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Can You Check Your Blood Sugar In Your Arm?

Keeping Track Of Your Blood Sugar

Keeping Track Of Your Blood Sugar

Checking your blood sugar levels is a really important part of taking care of diabetes. Why? Because knowing what those levels are will help you keep your blood sugar under control something that helps you feel good and keeps you healthy. Most kids with diabetes check their blood sugar levels before breakfast, before lunch, before dinner, and then again at bedtime. Some kids need to check more often. Your doctor will let you and your parents know when and how often you need to do your checks. You also might need to check your blood sugar during exercise and when you're sick. You might wonder why checks are needed in these situations. It's because food, medicine, exercise, and illness all can affect blood sugar levels. Your doctor will tell you and your parents what to do if any of these affect your glucose levels. You probably have a routine for checking your blood sugar levels. You might stick with that plan for a long time. But if something changes like you get sick or join the soccer team you'll probably have to check more often. People who use an insulin pump or who need to control their blood sugar levels very closely also need to check their levels more often. Sometimes your mom or dad might wake you up in the middle of the night to check your blood sugar levels. You probably won't even remember it the next day! They're just checking to make sure your level isn't getting too low or too high while you're sleeping. Blood sugar levels can be tested at home or at school using a blood glucose meter, which is a computerized device that measures the amount of glucose in a sample of your blood and displays it on a screen. To get a sample of your blood, a small needle called a lancet is used to poke the skin (usually on a finger or on your arm) to get one drop of blood. T Continue reading >>

What Is More Accurate, Finger Sticks Or Arms For Checking Blood Sugar?

What Is More Accurate, Finger Sticks Or Arms For Checking Blood Sugar?

What is more accurate, finger sticks or arms for checking blood sugar? What is more accurate, finger sticks or arms for checking blood sugar? So sorry for all the questions today guys..truly. So earlier i asked about water and ketoacidosis and being really thirsty. Well it went away after like 6 hours of fighting with my high blood sugar. Well now I have a problem. Thirsty again. More ketones in pee (moderate level) and my finger blood sugar is 181 and my arm is 293. I feel like im 293 according to my thirst. But I though finger readings were more accurate, or not behind the way arm readings are? D.D. Family T1 since 1966, pumper since '03, transplant '08 From what I understand, the end-of-finger sticks are a bit more accurate versus the test-in-other-places sticks, but at this point I would try another couple of test strips, check both areas, and then go with either an average or whichever numbers are the most consistent. This will settle down for you. don't worry. And absolutely don't worry about asking lots of questions - maybe we're a bit worried about overloading you with information. T1 since 1966, dialysis in 2001, kidney transplant in 02 from my cousin, pumping 03 - 08, pancreas transplant Feb 08 D.D. Family Getting much harder to control All I have read say fingers are more accurate, please take care and make sure you are hydrated and have insulin on board. D.D. Family diabetic since 1997, on insulin 2000 If you test other places than fingers, you need to use the adapter that comes with your lancing device. Moderator T2 insulin resistant Using Basal/Bolus Therapy I only test on my arms. My reading is my reading, I don't second guess it. Arms all day for me was 180-220 but arms all day was 300ish. Been thirsty and had ketones etc but finger sticks are more accu Continue reading >>

Ways To Test Your Blood Sugar

Ways To Test Your Blood Sugar

Everyone with diabetes should test their blood sugar (glucose) levels regularly. Knowing the results lets you tweak your strategy for keeping the disease in check, as needed. Regular testing can also help you avoid getting long-term health problems that can stem from the condition. Research shows that in people with either type 1 or type 2 diabetes, sticking to your target blood sugar and HbA1c levels makes complications less likely. 1. Traditional Home Glucose Monitoring You prick your finger with a lancet (a small, sharp needle), put a drop of blood on a test strip, and then place the strip into a meter that displays your blood sugar levels. Meters vary in features, portability, speed, size, cost, and readability (with larger displays or spoken instructions if you have vision problems). Devices deliver results in less than 15 seconds and store this information for future use. Some meters also calculate an average blood sugar level over a span of time. Some also feature software kits that take information from the meter and display graphs and charts of your past test results. Blood sugar meters and strips are available at your local pharmacy. 2. Meters That Test Other Parts of Your Body. Some devices let you test you upper arm, forearm, base of the thumb, and thigh. These results may differ from the blood sugar levels gotten from a fingertip stick. Levels in the fingertips show changes more quickly. This is especially true when your sugar is changing fast, like after a meal or after exercise. If you have symptoms of low blood sugar, don’t rely on test results from other parts of your body. 3. Continuous Glucose Monitoring System Some of these devices are combined with insulin pumps. They're not as accurate as finger-stick glucose results. But they can help you find p Continue reading >>

