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At Home A1c

Decker School Phd Candidate Quoted In Article About At-home A1c Testing Kits

Decker School Phd Candidate Quoted In Article About At-home A1c Testing Kits

In August, Edwin Torres ‘10, MS ‘14, was quoted in a U.S. News and World Report article about the use of at-home hemoglobin A1C testing kits. These kits can provide patients and their healthcare providers with information about a patient’s average blood sugar level over a two- to three-month period. Torres, a nurse practitioner in the endocrinology department at Montefiore Health System in New York City and a PhD candidate at Binghamton University’s Decker School of Nursing, says primary care clinics often use the kits to deliver immediate feedback to patients. Continue reading >>

Study: A1c Now Test Is Crap And So Are Many Doctor Office A1c Tests

Study: A1c Now Test Is Crap And So Are Many Doctor Office A1c Tests

A study published in the January issue of the journal, Clinical Chemistry put eight brands of A1c test kits, including the A1c Now test sold in pharmacies and online, through rigorous testing. The other kits were the ones marketed to doctors for use in their offices. You can read an abstract of this study here: Six of Eight Hemoglobin A1c Point-of-Care Instruments Do Not Meet the General Accepted Analytical Performance Criteria. Erna Lenters-Westra1, and Robbert J. Slingerland. Clinical Chemistry 56: 44-52, 2010. First published November 19, 2009; 10.1373/clinchem.2009.130641 The study concluded only two of the eight kits produced clinically valid results. What is most telling, though, is that the study reports: Because of disappointing EP-10 results, 2 of the 8 manufacturers decided not to continue the evaluation. Their test kits were removed from the study after they completed only one of three CLSI protocols that were planned. CLSI stands for "Clinical and Lab Standards Institute." Since four of the six kits that remained in the study ended up with unacceptable results, but must have had good enough results after the first protocol to encourage their manufacturers to keep them in the study, one can only conclude that the kits removed from the study did abysmally. Which meters were withdrawn from the study after they did very poorly at the first level of testing? A1c Now and Quo-test. Of the six remaining kits that completed all three laboratory test protocols, Only the Afinion and the DCA Vantage met the acceptance criteria of having a total CV <3% in the clinically relevant range. The CV is the "Coeeficient of variation." It is the statistic that represents the ratio of the standard deviation to the mean. It's a measure of how widely scattered data is. The larger it Continue reading >>

A1c Home Test Kits For Diabetes

A1c Home Test Kits For Diabetes

Hemoglobin A1C tests are used to screen for and diagnose prediabetes and diabetes. A1C home test kits are a good option if you want to testyour A1C at home in between visits to your doctor, whether you have type 1 or type 2 diabetes. An A1C test gives a picture of how well your diabetes treatment is working by showing your average blood sugar level for the past two or three months. This can be very helpful in your diabetes management plan. All A1C home test kits allow you to provide a small blood sample, about the same as your glucose meter ,in the convenience of your home. Depending on the type of kit you purchase, you either get immediate results at home or you send the sample to a lab for analysis. Home A1C tests are not approved for diagnosing diabetes. You need to see a doctor for a diagnosis. There are factors that will affect the accuracy of A1C tests, so discuss this with your doctor to ensure you know whether they're appropriate for you. A1C results are affected by hemoglobin variants (such as sickle cell), anemia, transfusion, blood loss, pregnancy, and rheumatoid factor. Portable consumer options for immediate results at home are now available at major retailers, with both name brand and house brand versions. A1CNow SELF CHECK was the original FDA-approved brand from Bayer Healthcare. PTS Diagnostics purchased the A1CNow business in 2014 and markets it under the original name, plus they license it for store brand devices. Walmart sells it as ReliOn Fast A1C Test and Walgreens and CVS as At Home A1C Test Kit. This technology received FDA approval and allows you to learn your A1C number in five minutes. It's similar in appearance to your daily glucose meter, but you don't use it on a continual basis. You purchase this A1C meter in a two-test kit. Once you have Continue reading >>

At Home A1c Prescription Price Comparison | Compare Drug Prices | Scriptsave Wellrx

At Home A1c Prescription Price Comparison | Compare Drug Prices | Scriptsave Wellrx

