Blood Glucose Test Strip Guidelines

Transcription

1 Berkshire West Integrated Care System Representing Berkshire West Clinical Commisioning Group Royal Berkshire NHS Foundation Trust Berkshire Healthcare NHS Foundation Trust Berkshire West Primary Care Alliance Blood Glucose Test Strip Guidelines [APC ClinDoc 009) For the latest information on interactions and adverse effects, always consult the latest version of the Summary of Product Characteristics (SPC), which can be found at: Approval and Authorisation Approved by Job Title Date Area Prescribing Committee APC Chair January 2016 Change History Version Date Author Reason v /2018 B.Patel-Parker Updated APC Category This prescribing guideline remains open to review considering any new evidence This guideline should only be viewed online and will no longer be valid if printed off or saved locally Author B.Patel-Parker Date of production: January 2016 Job Title Pharmaceutical Advisor Review Date March 2019 Protocol Lead B.Patel-Parker Version v 1.0

2 Blood Glucose Test Strip Guidelines NICE guideline NG28 (December 2015) advises not to offer routine monitoring of blood glucose testing strips unless the person: Is on Insulin Is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery Is pregnant or planning to become pregnant or Has evidence of hypoglycaemic episodes. Key changes from 2016/17 formulary Inclusion of GlucoRx Q and Finetest Lite as preferred first line test strip. All new initiations for blood glucose test strips should be for GlucoRx Q and Finetest Lite (unless limited by patient factors) Removal of TrueResult from Group 2 (due to exceeding price threshold for this group). All patients prescribed TrueResult to be changed to GlucoRx Q or Finetest Lite Inclusion of test strips for patients on insulin pump. A full list of non-formulary test strips is no longer provided, due to product and Drug to product and Drug Tariff changes. Prescribers are reminded to ensure that any prescribed blood glucose test strip meets the Group 1 criteria as above and is compatible with any patient specific criteria as required. Diabetic Patients who should monitor blood glucose are: Type 1 s (see below if counting carbohydrates) Type 2 s on insulin Type 2 s on SU s or Glinides or are prone to hypoglycaemia Type 2 s not on SU (only if appropriate to test) Formulary Testing Strips Group 1 - First choice formulary blood glucose testing strips Group 2 - Second choice blood glucose testing strips (less preferred due to absence of independently published evidence of ISO compliance) Expiry: May 2019

3 Diabetic Patients who may require special consideration are: Pregnant Diabetic patients (type 1 or type 2) and Gestational Diabetes Renal Patients on Peritoneal Dialysis (maltose interaction) Visually Impaired Patients who are required to monitor glucose and ketones. The test strips recommended for the groups above are shown at the end of this document. Formulary Blood Glucose Testing Strips Group 1 First Choice Formulary Blood Glucose Testing Strips Manufacturers of blood glucose testing strips that were able to provide independent and published evidence demonstrating ISO 15197: 2013 accuracy standards and cost below 10. Name of Strip Pack Size Drug Tariff Price ( Dec 2017) GlucoRx Q* Finetest Lite* Element Glucolab Accucheck Active GlucoMen Areo GlucoRx Nexus GlucoRx HCT GluNeo Mobile Mylife Pura Mylife Unio OneTouch Select Plus Performa TEE TRUEyou Aviva (Is considered to be on formulary only if prescribed in circumstances described below) *ALL NEW INITIATIONS FOR BLOOD GLUCOSE TESTING STRIPS TO BE FOR GLUCORX Q OR FINETEST LITE. These are suitable for most diabetic patients. Please check compatibility with any patient specific criteria.

4 Group 2 Second Choice (less preferred) Formulary Blood Glucose Testing Strips Manufacturers of blood glucose testing strips that were able to provide independently assessed but not published evidence of conformity to ISO 15197:2013 accuracy standards. Name of Strip Pack Size Drug Tariff Price (Jan 2016) Palmdoc Contour TS Omnitest SD Codefree SuperCheck Plus SuperCheck WaveSense JAZZ WaveSense JAZZ Duo *ALL NEW INITIATIONS FOR BLOOD GLUCOSE TESTING STRIPS TO BE FOR GLUCORX Q OR FINETEST LITE. These are suitable for most diabetic patients. Please check compatability with any patient specific criteria. Diabetic Patients who may be considered for AVIVA test strips are: On an Insulin Pump specifically requiring Aviva Test strips or other compatible blood glucose testing strip Type 1 Paediatric Patients up to age 20 Type 1 patients who have attended Choice or CarbAware or another carbohydrate counting course and are on a basal bolus insulin regime. Patients must regularly demonstrate that they are able to calculate the carbohydrate content of their food and use the meter to provide an insulin dose for continued prescribing of the Aviva test strip Type 2 patients who have attended CarbAware or another carbohydrate counting course requiring the use of Aviva test strips AND are on a basal bolus insulin regime. Patients must regularly demonstrate that they are able to calculate the carbohydrate content of their food and use the meter to provide an insulin dose for continued prescribing of the Aviva test strip This does not refer to Type 2 patients who have attended X-PERT. Patient notes to include read coded entry for carbohydrate counting and comments regarding patient s continued ability to count carbohydrate content of meals and use of meter to provide an insulin dose.

5 Pregnant Diabetic patients (type 1 or type 2) and Gestational Diabetes New initiations : GlucoRx Q or Finetest Lite Existing patients on strips listed in Group 1 or 2, if they are compatible for use in this group of patients. Renal Patients on Peritoneal Dialysis (maltose interaction) New initiations : GlucoRx Q or Finetest Lite Existing patients on strips listed in Group 1 or 2, if they are compatible for use in this group of patients. Visually Impaired (meter talks to patient with instructions) GlucoRx Nexus Test strips with Nexus Voice Meter or Supercheck 2 test strips and meter Patients who are required to monitor ketones Glucomen Areo Ketone Test strips GlucoRx HCT and Ketone Meter (note meter can take both glucose and ketone test strips) Ketosens Patients who are on an Insulin Pump All patients on an insulin pump need to know how to count carbohydrates and many will use the Aviva test strip to enable them to do so Some insulin pumps require specific test strips due to blue tooth connection between the pump and glucometer. These are as below: Medtronic Pump - Contour Next Omnipod pump - Freestyle Lite Roche Insulin Pump - Aviva Test strips The use of Aviva, Freestyle Lite and Contour Next would be deemed to be in line with formulary for insulin pump patients only