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manage A TRUEinsight ™ Guide manage track monitor Take Charge of Your Life With QuickChek ™ Better Understand Your Blood Glucose Results
manage
A TRUEinsight™ Guidemanagetrackmonitor
Take Charge of Your Life With QuickChek™
Better Understand Your Blood Glucose Results
UsingQuikChek_MKT0169r20.indd 1 8/10/10 7:57 AM
How to use your QuickChek™ Record Book
Blood glucose monitoring only has value if the results are understood and necessary action is taken. Nipro Diagnostics, Inc. brings you a simple, easy-to-use tool that will allow you to monitor your blood glucose, track results, identify trends and use this information to better manage and achieve your blood glucose goals. This tool uses the “traffic light system” to help you understand your blood glucose results and easily decide when you need to discuss possible treatment changes with your healthcare professional.
To get started, schedule a visit with your diabetes healthcare professional to discuss and agree on your goals for managing your diabetes. Knowledge is power, and your diabetes healthcare professional can help you learn about your diabetes and the choices you can make to stay healthy.
Monitor • Track • Manage
Step 1 – MonitorAgree with your healthcare professional on your blood glucose targets (example below).
Agree with your healthcare professional on your test schedule (example below).
BEFORE MEALmg/dL
AFTER MEALmg/dL
LOW NORMALABOVE
NORMAL HIGH
below
70below
70
70to130
70to180
130to240
180to240
above
240above
240
track
track
Day of Week Example of Testing Schedule My Testing Schedule
Sunday Before breakfast and dinner
Monday Before breakfast; two hours after lunch
Tuesday Before breakfast; two hours after lunch
Wednesday Before breakfast; two hours after lunch
Thursday Before breakfast; two hours after lunch
Friday Before breakfast; two hours after lunch
Saturday Before breakfast, lunch and dinner
UsingQuikChek_MKT0169r20.indd 2 8/10/10 7:57 AM
Record a result in the correct colored box, and make a check mark in one of the first two boxes to show whether you’ve tested before or after a meal. For example, this result was before breakfast on a Monday and was within the normal target, so the 88 mg/dL went in the green box. If the result is not within your normal target range, then record the appropriate code in the Reason box in the last column. In the example below, the before lunch is 58 mg/dL. The reason is marked with an “E,” which means that “exercise” was the reason for the low blood sugar level.
Step 2 – Track
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MONTHLYTOTALS
MONTHLYTOTALS
MONTHLYTOTALS
MONTHLYTOTALS
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MONTHLY TOTALS: ADD UP THE TOTAL NUMBER OF TESTS IN EACH COLUMN AND THEN REFER TO THE “MANAGE” SECTION ON THE INSIDE COVER
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
MON
TUE
WED
THU
FRI
SAT
SUN
BREAKFAST MIDDAY MEAL EVENING MEAL BEDTIME
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
BEF
OR
E B
ED
AT N
IGH
T
LOW NORMALABOVE
NORMAL HIGH REA
SON
Reasons: A = Alcohol E = Exercise F = Food Month: I = Illness O = Other S = Stress T = Treatment changes ? = Not Sure
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
88
95
90
110
117
92
97
106
101
110
58
202
166
137
E
160
166
146
F
176
157
110
117
124
115
106
124
104
311
F320
110
117
124
115
106
124
104
88
95
90
110
117
92
97
160
166
146
F
176
157
311
F320
106
101
110
58
202
166
138
E
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
0 14 0 0 1 4 7 2 1 4 7 2 0 14 0 0
track
track
At the end of every month, add up the number of results in each column, and write the total at the bottom of each column.
Consider the following:1. How many results are outside your target range?2. Can you see a pattern of high or low results at any particular time of day?3. Is there a reason for these results?4. Can you do anything to get all your results into your target range?5. Do you need to seek advice from your diabetes healthcare professional about possible treatment changes?