ScriptSave WellRx is brought to you by Medical Security Card Company, LLC , the trusted prescription discount leader at more than 62,000 pharmacies nationwide. See our online .Pharmacy certification . Compare Pharmacy Prescription Drug Prices ScriptSave WellRx is the smart and trusted resource that makes prescription medicines more affordable and easier to manage, because ScriptSave WellRx cares about helping people stay healthy. ScriptSave WellRx is free to join , and we're accepted nationwide at more than 62,000 pharmacies. Enter the prescription drugs you are searching for along with your address or zip code and compare pharmacy prices to find the best prescription drug prices in your area. You can also download our app and use its functionality on the go. How does the ScriptSave WellRx Card work? Simply present your ScriptSave WellRx card at any of the thousands of participating pharmacies nationwide to receive your instant savings. It's that easy! Just show your card to the pharmacist each time you pick up your prescription, whether you're filling for the first time or refilling. There is no paperwork to complete and no limit on usage. How much will I save with the ScriptSave WellRx card? Savings average 54%, and, in some cases, can be 80% or more.* Savings vary based upon the medication and the pharmacy you choose to use. Start saving big on all of your medicine needs with ScriptSave WellRx. Do all pharmacies accept the ScriptSave WellRx Card? ScriptSave WellRx is accepted at 62,000 participating chain and independent retail pharmacies nationwide, so there's likely a participating pharmacy nearby. Chances are, the pharmacy you use now participates. For more answers to Frequently Asked Questions, visit our FAQs page. * Average and up to savings percentages are bas Continue reading >>

Type 1 Diabetes Blog

Type 1 Diabetes Blog

I'm a big fan of having my A1C done every 3 to 5 months with my doctor. For me, it's my report card of how I'm doing managing my blood sugars, and it gives me a chance to course correct if needed, before too much time has gone on. Throughout the last ten years, I've had an average A1C in the mid-6%'s. That's a number that feels good to me, personally. With the challenge of managing my blood sugars while traveling for a year, I know my A1C has gone up. I had the lab test done in June, when I was back in the US for a friend's wedding, and saw a number in the mid-7%'s that I was not thrilled with. Thoughout the last three months in Africa, I've been much more diligent to keep my number down through pre-bolusing and accurate carb counting. I'm now in a place where I'd like to see how much progress I've made. My meter averages tell me I'm close to a 7% A1C, but I'd really like to see the weighted average of an A1C. I feel like the meter doesn't account for how much time I spent at 106 or 198 mg/dl; it just simply averages each blood test. With that in mind, I've asked my younger brother to bring me a home A1C test when I meet him in Spain in a few weeks. I figured this is the closest I'll get to getting a real-deal test done. I've done a lot of googling about the accuracy of these tests. Beyond many opinion pieces, the only study I've seen is here, and says that 93.2% of study paticipants had a home A1C results wihtin the acceptable range of ±13.5% of the laboratory reference value. To me, 13.5% is a fairly close range. But I'm curious if anyone has had experience with these home A1C tests? And if you think ±13.5% is truly accurate? Continue reading >>

Testing Cholesterol At Home

Testing Cholesterol At Home

Just yesterday I got my first home cholesterol and triglyceride test results. It took three weeks for them to get back to me after I mailed them in. That’s acceptable. But I have been waiting years to be able to check these levels at home. That’s not good. The new Check Up America test from Home Access Health Corp. in Hoffman Estates, Illinois, is the only way that we can check our cholesterol levels – total, HDL (good), and LDL (bad) – at home. With the same blood sample it also checks our triglyceride levels and A1C. The blood sample is a normal fingerstick rather than the large vials that labs will draw for the same tests. The blood sample that this new test requires is, however, a lot larger than what we are used to getting. It takes 70 microliters. Previously the only way that we had to check some of our cholesterol levels at home was the unsatisfactory CardioChek device from Polymer Technology Systems in Indianapolis, Indiana. Using different strips, that device can test total cholesterol, HDL (good) cholesterol, and triglycerides. But the company no longer sells strips to test LDL (bad) cholesterol or A1C. From everything I know, the Home Access Health tests are as accurate as we can get. Its test is more reliable that my hospital’s test or that of just about any hospital. The NGSP certified its A1C test as having documented traceability to the Diabetes Control and Complications Trial reference method, which established relationships between A1C levels and risk for complications of diabetes. The DCCT method is the gold standard for reliable A1C testing. For more information, please see the 1999 article I wrote for the American Diabetes Association. “Home Access differs greatly from other methods due to our scientific breakthrough technology that allow Continue reading >>

