Blood glucose test strips: options to reduce usage

Gomes, Tara; Juurlink, David N.; Shah, Baiju R.; Paterson, J. Michael; Mamdani, Muhammad M.
January 2010
CMAJ: Canadian Medical Association Journal;1/12/2010, Vol. 182 Issue 1, p35
Academic Journal
Background: Recent evidence suggests that, despite widespread use, self-monitoring of blood glucose levels has little clinical benefit in many patients with diabetes. The impact of more focused public-payer policies for the use of blood glucose test strips may be substantial. Methods: We conducted a cross-sectional analysis of annual prescription claims for test strips between 1997 and 2008 for patients in Ontario aged 65 and older with diabetes. Patients were stratified into 1 of 4 hierarchical groups according to the most intensive glucose-lowering treatment received during each calendar year. Test strip use was calculated annually for each group over the study period, and the effects of 5 hypothetical policy scenarios of more selective test strip use were assessed. Results: Test strip use increased by almost 250% from 1997 to 2008, with 52.6% (n = 263 513) of included patients receiving a prescription during 2008. Almost half of these patients were at low risk for drug-induced hypoglycemia. In 2008, over 117 million test strips were dispensed in Ontario; however, more focused policy scenarios could have reduced this number by between 9.5 million and 74.5 million test strips. Interpretation: Many people who self-monitor their blood glucose are at relatively low risk for drug-induced hypoglycemia. The economic benefits associated with more selective testing could be redirected to more effective interventions for patients with diabetes.


Related Articles

  • Case Study: A 62-Year-Old Man With “Brittle” Type 1 Diabetes. Unger, Jeff // Clinical Diabetes;Winter2002, Vol. 20 Issue 1, p37 

    Presents a case study on a diabetic patient in the U.S. Conduction of self-monitoring blood glucose on the patient; Development of hypoglycemia aggravating the situation; Analysis on the result of the insulin infusion therapy and glucose monitoring tests conducted.

  • Managing diabetes at night.  // South Asian Post;12/13/2012, p6 

    The article discusses how diabetes patients can prevent nocturnal hypoglycemia, that includes testing blood sugar levels before going to sleep at night and maintaining a proper balance of insulin before bed, and taking a glucose tablet if the test shows low blood sugar levels.

  • Self-Monitoring of Blood Glucose: The Basics. Benjamin, Evan M. // Clinical Diabetes;Winter2002, Vol. 20 Issue 1, p45 

    Discusses the use of self-monitoring blood glucose (SMBG) therapy on treating diabetes in the U.S. Effectiveness of the method in preventing hypoglycemia; Function of SMBG in controlling blood sugar level; Use of SMBG data in modifying diabetes management regimen.

  • Errata.  // Diabetes Care;Sep2010, Vol. 33 Issue 9, p2129 

    Several corrections on various articles are presented including the cost-effectiveness of continuous glucose monitoring in type 1 diabetes, the impact of acute hypoglycemia on inflammatory and pro-atherothrombotic biomarkers in diabetics and healthy people, and the use of aspirin for preventing...

  • Glycemic Control and Hypoglycemia. Perlmuter, Lawrence C.; Flanagan, Brian P.; Shah, Parinda H.; Singh, Sant P. // Diabetes Care;Oct2008, Vol. 31 Issue 10, p2072 

    The article discusses the link between glycemic control and the risk of hypoglycemia among diabetic patients. The author comments on a study by Musen et al. which concluded that despite many severe hypoglycemic events, there was no measurable decline in cognition over ∼18 years. It notes...

  • Glucose tester will lead to reduction in complications. Lewis, Colin // GP: General Practitioner;2/11/2002, p74 

    Features a blood sugar tester in Great Britain. Importance of glucose monitoring on diabetic control; Usefulness of the device on nocturnal hypoglycemia; Benefit of the technology on diabetics.

  • Persistent Differences Among Centers Over 3 Years in Glycemic Control and Hypoglycemia in a Study of 3,805 Children and Adolescents With Type 1 Diabetes From the Hvidore Study Group. Danne, Thomas; Mortensen, Henrik B.; Hougaard, Philip; Lynggaard, Helle; Aanstoot, Henk-Jan; Chiarelli, Francesco; Daneman, Denis; Dorchy, Harry; Garandeau, Patrick; Greene, Stephen A.; Hoey, Hilary; Holl, Reinhard W.; Kaprio, Eero A.; Kocova, Mirjana; Martul, Pedro; Matsuura, Nobuo; Robertson, Kenneth J.; Schoenle, Eugen J.; Sovik, Oddmund; Swift, Peter G.F. // Diabetes Care;Aug2001, Vol. 24 Issue 8, p1342 

    Deals with a study which evaluated the differences among diabetes centers in glycemic control and hypoglycemia in several countries. Research design and methodology; Reproducibility of center differences in glycemic control; Differences among centers.

  • A change for good may not be always good! An interesting case of recurrent hypoglycaemia. Panchani, Roopal; Goyal, Ashutosh; Varma, Tarun; Tripathi, Sudhir // Indian Journal of Endocrinology & Metabolism;2013 Supplement, Vol. 17 Issue S1, pS310 

    Good control of plasma glucose levels always remains a desired goal for both diabetic patients and their physicians. However, unintended tight glucose control should always be alarming to the treating physician, although, it may seem to be a blessing to the patient. A downward trend in blood...

  • Detection of Hypoglycemic Events with the FreeStyle Navigator® Continuous Glucose Monitoring System. Mcgarraugh, Geoffrey // Diabetes;Jun2007 Supplement 1, Vol. 56, pA110 

    The FreeStyle Navigator® Continuous Glucose Monitoring System (CM) that includes a five-day sensor was evaluated for the detection of hypoglycemia in an in-clinic study versus a YSI reference using 58 subjects with type 1 diabetes. Approximately 212 days of CM glucose values were paired with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics