1.      Blood Glucose/Ketone Meters, Strips and Lancets for Use by People with Diabetes

 

A balance needs to be maintained which restricts the number of different meters recommended or issued to people with diabetes but still allows for provision of a meter that is suitable for individual need in relation to user acceptability and ease of use.  

People should be informed that if they receive a new meter directly from a Meter Company or are using a meter and it is not one of those on the list below, the test strips will not be prescribed by their GP.

Advice on any technical aspects or issues with meter the company helpline should be contacted.

 People requiring advice regarding blood glucose monitoring can contact Diabetes Specialist Nurse Team 

Angus 01241 447811   Dundee 01382 632293   Perth 01738 473476

 

1.1    Core Meter -  For people with Type 2 Diabetes who require to monitor blood glucose

 

Predominantly  people taking sulphonylurea drugs who drive, are at risk of hypoglycaemia, steroid use and those on insulin therapy – see MCN Handbook on Blood Glucose Monitoring

 

Contour Plus  Blue Meter	Ascensia Helpline Tel: 0345 600 6030 For supplies of meter in General Practice contact: susanne.caw@ascensia.com Tel: 07717 420297
Contour Plus Testing Strips
Microdot Plus Lancet 0.3mm/30G

 

Anticipated Usage: Up to 50 per month for those not on insulin or also using Freestyle Libre, Up to 200  per month for those on insulin multiple daily injections

 

In a few, exceptional circumstances, the Core Meter may not be appropriate for an individual. Advice can be sought from the Diabetes Specialist Nursing Team in such circumstances.

 

People currently testing with the Contour and Nipro TRUEyou meter and test strips can continue doing so, if and when their meter needs replaced it should be replaced with a Contour Plus Blue Meter.

 

1.2    Specialiat Meter -  For use recommended by the Specialist Diabetes Team

 

Predominantly  for people  with Type 1 Diabetes.

 

Nipro Sure Smart Duo Meter	Ability to link with App to support carbohydrate counting and bolus advice Blood glucose and ketone facility Nipro Tel: 02380 604 300
4SURE Testing strips
4SURE ß-Ketone Testing Strips
Microdot Plus

 

Accu-chek Guide Meter	Links with Medtronic  670 and 780  insulin pumps Roche Helpline tel:.0800 701 000
Guide Testing Strips
FastClix Lancet 0.3mm

 

Contour Link Meter	Links with Medtronic  640 insulin pump Ascensia Helpline Tel: 0845 600 6030
Contour Next Testing Strips
Microdot Plus Lancet 0.3mm/30G

 

Freestyle Lite Meter	Links with Omnipod insulin pump Abbott Helpline Tel: 0800 170 1177
Freestyle Lite Testing Strips
Microdot Plus Lancet 0.3mm/30G

 

Freestyle Optium Meter	Blood Glucose and Ketone facility Ketone Facility for people using Freestyle Libre Abbott Helpline Tel. 0800 170 1177
Freestyle Optium Testing Strips
Freestyle Optium β-Ketone Testing Strips
Microdot Plus Lancet 0.3mm/30G

 

GlucoRX Nexus Meter	‘Talking’ meter - suitable for people with visual impairment GlucoRX Helpline Tel: 01483 755133
GlucoRX Nexus Testing Strips
Microdot Plus Lancet 0.3mm/30G

 

Wavesense Jazz Meter	For women with gestational diabetes during pregnancy Agamatrix Helpline Tel: 0800 093 1812
Wavesense Jazz  Testing Strips
Microdot Plus Lancet 0.3mm/30G

 

Anticipated Usage: Up to 200 per month

 

For some people with diabetes who require assistance with testing or who have poor vision, dexterity issues or require third party assistance it may be appropriate to use single use lancets.

 

Unistik3 Comfort Lancets 1.8mm

 

 2.    Flash Glucose Monitoring

 

Sensors should only be prescribed on the guidance of the Specialist Diabetes Team see MCN Handbook on Flash Glucose Monitoring.

 

Freestyle Libre	Abbot Helpline Tel: 0800 170 1177
Freestyle Libre Sensor
Freestyle Libre 2 Sensor

 

3.     Insulin Pen Needles / GLP-1 Pen Needles

 

BD Viva Needles Pen Inj Screw On

4mm/32 gauge

 

For some patients who require assistance with injections or who have poor vision, dexterity issues or require third party assistance it may be appropriate to use ‘safety pen needles’

 

BD Autoshield Duo hypodermic insulin Needles Screw On

5mm/30 gauge

 

 4.     Reusable Insulin Pens

 

Allstar Pro

Autopen Classic 1 or 2 unit

HumaPen Savvio

HumaPen Luxura

JuniorSTAR

NovoPen 5

NovoPen 6

NovoPen Echo

NovoPen Echo Plus

 

 5.     Insulin Syringes

 

BD microfine hypodermicU100 Insulin Syringes
0.5ml 8mm	£1.48 per 10
1.0ml 8mm	£1.47 per 10

 

6.     Sharps Disposal

 

The provision and disposal of sharps bins is through the NHS Tayside service

http://www.diabetes-healthnet.ac.uk/Documents/Uploaded/Leaflet_-_Disposal_of_Sharps_-_Apr_14.pdf

 

7.      Glucose Products

 

Glucoboost, Glucojuice or Glucotablets should not be routinely provided on prescription. Patients should be encouraged to carry a rapid acting source of carbohydrate, which may include these but can be purchased without prescription.  There may be specific circumstances where it is recommended by an individual’s diabetes care team. See guidance for treatment of hypoglycaemia  http://www.diabetes-healthnet.ac.uk/Default.aspx?pageid=37