TestHappy!

A Comprehensive Review of Blood Glucose Meters in Community Pharmacy

Dave Hughes B.Sc, B.Sc Phm Candidate University of Waterloo

Disclosures & Disclaimer

Disclosures
The author has developed clinics that have been funded by Roche, Lifescan, Bayer, and Abbott while working at The KW Pharmacy. Support related to information gathered for this presentation and associated website was provided by Abbott, Bayer Lifescan, Roche, Sanofi, and Tremblay-Harrison.

Website Disclaimer
This website and all associated content has been compiled as a resource for healthcare professionals and patients by a registered Canadian pharmacy student.

Introductory Example
Patient Recently Started Insulin
Overwhelmed by New Responsibilities What do you do?

Presentation Outline
1) Introduction 2) Review Of SMBG & Website 3) Patient Factors to Consider 4) The Meters 5) Comparing Meters 6) Opportunities

7) Resources & References

Presentation Scope
What This Presentation Is:
1) Introduction Scope 2) Review Of SMBG 3) Patient Factors 4) The Meters 5) Comparing Meters 6) Opportunities 7) Resources & References

Review of Meters & Features Resource to Aid in Meter Selection Standard Approach to Recommendations

What It Is Not:
A Discussion of the SMBG Debate A Detailed Overview of Any Specific Meter A Technical Analysis of SMBG Technology

Review of SMBG

SMBG Testing Review

1) Introduction 2) Review Of SMBG Testing BG Website 3) Patient Factors 4) The Meters 5) Comparing Meters 6) Opportunities 7) Resources & References

Evidence & Current Thoughts

CDA & COMPUS (CADTH) SMBG Recommendation Tool

How To Test Blood Glucose

Website Overview
1) Introduction 2) Review Of SMBG Testing BG Website 3) Patient Factors 4) The Meters 5) Comparing Meters 6) Opportunities 7) Resources & References

Patient Factors

Patient Factors
1) Introduction 2) Review Of SMBG 3) Patient Factors 3) The Meters 4) Comparing Meters 5) Opportunities 6) Resources & References

Age Diabetes History & Experience Comorbidities Medications Intended Use

The Meters

Meters Available*
Abbott
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters Meters Available Highlights 5) Comparing Meters 6) Opportunities 7) Resources & References

Bayer
Contour Next Contour Next EZ Contour Next USB Contour Contour USB Contour Link Ultra 2 Ultra Mini Ultra Smart VerioIQ Ping

Freestyle Lite Freestyle Freedom Lite Freestyle Insulinx Precision Xtra Aviva Aviva Nano Mobile Compact Plus

Accu-Chek

OneTouch

Sanofi
BGStar iBGStar

Tremblay-Harrison
EZ Health Oracle

*Currently Available for Sale at The KW Pharmacy

Highlights - Abbott
Freestyle Freedom Lite
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters Meters Available Highlights 5) Comparing Meters 6) Opportunities 7) Resources & References

Freestyle Insulinx

Freestyle Lite

Precision Xtra

Highlights Accu-Chek
Aviva
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters Meters Available Highlights 5) Comparing Meters 6) Opportunities 7) Resources & References

Compact Plus

Aviva Nano

Mobile

Highlights Bayer
Contour Next
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters Meters Available Highlights 5) Comparing Meters 6) Opportunities 7) Resources & References

Contour Next USB

Contour Next EZ

Breeze 2

Highlights OneTouch
Ultra 2
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters Meters Available Highlights 5) Comparing Meters 6) Opportunities 7) Resources & References

Ultra Smart

Ultra Mini

VerioIQ

Highlights Sanofi
BGStar
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters Meters Available Highlights 5) Comparing Meters 6) Opportunities 7) Resources & References

iBGStar

Highlights Tremblay-Harrison
EZ Health Oracle
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters Meters Available Highlights 5) Comparing Meters 6) Opportunities 7) Resources & References

Comparing Meters

Common Features
Coding vs No Coding
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters 5) Comparing Meters Common Features Differentiating Features Additional Features 6) Opportunities 7) Resources & References

Test Time Test Accuracy Testing Range Connection to Software System

Cost

Differentiating Features
Interface
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters 5) Comparing Meters Common Features Differentiating Features Additional Features 6) Opportunities 7) Resources & References

Strip/Back Light Tagging & Notes Averages Pattern ID Battery Life Alarms

Test Style Strip Type Testing Window Adding Blood Device Memory

Language

Errors

Additional Features
Meters
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters 5) Comparing Meters Common Features Differentiating Features Additional Features 6) Opportunities 7) Resources & References

Features Insulin Calculator, Insulin/Diet Logs Ketone Monitoring Wireless Connection with Insulin Pump Drug/Insulin/Lifestyle/Lab Test Logs Wireless Link to Insulin Pump, Insulin Calculator, Food Database Connection to iPhone, iBGStar App Talking Function

Freestyle Insulinx Precision Xtra Contour Link OneTouch Ultra Smart OneTouch Ping iBGStar EZ Health Oracle

Standard Approach
Step 0 Learn The Meters!
Pay Attention Here!

