A lot has changed since Children with Diabetes was first published in the summer of 1995. Back then, some glucose meters were really terrible. We reviewed meters for many years, offering suggestions on which meters were easy for kids and teens to use and comparing both features and price. Today (August 2013), the world has changed dramatically for glucose meters in the United States.
The very first CWD poll asked our readers about which glucose meter they used most often. Over the years, we continued to run that poll, adapting the choices to match the major meters in the marketplace. In 2010, however, we changed the question in response to a couple of changes in the world of meters -- notably that people were choosing their meter based on using an insulin pump, as well as the fact that the major meters were all quite good. In light of these very positive changes, reviews of meters no longer are necessary and thus those pages in CWD have been removed.
In 2013, a much more significant change has come to the US market for blood glucose monitoring products. Through a process of competitive bidding, CMS, the agency that pays for Medicare, has mandated a dramatic reduction in the price they will pay for glucose test strips. Very low cost suppliers of blood glucose test strips are expected to take over a significant share of the market, even though there is no process in place to ensure that the products they are providing meet minimum accuracy standards that have long been met by the major producers. This situation has the potential to cause serious harm to people with type 1 diabetes who rely on accurate glucose measurements to make informed decisions on insulin dosing.
For More Information About the 2013 Changes
- Strip Safely
- Statement by the American Diabetes Association on the Need for FDA Regulation of Blood Glucose Test Strips.
- Physicians Urged to Monitor Accuracy of BGM Systems.
- It is Not OK reports on issues experienced by patients using test strips that are not meeting accuracy standards.
- How Medicare Is Robbing Your Health.
- Blood Glucose Meter Accuracy Problems Acknowledged By FDA, Industry And Clinicians.
- Competitive Bidding Puts Diabetes Patients at Risk | Commentary
For More Information About Glucose Monitoring
- Factors Affecting Blood Glucose Monitoring: Sources of Errors in Measurement. Free full text available in PDF format.
- Diabetes Daily offers a Blood Glucose Meter Accuracy Comparison chart.
- Blood Glucose Meters at Diabetes Forecast (2013)
- 10 Ways to Master Your Blood Glucose Meter.
August 1, 2013
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