A1c Calculator*

A1c Calculator*

Average blood glucose and the A1C test Your A1C test result (also known as HbA1c or glycated hemoglobin) can be a good general gauge of your diabetes control, because it provides an average blood glucose level over the past few months. Unlike daily blood glucose test results, which are reported as mg/dL, A1C is reported as a percentage. This can make it difficult to understand the relationship between the two. For example, if you check blood glucose 100 times in a month, and your average result is 190 mg/dL this would lead to an A1C of approximately 8.2%, which is above the target of 7% or lower recommended by the American Diabetes Association (ADA) for many adults who are not pregnant. For some people, a tighter goal of 6.5% may be appropriate, and for others, a less stringent goal such as 8% may be better.1 Talk to your doctor about the right goal for you. GET YOURS FREE The calculation below is provided to illustrate the relationship between A1C and average blood glucose levels. This calculation is not meant to replace an actual lab A1C result, but to help you better understand the relationship between your test results and your A1C. Use this information to become more familiar with the relationship between average blood glucose levels and A1C—never as a basis for changing your disease management. See how average daily blood sugar may correlate to A1C levels.2 Enter your average blood sugar reading and click Calculate. *Please discuss this additional information with your healthcare provider to gain a better understanding of your overall diabetes management plan. The calculation should not be used to make therapy decisions or changes. What is A1C? Performed by your doctor during your regular visits, your A1C test measures your average blood sugar levels by taking a Continue reading >>

The Difference Between Home A1c Testing Vs Lab Testing

The Difference Between Home A1c Testing Vs Lab Testing

The Difference Between Home A1C Testing vs Lab Testing If you were diagnosed with diabetes a while ago you no doubt know all the ins and outs plus the importance of frequent in-home and lab testing, but is there a difference in the results? Is one method more accurate than another? If you are a newly diagnosed diabetic, you have a bit of reading and research to do, in addition to what your doctor tell you. One test you will become familiar with is the A1C testing at home versus any lab testing your doctor orders. A1C testing is a routine blood draw for diabetics diagnosed with type 1 or type 2 diabetes. The A1C test helps you to stabilize your blood glucose levels. If you hear your doctor or nurse refer to your A1C as glycosylated hemoglobin, hemoglobin A1C, HbA1C or glycated hemoglobin these are all the same as A1C. Your A1C tells you, and your doctor, the average of your blood sugar level, over the course of two to three months. There are many complications associated with diabetes including kidney and heart disease, so it is imperative to keep your A1C levels within an acceptable range. The higher your A1C level reads, the higher your risks are for developing complications. A1C testing is the most significant and primary blood level the doctor uses to determine if you truly have a diabetic diagnosis and if you are controlling your blood sugar. If this is the case, your doctor sets into motion a treatment plan for you so you can monitor your diabetes. Your A1C helps to track your treatment plan. If your A1C is not stable, your doctor recommends changing your diabetic plan of care. If you do not have medical insurance, or you have insurance, but it pays little towards lab work, you may find that you cannot afford an A1C lab draw, and opt to do your A1C tests at home. Continue reading >>

Easy And Accurate Diabetes Monitoring At Home Is Available

Easy And Accurate Diabetes Monitoring At Home Is Available

The A1CNow device is the easiest and most accurate way for those of us who have diabetes to check our key blood glucose level at home. But it still has spotty availability. Chex Diagnostics, formerly known at Polymer Technology Systems, started shipping it six months ago after the company had purchased the A1CNow business from Bayer Diabetes Care last year. But many pharmacies don’t have it yet. The good news, however, is that we can get it for less than ever before. The pharmacist at the local Kroger supermarket told me today that he had never heard of a way to check our A1C at home. A pharmacist at the most upscale pharmacy near me remembered that they had sold the A1C test when Bayer made it but didn’t have any record of the Chex Diagnostics or Polymer Systems Technology device. I couldn’t find it on the Rite Aid, Target, or Costco websites. But Chex Diagnostics provides the A1CNow device to two retailers who sell it as house brands. Chex Diagnostics owns the proprietary names under which Walgreens sells as the “Walgreens At-Home A1C Test Kit” and which Wal-Mart sells as the “ReliOn Fast A1C Test.” You can get the two tests in the Walgreens At Home A1C Kit for $32.99, according to the company website. At least I think that’s the price, because much of the “overview” information is wrong. Besides describing what is obviously a blood glucose meter, it refers to a “lover limit of the A1C target.” Don’t you love it! The situation at Wal-Mart stores is much better, although its website hasn’t caught up. It’s not yet on the Wal-Mart website, which shows the Bayer version at $29.88 but as no longer available. But Wal-Mart stores started getting their ReliOn Fast A1C Test kits from Chex Diagnostics about two weeks ago, Chex’s Director of Marke Continue reading >>

