In my last post, I discussed the need to code a blood glucose meter to the vial of test strips to ensure accuracy.  My question was, why did this need to be done?  Below is my e-mail to LifeScan asking this question with their response below my request.

“… My last post was in regards to test strips and the coding procedure that needs to take place. I currently use a OneTouch UltraLink meter.  The reason I am writing is because I found a large variance between when the code is correct between the strip vial and the meter versus when it’s not correct.  Furthermore, I don’t understand the need for coding especially when a wrong code can lead to significantly different results.” [Blogging Diabetes - Tony]

“In regards to your inquiry, as you are aware, if the code number on the meter does not match the code number on the vial of test strips, the test results may be false.

When the strips are manufactured, the membrane is passed through a chemical bath which coats the membrane.  This chemical coating is what causes the test strip to react to your blood sample.  Due to varying degrees of coating on the membrane which cannot be controlled and the biological variances of human blood samples, there is no established percentile difference from one code to the next.  This is why we recommend checking and changing your meter code to match your vial of test strips any time you receive a test strip vial with a different code number than what was used previously.” [LifeScan Customer Service - Jennifer]

01-75t

I still don’t understand why there are some meters that do not require a code.  Did they figure out something that LifeScan has not?

5 Comments

mygif
Sara Said,
June 18th, 2009 @9:45 am  

I knew the whole coating thing was the reason for needing to code. But, like you, I don’t understand how other manufacturers don’t have the same problem.

I am also curious if the actual code has any importance. Like, let’s say the code is 9, would putting it 10 get you a less ‘off’ result than like 17?

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Scott K. Johnson Said,
June 22nd, 2009 @7:50 am  

It is quite confusing, isn’t it? And Sara – that is a wonderful question!

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Tony Said,
June 22nd, 2009 @8:07 am  

I don’t get it. If having to code the meter can result in errors that could seriously affect someone’s blood sugar/health, you’d think they would figure out a way to get around the coding.

I like the idea of another test checking to see if different codes give drastically different results when wrong. For example, if the correct code is 4, lets run some tests using a code of 5 and more using a code of 30. This would explain that being really off on the code could have a different result.

Stay tuned. I’ve got more posts and ideas to write about then I do time. I need a ghost writer. :-)

Thanks Sara and Scott!

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Katy Said,
June 23rd, 2009 @8:14 pm  

Pretty nice post. I just stumbled upon your blog and wanted to say
that I have really liked reading your posts. Anyway
I’ll be subscribing to your feed and I hope you write again soon!

mygif
Tanya Said,
June 29th, 2009 @9:53 am  

My understanding is that the “no coding” meters still must be coded, but they’re automatically coded by the machine.

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