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Is Your Glucose Meter as Accurate as You Think?

DiaTribe has an article on glucose meter accuracy by Jeemin Kwon and Adam Brown. I quote:

Results from the Diabetes Technology Society’s Blood Glucose Meter Surveillance Program identifies only six out of 18 meters that passed. Did yours make the cut?

The Diabetes Technology Society (DTS) recently revealed long-awaited results from its Blood Glucose Monitor System (BGMS) Surveillance Program. The rigorous study tested the accuracy of 18 popular blood glucose meters (BGM) used in the US. These FDA-cleared meters were purchased through retail outlets and tested rigorously at three study sites in over 1,000 people (including 840 people with diabetes). The results were troubling: only six out of the 18 devices met the DTS passing standard for meter accuracy – within 15% or 15 mg/dl of the laboratory value in over 95% of trials.

The devices that passed were:

  • Contour Next from Ascensia (formerly Bayer) – 100%
  • Accu-Chek Aviva Plus from Roche – 98%
  • Walmart ReliOn Confirm (Micro) from Arkray – 97%
  • CVS Advanced from Agamatrix – 97%
  • FreeStyle Lite from Abbott – 96%
  • Accu-Chek SmartView from Roche – 95%

The devices that failed were:  

  • Walmart ReliOn Prime from Arkray – 92%
  • OneTouch Verio from LifeScan – 92%
  • Prodigy Auto Code from Prodigy – 90%
  • OneTouch Ultra 2 from LifeScan – 90%
  • Walmart ReliOn Ultima from Abbott – 89%
  • Contour Classic from Bayer – 89%
  • Embrace from Omnis Health – 88%
  • True Result from HDI/Nipro – 88%
  • True Track from HDI/Nipro – 81%
  • Solus V2 from BioSense Medical – 76%
  • Advocate Redi-Code+ from Diabetic Supply of Suncoast – 76%
  • Gmate Smart from Philosys – 71%

Source: Are Blood Glucose Meters Accurate? New Data on 18 Meters | diaTribe

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Food Versus Feed

Future Feed

From Hawaiian Libertarian:

“Food is grown, raised, harvested and processed — and if not consumed while fresh — preserved in as natural and organic a state as possible to keep most of it’s nutritious and nourishing qualities intact.

Feed is mass produced by a few large multinational corporations line using bio-technological innovations to quickly and efficiently manufacture product units ready for global distribution and a near infinite shelf life. Its primary traits are using genetically modified grain products to create a marketable product that is usually adulterated with preservatives and flavor enhancements that give it a long shelf life in airtight packaging and designed in a laboratory to stimulate the taste buds to fool the human body into thinking it’s something good for you.

But above all, the primary difference between Food and Feed can be discerned by this: most real food requires little (if any) corporate mass media marketing campaigns to sell product and expand market shares and waistlines alike.”

Source: Hawaiian libertarian: FEED Inc. & The Corporate Campaign Dialectic

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Insulin Pumps Decrease Quality of Life and Increase HgbA1c in CGM Users 

Technological advances aren’t always worth the cost…

“A new randomized study compared insulin pump therapy vs. an MDI [multiple daily injections] approach among current CGM [continuous glucose monitor] users. The results showed that insulin pump users had a higher A1c, decreased quality of life, and markedly higher medical expenses as compared to MDI patients.”

Source: Study: Insulin Pumps Decrease Quality of Life and Increase A1c in CGM Users – Diabetes Daily

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Diabetes and Prediabetes Linked to Higher Heart Failure Risk

From NMCD:

Highlights

•A meta-analysis of 77 prospective studies was conducted.

•Diabetes was associated with a 2-fold increase in heart failure risk in the general population.

•Diabetes was associated with a 69% increase in heart failure risk in patient populations.

•Elevated blood glucose even in the pre-diabetic range also increased heart failure risk.

Source: Diabetes mellitus, blood glucose and the risk of heart failure: A systematic review and meta-analysis of prospective studies – Nutrition, Metabolism and Cardiovascular Diseases

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Reasons Why It Took SySy So Long to Transition to Very Low Carb Eating

From Sysy Morales at Diabetes Daily:

“My blood sugar levels have never been better than what they are now. This is primarily due to eating a very low-carb diet. It took me a long time to transition, and this post will outline the reasons why.

Over a decade ago I read Dr. Bernstein’s book called, Dr. Bernstein’s Diabetes Solution. When he explained what he calls the Laws of Small Numbers, which refers to how small amounts of carbohydrate are covered by small doses of insulin and this means that blood sugars are more easily managed within tight parameters. He also explained why keeping blood sugar levels within tight parameters is essential to avoid complications. This made sense immediately, and I responded by flinging the book across my bedroom at the wall.”

Source: Reasons Why It Took Me So Long to Transition to Very Low Carb

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Long-term Glycemic Control and Dementia Risk in Type 1 Diabetes 

“Among older patients with type 1 diabetes, those with majority exposure to HbA1c 8–8.9% and ≥9% had increased dementia risk, while those with majority exposure to HbA1c 6–6.9% and 7–7.9% had reduced risk. Currently recommended glycemic targets for older patients with type 1 diabetes are consistent with healthy brain aging.”

Source: Long-term Glycemic Control and Dementia Risk in Type 1 Diabetes | Diabetes Care

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Mediterranean Diet Improves Gestational Diabetes Outcomes

“Women with gestational diabetes who were on a Mediterranean diet for 3 months had improved glycemic levels, that were comparable to pregnant women with normal glucose levels, a new study from Madrid, Spain suggests.

The objective of the study was to assess whether Mediterranean diet-based medical nutrition therapy facilitates near-normoglycemia in women with gestational diabetes.

“Medical nutrition therapy based on a MedDiet enhanced with extra virgin olive oil and pistachios, thus with a high-fat content, is associated with glycemic control and with a reduction in gestational diabetes-related adverse perinatal outcomes,” Dr. Alfonso Calle-Pascual, one of the study authors told dLife.”

Source: Mediterranean Diet Linked to Improved Gestational Diabetes Outcomes, Study | dLife

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