Testing

Testing

There are a range of tests which will need to be done to monitor your health and your diabetes. Some of these, such as your blood glucose levels, you will be able to do yourself. Others will be done by healthcare professionals. Self-monitoring of blood glucose can be a beneficial part of diabetes management. As part of the day-to-day routine it can help with necessary lifestyle and treatment choices as well as help to monitor for symptoms of hypo- or hyperglycaemia. Monitoring can also help you and your healthcare team to alter treatment which in turn can help prevent any long-term complications from developing. Some people with diabetes (but not all) will test their blood glucose levels at home. Home blood glucose testing gives an accurate picture of your blood glucose level at the time of the test. It involves pricking the side of your finger (as opposed to the pad) with a finger-pricking device and putting a drop of blood on a testing strip. Some people can't see the point of testing as they think they know by the way they feel, but the way you feel is not always a good or accurate guide to what is happening. Blood glucose targets It is important that the blood glucose levels being aimed for are as near normal as possible (that is in the range of those of a person who does not have diabetes). These are: 3.5–5.5mmol/l* before meals less than 8mmol/l, two hours after meals. There are many different opinions about the ideal range to aim for. As this is so individual to each person, the target levels must be agreed between the person and their diabetes team. The target blood glucose ranges below are indicated as a guide. Children with Type 1 diabetes (NICE 2015) on waking and before meals: 4–7mmol/l after meals: 5–9mmol/l.after meals: 5–9mmol/l. Adults with Type Continue reading >>

Blood Glucose Monitoring: Tips To Monitor Your Blood Sugar Successfully

Blood Glucose Monitoring: Tips To Monitor Your Blood Sugar Successfully

Blood sugar testing is an essential part of managing and controlling diabetes. Knowing your blood sugar level quickly can help alert you to when your level has fallen or risen outside the target range. In some cases, this will help prevent an emergency situation. You’ll also be able to record and track your blood glucose readings over time. This will show you how exercise, food, and medicine affect your levels. Conveniently enough, testing your blood glucose level can be done just about anywhere and at any time. In as little as a minute or two, you can test your blood and have a reading using an at-home blood sugar meter or blood glucose monitor. Learn more: Choosing a glucose meter » Whether you test several times a day or only once, following a testing routine will help you prevent infection, return true results, and better monitor your blood sugar. Here’s a step-by-step routine you can follow: Wash your hands with warm, soapy water. Then dry them well with a clean towel. If you use an alcohol swab, be sure to let the area dry completely before testing. Prepare a clean lancet device by inserting a clean needle. This spring-loaded device that holds the needle is what you will use to prick the end of your finger. Remove one test strip from your bottle or box of strips. Be sure to close the bottle or box completely to avoid contaminating the other strips with dirt or moisture. All modern meters now have you insert the strip into the meter before you collect blood, so you can add the blood sample to the strip when it is in the meter. With some older meters, you put the blood on the strip first, and then put the strip in the meter. Stick the side of your fingertip with the lancet. Some blood sugar machines allow for testing from different sites on your body, such as t Continue reading >>

A Study Of Forearm Versus Finger Stick Glucose Monitoring.

A Study Of Forearm Versus Finger Stick Glucose Monitoring.

Diabetes Technol Ther. 2002;4(1):13-23; discussion 45-7. A study of forearm versus finger stick glucose monitoring. Research and Development, Roche Diagnostics Corporation, Indianapolis, Indiana 46256, USA. [email protected] New glucose monitoring systems are now being launched into the market that offer the patient the option to test from an alternate site (forearm) with less pain. What is not clearly understood by patients and Health Care Providers is whether glucose measurements taken from the forearm are the same as the measurements taken from the finger. The objective of this study was to determine if results from the forearm are the same as results from the finger in normal use by the diabetic patient over a day. In clinical studies conducted in four physician's offices, patients were asked to measure their glucose from their forearm and finger ten times a day for ten days. The patients for this evaluation used the TheraSense FreeStyle glucose monitoring system. A total of 190 patients (of which 30% were type 1 and 70% type 2 diabetics) participated in this study. Patients also concluded their participation in this study with a post study questionnaire. A total of 18,036 data points were collected and used for analysis. Data was separated into four groups: preprandial, 1-h postprandial, 2-h postprandial, and bedtime. In three of the four groups, the mean bias was less than 1 mg/dL or %, whereas the 1-h postprandial group showed a mean bias of -6.02 mg/dL or %. The differences in bias between the 1-h postprandial to the preprandial and the 1-h postprandial to the 2-h postprandial, were statistically significant with a p value of <0.0001. Comparison of bias at 2-h postprandial to the preprandial bias was not statistically significant with a p value of 0.8073, ind Continue reading >>

