Guidance for the choice of blood glucose testing meters, strips and lancets
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1 Guidance for the choice of blood glucose testing meters, strips and lancets This guidance is intended to assist healthcare professionals in their selection of appropriate blood glucose meters and testing strips. It has been developed by the Medicines Optimisation team working in collaboration with the Diabetic Specialist Nurses and is intended for use by healthcare professionals working across the practices of Greater Preston and Chorley & South Ribble CCGs. The choice of meter included reflects a multidisciplinary review of Compliance with the current ISO standards for glucose testing meters Clinical features of the meters for example connectivity, suitability for particular patient groups Cost effectiveness of testing strips Requests for meters and testing strips outside of this guidance should be at the request of the Specialist Diabetes team only and where an individual patient need has been identified. Meters should be provided free of charge from GP surgeries or diabetic clinics. Patients should be dissuaded from buying their own meter the prescribing of strips and lancets for patients own purchased meters is not supported by the CCG. Please consult Lancashire Medicines Management Group guidance on the Home Monitoring of Blood Glucose Levels for further guidance on the frequency of monitoring and the quantity of testing strips to be prescribed in type 1 and type 2 diabetics.
2 Meter name Place in therapy Diabetes type Recommended for use in Parameters measured Manufacturer Recommended test strip Meters for General Use in Patients with Type 1 Diabetes Mellitus Gluco Rx Original 1 st choice Type 1 & Type 2 General use Glucose Gluco Rx Gluco Rx Q CareSens Dual 1 st choice Type 1 General use Glucose and ketone Spirit Healthcare Care Sens PRO blood glucose test strips KetoSens blood ketone test strips KEYA Smart 2 nd choice Type 1 General use Glucose and ketone Inside Biometrics KEYA Smart FreeStyle Optium Neo 2 nd choice Type 1 General use Glucose and ketone Abbott FreeStyle Optium blood glucose test strips FreeStyle Optium blood beta-ketone test strips Meters for General Use in Patients with Type 2 diabetes Mellitus Gluco Rx Original 1 st choice Type 1 & Type 2 General use Glucose Gluco Rx Gluco Rx Q Accu-Chek Performa Nano 2 nd choice Type 2 General use Glucose Roche Performa Gluco Rx Nexus 3 rd choice Type 2 General use / suitable for patients with poor vision Glucose Gluco Rx Gluco Rx Nexus Strips
3 Meter name Place in therapy Diabetes type Recommended for use in Parameters measured Manufacturer Recommended test strip Meters for Specialist Use Gluco Rx voice Type 1 & 2 Visually impaired Glucose Gluco Rx Gluco Rx Nexus Strips Accu-Chek Mobile Type 1 and 2 Type 1 and Type 2 with poor dexterity Glucose Roche Mobile Test Cassette Contour Next Link Type 1 Patients with compatible insulin pumps Glucose Bayer Contour Next Contour Next USB Type 1 Specialist care Glucose Bayer Contour Next Accu-Chek Aviva Expert Secondary care initiated Type 1 bolus adviser Specialist care Glucose Roche Accu-Chek Aviva BGTS with an acquisition price 10 are deemed to be cost-effective and highlighted in green.
4 Review date August 2019 Safety needles and lancets Criteria for use. I. (lancets) For use by a patient who due to dexterity problems would otherwise need district nurses to administer insulin II. Safety syringes when insulin is being administered by district nurses III. To be used if a carer is at risk of needle stick injury from a patient to whom they are administering insulin IV. For a needle phobic patients Safety Lancet Diameter / gauge Pack size Cost/pack Medium Gauge 30G lancets suitable for most patients Neon Verifine safety lancets 1.8 mm Safety syringes and needles Size Recommended for use in Cost/pack Magellan safety insulin syringe and needle (8mm) 0.3ml For use with district nurses and 0.5ml carers 1ml Safety needles Size Recommended for use in Cost/ pack Neon Verifine safety needle 5mm / 31 gauge For use with district nurses and / 100 pack carers Microdot Verifine safety pen needles 5mm / 30 gauge Hospital 17 / 100 pack Prices correct Drug Tariff August 2018
5 Version Control Version Number Amendments made Date 1 N/A July Addition of Gluco Rx Original meter and Gluco Rx Q test strips as a first choice option for patients with Type 1/ Type 2 diabetes mellitus; Addition of KEYA Smart meter and test strips as second choice option for patients with Type 1 diabetes mellitus; Addition of Contour Next Link meter to meters for specialist use; August 2018 Accu-Check Performa Nano and Gluco Rx Nexus moved to second and third choice respectively for patients with Type 2 diabetes mellitus; Contour meter and strips removed from meters for general use in patients with Type 2 diabetes mellitus; Wavesense Jazz meter and strips removed from meters for specialist use; Magellan safety insulin syringe and needle (not less than 12 mm) removed; Neon Verifine safety lancets 1.8mm / 30 gauge added; Microdot safety lancets removed; Neon Verifine safety needle 8mm /30 gauge removed; Microdot Verifine safety pen needle 8mm / 31 gauge added for hospital use. Date of next review August 2019
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