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Re: how to read the graphs that come out of your meter

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Pat,

AS helpful as the text may be in this message, I can not, or will not, read it.

All the links make it too much of an effort. Is there any way to copy and paste

the important part of the message?

Dave

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how to read the graphs that come out of your meter

Too bad the Prodigy does not do this.

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Virtually all modern blood glucose meters are downloadable to a PC running

in a Windows environment.

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter

<http://www.diabeteshealth.com/browse/products/meters/> , you probably don't

have a clue about what to do with the data once you've gotten it. That

needs to change. Those of us who live with diabetes

<http://www.diabeteshealth.com/> need to become more adept at analyzing our

own data, to see what's working and what isn't both for our own sake and

that of our time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC running

in a Windows environment; many are also downloadable to a MAC if it has

Windows compatibility software. The meters themselves attach a time and

date stamp to each glucose value so that graphs, charts, and statistics can

be generated. Of course, it helps if the meter's clock and calendar are set

properly, so check these before doing a download. (Nothing ticks me off

more than doing a complete download and data analysis, only to find that the

a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the meter

company's website or by obtaining the software on a compact disk. Download

cables, which plug into your computer's USB port, are either free or

modestly priced. Some connect directly to your meter; others use infrared

signals to communicate with your meter. Below is a summary of the software

used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> lifescan

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> com

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> products

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> otdms

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA>

Bayer (Ascensia): Glucofacts Deluxe

www <http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%

2FMonitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs

-hX_ta2kTgwQ3m74d8fDZVQ> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> simplewins

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> com

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> sections <http://www.google.com/url?q=http%3A%2F%2Fwww.

simplewins.com%2Fsections%2FMonitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & s

a=D & sntz=1 & usg=AFQjCNF8BYs-hX_ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> Monitor

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> meters

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> glucofactsdeluxe

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> overview <http://www.google.com/url?q=http%3A%2F%2Fwww.

simplewins.com%2Fsections%2FMonitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & s

a=D & sntz=1 & usg=AFQjCNF8BYs-hX_ta2kTgwQ3m74d8fDZVQ>

Abbott (FreeStyle): CoPilot

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> . <http://www.google.com/url?q=http%3A%

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

abbottdiabetescare

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> . <http://www.google.com/url?q=http%3A%

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

com

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> / <http://www.google.com/url?q=http%3A%

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

content

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> / <http://www.google.com/url?q=http%3A%

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

en

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> _ <http://www.google.com/url?q=http%3A%

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

US

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> /20.40:40/

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> product

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> / <http://www.google.com/url?q=http%3A%

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

Product

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> _ <http://www.google.com/url?q=http%3A%

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

Profile

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> _0027.

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> htm

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

Roche (Accu-Chek): Accu-Chek 360°

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.accu-chek.com%2Fus%2Fdata-mana

gement%2F360-software.html & sa=D & sntz=1 & usg=AFQjCNEKYm-w8umk5WwJ1ZP43UJrL_qIu

A> .

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A> accu

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A> -

<http://www.google.com/url?q=http%3A%2F%2Fwww.accu-chek.com%2Fus%2Fdata-mana

gement%2F360-software.html & sa=D & sntz=1 & usg=AFQjCNEKYm-w8umk5WwJ1ZP43UJrL_qIu

A> chek

<http://www.google.com/url?q=http%3A%2F%2Fwww.accu-chek.com%2Fus%2Fdata-mana

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Home Diagnostics: True Manager

http

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www

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

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=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> .

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=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> info

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=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> zero

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=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> -

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<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA>

ReliOn: My Care Team

Call begin_of_the_skype_highlighting

end_of_the_skype_highlighting to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better suited

for eating than insightful data analysis. The following items are the ones

that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of readings

that are above, below, and within your target range. The average should

correlate well with your A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> , although it

may underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your average,

your readings include many extreme highs and/or lows. A SD that is less

than one third of your average means that your readings are fairly

consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they won't

necessarily wreck your percent in-range. In the software, be sure to set

your target range, based on a discussion with your healthcare provider. The

preset range is usually very tight and narrow, and applicable to only a

small segment of the population. For those who take multiple doses of

insulin <http://www.diabeteshealth.com/browse/medications/insulin/> , ranges

of 70 to 150 or 80 to 180 mg/dL may be more reasonable.

In some meter software packages, more detailed statistics are available.