Alternate Site Blood Sugar Testing | Accu-chek

Alternate Site Blood Sugar Testing | Accu-chek

Always check from your fingertip, however, when blood sugar may be changing:3 Following a meal, when blood sugar is rising quickly Whenever you think your blood sugar might be low or falling If you're considering alternate site testing to check your blood glucose, please remember: Never ignore the symptoms of low or high blood sugar. If the results of a blood glucose test don't match the way you feel, confirm with a fingertip test. If the fingertip result still doesn't seem to reflect the way you feel, get in touch with your healthcare professional. Please talk to your healthcare professional before using sites other than your fingertip for testing blood sugar. Interested in more diabetes management tips? Explore articles, infographics, and more on Accu-Chek.com 1Talk with your healthcare professional before deciding if alternate site testing is right for you. 2New Scientist. Fingertips and forehead are most sensitive to pain. Available at: . Accessed March 14, 2016. 3Bina DM, et. al. Clinical impact of prandial state, exercise, and site preparation on the equivalence of alternative-site blood glucose testing. Diabetes Care. 2003; 26:981-985. Available at: . Accessed March 14, 2016. Continue reading >>

Painless Blood Sugar Testing

Painless Blood Sugar Testing

If you learned how to test your blood sugar in the hospital or from a nurse in your doctor's office who doesn't themselves have diabetes, you may have been taught the wrong technique for testing and may be causing yourself unnecessary pain. Here are some tips about how to test painlessly drawn from my own experience and that of people who have posted on this topic on the alt.support.diabetes newsgroup over the past decade. Where to Test The least painful spot to do a blood sugar test is on the side of your finger. Do not test on the pad of the finger. That hurts! Many of us find that our pinkies have the best blood flow. I only use my pinky and ring fingers on both hands for testing. Dr. Bernstein recommends using the top of the finger, underneath the nail. For me, that location hurts. Be sure to adjust the depth of your lancet to the shallowest depth before you test. That is usually 1 on most lancets. If that setting it is too shallow to draw blood, adjust it up one notch and try again. As you get callouses on your fingers from testing, you may need to adjust the depth again. What About Testing on Your Arm? When you test your arm rather than your finger tip, the reading you get will lag about 15 minutes behind the reading you would have gotten at your finger tip. This means arm testing is worthless for detecting hypos. I have found it hurts more to test on my arm than on the sides of my fingers. Alcohol Toughens Skin There is no need to dab your skin with alcohol before testing. Dr. Bernstein reports that neither he nor his patients have ever developed infections after testing without alcohol. I have not used alcohol for nine and a half years and have never developed an infection from a blood test either. The use of alcohol over time will dry out and toughen your skin, Continue reading >>

New Device For Diabetes Eliminates The Need For Painful Finger Pricking

New Device For Diabetes Eliminates The Need For Painful Finger Pricking

Source:Supplied AUSTRALIAN adults with diabetes now have the option of using a new glucose monitoring device, which eliminates the need for regular finger pricking. The system, which has been available in Europe for several years, involves a small sensor the size of a 20 cent coin worn on the upper arm for 14 days. Many diabetics have to draw blood and test their blood glucose levels up to 12 times a day. Instead of doing that, they can now scan the sensor and get a reading in less than a second. The Abbotts FreeStyle Libre Flash Glucose Monitoring System also displays an eight-hour history and a trend arrow showing the direction the glucose is heading. The device will make life easier for people living with diabetes who use insulin, whether type 1 or type 2, said Diabetes Australia spokeswoman Renza Scibilia. Source:Supplied “Finger pricking is painful, inconvenient and intrusive, which is often why people don’t check their levels as often as they ideally should,” she told news.com.au. “It’s very different from just wearing a device on your arm and scanning it.” The disposable, water-resistant sensor needs to be replaced every 14 days and costs $95, while the reader is the same price. The Freestyle Libre can be purchased online via the official website. Ashley Ng, 26, from Melbourne, has been testing the device for two weeks and is a big fan. “I didn’t realise how much a burden finger-pricking was until I stopped,” Ms Ng told news.com.au. “Normally I’d prick myself 6-10 times a day. It’s something that I’ve always lived with and gotten used to, and now I don’t have to do it. She said she felt no pain when inserting the sensor into her arm. “The first couple of days I was like ‘Is this for real?’ I was feeling really great. My fingers f Continue reading >>

