Showing posts with label Testing equipment. Show all posts
Showing posts with label Testing equipment. Show all posts

January 27, 2015

Help in Diabetes Management Education – Part 1

Part 1 of 12

How many parts this will evolve into is a big question, but by the above you know that this will be in twelve parts. The first part is about knowing your equipment, how to use it, and the temperatures at which it can be operated. Yes, I have written about this before, but I still receive emails asking me where to find this information. Unfortunately, some of the emails tell me they could care less about proper storage or even using their meter at the proper temperature or even the test strips, as the doctor does not look at their logs even though he is the one telling them to test.

Sadly, this involves many patients and too many think they are testing for their doctor. Many of these are the same people that take the prescription for the pills (oral medication) and keep on the same destructive lifestyle. Yes, they take the medication or medications, but nothing else is changed. It is when they have the second or third appointment and the doctor tells them that their A1c is getting worse and really chews them out, that some wake up and decide to change, but again they don't know what to do or even how to make the changes necessary.

Knowing and learning about your diabetes equipment is saving the instructions that came with the equipment. Yes, the print is often smaller than many people my age enjoy reading, but that is why I keep a magnifier on my desk. The instructions for the meter are important and should be read. Learn the operating temperature range and the same for the test strips. Always keep the test strips in the container they are in and know the places not to store them.

A few summers ago, I had to wrap a cold pack in a towel and place it in a cooler and put my test strips in a large cooler when the air conditioner quit working. The temperature in the apartment was over 100 degrees and fans did help, but not enough for the test strips. I did not have any problems by storing them using this method.

In many rural or less populated areas of the United States, certified diabetes educators are not available so hopefully your doctor will give your some help or have a nurse that can help you. Diabetes support groups are also a good resource provided they share information and teach.

In the area I live in, I am aware of two certified diabetes educators; however, they have the title of registered dietitian (RD) listed before the CDE title. We have discovered they do more to preach high carbohydrate – low fat than they talk about managing diabetes or even how to test. We have determined that they don't want us to test to discover how their food plans spike our blood glucose levels. The emphasis is very heavy on whole grains and we all have found that this does not work for most of us with type 2 diabetes.

We are happy that my cousin, Suzanne, has been working with the members of our support group. Even the new members have been appreciative of her help and are asking when we will have her back. I have said that they may contact her when they have questions and that is why she gave them a business card with her telephone number on it. Most say that they don't want to abuse this as she can only charge their insurance or Medicare for two hours and they don't want to use up their time immediately. I tell them to ask questions the next time she will be present, as we are planning that for February.

October 24, 2014

Preparing to Present to An Outside Group

We are nearly finished for our November presentation to the group south of us. Their doctor has seen the outline and asked us to add the topic of prescription errors and maybe leave off the sleep apnea topic, as he would have a speaker for that. He was happy that Allen would be talking about the VA and those benefits, as several of his patients were veterans. He has asked us to arrive at 6:00 PM, as he wants to lengthen the meeting because of the topics we will be presenting.

A.J will be presenting about interventions, Allen will be presenting about the VA, Barry will be presenting about self-monitoring of blood glucose, Sue will be presenting about getting off medications, and I will cover the topic of prescription errors. My cousin will answer the questions she could not answer at the last meeting. Tim will operate the slide projector for all the presentations and Dr. Tom will answer a few questions that we may need help answering.

Dr. Tom has reviewed all of our topics and made a few suggestions to help us in our presentations. Dr. Tom asked Max to finish his topic on sleep apnea just in case and to come with the rest of us. Tim and Dr. Tom will be driving. My cousin will be driving alone. We will be attempting to keep our presentations under 15 minutes and allow 15 minutes for questions.

Today Tim received an email and forwarded it to the rest of us. The group will have about 35 members present and they are looking forward to our presentations. Dr. Tom has asked us to have some of the group we will be making a presentation to for our October meeting. We said no, because we wanted to welcome our new members and work with them during a meeting before exposing them to a meeting with other groups. We feel that it is important for them to get to know us and be able to ask questions in front of a smaller group.

Dr. Tom also informed us that Dr. Jay would not be discouraging our two groups, but he would not be promoting us. He said that he appreciated our honesty and that we did not dodge his questions. Dr. Tom did say that he was disappointed that we did say that we would not be favorable to doctors leading our groups. He continued that he told Dr. Jay that we encourage people to be testing their blood glucose levels more often than the ADA or the AACE. He told Dr. Jay that we encourage patients with diabetes to be tested for vitamin B12 and vitamin D, particularly those that had been on Metformin for several years.

He did ask if we had people with prediabetes in our groups. Dr. Tom said that each group only had at most one person with prediabetes. Dr. Tom did warn him that if he was not encouraging people to test or not giving out prescriptions for testing supplies, we would be opposing him and encouraging his patients to find another doctor. He said Dr. Jay was surprised by that, but said he was encouraging people to test and was requesting extra supplies for patients for at least six months even including the prediabetes patients who could not receive reimbursement. Dr. Tom did say that he was encouraging people to shop around for the testing supplies, but had found that the most reliable and least expensive was the Relion meter and test strips. He also suggests the Relion Prime and that people check Amazon for prices.