These include averages by day of the week (to see if you are having control

issues related to your weekly schedule) and averages and percent

high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood glucose

control grouped according to your usual mealtimes. As was the case with

setting your target BG range, be sure the meal schedule in the software

corresponds with your usual schedule. (many are preset for the " early bird

special " crowd, with meals and bedtime at very early times of day).

Take a look at your modal day report for the past several weeks. Are there

frequent highs or lows at certain times of day? Are the readings consistent

or widely scattered? When viewed in conjunction with the averages and

percent high/low/in range statistics described above, you may be able to

determine not only when your highs/lows occur, but also what may be

contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day reports

can be misleading if you check more than once when your blood glucose is

high or low, or if you tend to check more often when you feel that something

isn't quite right. The logbook report allows a more complete look at your

blood glucose history, listing readings in chart form according to the time

of day. Once again, be sure to set up the software so that the time

intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

â— Do lows tend to occur after highs? (perhaps you are over-dosing

for the highs)

â— Do highs tend to occur after lows? (perhaps you are over-eating

or rebounding)

â— Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

â— Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

â— Are there patterns related to when you do (or don't) exercise

<http://www.diabeteshealth.com/browse/fitness/exercise/> ?

â— Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks and

valleys, these graphs can help determine whether therapy adjustments are

needed for factors such as menstrual cycles, off/vacation days versus

work/school days, and seasonal variations in physical activity. Trend

graphs are also useful for illustrating control changes over prolonged

periods of time. Gradual upward trends often indicate a need to intensify

therapy. Downward trends may indicate that your therapy is on the right

track, as long as you are not experiencing hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> too often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and the

Internet. For more information, contact gary@..., or call

begin_of_the_skype_highlighting

end_of_the_skype_highlighting.

_____

Categories: Blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> Sugar, CDE

<http://www.diabeteshealth.com/browse/health-care/cde/> ,

<http://www.diabeteshealth.com/browse/columns/>

Link to comment
Share on other sites

Sorry, I did not realize there were extra links. I erased them.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of dave Bond

Sent: Wednesday, January 26, 2011 2:36 PM

To: blind-diabetics

Subject: Re: how to read the graphs that come out of your

meter

Pat,

AS helpful as the text may be in this message, I can not, or will not, read

it. All the links make it too much of an effort. Is there any way to copy

and paste the important part of the message?

Dave

--

Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

Overcast, Light Snow; Mist 30¡ëF Wind:NNE-020¡ë at 17mph gusting to

25mph

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how to read the graphs that come out of your

meter

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<http://www.diabeteshealth.com/read/2011/01/24/7022/why-we-underestimate-our

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AADE

<http://www.diabeteshealth.com/read/2011/01/19/7019/aade-game-day-tips-for-p

eople-with-diabetes/> Game Day Tips for People with Diabetes

UCSF

<http://www.diabeteshealth.com/read/2011/01/17/7017/ucsf-opens-high-tech-lea

rning-center-for-new-era-of-health-care/> Opens High-tech Learning Center

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January <http://www.diabeteshealth.com/read/2011/01/14/7015/january-fizzle/>

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Virtually all modern blood glucose meters are downloadable to a PC running

in a Windows environment.

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter

<http://www.diabeteshealth.com/browse/products/meters/> , you probably don't

have a clue about what to do with the data once you've gotten it. That

needs to change. Those of us who live with diabetes

<http://www.diabeteshealth.com/> need to become more adept at analyzing our

own data, to see what's working and what isn't both for our own sake and

that of our time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC running

in a Windows environment; many are also downloadable to a MAC if it has

Windows compatibility software. The meters themselves attach a time and

date stamp to each glucose value so that graphs, charts, and statistics can

be generated. Of course, it helps if the meter's clock and calendar are set

properly, so check these before doing a download. (Nothing ticks me off

more than doing a complete download and data analysis, only to find that the

a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the meter

company's website or by obtaining the software on a compact disk. Download

cables, which plug into your computer's USB port, are either free or

modestly priced. Some connect directly to your meter; others use infrared

signals to communicate with your meter. Below is a summary of the software

used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

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Bayer (Ascensia): Glucofacts Deluxe

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Abbott (FreeStyle): CoPilot

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Roche (Accu-Chek): Accu-Chek 360¡ë

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Home Diagnostics: True Manager

