
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 >>

Walgreens To Offer Daily Testing For Cholesterol, Blood Glucose And A1c
DEERFIELD, Ill. — Walgreens is expanding its scope of preventive healthcare services by offering daily testing for total cholesterol, blood glucose and A1C levels at more than 1,400 pharmacies across 33 states and Washington, D.C. The drug store chain, which began offering scheduled testing days at select stores last December, said that the tests are available at select stores during pharmacy hours, with no appointment necessary, to customers ages 18 years and older. Each test also includes a free blood-pressure reading and personal consultation with a Walgreens pharmacist. Walgreens pharmacists administer tests by fingerstick. Cost for testing is: Total cholesterol and HDL: $30; Blood glucose: $20; A1C (for self-identified diabetics only): $35; and Blood pressure: Free with every health test. Test results are not for diagnostic or treatment purposes and are not conclusive as to the absence or presence of any health condition. Recipients are encouraged to share test results with their primary care physicians, Walgreens said. Locations offering these testing services can be found online by visiting Walgreens.com/FindAStore and checking the “health tests” box, or by calling (877) W-and-YOU (877-926-3968). “Providing convenient, affordable access to health-testing services is an important part of our commitment to disease prevention and chronic care management,” said Kermit Crawford, Walgreens president of pharmacy, health and wellness. “As the most accessible healthcare professionals, our pharmacists are spending more time with patients through consultations, immunizations, medication questions or concerns, health testing and other important services.” Continue reading >>
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Why Do Test Strips Cost So Much?
Have you looked at test strip prices and thought, “These should be made of gold?” Well, they are made of gold, along with other costly chemicals. But some cost 16 cents apiece; others cost $1 to $2. Why this range? What price is right? Spurred by some comments from DSM reader John C, I decided to research test strips, and they’re amazing. In fact, I will need two columns to explore them and the issues involved in their best use. To understand how test strips work, you would need to know quantum mechanics and electrochemistry (whatever that is), and I don’t. Here’s the part I could understand: Modern strips work by measuring the electrical energy in glucose in the blood. According to an article by Erika Gebel, PhD, in Diabetes Forecast, “Electrochemical test strips, the world standard today, employ enzymes…that convert glucose into an electrical current. That electricity…is read out by the meter as a glucose concentration.” It’s much faster than the old way, which was based on reading a color change, and requires much less blood. Apparently, working with enzymes is hard. “You want hydration around the enzyme to keep it active, but not too much because that will lead to degradation,” says Selly Saini, the worldwide director of strip products for Johnson & Johnson. “That’s a fine balance.” Because they use enzymes, strips are delicate. According to Dr. Gebel, exposure to humidity or temperature extremes can damage the enzymes, reducing accuracy. But “strip makers have partly tamed enzymes and increased their life span by incorporating chemicals that stabilize them.” So the colored patch at the end of the strip includes absorbents to soak up blood and enzymes to turn it into electricity and stabilizers to protect the enzymes. Then the elect Continue reading >>

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 >>

A1c Home Test Kits
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 test your 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. How A1C Home Test Kits Work 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. Factors That Can Affect Accuracy 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. A1C Results at Home 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 o Continue reading >>

At Home Std Test Kits Cvs
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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 >>

