Time to Replace Glucose Meter? Is it ACCURATE ? How to know? Doctor explains SugarMD
ะคะธะปัะผ ะถำะฝะต ะฐะฝะธะผะฐัะธั
My diabetic patients would ask " Why is my glucose meter not accurate? Is it my cheap glucose meter? The answer is yes and no. There are cheap glucose meters that are fairly accurate. There are very expensive meters and strips that are not super accurate either. Both type 1 diabetics and patients with type 2 diabetes need to check their blood sugars frequently. Getting different glucose readings when you check blood sugar can be frustrating but also it is inevitable. It is an inherent variability( unavoidable error) in every meter. Some meters are better than others. Dr. Ahmet Ergin discusses this in detail in this video. Sometimes expired or spoiled strips and inaccurate techniques also may give erroneous readings. At SugarMDs our coaches will teach you the most accurate way of checking blood sugars. We also have Bluetooth and cellular meters that transfer data to us instantly. Therefore, you get the support you need to manage your diabetes at any time.
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Who is Dr. Ergin? Dr. Ahmet Ergin is an endocrinologist with a particular interest and passion for diabetes care. Dr. Ergin earned his medical degree with honors at Marmara University School of Medicine in Istanbul, Turkey. Then, he completed his internal medicine residency and endocrinology fellowship at Cleveland Clinic in Cleveland, Ohio. He is a board-certified physician in Internal Medicine and Endocrinology, diabetes, and metabolism. He is also a certified diabetes education specialist.
Disclaimer: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for the advice provided by your doctor or other qualified healthcare professionals. Always seek the advice of your physician or other qualified healthcare professionals with questions you may have regarding your medical condition.
#diabeticmellitus #diabetes #diabetic
#type2diabetes #type1diabetes #diabeticmealplan
ะัะบััะปะตั: 85
๐๐ข๐ฌ๐ข๐ญ ๐๐ฎ๐ ๐๐ซ๐ฆ๐๐ฌ.๐๐จ๐ฆ ๐จ๐ซ ๐๐ญ๐ฌ๐ฒ.๐๐จ๐ฆ/๐ฌ๐ก๐จ๐ฉ/๐ฌ๐ฎ๐ ๐๐ซ๐ฆ๐๐ฌ (๐๐จ๐ซ ๐ง๐จ๐ง-๐๐๐ ๐๐ฎ๐ฌ๐ญ๐จ๐ฆ๐๐ซ๐ฌ) ๐๐จ๐ซ ๐๐ฎ๐ญ๐ก๐๐ง๐ญ๐ข๐ ๐๐ฎ๐ ๐๐ซ๐๐ ๐๐ข๐๐๐๐ญ๐ข๐ ๐ฌ๐ฎ๐ฉ๐ฉ๐ฅ๐๐ฆ๐๐ง๐ญ๐ฌ ๐ข๐ง๐๐ฅ๐ฎ๐๐ข๐ง๐ ๐๐๐ฏ๐๐ง๐๐๐ ๐ ๐ฅ๐ฎ๐๐จ๐ฌ๐ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ, ๐ง๐๐ฎ๐ซ๐จ๐ฉ๐๐ญ๐ก๐ฒ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ, ๐ฌ๐ฎ๐ฉ๐๐ซ ๐๐๐ซ๐๐๐ซ๐ข๐ง๐ ๐๐ง๐ ๐ฆ๐จ๐ซ๐.
With technology today 20% is way too much.
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@bdb3350
2 ะถัะป ะฑาฑััะฝ
At the end of the day the A1C test will determine your compliance with your health plan.
doctor i think you are amazing. I've been a diabetic for about 10 years and since i started watching your videos i realize that not all doctors take the time to educate their patients about the thing's you do. I wish you were in N.Y. you give me hope.
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
Thank you so much. I am happy to be helpful for you. We see patients in NY but we do not take insurance. It is only concierge at this point and virtual only.
@allnighter2011
3 ะถัะป ะฑาฑััะฝ
@@SugarMDs Kudos to you doctor for the educational videos and also for actively engaging with the commenters, much respect.