Beyond The Finger: Alternate Blood Sugar Testing Sites

Beyond The Finger: Alternate Blood Sugar Testing Sites

If you’re tired of the pain of finger sticking and the calluses that can develop over time, alternate site testing could be an option for blood sugar testing, especially for those who want to do frequent checks. In a study published in the Journal of Diabetes Science and Technology, researchers compared patients’ satisfaction with fingertip blood sugar testing and testing using an alternate site, in this case the palm of the hand. They found that people who test their blood sugar levels four times a day like the idea of using alternative site testing approaches. However, they also found that testing on their palm with regular lancing supplies didn’t always provide easy access to get enough blood for a test strip. Managing Diabetes With Alternate Site Testing: The Choices “The palm of the hand is good because it’s capillary blood and it’s going to be current blood sugar,” said certified diabetes educator Sacha Uelmen, RD, program director of the outpatient diabetes education program at the University of Michigan Health System in Ann Arbor. Your thumb is another option if you’re tired of using fingers. Other possible locations include the thigh, calf, upper arm, and forearm. However, sites other than your palm are recommended only if your blood sugar is stable at the time of testing. Certified diabetes educator Hector Verastigui, RN, clinical research coordinator at the Texas Diabetes Institute in San Antonio, said he teaches patients to test using their arms as an option if they are interested in alternate site testing. However, there are disadvantages to this method as well. “Most patients that I teach alternative site testing will say that forearm testing is less painful but difficult to obtain a blood sample, and most patients will return to fingerti Continue reading >>

Alternate Site Blood Glucose Monitoring — The Facts

Alternate Site Blood Glucose Monitoring — The Facts

Over the past few years, a debate has been taking place about the use of sites other than the fingers for monitoring blood glucose levels. Before filling you in on the debate, let’s make sure you have the background, know what the alternate sites are and are versed in the pros and cons of using them.facts THE BACKGROUND Since the early 1980s, when people with diabetes were introduced to blood glucose monitoring, they have been using their fingers to obtain blood samples. The fingers became the accepted source for blood for nearly two decades. As increasing numbers of people with diabetes started to manage their diabetes intensively, doing upwards of four to six blood checks per day, a need arose to be able to use alternate sites for blood samples. This need gave rise to manufacturers developing monitors that were accurate and approved for alternate sites. Alternate sites Forearm Upper arm Fleshy side of the palm by the pinky Fleshy area between the thumb and index finger Thigh Calf THE ADVANTAGES The biggest advantage of alternate site testing is less pain. That’s because alternate sites have fewer nerve endings than fingertips. The second advantage is that you can give your well-worn, and possibly sore, fingers a rest. Third, you might be willing to check your blood glucose more often if there is less pain involved. Finally, alternate sites are less likely to have food, dirt, grease or other contaminants that can ruin the blood sample. THE DEBATE Several years ago, a couple of meters were approved by the Food and Drug Administration for alternate site testing. (The FDA is the government agency that approves medical devices, including blood glucose meters.) Following the approval, some research was published about the lack of accuracy of alternate site testing. The Continue reading >>

7 Ways To Make Blood-sugar Testing Less Painful

7 Ways To Make Blood-sugar Testing Less Painful

No more sore fingers You need to prick your finger to obtain a drop of blood for home blood-glucose monitoring. Does it hurt? Some people say yes, but they've gotten used to it. Others say they find it virtually painless. Only you can decide. But here are 7 tried-and-true methods for making it less painful. Find out what works for you When Nancy Chiller Janow, age 54, was first diagnosed with type 2, her endocrinologist "punctured me so hard in the middle of the finger pad, that I never wanted to test again," she says. "It really hurt." Janow's internist recommended she experiment to find a more comfortable spot. "I did and finally found that testing on the side of the pad, close to the nail, is the most comfortable," she says. "I often use my thumb. Maybe because that's more callused, it's more comfortable and doesn't hurt when I stick it." Avoid pricking the finger’s tip This part of the finger is especially sensitive and can be more painful than other parts of your finger. Aim for the side of your finger. Fingertips are a poor choice because they tend to have more nerve endings, says Nadine Uplinger, director of the Gutman Diabetes Institute at Albert Einstein Healthcare Network in Philadelphia. "We teach people to monitor on the sides of their fingers, not down by the knuckle but up by the nail bed on the fleshy part and not on the tips," she says. "Another thing to do is pinch or put pressure on where you're going to test to seal it and that seems to minimize pain." Continue reading >>