Step 3 – Managetrack
track
MONTHLYTOTALS
MONTHLYTOTALS
and then refer to the “manage” section
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SONBREAKFAST MIDDAY MEAL
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
Reasons: A = alcohol E = exercise F = food month:
EVENING MEAL BEDTIME
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
BEF
OR
E B
ED
AT N
IGH
T
LOW NORMALABOVE
NORMAL HIGH REA
SON
I = illness O = other S = stress T = treatment change ? = not sure
MONTHLYTOTALS
MONTHLYTOTALS
MONTHLY TOTALS: add up the total numBer of tests in each column
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
Reasons: A = alcohol E = exercise F = food
✓
✓
98
202 311
1 3 6 1
✓
1 1— —
✓✓
✓✓✓
✓✓
✓✓
202114
11768
97
3 20 4 1
160110
120
2 7 5 1
146
AND THEN REFER TO THE “MANAGE” SECTIONMONTHLY TOTALS: ADD UP THE TOTAL NUMBER OF TESTS IN EACH COLUMN
UsingQuikChek_MKT0169r20.indd 3 8/10/10 7:57 AM
Type 2 case study
Bill has just had his 6Ist
birthday and lives with his wife Pat, to whom he has been married for over 35 years. Bill was diagnosed with type 2 diabetes ten years ago.
Blood Glucose TargetsBill aims to test twice a
day, and these are the
blood glucose targets he
has identified with his
healthcare professional.
LifestyleBill has an active lifestyle
working full time for
local government in the
planning department and
is actively involved at the
local tennis club.
MedicationsOn metformin and sulphonylurea, and doesn’t
like injections.
Results» Nearing maximum
oral therapy
» HbA1c 7.4%
» BMI 25
» Full lipid profile is normal
» Normotensive
BEFORE MEALmg/dL
AFTER MEALmg/dL
LOW NORMALABOVE
NORMAL HIGH
below
70below
70
70to130
70to180
130to240
180to240
above
240above
240
UsingQuikChek_MKT0169r20.indd 4 8/10/10 7:57 AM
Medical Appointment ReviewThe “traffic light” colors used in the QuickChek™ Record Book make it fast and easy for Bill and his diabetes professional to see patterns in his blood glucose results. Since Bill is already on a maximum dosage of diabetes pills, his healthcare professional may discuss the possibility of using insulin injections to help him achieve his target goals. Bill and his diabetes professional review his QuickChek™ Record Book, and note that many of his results around lunch and dinner are in the “above normal” and “high” ranges. They use this information to determine what changes need to be made to Bill’s treatment plan to get his blood glucose levels in better control.
QuickChekTM Record BookBill records all his results in his QuickChek™ Record Book, and the last four weeks’ results reveal frequently elevated glucose levels in the afternoon. These results were used by Bill’s diabetes professional at a recent appointment to discuss what could be the cause.
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MONTHLYTOTALS
MONTHLYTOTALS
MONTHLYTOTALS
MONTHLYTOTALS
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MONTHLY TOTALS: ADD UP THE TOTAL NUMBER OF TESTS IN EACH COLUMN AND THEN REFER TO THE “MANAGE” SECTION ON THE INSIDE COVER
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
MON
TUE
WED
THU
FRI
SAT
SUN
BREAKFAST MIDDAY MEAL EVENING MEAL BEDTIME
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
BEF
OR
E B
ED AT N
IGH
T
LOW NORMALABOVE
NORMAL HIGH REA
SONReasons: A = Alcohol E = Exercise F = Food
Month:I = Illness O = Other S = Stress T = Treatment changes ? = Not Sure
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
88
95
90
110
117
92
97
106
101
110
58
202
166
137
E
160
166
146
F
176
157
110
117
124
115
106
124
104
311
F320
110
117
124
115
106
124
104
88
95
90
110
117
92
97
160
166
146
F
176
157
311
F320
106
101
110
58
202
166
138
E
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
0 14 0 0 1 4 7 2 1 4 7 2 0 14 0 0
UsingQuikChek_MKT0169r20.indd 5 8/10/10 7:57 AM
Type 1 case study
Sara has had diabetes for seven years after being diagnosed at I7 years old. Sara has just finished college and secured her first teaching position at an area middle school.
Blood Glucose TargetsSara tests three to four
times a day with the aim
of achieving results within
the normal range agreed
upon with her doctor.