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cts%2Fma_true_manager.aspx & sa=D & sntz=1 & usg=AFQjCNHoWfW6H4pgmVUAbm2D0XlVVR3ic

Q> aspx

<http://www.google.com/url?q=http%3A%2F%2Fhomediagnosticsinc.com%2Four_produ

cts%2Fma_true_manager.aspx & sa=D & sntz=1 & usg=AFQjCNHoWfW6H4pgmVUAbm2D0XlVVR3ic

Q>

AgaMatrix (WaveSense): Zero Click

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> wavesense

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> info

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> zero

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> -

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA>

ReliOn: My Care Team

Call begin_of_the_skype_highlighting

end_of_the_skype_highlighting to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better suited

for eating than insightful data analysis. The following items are the ones

that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of readings

that are above, below, and within your target range. The average should

correlate well with your A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> , although it

may underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your average,

your readings include many extreme highs and/or lows. A SD that is less

than one third of your average means that your readings are fairly

consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they won't

necessarily wreck your percent in-range. In the software, be sure to set

your target range, based on a discussion with your healthcare provider. The

preset range is usually very tight and narrow, and applicable to only a

small segment of the population. For those who take multiple doses of

insulin <http://www.diabeteshealth.com/browse/medications/insulin/> , ranges

of 70 to 150 or 80 to 180 mg/dL may be more reasonable.

In some meter software packages, more detailed statistics are available.

These include averages by day of the week (to see if you are having control

issues related to your weekly schedule) and averages and percent

high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood glucose

control grouped according to your usual mealtimes. As was the case with

setting your target BG range, be sure the meal schedule in the software

corresponds with your usual schedule. (many are preset for the " early bird

special " crowd, with meals and bedtime at very early times of day).

Take a look at your modal day report for the past several weeks. Are there

frequent highs or lows at certain times of day? Are the readings consistent

or widely scattered? When viewed in conjunction with the averages and

percent high/low/in range statistics described above, you may be able to

determine not only when your highs/lows occur, but also what may be

contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day reports

can be misleading if you check more than once when your blood glucose is

high or low, or if you tend to check more often when you feel that something

isn't quite right. The logbook report allows a more complete look at your

blood glucose history, listing readings in chart form according to the time

of day. Once again, be sure to set up the software so that the time

intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

¡ü Do lows tend to occur after highs? (perhaps you are over-dosing

for the highs)

¡ü Do highs tend to occur after lows? (perhaps you are over-eating

or rebounding)

¡ü Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

¡ü Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

¡ü Are there patterns related to when you do (or don't) exercise

<http://www.diabeteshealth.com/browse/fitness/exercise/> ?

¡ü Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks and

valleys, these graphs can help determine whether therapy adjustments are

needed for factors such as menstrual cycles, off/vacation days versus

work/school days, and seasonal variations in physical activity. Trend

graphs are also useful for illustrating control changes over prolonged

periods of time. Gradual upward trends often indicate a need to intensify

therapy. Downward trends may indicate that your therapy is on the right

track, as long as you are not experiencing hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> too often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and the

Internet. For more information, contact gary@... <mailto:

gary%40integrateddiabetes.com> , or call

begin_of_the_skype_highlighting

end_of_the_skype_highlighting.

_____

Categories: Blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> Sugar, CDE

<http://www.diabeteshealth.com/browse/health-care/cde/> ,

<http://www.diabeteshealth.com/browse/columns/>

Link to comment
Share on other sites

Sorry, I did not realize there were extra links. I erased them.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of dave Bond

Sent: Wednesday, January 26, 2011 2:36 PM

To: blind-diabetics

Subject: Re: how to read the graphs that come out of your

meter

Pat,

AS helpful as the text may be in this message, I can not, or will not, read

it. All the links make it too much of an effort. Is there any way to copy

and paste the important part of the message?

Dave

--

Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

Overcast, Light Snow; Mist 30¡ëF Wind:NNE-020¡ë at 17mph gusting to

25mph

Join the BARD Talk list: bardtalk-subscribe

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how to read the graphs that come out of your

meter

Too bad the Prodigy does not do this.