@Sami-rp7mf
ะัะป ะฑาฑััะฝ
My doctor just looks at A1c and then just tells me watch my diet and take Metformin ๐
I live in Sweden, The Contour Next meter is free when you get a diabates diagnos here. My doctor gave me one and a prescripton on the strips, they are also free.
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
Thatโs awesome!
This. Doc. Is. A. Great. Man. !!!
Mine is a Care Touch, and it has a variability of about 10 points from one hand to the other. The left hand is usually the highest. I came across this by playing with the thing. I am prediabetic, and my bg is actually normal in the low 90s even 80s lately, My first lab put my A1Cin the prediabetic, but it is normal now. I check myself frequently to check if my dietary plan is adequate to avoid DM. It seems it is working.
Thank you! this is the video Iโve been waiting for. If you could please discuss the difference between blood glucose and the interstitial fluid readers would be great. I understand they are two different things but sometimes the point differences are very far apart and I would like to know which to believe. If I could believe my freestyle, I would have perfect blood sugar. But my blood glucose is always higher. Thanks for everything that you do to educate us.
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
Difference is inevitable. Interstitial fluid always lag behind. One day go to lab and compare all the values, check at the time of blood draw with libre, regular meter and compare to blood test results.
Extremely helpful information. All I needed to know about glucose meters, sugar testing and sugar levels.Youโre the best! From Trinidad
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
You're welcome. If you like this video, you may find this playlist helpful too: kzread.info/dash/bejne/lZ932ciYY5W_c5c.html
Please do a video on turners syndrome and diabetes as not much is out there on both and yes I have both thank you?
What about sinocare glucose tester? Is it accurate?
Thanks Doctor. You are the only one who has given the correct picture of the Glucometers.
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
You're welcome. If you like this video, you may find this playlist helpful too: kzread.info/dash/bejne/lZ932ciYY5W_c5c.html
Care Touch is the best one Doc.made in U.S
I noticed something odd about my Care Touch blood glucose monitoring system when I gave myself three (3) consecutive tests in a row and they all gave different readings. The readings were: 2:51 pm = 89, 2:53 pm = 100, 2:57 pm = 114. After researching the topic I found that blood testing devices available to the public only have to be 80% accurate. That means your numbers could be off 20 points in either direction. Can anyone say, "That's Huge.?"
@DaryaRyanPhotography
2 ะถัะป ะฑาฑััะฝ
Which meter should we use at home?
How to identify a meter for small kids with type 1 diabetes?
Where are you located?
The Ascensia Contour Next One is supposed to be + or - 10%
Hi Doc. My sugar reading using accu check was 86mg/dL, 6 months ago. I moved to the UK and and tried another machine and got 129mg/dL. It gives me different consecutive readings which I never had when I used acu check. I am not diabetic but I love to check my sugar level due to family history of type 2 DM in my Dad. The new machine is Kinetik glucose monitor. Do you have any experience with this machine?
@Sami-rp7mf
ะัะป ะฑาฑััะฝ
I am using Livango and I see a difference many times. It is hard to tell which strips are good or not. I just throw the whole bottle away. Livango is great as they provide free strips. I think store those strips in cool weather as well. I see a diff of 30pts sometimes.
Have no spleen my a1c runs high how high can it run
excellent!
@SugarMDs
2 ะถัะป ะฑาฑััะฝ
Thanks!
Thank you Doctor for saying what my endocrinologist never say itโs not blood sugar control itโs blood sugar management Something Iโve never been able to do โฅ๏ธ
@SugarMDs
2 ะถัะป ะฑาฑััะฝ
That's great, Good luck to you also, and thank you for watching.
Walmart brand Relion reading was very close to my lab results. Probably just a few points off. Plus i check my A1c every three months at my doctor.
@rickymac54321
3 ะถัะป ะฑาฑััะฝ
Which Relion meter? I just bought the premier.
