Iโve never been able to do โฅ๏ธ
That's great, Good luck to you also, and thank you for watching.
Will the same Glucose Meter give the same reading if 5 tests are made in 5 mins on the same person?
No. I did this and the variability was +/- 10-15 points. That is considered acceptable. Frustrating, isnโt it!
I also checked two different meters. One meter always read at least 10 points lower than the other one. So, there is a variability in both strips AND the meters.
My one touch verio is always higher than my lab and libre 2 measurement
The Ascensia Contour Next One is supposed to be + or - 10%
How to identify a meter for small kids with type 1 diabetes?
Where are you located?
Why does NO ONE make available a โrealโ glucose STANDARD that specifies mg/dl ?
I know there is variability in meters and strips, but the so-called standards are not very useful!
Care Touch is the best one Doc.made in U.S
Mine is routinely plus or minus 1 percent, when I do a few consecutive readings. I can't fathom something being useful at plus or minus 20 percent. Mine also matches my lab results every time,. so ? Did I just get lucky? Mine is from amazon (or walmart) and I've had it for years.
Thank you @clayaustin9339 for the comment! I appreciate it! Please feel free to share this content with more people for them also enjoy and learn. Also please check out my other video that you may interest here: czcams.com/video/cbSH0P3qBEI/video.html
Have no spleen my a1c runs high how high can it run
Kaiser cover me for the one touch verio flex kit. I just received today. First test show 114 after 1 hour dinner, 30 minutes later try again, result 120. Wonder if it's correct? It's not possible that I get 120 after one hour dinner.
Meantime I would like to share with you Dr Ergin, following your instructions and recommendations, my A1C yesterday shows 5.5% instead of 5 7 from last year. Glucose fasting dropped from 117 to 111. A little progress but at least it worked. I fast since last year, almost a year, varying from 16 to 18 hours daily. I can go much longer than that but I am too thin already with BMI 18.
111 fasting glucose is still prediabetic but why my A1C is 5.5?
Please watch these videos that may give you more information: czcams.com/video/AXf9fBOV8HA/video.html czcams.com/video/mzwnIdOLs6Y/video.html
Hi Doc. My sugar reading using accu check was 86mg/dL, 6 months ago. I moved to the UK and and tried another machine and got 129mg/dL. It gives me different consecutive readings which I never had when I used acu check. I am not diabetic but I love to check my sugar level due to family history of type 2 DM in my Dad.
The new machine is Kinetik glucose monitor. Do you have any experience with this machine?
I am using Livango and I see a difference many times. It is hard to tell which strips are good or not. I just throw the whole bottle away. Livango is great as they provide free strips. I think store those strips in cool weather as well. I see a diff of 30pts sometimes.
Hi doc. What is your take on supplements such as chromium picolinate.
One single supplement is rarely enough. There are supplements that work but combination of them becomes strong enough. But, discuss with your doctor if you want to take it.
Berberine, lipoic acid, vinegar are great for bringing down glucose xx
Hi my favorite Dr! Iโm on Libre sensor and Iโm using Accu-Chek Guide Libre sensor is 25-40 numbers different then Accu chek Iโm T 1 I should follow which number from this to meter most of the time I am low onLibre too high on the meter๐คท๐ปโโ๏ธ thank you so much for beautiful video ๐คฒ
When in doubt go with the meter not libre
Hey @Mariam Satar where are u from
I want to know if my blood glucose is in normal range 7-99mg/dl so I can make changes to my exercise/diet. If I get a reading of e.g. 94 on my Accuchek and i want to know if my glucose is in range. What do I need to account for the inaccuracy of the meter?
You may check this out: czcams.com/video/mQHSYK0smkw/video.html
Can a glucose meter predict prediabetes?
Not always, at least in my experience. I was diagnosed with normal low 90s; however, my A1C was another story. If you have doubts get your A1C, and IR test if possible. If they take your BG they may miss you pre or even diabetes. Eventually, your BG will get higher, but it may be years, and very rarely never.
Video content good, but the changing ambient light value on the vid is distracting and headache inducing.
Sorry about that. Don't worry, we already have improved our videos since then.
Carry on Doctor
Thank you. If you like this video, you may find this playlist helpful as well:
czcams.com/video/Bbpoyla494o/video.html
i think i may have diabetes eyes. I see colors changing.
excellent!
Thanks!
If youโre focusing on trend, then accuracy doesnโt really matter
I use accu chek guide me
Good info!!
Glad it was helpful! If you like this video, you may find this playlist helpful too:
czcams.com/video/ckCwf_32YC4/video.html
20% geez that's not very accurate
why is a 12 hr fast better than a 9 hr fast?
Up to 16 hour fast is healthy.
Anyone has kroger meter ??
๐ฎ๐ข
You are too cute!
๐ thank you
Hug him
This guy is a joke. He makes stuff up as he goes along. Look at the research. All meters are supposed to meet ISO standards but most of them you can buy are worse.
Capnden, You are nuts! This Dr. is amazing! Keep your toxic troll opinions to yourself. He is doing a great public service by informing and educating.
Susan Hayes has
I can spot Bullshit better than most!
Your just upset he won't return your phone calls. ๐
NIH has a study on meter accuracy โComparative Accuracy of 17 Point-of-Care Glucose Metersโ see table 3 โAccuracy Based on ISO Numerical Criteria.โ
Well they are NOT all accurate! Mine was more than 30% off from my labs. That's a problem. It's junk. Some are better than others.
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