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Top 5 Best Anemia Blood Test Kit For Sale 2017
I know you have been googling a lot to find the best anemia blood test kit online. Now finally you can see the best list of anemia blood test kit below and make the decision. Check out the best top 5 anemia blood test kit list below and compare the pricing and features as you wish. 2. CVS A1C At Home Test Kit, Home Use Monitoring of Glycemic Control, Easy Operation for at home A1C Monitoring (Click Link to Check Price on Amazon) Editor's Rating : 9.1 out of 10 CVS Pharmacy at home A1C test kit is for home use monitoring of glycemic control in patients with monitoring of glycemic control in patients with diabetes.Easy operation for at home A1C monitoring. Leave a comment, feedback and review below for anemia blood test kit Continue reading >>
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Are There Any Home Tests For Diabetes?
Are There Any Home Testing Kits For Diabetes? Yes, there are home tests for diabetes (which also work for testing for prediabetes). If you suspect you or a loved one is showing signs of diabetes then you may wish to test at home before contacting your doctor. There are two main types of home tests which are available without prescription through pharmacies, online pharmacies and stores like Walmart. These are urine test strips and home A1C Kits. However, it should be noted, neither kit is FDA approved for self-diagnosis, but rather for ongoing blood sugar monitoring. If you are worried about diabetes, contact your doctor for appropriate testing. 1. Urine Test Strips: Testing Blood Glucose Levels Urine tests are not invasive, meaning no blood sample is needed. Most kits contain 1 to 3 specially coated strips which, when inserted into a urine sample, turn a particular color according to the level of blood sugar detected. Usually you are instructed to wait for 2 hours after your last meal before testing to ensure the results are not artificially high. Some tests are even sensitive enough to indicate prediabetes - an elevated level of blood sugar which isn't quite high enough (yet) to be considered full-blown diabetes (see diabetes diagnosis). The results are available in 60 to 90 seconds. Most kits cost under $10 or £8. • Choice DM In-Home High Sugar Level Test Kit, Early Detection. • Testmedica Diabetes Home Scan. • Suresign Diabetes Urine Screening Test Kit. • Boots Diabetes Home Test (Europe only). Points To Consider If you test positive, you should call your doctor immediately for more clinical tests. While home tests if you follow the instructions are generally accurate, they can occasionally produce false-negative or false-positive results (exercise, your me Continue reading >>

Should You Get A Free Type 2 Diabetes Screening?
Free screenings for diabetes are sometimes available at pharmacies, and even in big-box stores, like Walmart. You may also be able to get a free blood sugar test at your local hospital. But before you go, it’s important to understand the limitations of this blood sugar test. "In most cases, the diabetic test given at a free screening is a point-of-care blood sugar test," says Shannon Knapp, RN, CDE, manager of diabetes education in the department of endocrinology, diabetes, and metabolism at the Cleveland Clinic in Ohio. These tests measure blood sugar with a finger prick and a glucose monitor. "Free screenings for diabetes are beneficial but have a lower accuracy rate than lab tests done in a doctor's office," Knapp notes. "They may be given at health fairs, community centers, or local pharmacies, but they are not a substitute for your primary care doctor." There are reasons that free screenings for diabetes may be an early indicator of the disease but still don’t provide a complete picture on their own. "To diagnose diabetes, you generally need two elevated fasting blood sugars," explains Knapp. "It's important to know that if you have free screening for diabetes without fasting, the results are not very useful. Any abnormal diabetic test needs to be followed up with your doctor." Why Get a Free Diabetes Screening? The purpose of this type of screening is to serve as an early alert, hopefully cutting down on the damage done by type 2 diabetes by uncovering it and addressing it early, before you have any complications of high blood sugar. Also, "These screenings have the potential to catch other types of diabetes," adds Knapp. Since more than 29 million Americans have diabetes, and another 86 million are at risk for the disease, early diagnosis is more important th Continue reading >>