Evaluation Of An Over-the-counter Glycated Hemoglobin (a1c) Test Kit

Evaluation Of An Over-the-counter Glycated Hemoglobin (a1c) Test Kit

Glycated hemoglobin (A1C) monitoring is an integral component of diabetes management. This study was conducted to evaluate the performance of the A1CNow® SELFCHECK device when used by lay users and health care professionals (HCPs) to measure A1C. Subjects performed two A1CNow SELFCHECK finger-stick self-tests followed by a finger-stick test of the subject’s blood by a HCP. The primary endpoint assessed accuracy of the subject and HCP A1CNow SELFCHECK readings. Secondary endpoints included precision, comprehension of instructional material (written material ± DVD), and product satisfaction. For accuracy comparison, a venous blood sample was drawn from each subject and tested by laboratory (TOSOH) analysis. Subject comprehension of product instructional material was evaluated via first-time failure (FTF) rate as recorded by the HCP, and subject satisfaction was assessed through written survey. A total of 110 subjects with (n = 93) and without (n = 17) diabetes participated. Of 177 subject A1C values, 165 (93.2%) were within the acceptable range of ±13.5% of the laboratory reference value and considered accurate. Regression analysis showed good correlation of subject values to laboratory and HCP results (R2 = 0.93 for both). The average within-subject coefficient of variation was 4.57% (n = 74). The FTF rates with and without instructional DVD were 11.3% (n = 56) and 39.6% (n = 54), respectively. Subjects with diabetes/prediabetes overwhelmingly indicated that they were “very” to “extremely” likely (93.5%) to discuss their home A1C results with their HCP. Lay users found the A1CNow SELFCHECK easy to use, and both lay users and HCPs were able to measure A1C accurately. Keywords: A1CNow, diabetes, glycated hemoglobin A1c, in vitro diagnostic for home use, over-t Continue reading >>

A1c Test

A1c Test

Definition A1C is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows how well you are controlling your diabetes. Alternative Names HbA1C test; Glycated hemoglobin test; Glycohemoglobin test; Hemoglobin A1C; Diabetes - A1C; Diabetic - A1C How the Test is Performed A blood sample is needed. Two methods are available: Blood drawn from a vein. This is done at a lab. Finger stick. This can be done in your health care provider's office. Or you may be prescribed a kit that you can use at home. How to Prepare for the Test No special preparation is needed. The food you have recently eaten does not affect the A1C test, so you do not need to fast to prepare for this blood test. How the Test will Feel With a finger stick, you may feel slight pain. With blood drawn from a vein, you may feel a slight pinch or some stinging when the needle is inserted. Afterward, there may be some throbbing or a slight bruise. This soon goes away. Why the Test is Performed Your provider may order this test if you have diabetes. It shows how well you are controlling your diabetes. The test may also be used to screen for diabetes. Ask your provider how often you should have your A1C level tested. Usually, testing every 3 or 6 months is recommended. Normal Results The following are the results when A1C is being used to diagnose diabetes: Normal (no diabetes): Less than 5.7% Pre-diabetes: 5.7% to 6.4% Diabetes: 6.5% or higher If you have diabetes, you and your provider will discuss the correct range for you. For many people, the goal is to keep the level below 7%. The test result may be incorrect in people with anemia, kidney disease, or certain blood disorders (thalassemia). Talk to your provider if you have any of these conditions. Certain medicines can Continue reading >>

Home A1c Testing Available

Home A1c Testing Available

BMC HealthNet Plan has partnered with Liberty Medical, LLC to help our members with diabetes understand the importance of self-managing this condition. In addition to providing self glucose monitoring supplies, Liberty Medical offers an in-home visit. During the visit your patients will be offered an A1C test; the test results will be forwarded to you. Please make sure to review the results, adjust medications to achieve glycemic control, and add the report and test results to your patient’s medical record. Continue reading >>