@tal8866
ะัะป ะฑาฑััะฝ
Yes which one. I use Freestyle Lite but since A1c is 5.2 I am now only 1x a day and I refer to do at night and in the am to see how much it spikes if it does. I totally understand that if I am off insulin not 3-4 times a day but I think before bed and when wake up is a lot safer.. can you please say which one cause there are a few of that kind at Walmart
Carry on Doctor
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
Thank you. If you like this video, you may find this playlist helpful as well: kzread.info/dash/bejne/dJak0dulkZefZNI.html
My one touch verio is always higher than my lab and libre 2 measurement
Kaiser cover me for the one touch verio flex kit. I just received today. First test show 114 after 1 hour dinner, 30 minutes later try again, result 120. Wonder if it's correct? It's not possible that I get 120 after one hour dinner. Meantime I would like to share with you Dr Ergin, following your instructions and recommendations, my A1C yesterday shows 5.5% instead of 5 7 from last year. Glucose fasting dropped from 117 to 111. A little progress but at least it worked. I fast since last year, almost a year, varying from 16 to 18 hours daily. I can go much longer than that but I am too thin already with BMI 18. 111 fasting glucose is still prediabetic but why my A1C is 5.5?
@SugarMDs
ะัะป ะฑาฑััะฝ
Please watch these videos that may give you more information: kzread.info/dash/bejne/c4yam8h7f7meeKQ.html kzread.info/dash/bejne/n66r0Kudf6_ZZrw.html
When getting tested at a place like the hospital, where they use 1 device to test everyone, isn't that contamination of the device with someone else's blood? I am curious as I have been tested and its WILD every time but when tested with my device, its consistent and in normal levels.
@bdb3350
2 ะถัะป ะฑาฑััะฝ
No. Cross contamination of samples is impossible because strips are only good for one test and then they are junk. Also blood doesn't enter the machine. If blood or any liquid entered the machine it would damage or destroy it. Blood is only absorbed into the end of the test strip only where a chemical reaction takes place and creates an electrical signal (like turning on a switch). Blood has a little bit of resistance (restricts electrical flow), so depending on how much current passes through the blood sample a your result is displayed. Like testing a battery with a volt meter; chemical reaction creates current and the volt meter measures the electricity.
@patriciairwin9491
2 ะถัะป ะฑาฑััะฝ
@@bdb3350 , I know , Thank you.
@bdb3350
2 ะถัะป ะฑาฑััะฝ
@@patriciairwin9491 Was the lancet a one time disposal or like one that comes with your meter? Single use lancets are fine to use out of the box as the needle is covered and doesn't penetrate deep enough to cause infection even after use. A good scratch from a cat is deeper. IF THEY REUSED a lancet like the one you have without changing the needle and sanitizing it then I would definitely file an infection control QA report (have them written up). That person really needs to have a sit down with their supervisor. Ive been in the health field for almost 30 years so Ive seen and never took home anything but my paycheck; Infection control protects everyone. As for the strip getting contaminated probably not, unless she had allot of blood or other nasty stuff on her hands. As for hand washing, that is more a infection control issue. Usually if someone is wearing gloves and not contaminated fresh gloves are acceptable as long as they were not contaminated by other bio-hazard. EXCELLENT POINTS on the alcohol. Yes, Alcohol if its not evaporated as well as many hand soaps can / will alter a test as they mimic sugar. Alcohol is only a topical (on the skin) or hard surface antiseptic. I recommend people be consistent either wash hands with plain water before checking BG or use alcohol every time.
@patriciairwin9491
2 ะถัะป ะฑาฑััะฝ
โ@@bdb3350 , That was great information thank you! The one they used was the Accu-chek lancet and machine. It does lay against the finger but I did not see them change the needle inside however they could have before bringing the test to me. I have psoriasis, and I wonder if that somehow hurt the evaporation of the alcohol. She didn't wear gloves or wash her hands before testing me so I may report her. For now on I will make an effort to wash my hands before letting them test me again and say no to the alcohol and no gloves. I am just glad my levels are normal at home. Thank you for all the help.
@bdb3350
2 ะถัะป ะฑาฑััะฝ
@@patriciairwin9491 No problem. Like I mentioned just plain water and use a paper towel to wash your hands. Psoriasis although very minimum could possibly effect the drying time of the alcohol. Try it out for a week and let me know how it works out. Good luck. BDB
Hi doc. What is your take on supplements such as chromium picolinate.
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
One single supplement is rarely enough. There are supplements that work but combination of them becomes strong enough. But, discuss with your doctor if you want to take it.