How To Check Cholesterol At Home
A brief review of the top current options for testing from home, and their benefits. After so many years of being forced to visit a doctor’s office or laboratory to check your cholesterol, it’s a real breath of fresh air that there are now several reliable options for checking cholesterol at home. Of course, there iscurrently no app for this and you will need to take a small blood sample regardless of test, but modern testing kits make all of this quite easy. We’ll explore your options below. Before checking your cholesterol at home, it is important to make sure you obtain not only your total cholesterol, but also the breakdown of the Total Cholesterol into the healthier HDL (good) cholesterol, less healthy LDL (bad) cholesterol, Triglycerides, or fats in the blood. Some of these tests will give you a result after a few minutes of processing your sample, while others have you mail in your sample. As said, there are several options now available for at-home cholesterol monitoring that won’t require some people to visit a doctor or a lab. Knowing that you’re looking for a test that provides a breakdown of the markers above (HDL, LDL, Triglycerides, and blood fats), here are some of the most common testing solutions that may work. Some drug stores, such as CVS and Walgreens, now offer cholesterol tests you can purchase. Common home testing brands include HomeAccess and FirstCheck. Cost varies depending on how complete the test is, as many only check Total Cholesterol -- which we’re avoiding herel. Amazon.com also sells various at-home testing kits. Again it is important that the test checks a complete lipid profile, so you understand the relative breakdown of your cholesterol. Read the detailed descriptions and reviews of what these tests offer before deciding Continue reading >>

Self-medical Care Part Ii – Self-testing Links
So, we finally make it to Part II of this series and based on the comments I got in the last blog post most of you are very interested in this. The following list contains the most common self-testing links I know & use, from least advanced (at the top) to most advanced (at the bottom). Not all these tests are for everyone, but I hope it gives you a picture of what is possible. You can get basic testing for free, home testing for under $50, a comprehensive wellness blood-test for under $100…all the way to a full genetic download for $99. Lots of possibilities, lots of choices. Enjoy! Just A Quick Disclaimer Message: I am not a doctor and these are my personal & completely unprofessional recommendations. I know you know this, and now everyone else does too. Do be sure to do your own research and make your own decisions Health Fairs & Health Expos One of the easiest and cheapest ways to get basic tests is by finding a Health Fair or Health Expo. There are many of these kinds of fairs held all across the country at various times of the year (pick up a local paper or google to see what’s on in your area) and they typically offer basic screenings for free or very close to free. Alternatively look for free screenings at your local Costco (see the list HERE), CVS (see the list HERE), Walgreens or Walmart. You won’t get a comprehensive exam here, but you can get basic cholesterol, glucose, blood pressure and bone density tests without a single $$ out of pocket. I don’t use these as my main health monitor, but if I happen across one on our travels I take advantage of it. Extra Tip -> Blood Donations. Donating blood is an excellent gift to your fellow mankind, and as an added bonus you’ll get your blood-type & iron levels automatically tested. Some donation spots (e.g. Continue reading >>

Rip, A1cnow
The rumored end to Bayer Diabetes’ production of A1cNow speaks volumes about the new math of the business of diabetes care. According to a Forbes article published recently by Diabetic Investor editor David Kliff, Bayer will stop producing it’s A1cNow SelfCheck kits by the end of 2013. If true, it may offer a cautionary tale about what can happen when outfits like Bayer Diabetes venture into the over-the-counter world, especially when the prescription device space is already under siege due to reduced test strip reimbursements from Medicare and other insurers. A1cNow seemed like an idea whose time had come when it debuted in 2008. Dr. Steve Edelman, renowned founder of the non-profit Taking Control of Your Diabetes, was an early spokesman for the product, and when I helped his organization produce the Extreme Diabetes Makeover video series in 2010, we gave A1cNow tests to our group of patient participants for periodic checkups of their A1c progress. A1cNow brought a lot of joy to the show’s participants. I specifically recall how delighted and proud Tim Smith, a Type 2 on insulin, was to see his progress with A1cNow. He began the Makeover program with an A1c of 11.7, but just six weeks into the program, it was 6.3. What a moment! All of the Makeover participants looked forward to their next A1cNow test. It was a measure of how far they had brought themselves, and it was there for all to see. Bayer used some of the video footage featuring A1cNow from Extreme Diabetes Makeover (including Tim’s Shining Moment) in product presentations at the American Association of Diabetes Educators conference that summer. The diabetes educators were enthusiastic. At a suggested retail price of about $30 to $40, it seemed like a tool that could help motivate people to test more fr Continue reading >>