More About Diabetic Meter Control Solution

I sent the postcard back to my heavily advertised diabetes supply vendor, but before receiving it they called me to ask if I was ready to reorder. As my telephone contact went down the list, I said I did not want her company's brand of glucose meter control solution because I had problems with it (accuracy) and had spoken with the company's quality control department.  I asked for the meter manufacturer's brand of control solution but was told that the vendor only supplied its own brand and if I didn't want their (?defective?) brand, they wouldn't supply me with the control solution at all.

If you are diabetic, you know that frequent accurate testing and control of blood glucose prevents heart attacks, strokes, kidney damage, hypoglycemic coma and other serious injuries.  The control solution is an important element in informing you when your meter or testing strips are producing errors which may result in serious, expensive and preventable patient injury. 

Contrary to the company's promise, no one from their quality assurance department had given me additional information about their investigation of my complaint.  I guess that no one from the FDA reads my blog since I haven't heard from them, either.  Nor from the Inspector General's Office of Legal Counsel.

So, who is minding the store on quality and value for price of the products which the federal government is paying the vendor to supply to Medicare beneficiaries who are diabetic? 

If you have had similar problems with  vendors of Medicare-funded diabetic supplies, I strongly urge you to contact Medicare directly (see the link above).   Maybe if enough people call, someone will pay attention to be sure that the federal government, and its Medicare population, get the quality of diabetic test supplies they deserve and pay for.

Diabetes: Beware of Your Glucose Meter Control Solution

Today, I received a call from a reputable medical supply distributor's quality assurance person in response to a letter I sent complaining that their brand of control solution for a nationally distributed brand of glucose meters and test strips gave lower values than the name brand manufacturer's control solution. While this might seem like a minimal technical issue, it has practical implications for patients who work hard (and shed blood in the process) to maintain "diabetes control" - by keeping their blood sugar within specific ranges.  Too high, and kidney, visual and neurologic problems may develop; too low and the patients may suffer strokes or pass out.  When patients and their physicians cannot easily tell whether glucose meters are accurate, or how inaccurate they are, trouble follows.

The conversation led me to conclude that the company was not communicating well with its customers and lettering them know up front, clearly and unequivocally that there was a problem with its control solution. Someone in the company had made the decision to obfuscate and should take public responsibility. Meanwhile, patients, physicians, Medicare (as a payer) and the FDA should ask: what is going on here?  Diabetes is a common, potentially fatal and incapacitating disease which costs patients, insurers and the federal and state governments billions of dollars each year.  Let's get the diabetes glucose monitor control solution issue resolved.

What Do Hearing Aids, Diaphragms, Condoms & Diabetes Glucose Meters Have in Common?

Quick answer: none of them work when left, unused, in a bedroom drawer.

My focus today is on diabetes and my point is: get a reliable meter (your insurer may have specific models available for you) and test frequently enough (3-4 times a day every day) so that you become the super expert on your diabetes. How does your body react to your medicine? When does your medicine "kick-in"? What are your high and low periods for glucose?  When your glucose is high - how do you feel?  When your glucose is low, how do you feel? What foods raise your glucose level and how soon after eating them does your glucose rise?  When does it drop again? Modern meters give reads which can be recorded in a logbook, or, using computer software for a suitable meter, downloaded, printed and in deliverable form so that your  doctor can review your daily records each month and you and your doctor can discuss the findings while your doctor also checks your retina for diabetic changes, your feet for diabetic problems, the parts of your body between your head and your feet, and some appropriate laboratory testing, and then gives you advice on management.

With this information you have a much better understanding of your diabetes, its treatment, and how you can control your sugars!

TV commercials, ads in newspapers and magazines and brochures  tout the benefits of new free give-away glucose meters for diabetics from companies which didn't exist a year ago. I chose my meter with my physician and confirmed the wisdom of my purchase by looking - not at my TV set or throwaway ad - but in Consumers' Union (Consumer Reports) which rated a variety of meters in terms of cost and accuracy a year or two ago.  The initial cost of a meter is only a small part of its actual cost: glucose test strips, lancets and other simple materials used in testing all are expensive which makes insurance coverage highly beneficial. Some meters are more accurate and reliable than others. The best lancets (which are not significantly more expensive) have very fine needles which are essentially painless. Some meters use strips which require a large blood drop which can be difficult when your fingers are cold, or your hands are stiff, arthritic and have impaired feeling sensation.

A practical example: if at 11:30 AM your glucose is high, is it because your medicine hasn't acted yet, because you ate late, because you ate too much for breakfast, or because you skipped your morning walk? If you've been testing regularly you might know that instead of taking more medicine, you should take a 30 minute walk and then retest to probably find that your glucose came down because the medicine had more time to work and you burned off glucose with your moderate exercise. Wow - doesn't it feel good to be in control?