@darrenwalshe8513
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Berberine, lipoic acid, vinegar are great for bringing down glucose xx
Mine is routinely plus or minus 1 percent, when I do a few consecutive readings. I can't fathom something being useful at plus or minus 20 percent. Mine also matches my lab results every time,. so ? Did I just get lucky? Mine is from amazon (or walmart) and I've had it for years.
@SugarMDs
11 ะฐะน ะฑาฑััะฝ
Thank you @clayaustin9339 for the comment! I appreciate it! Please feel free to share this content with more people for them also enjoy and learn. Also please check out my other video that you may interest here: kzread.info/dash/bejne/lZaHqpKJY9Sodaw.html
Why does NO ONE make available a โrealโ glucose STANDARD that specifies mg/dl ? I know there is variability in meters and strips, but the so-called standards are not very useful!
Good info!!
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
Glad it was helpful! If you like this video, you may find this playlist helpful too: kzread.info/dash/bejne/lZ932ciYY5W_c5c.html
I want to know if my blood glucose is in normal range 7-99mg/dl so I can make changes to my exercise/diet. If I get a reading of e.g. 94 on my Accuchek and i want to know if my glucose is in range. What do I need to account for the inaccuracy of the meter?
@SugarMDs
2 ะถัะป ะฑาฑััะฝ
You may check this out: kzread.info/dash/bejne/n4V8tbuEYNbTm9o.html
Will the same Glucose Meter give the same reading if 5 tests are made in 5 mins on the same person?
@jonboz7585
13 ะบาฏะฝ ะฑาฑััะฝ
No. I did this and the variability was +/- 10-15 points. That is considered acceptable. Frustrating, isnโt it! I also checked two different meters. One meter always read at least 10 points lower than the other one. So, there is a variability in both strips AND the meters.
Hi my favorite Dr! Iโm on Libre sensor and Iโm using Accu-Chek Guide Libre sensor is 25-40 numbers different then Accu chek Iโm T 1 I should follow which number from this to meter most of the time I am low onLibre too high on the meter๐คท๐ปโโ๏ธ thank you so much for beautiful video ๐คฒ
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
When in doubt go with the meter not libre
@rapunzel609
3 ะถัะป ะฑาฑััะฝ
Hey @Mariam Satar where are u from
I use accu chek guide me
i think i may have diabetes eyes. I see colors changing.
Can a glucose meter predict prediabetes?
@200Nora
2 ะถัะป ะฑาฑััะฝ
Not always, at least in my experience. I was diagnosed with normal low 90s; however, my A1C was another story. If you have doubts get your A1C, and IR test if possible. If they take your BG they may miss you pre or even diabetes. Eventually, your BG will get higher, but it may be years, and very rarely never.
Video content good, but the changing ambient light value on the vid is distracting and headache inducing.
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
Sorry about that. Don't worry, we already have improved our videos since then.
If youโre focusing on trend, then accuracy doesnโt really matter
20% geez that's not very accurate
why is a 12 hr fast better than a 9 hr fast?
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
Up to 16 hour fast is healthy.
Anyone has kroger meter ??
๐ฎ๐ข
You are too cute!
@SugarMDs
3 ะถัะป ะฑาฑััะฝ
๐ thank you
@gif24gt60
ะัะป ะฑาฑััะฝ
Hug him
This guy is a joke. He makes stuff up as he goes along. Look at the research. All meters are supposed to meet ISO standards but most of them you can buy are worse.
@caliborn6884
3 ะถัะป ะฑาฑััะฝ
Capnden, You are nuts! This Dr. is amazing! Keep your toxic troll opinions to yourself. He is doing a great public service by informing and educating.
@joyceflaum1414
3 ะถัะป ะฑาฑััะฝ
Susan Hayes has
@VRtechman
3 ะถัะป ะฑาฑััะฝ
I can spot Bullshit better than most! Your just upset he won't return your phone calls. ๐
@sw6118
3 ะถัะป ะฑาฑััะฝ
NIH has a study on meter accuracy โComparative Accuracy of 17 Point-of-Care Glucose Metersโ see table 3 โAccuracy Based on ISO Numerical Criteria.โ
@mykidsaresupercute
ะัะป ะฑาฑััะฝ
Well they are NOT all accurate! Mine was more than 30% off from my labs. That's a problem. It's junk. Some are better than others.
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