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Insulin is a very important chemical that is created by the pancreas that changes the glucose (sugar) in the human’s blood into fuel that the body can use. Comfortable design with nonslip rubber grips and choice of 4 test sites on the body.2Quick, 5-second results.
The Centers for Disease Control and Prevention (CDC) has become increasingly concerned about the risks for transmitting hepatitis B virus (HBV) and other infectious diseases during assisted blood glucose (blood sugar) monitoring and insulin administration.
Monitoring of blood glucose levels is frequently performed to guide therapy for persons with diabetes.
Fingerstick devices, also called lancing devices, are devices that are used to prick the skin and obtain drops of blood for testing. Reusable Devices: These devices often resemble a pen and have the means to remove and replace the lancet after each use, allowing the device to be used more than once.
Single-use, auto-disabling fingerstick devices: These are devices that are disposable and prevent reuse through an auto-disabling feature. Whenever possible, blood glucose meters should be assigned to an individual person and not be shared. Insulin can be administered using an insulin pen that is designed for reuse on a single patient.
Insulin Pens: Insulin pens are pen-shaped injector devices for insulin that are intended for use by a single person. Insulin Vials: Multi-dose vials of insulin should be dedicated to a single person whenever possible. If blood glucose meters must be shared, the device should be cleaned and disinfected after every use, per manufacturera€™s instructions, to prevent carry-over of blood and infectious agents. Wear gloves during blood glucose monitoring and during any other procedure that involves potential exposure to blood or body fluids. Perform hand hygiene immediately after removal of gloves and before touching other medical supplies intended for use on other persons. Provide a full hepatitis B vaccination series to all previously unvaccinated staff persons whose activities involve contact with blood or body fluids. Assess adherence to infection control recommendations for blood glucose monitoring and insulin administration by periodically observing staff who perform or assist with these procedures and tracking use of supplies. Report to public health authorities any suspected instances of a newly acquired bloodborne infection, such as hepatitis B, in a patient, facility resident, or staff member. Check with state authorities for specific state and federal regulations regarding laboratory testing. For additional information on assuring safe care during blood glucose monitoring and insulin administration, consult the following resources. For more information regarding bloodborne pathogen transmission associated with unsafe practices during assisted monitoring of blood glucose, consult the following resources. If too little of the chemical is produced the glucose levels rise and can cause serious damage.

By checking the blood levels periodically the blood glucose level can be kept at an even rate. If they must be shared, the device should be cleaned and disinfected after every use, per manufacturera€™s instructions. Blood glucose monitoring and insulin administration can be accomplished in two ways: self-monitoring of blood glucose and insulin administration, where the individual performs all steps of the testing and insulin administration themselves, and assisted monitoring of blood glucose and insulin administration, where another person assists with or performs testing and insulin administration for an individual. In the last 10 years, alone, there have been at least 15 outbreaks of HBV infection associated with providers failing to follow basic principles of infection control when assisting with blood glucose monitoring. For example, at a health fair in New Mexico in 2010, dozens of attendees were potentially exposed to bloodborne viruses when fingerstick devices were inappropriately reused for multiple persons to conduct diabetes screening. Protection from bloodborne viruses and other infections is a basic requirement and expectation anywhere healthcare is provided.
There are two main types of fingerstick devices: those that are designed for reuse on a single person and those that are disposable and for single-use.
Some of these devices have been previously approved and marketed for multi-patient use, and require the lancet and disposable components (platforms or endcaps) to be changed between each patient.
In settings where assisted monitoring of blood glucose is performed, single-use, auto-disabling fingerstick devices should be used. It can also be administered using a needle and syringe after drawing up contents from an insulin vial. The pens have an insulin reservoir, or an insulin cartridge, that usually contains enough insulin for an individual to self-administer several doses (injections) of insulin before the reservoir or cartridge is empty. If the vial must be used for more than one person it should be stored and prepared in a dedicated medication preparation area outside of the patient care environment and away from potentially contaminated equipment.
If the manufacturer does not specify how the device should be cleaned and disinfected then it should not be shared. Change gloves that have touched potentially blood-contaminated objects or fingerstick wounds before touching clean surfaces. Provide staff members who assume responsibilities for fingersticks and injections with infection control training. Nosocomial hepatitis B virus associated with spring-loaded fingerstick blood sampling devices a€“ Ohio and New York City, 1996. Notes from the Field: Deaths from Acute Hepatitis B Virus Infection Associated with Assisted Blood Glucose Monitoring in an Assisted-Living Facility a€“ North Carolina, August-October 2010. Transmission of hepatitis B virus among persons undergoing blood glucose monitoring in long-term-care facilitiesa€“Mississippi, North Carolina, and Los Angeles County, California, 2003-2004. Acute hepatitis B outbreaks related to fingerstick blood glucose monitoring in two assisted living facilities.
Nosocomial transmission of hepatitis B virus infection among residents with diabetes in a skilled nursing facility. Assisted Monitoring of Blood Glucose: Special Safety Needs for a New Paradigm in Testing Glucose .

Infection Control Practices in Assisted Living Facilities: A Response to Hepatitis B Virus Infection Outbreaks. Nosocomial transmission of hepatitis B virus associated with a spring-loaded finger-stick device. Cluster of hepatitis B infection among residents of an assisted living facilitya€“New York, 2007. Evaluation of the Potential for Bloodborne Pathogen Transmission Associated with Diabetes Care Practices in Nursing Homes and Assisted Living Facilities, Pinellas County. Eliminating the Blood: Ongoing Outbreaks of Hepatitis B Virus Infection and the Need for Innovative Glucose Monitoring Techniques. The lists of damage include heart disease and damage, nerve damage, blindness, and kidney damage. Due to under-reporting and under recognition of acute infection, the number of outbreaks due to unsafe diabetes care practices identified to date are likely an underestimate. Additionally, at a hospital in Texas in 2009, more than 2,000 persons were notified and recommended to undergo testing for bloodborne viruses after individual insulin pens were used for multiple persons. However, due to failures to change the disposable components, difficulties with cleaning and disinfection after use, and their link to multiple HBV infection outbreaks, CDC recommends that these devices never be used for more than one person.
Diabetes is a severe disease where the body doesn’t create the amounts of insulin created for the body to function correctly. The unit is generally no bigger than an average person’s hand, making it small and portable.
If these devices are used, it should only be by individual persons using these devices for self-monitoring of blood glucose. Insulin pens are designed to be safe for a single person to use a single pen multiple times, with a new needle for each injection. Needles and syringes should never be used to administer insulin to more than one person and should be disposed of immediately after use in an approved sharps container. Hypoglycemia is where the body has too much insulin and is just as dangerous with fainting, dizziness, confusion, headaches as its symptoms. There is no best glucose machine, it all depend on the users preference and what the like more as using this is a part of a diabetics survival. Glucose machines use “test strips” which are plastic strips that carry the chemicals needed to measure the blood glucose levels.
When getting glucose machines, you must be sure you know how to operate it effectively and utilize all of its resources, because your life depends on your ability to use the unit.

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