Fda Approves First Blood Sugar Monitor Without Finger Prick

Fda Approves First Blood Sugar Monitor Without Finger Prick

U.S. regulators have approved the first continuous blood sugar monitor for diabetics that doesn't need backup finger prick tests. Current models require users to test a drop of blood twice daily to calibrate, or adjust, the monitor. The pain of finger sticks and the cost of testing supplies discourage many people from keeping close tabs on their blood sugar, which is needed to manage insulin use and adjust what they eat. Abbott's new FreeStyle Libre Flash Glucose Monitoring System, approved Wednesday by the Food and Drug Administration, uses a small sensor attached to the upper arm. Patients wave a reader device over it to see the current blood sugar level and changes over the past eight hours. Most of the 30 million Americans with diabetes use standard glucose meters, which require multiple finger pricks each day and only show current sugar level. More-accurate continuous glucose monitoring devices are used by about 345,000 Americans. But most don't do the finger pricks to calibrate them and may get inaccurate readings, said Dr. Timothy Bailey, who helped test FreeStyle Libre. "We're able to lower blood sugar safely" with this technology, said Bailey, director of the Advanced Metabolic Care and Research Institute in California. He receives consulting fees from various diabetes device makers. Too-high blood sugar levels can damage organs and lead to heart attacks, strokes, blindness and amputations. Very low blood sugar can cause seizures, confusion and loss of consciousness. Abbott's device was approved for adults with Type 1 or Type 2 diabetes and should be available in pharmacies within months. The company, based near Chicago, did not disclose the price of the reader or the sensors. Abbott's system can't be used with an insulin pump, a device worn against the skin th Continue reading >>

Alternate Site Testing (ast)

Alternate Site Testing (ast)

Tweet Diabetes self testing (also called SMBG - self-monitoring of blood glucose) is a major part of diabetes treatment for people with diabetes. Blood glucose testing allows you to assess how your treatment of diabetes is affecting your blood glucose levels, using a blood glucose meter. This allows the ability to make daily treatment choices, including meals, exercise and medication. Of course, if you have type 1 diabetes, your daily routine will include insulin injections. Self-testing gives people with diabetes a chance to understand what changes to make to lifestyle, diet and medication. However, regular self-testing comes with several barriers for some people, including the fact that regular testing sites may become painful over time. Therefore, diabetes experts have developed alternate site testing (AST) to compensate. What is Alternate Site Testing? AST (Alternate Site Testing) means using a part of the body other than the fingertips to obtain blood for blood sugar testing. This may include taking a blood sample from anywhere other than the fingertips, including the palm, the upper forearm, the abdomen, the calf and the thigh. Fingertips are traditionally used for blood glucose testing because they have many capillaries, and will usually provide a large enough drop of blood to get a reading from a blood glucose meter. However, the fingertips also have many nerve endings and are therefore sensitive. Many people with diabetes choose to give their fingertips a break, especially if they use them as part of their profession. Can I use my blood glucose meter for alternate site testing? Alternate site testing is not possible with all blood glucose meters. Newer machines only require a smaller drop of blood to provide accurate blood glucose readings from other parts of t Continue reading >>

Blood Sugar Testing Goes Wireless, Painless For Diabetes Patients

Blood Sugar Testing Goes Wireless, Painless For Diabetes Patients

Open this photo in gallery: Now that is cool: Testing your sugar without needles and without blood droplets. In Europe, the medical company Abbott has just released its FreeStyle Libre system, which may usher in a revolution in diabetes care. And both doctors and patients can't wait. Prabahar Gopalakrishnan, 26, is a type 1 diabetic who has taken daily insulin injections since the age of seven. "I've probably pricked my fingers almost 15,000 times so far," he tells me. When I tell him about the new system, he finds it hard to believe. "You mean I might never have to poke myself again?" Chandroutie Permaul, a 65-year-old woman with type 2 diabetes, also finds routine self-testing problematic. "My flesh gets so tender," she complains. "And when I wash the dishes, it just burns and burns." These hassles may soon be a thing of the past. The Libre system uses an advanced, coin-size sensor that is worn on the arm for two weeks at a time. According to the instructions, a tiny "filament is inserted just under the skin and held in place with a small adhesive pad." It comes with a hand-held scanner which looks like a largish smartphone. Swiping the scanner over the sensor instantly measures your sugar, displaying the result in "less than one second." Speaking at the European launch in Vienna, Jared Watkin, a technology vice-president at Abbott, also demonstrated that you can even scan the sensor "through your clothes." You don't even need to calibrate the system with a test drop of blood. That's remarkable – and unheard of in the diabetes world. "Patients would fly with this," says Dr. Susan Burlacoff, a Toronto family physician. She believes there will be great utility of this bloodless system in her own practice. "It's painless, convenient, without needles and [patients] woul Continue reading >>

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