LifestyleSara enjoys her single
lifestyle with a broad
group of friends and
family, but quickly noticed
that teaching regular
hours and a sedentary
working day has meant
she is less active.
MedicationsInsulin injections Oral contraceptive
Results» HbA1c 9.1%
» BMI 21
» Full lipid profile is normal
» Normotensive
BEFORE MEALmg/dL
AFTER MEALmg/dL
LOW NORMALABOVE
NORMAL HIGH
below
70below
70
70to130
70to180
130to240
180to240
above
240above
240
UsingQuikChek_MKT0169r20.indd 6 8/10/10 7:57 AM
Medical Appointment ReviewSara takes her QuickChek™ Record Book to her appointment and explains to her doctor, with the use of the simple “traffic light” colors, her concern over regular elevated blood glucose results. They discuss the possible reasons which could be the cause. Sara admits to being under more stress since she started her new job. Sara’s healthcare professional explains that the additional stress of a new teaching job may raise her blood glucose levels. Sara and her healthcare professional decide Sara should try some relaxation techniques that may help lower her blood glucose levels.
QuickChekTM Record BookFrom the results in her QuickChek™ Record Book, Sara has identified a recent change in her control, with results in the above normal or high range. Sara believes this change is a result of starting work and would like to discuss her insulin injections with her doctor.
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MONTHLYTOTALS
MONTHLYTOTALS
MONTHLYTOTALS
MONTHLYTOTALS
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MONTHLY TOTALS: ADD UP THE TOTAL NUMBER OF TESTS IN EACH COLUMN AND THEN REFER TO THE “MANAGE” SECTION ON THE INSIDE COVER
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
MON
TUE
WED
THU
FRI
SAT
SUN
BREAKFAST MIDDAY MEAL EVENING MEAL BEDTIME
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
BEF
OR
E M
EAL
AFT
ER
MEA
L
LOW NORMALABOVE
NORMAL HIGH REA
SON
BEF
OR
E B
ED AT N
IGH
T
LOW NORMALABOVE
NORMAL HIGH REA
SONReasons: A = Alcohol E = Exercise F = Food
Month:I = Illness O = Other S = Stress T = Treatment changes ? = Not Sure
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
99
160
101
121
164
103
108
290
112
209
151
140
176
139
E
171
245
157
187
167
121
146
108
126
117
128
115
128
218
139
106
130
95
148
128
103
119
155
112
126
176
114
167
266
158
115
283
139
241
166
153
157
230
187
176
245
167
F
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
0 9 5 0 0 2 7 5 0 2 10 2 0 10 4 0
UsingQuikChek_MKT0169r20.indd 7 8/10/10 7:57 AM
Other available TRUEinsight™ Guides
To find out more about the series of free diabetes information brochures from Nipro Diagnostics, call 1.800.342.7226.
© 2
010
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Nipro Diagnostics, Inc.www.niprodiagnostics.com
Information contained in this brochure was sourced through:American Diabetes Association, Resource Guide 2008; Diabetes Forecast, January 2008, pg. RG 11-14.American Diabetes Association Standards of Medical Care in Diabetes, Diabetes Care, January 2008, pgs. S2-S54.Life With Diabetes: A Series of Teaching Outlines, 2nd edition by the Michigan Diabetes Research and Training Center; lead authors Martha M. Funnell, M.S., R.N., C.D.E.; Marilyn S. Arnold, M.S., R.D., C.D.E.; Patricia A. Barr, B.S.; Andrea Lasichak, M.S., R.D., C.D.E.; 2000 by the American Diabetes Association.
American Association of Diabetes Educators800-TEAM-UP-4www.aadenet.org
American Diabetes Association800-342-2383www.diabetes.org
National Institute of Diabetes and Digestive and Kidney Diseases, National Diabetes Information Clearinghouse800-860-8747www.niddk.nih.gov
Juvenile Diabetes Research Foundation International1-800-533-2873www.jdrf.org
UsingQuikChek_MKT0169r20.indd 8 8/10/10 7:57 AM
