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SMBG out of control: the need for educating patients about control solution
Tahir Chaudhry1, David C Klonoff1
1Diabetes Research Institute, Mills-Peninsula Health Services, San Mateo, California, USA (Mr Chaudhry, Dr Klonoff)
The Diabetes Educator
|July 31, 2013
Summary
Many people with diabetes know about control solution but rarely use it for blood glucose meter calibration. Low pharmacy availability and lack of education contribute to this common misuse, potentially leading to inaccurate readings.
Area of Science:
- Diabetes Management
- Medical Device Calibration
- Patient Education
Background:
- Self-monitoring of blood glucose (SMBG) is crucial for diabetes management.
- Calibration of blood glucose meters (BGMs) using control solution (CS) ensures accuracy.
- Understanding the prevalence of CS use is vital for optimizing SMBG efficacy.
Purpose of the Study:
- To determine the prevalence of control solution calibration among patients performing SMBG.
- To assess patient knowledge and usage of control solution.
- To evaluate the availability of control solution in pharmacies.
Main Methods:
- Surveyed 18 patients with or parents of children with type 1 diabetes mellitus.
- Assessed educational attainment in the surveyed region.
- Evaluated control solution availability in pharmacies.
- Reviewed user manuals from 6 BGM manufacturers for CS indications.
Main Results:
- 82% of respondents knew about control solution, but 58% never used it.
- The surveyed region had higher educational attainment than national averages.
- Only 15% of pharmacies stocked control solution, despite 10 indications for use by major manufacturers.
Conclusions:
- Blood glucose meter users frequently do not calibrate their devices with control solution.
- Limited pharmacy availability of CS may reduce patient demand and usage.
- Diabetes educators must educate patients on proper CS calibration to ensure accurate SMBG results and prevent erroneous readings.
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