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Technical Information
7
Additional Supplies
Test Strips:
Accu-Chek Guide test strips
Control Solutions:
Accu-Chek Guide
control solutions
Information for Healthcare
Professionals
w
WARNING
Healthcare Professionals: Follow the
infection control procedures
appropriate for your facility. Refer to
the test strip package insert for
additional healthcare professional
information.
Sample Handling
Always wear gloves when handling
blood-contaminated items. Always adhere
to the recognised procedures for handling
objects that are potentially contaminated
with human material. Follow the hygiene
and safety policy of your laboratory or
institution. Prepare the selected blood
collection site per facility policy.
Refer to the test strip package insert for
additional information regarding
acceptable sample types, anticoagulants,
and handling instructions.
Recommending Alternative Site
Testing to Patients
Decisions about whether to recommend
Alternative Site Testing (AST) should take
into account the motivation and
knowledge level of the patient and his or
her ability to understand the
considerations relative to diabetes and
AST. If you are considering recommending
AST for your patients, you need to
understand that there is a potential for a
significant difference between fingertip or
palm test results and test results obtained
from the forearm or upper arm. The
difference in capillary bed concentration
and blood perfusion throughout the body
can lead to sample site-to-site differences
in blood glucose results. These
physiological effects vary between
individuals and can vary within a single
individual based upon his or her behaviour
and relative physical condition.
Our studies involving alternative site
testing of adults with diabetes show that
most persons will find their glucose level
changes more quickly in blood from the
fingertip or palm than in blood from the
forearm or upper arm. This is especially
important when blood glucose levels are
falling or rising rapidly. If your patient is
used to making therapy decisions based
upon fingertip or palm test results, he or
she should consider the delay, or lag time,
affecting the test results obtained with
blood from the forearm or upper arm.
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