Step 1 Confirm The Need for Testing Step 2 Assess Patient Specific Factors Step 3 Compare Appropriate Meters Step 4 Make A Decision!

Step 5 Monitor & Follow Up

Opportunities p

Clinic Opportunities
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters 5) Comparing Meters 6) Opportunities Clinics Financial 7) Resources & References

Multidisciplinary Diabetes Clinic

Future Clinic Meter Selection

MedsCheck Opportunity Marketing Opportunity

Financial Component
1) Introduction 2) Review Of SMBG 3) The Meters 4) Comparing Meters 5) Patient Factors 6) Opportunities Clinics Financial 7) Resources & References

Meter Sales

Training Fees
MedsCheck & POP Funding Sources

Resources & References

Resources
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters 5) Comparing Meters 6) Opportunities 7) Resources & References Resources
Recommendations Summary

Canadian Diabetes Association (CDA) Canadian Diabetes Association - SMBG Recommendation Tool for Healthcare Providers Canadian Agency for Drugs and Technologies in Health SMBG Optimal Use Project Meter Manufacturer Diabetes Care Websites TestHappy! Website

References

Recommendations
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters 5) Comparing Meters 6) Opportunities 7) Resources & References Resources
Recommendations Summary

Educate Yourself on the Meters Available Practice Recommending Meters Educate Staff on Device Training Use Your Company Representatives Consult www.testhappy.weebly.com

References

Summary: Standard Approach!

Step 0 Learn The Meters!
Pay Attention Here!

Step 1 Confirm The Need for Testing Step 2 Assess Patient Specific Factors Step 3 Compare Appropriate Meters Step 4 Make A Decision!

Step 5 Monitor & Follow Up

References
1) Introduction 2) Review Of SMBG 3) Patient Factors 4) The Meters 5) Comparing Meters 6) Opportunities 7) Resources & References Resources
Recommendations Summary
Abbott Diabetes Care Canada website. Available at: http://www.abbottdiabetescare.ca/index-en_CA.htm. Accessed: March 7, 2013. Abbott Diabetes Care. Freestyle Insulinx Owner's Booklet. Mississauga, ON; 2011. Abbott Diabetes Care. Freestyle Freedom Lite Owner's Booklet. Mississauga, ON; 2009. Abbott Diabetes Care. Freestyle Lite Owner's Booklet. Mississauga, ON; 2009. Abbott Diabetes Care. Precision Xtra User Guide. Mississauga, ON; 2009. Bayer Inc. Bayer Diabetes Website. 2013. Available at: http://www.bayerdiabetes.ca/en/. Accessed March 7, 2013. Bayer Inc. Contour Next User Guide. Toronto, ON; 2012. Bayer Inc. Contour Next EZ User Guide. Toronto, ON; 2012. Bayer Inc. Contour Next USB User Guide. Toronto, ON; 2012. Bayer Inc. Contour User Guide. Toronto, ON; 2012. 2008 Bayer Inc. Contour Link User Guide. Toronto, ON; 2007. Bayer Inc. Breeze 2 User Guide. Toronto, ON; 2008. Canadian Diabetes Association. Self-Monitoring of Blood Glucose in People. Available at: http://www.diabetes.ca/for-professionals/resources/selfmonitoring-of-blood-glucose. Accessed March 2, 2013. Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association 2008 clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes. 2008;32(suppl 1): S1-S201. Available at: http://www.diabetes.ca/files/cpg2008/cpg2008.pdf LifeScan Canada. OneTouch Website. 2013. Available At: http://www.onetouch.ca/. Accessed March 7, 2012. LifeScan Inc. OneTouch Ultra 2 User Guide. Burnaby, BC; 2009. LifeScan Inc. OneTouch Ultra Mini User Guide. Burnaby, BC; 2009. LifeScan Inc. OneTouch Ultra Smart Owner's Booklet. Burnaby, BC; 2006. LifeScan Inc. OneTouch VerioIQ Owner's Booklet. Burnaby, BC; 2011. Animas Corporation. OneTouch Ping Owner's Booklet. Markham, ON; 2010. Roche Diagnostics. Accu-Chek Website. 2013. Available At: https://www.accu-chek.ca/ca/. Accessed March 7, 2013 Roche Diagnostics. Accu-Chek Aviva User's Manual. Laval, QC. Roche Diagnostics. Accu-Chek Aviva Nano User's Manual. Laval, QC; 2008. Roche Diagnostics. Accu-Chek Compact Plus User's Manual. Laval, QC; 2008. Roche Diagnostics. Accu-Chek Mobile User's Manual. Laval, QC;2010. Sanofi. BGStar and iBGStar Website. 2013. Available At: http://en.bgstar.ca/web/. Accessed March 7, 2013 sanofi-aventis. BGStar Owner's Guide. Laval, QC; 2011. sanofi-aventis. iBGStar Owner's Guide. Laval, QC; 2011. sanofi-aventis. iBGStar Diabetes Manager App User's Guide. Laval, QC; 2011. Tremblay-Harrison. Oracle Diabetes Website. 2010. Available at: https://www.oraclediabetes.com/. Accessed March 7, 2010. Tremblay-Harrison. EZ Health Oracle Owner's Manual. Toronto, ON; 2007.

References

Questions? p