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What is meant by the term "quality control"?
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Quality control is a method used to ensure the accuracy and quality of a device.
Why should you QC your glucometer?
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To ensure reliable and accurate results
When should you QC your glucometer[1]?
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When you use your meter for the first time
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If you drop your meter
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When you open a new vial of test strips
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If you are concerned your meter is not performing correctly
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When you get abnormal results
Steps to QC your glucometer[1]:
Step 1: Wash your hands.
Step 2: Allow control solutions and test strips to adjust to room temperature.
Step 3: Mix the control solution by swirling it in a circular pattern. Do not shake the vial!
Step 4: Date the control solutions to throw away after 3 months. Never use a control solution that has been opened for more than 3 months.
Step 5: Date your strip bottle for 180 days. Never use strips that have been opened more than 180 days.
Step 6: Turn your meter on and insert the test strip.
Step 7: If prompted, scan the lot barcode on the test strip.
Step 8: Select the level 1 or low control test on your glucometer. If prompted scan the barcode on the level 1 solution.
Step 9: Using the level 1 or low control, apply the solution to the end of the test strip. Your meter should display the result shortly after.
Step 10: Compare your result to the appropriate range on the vial.
Step 11: Remove the strip and discard. Continue to the next step ONLY if your result passed or was within the appropriate range.
Step 12: Repeat steps 6-11 with level 3 or high control test solution.
Step 13: If your meter passed both controls, your meter is ready to be used and can be turned off.
What to do if your meter does not pass the QC[2]:
Step 1: Try the test again with a different test strip.
Step 2: Try the test again with a new control solution bottle.
Step 3: Restart your glucometer and try again.
Step 4: If your meter is still not working, DO NOT use for blood glucose testing. Call the manufacturer of your glucometer and test strips for assistance.
What factors can affect your results[2]?
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Faulty test strips
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High or low temperatures
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Alcohol or dirt on your skin
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Not enough solution or blood applied to the strip
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Monitor problems such as low batteries or improper coding
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Anemia or dehydration
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Testing site location
References:
[1] Quality control for glucometer (2012). https://static1.squarespace.com/static/54aadfafe4b09569a147053f/t/571f9011859fd0a3d33a737c/ 1461686289668/QUALITY+CONTROL+FOR+GLUCOMETER.pdf
[2] Regina Castro, M. (2020). Blood glucose monitors: What factors affect accuracy? https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/blood-glucose-monitors/faq-20057902