Reality Diabetes Care

[object Object],[object Object]

Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object]

Program Information ACPE # 384-000-07-017-L04 Release Date: 8-6-07 Expires: 8-6-2010 STAT Educational Services, a division of National Pharmacy Technician Association Inc., is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.

Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diabetes Prevalence ,[object Object],[object Object],[object Object],[object Object]

Trends in Growth ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evolution of Glucose Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BG Meter Technology-1970’s ,[object Object],[object Object],[object Object],[object Object],[object Object],Accuracy of Blood Glucose Measurement at www.powerpak.com . 2003

Current Technology Segmentation 75% 25% ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Benefits of Self-Monitoring ,[object Object],[object Object],[object Object],ADA Standards of Medical Care in Diabetes, Diabetes Care, Vol. 27, January 2004, pg. S15-S35.

Importance of BG Monitoring ,[object Object],[object Object],[object Object],[object Object]

Frequency of Testing ,[object Object],[object Object],[object Object],[object Object],ADA Standards of Medical Care in Diabetes, Diabetes Care, Vol. 27, January 2004, pg. S15-S35.

ADA Guidelines for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ADA Standards of Medical Care in Diabetes, Diabetes Care, Vol 27, January 2004, pg S15-S35.

AAFP Guidelines for Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],American Academy of Family Physicians, 2004

What are the goals? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ADA Standards of Medical Care in Diabetes, Diabetes Care, Vol 27, Jan 2004, pg. S15-S35.

Measures of Glycemic Control ,[object Object],[object Object],[object Object],[object Object],[object Object]

Advantages of Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SMBG Glycosylated Hemoglobin

Relationship between HbA 1c and Average Blood Glucose (DCCT)* ,[object Object],[object Object],High Risk for Complications Good Control Low Risk for Complications Normal Range Low Risk for Complications 330 300 270 240 210 180 150 120 90 60 13 12 11 10 9 8 7 6 5 4

Elevated Postprandial Glucose Levels ,[object Object],[object Object],[object Object],[object Object]

Targeting Postprandial and Fasting Glucose Levels Lowers HbA 1c in Type 2 Diabetes 0% 2% 4% 6% 8% 10% Fasting Alone Fasting Plus Postprandial HbA 1 c 9.4% 7.1% 24% Reduction Ohkubo Y, et al. Diabetes Res Clin Pract . 1995;28:103-117.

The Reality of Diabetes Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Right Meter for the Right Patient

[object Object],Unbranded Meter Scripts *GfK Market Measures Therapeutic Class Studies Blood Glucose Monitoring Study V (2005) - ** GfK Market Measures Roper 2006 US Diabetes Patient Market Study

Patient’s Reasons for Selecting a BG Meter 2006 Roper Global US Diabetes Program at GFK NOP World Health, August – September 2006 47% 13% 6% 18%

Lowest CoPay Prevalence by Test Strips – Commercial Insurance 05/07 Top Commercial Plans by TRx Volume 19% 12% 8% 9% 51%

Features and Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Comparison of Leading BGM Systems 7, 14 - & 30-Day 500 5 seconds 1 microliter One Touch ® Ultra 2 ® 14- & 30-Day 365 10 seconds 1 microliter TrueTrack ® 14-Day 250 7 seconds 0.3 microliters Freestyle ® Flash® 14-Day 480 5 seconds 0.6 microliters Ascensia ™ Contour ® 7, 14- & 30-Day 500 5 seconds 0.6 micorliters Accu-Chek ™ Aviva ® Averaging Test Memory Test Speed Sample Size Required Data Management Test Strips

Advanced Blood Glucose Monitoring Systems One Touch® Ultra 2® TrueTrack SmartSystem® FreeStyle ™ Flash ™ Accu-Chek™ Aviva™

Information Blood Glucose Systems Accu-Chek ™ Complete ™ FreeStyle ™ Tracker ™ One Touch ® UltraSmart ®

Store Brand Offerings TrueTrack Smart System® ReliOn ® Ultima ™ Kroger ®

Accuracy of Blood Glucose Monitoring Systems ,[object Object],[object Object],[object Object],U.S. FDA –Center for Devices and Radiologic Health, 1997, Guidance Glucose Document

Industry Standards for Accuracy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Variables that can affect the Accuracy of BGM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Accuracy of Blood Glucose Measurement. Available at http://www.powerpak.com/CE/accuracy_bgm/pharmacy /references.cfm

Promoting Accurate Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A Core Curriculum for Diabetes Education, 5 th edition, AADE, Chicago, IL

Hands-on Experience with Monitors

Helping your Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case Study ,[object Object],[object Object]

Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Reality Diabetes Care

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