Another Diabetes Device Bites The Dust

Another Diabetes Device Bites The Dust

has learned that Bayer BAYRY +0% will be closing the production facility for its A1CNow product and cease all production by the end of the year. For those new to the wacky world of diabetes, back in 2006 Bayer acquired privately held Metrika, the makers of the A1CNow. Back in the day the A1CNow was the only at home A1C test on the market and the acquisition was generally viewed as a positive step for Bayer. Yet as so often happens in the wacky world of diabetes devices great products get ruined by inept management. Before Bayer ran Metrika into the ground, something that’s normally the domain of Abbott (NYSE:ABT) who has run not one but two glucose monitoring companies into the ground, the possibility existed that sales of the A1cNow could also drive sales of test strips for Bayer’s line of conventional glucose monitors. Before this disaster unfolded Diabetic Investor was very public with our belief that an A1C result was the simplest test result for a patient to understand, a result of 7 or below was good, above 7 not as good. Heck, even the geniuses who ran Bayer should have been able to see that. The thought was Bayer with their scale, yes at one time the company did have scale in the BGM market, could use the A1CNow as an engagement tool for patients who weren’t testing their glucose or weren’t testing as often as they should. Basically the A1CNow would be the patient’s baby step into testing their glucose on a regular basis. As Diabetic Investor noted on more than one occasion with the proper marketing effort Bayer could have educated patients as to the correlation between regular glucose monitoring and A1C. Yet once again the company never had a clear strategy for what do with the A1CNow and without a strategy wound up running in circles going nowhere in Continue reading >>

{diabetes Management} Home A1c Test Fail

{diabetes Management} Home A1c Test Fail

I’ve been curious about the home A1c tests. We have an A1c done in office every three to four months, but sometimes I wish I could check in between to see if changes we’ve made are making any difference. (And, yes I know the A1c is only one measurement of how well diabetes is being managed.) I saw the Bayer A1cNow Selfcheck kits on sale and decided that it was worth it to buy a box and check it out. That evening I pulled it out and did the test and was absolutely SHOCKED at the number that popped up. There is NO WAY that Q’s A1c was 10.5. That would indicate an average BG of 255. I don’t think so! So not only was I totally upset and discouraged, but I was perplexed. I wrote it off as inaccurate and decided to wait until our next endo appointment and use the second test in the box to compare. In the meantime I saw two other bloggers use the home kit and they each seemed to think that the test was accurate enough. Our next endo appointment rolled around. I have been struggling with Q’s A1c’s (both literally and emotionally) because they are higher than I would like them to be and we made some changes in the past couple of months that we really thought would bring it down. In fact her A1c dropped 0.5, a much appreciated improvement. We still have a little way to go, but we made a couple more changes to I:C ratios and correction factors that I think will help. We also talked about doing the iPro again. (Unfortunately this clinic requires three separate visits: putting it on, taking it off, and discussing results with the doctor in person. It’s 90 minutes each way for us.) Armed with an A1c taken in the endo’s office (finger prick, not blood draw), I pulled out the home A1c test to check it’s accuracy. It was 1.8 HIGHER than the result at the endo. FAIL. I Continue reading >>

Home A1c Testing Vs. The Lab

Home A1c Testing Vs. The Lab

So it was time again for my A1C and other blood tests last week. Over-time, in fact. You know how I hate going in to the lab when I have to be fasting for lipid tests and can't even have a latte on the way over in the morning. Ugh! And who ever said diabetics don't mind needles?! Anyway, I'd been saving the review unit A1c Now SelfCheck pack I got from Bayer a few weeks ago for just this occasion. What better way to test the accuracy of home a A1C testing kit? I don't mind admitting I had very little faith in the thing. My endo had some of these in her office last year, and we tried them several times. The results were always differed wildly from the A1C I got at the hospital lab. She thought her packs might be too old, although the date on the box seemed OK. So after dragging my behind to the hospital that day, and then enjoying a lovely post-needle cafe breakfast with my husband, I went home and snipped the seal on my A1C Now pack. Inside were all the trimmings for two tests, along with a lot of documentation and a mini-CD that's supposed to explain how to use it — which I didn't watch of course. I figured I'd be representative of the "average patient" who is too lazy to watch the CD. (Not to mention that I have ZERO patience myself and ripped right into the thing without thinking ;) ) Lucky for me, the little fold-out Reference Guide with photos did the trick. It told me what to open first, how to prick my finger for the blood (not more than a usual BG test!), and what to open only "AFTER blood collection!" And I must have done it right, because wouldn't you know, I got 6.3 on the Bayer test, and a 6.4 reported back from the hospital lab. Pretty impressive! (Yes, for those science guys but also for me -- under 6.5, Baby!) So I got to experience the "5-minute home A Continue reading >>

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