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<http://www.diabeteshealth.com/read/2011/01/25/7025/fleeting-moments-of-clar

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Why

<http://www.diabeteshealth.com/read/2011/01/24/7022/why-we-underestimate-our

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Interview

<http://www.diabeteshealth.com/read/2011/01/21/7023/interview-with-nick-jona

s-a-pop-star-with-a-conscience/> With Nick Jonas, a Pop Star With a

Conscience

AADE

<http://www.diabeteshealth.com/read/2011/01/19/7019/aade-game-day-tips-for-p

eople-with-diabetes/> Game Day Tips for People with Diabetes

UCSF

<http://www.diabeteshealth.com/read/2011/01/17/7017/ucsf-opens-high-tech-lea

rning-center-for-new-era-of-health-care/> Opens High-tech Learning Center

for New Era of Health Care

January <http://www.diabeteshealth.com/read/2011/01/14/7015/january-fizzle/>

Fizzle

DiabetesSisters'

<http://www.diabeteshealth.com/read/2011/01/05/7001/diabetessisters-national

-conference-addresses-unique-challenges-of-women-with-diabetes/> National

Conference Addresses Unique Challenges of Women with Diabetes

Diabetic¡Çs

<http://www.diabeteshealth.com/read/2010/12/31/6998/divabetics-new-year-atti

tude-be-healthy-and-happy-too/> New Year Attitude: Be Healthy & Happy Too!

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Virtually all modern blood glucose meters are downloadable to a PC running

in a Windows environment.

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter

<http://www.diabeteshealth.com/browse/products/meters/> , you probably don't

have a clue about what to do with the data once you've gotten it. That

needs to change. Those of us who live with diabetes

<http://www.diabeteshealth.com/> need to become more adept at analyzing our

own data, to see what's working and what isn't both for our own sake and

that of our time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC running

in a Windows environment; many are also downloadable to a MAC if it has

Windows compatibility software. The meters themselves attach a time and

date stamp to each glucose value so that graphs, charts, and statistics can

be generated. Of course, it helps if the meter's clock and calendar are set

properly, so check these before doing a download. (Nothing ticks me off

more than doing a complete download and data analysis, only to find that the

a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the meter

company's website or by obtaining the software on a compact disk. Download

cables, which plug into your computer's USB port, are either free or

modestly priced. Some connect directly to your meter; others use infrared

signals to communicate with your meter. Below is a summary of the software

used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> lifescan

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> com

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> products

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> otdms

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA>

Bayer (Ascensia): Glucofacts Deluxe

www <http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%25>

2FMonitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs

-hX_ta2kTgwQ3m74d8fDZVQ> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> simplewins

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> com

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> sections <http://www.google.com/url?q=http%3A%2F%2Fwww.

simplewins.com%2Fsections%2FMonitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & s

a=D & sntz=1 & usg=AFQjCNF8BYs-hX_ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> Monitor

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> meters

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> glucofactsdeluxe

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

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Roche (Accu-Chek): Accu-Chek 360¡ë

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Home Diagnostics: True Manager

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AgaMatrix (WaveSense): Zero Click

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ReliOn: My Care Team

Call begin_of_the_skype_highlighting

end_of_the_skype_highlighting to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better suited

for eating than insightful data analysis. The following items are the ones

that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of readings

that are above, below, and within your target range. The average should

correlate well with your A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> , although it

may underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your average,

your readings include many extreme highs and/or lows. A SD that is less

than one third of your average means that your readings are fairly

consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they won't

necessarily wreck your percent in-range. In the software, be sure to set

your target range, based on a discussion with your healthcare provider. The

preset range is usually very tight and narrow, and applicable to only a

small segment of the population. For those who take multiple doses of

insulin <http://www.diabeteshealth.com/browse/medications/insulin/> , ranges

of 70 to 150 or 80 to 180 mg/dL may be more reasonable.

In some meter software packages, more detailed statistics are available.

These include averages by day of the week (to see if you are having control

issues related to your weekly schedule) and averages and percent

high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood glucose

control grouped according to your usual mealtimes. As was the case with

setting your target BG range, be sure the meal schedule in the software

corresponds with your usual schedule. (many are preset for the " early bird

special " crowd, with meals and bedtime at very early times of day).

Take a look at your modal day report for the past several weeks. Are there

frequent highs or lows at certain times of day? Are the readings consistent

or widely scattered? When viewed in conjunction with the averages and

percent high/low/in range statistics described above, you may be able to

determine not only when your highs/lows occur, but also what may be

contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day reports

can be misleading if you check more than once when your blood glucose is

high or low, or if you tend to check more often when you feel that something

isn't quite right. The logbook report allows a more complete look at your

blood glucose history, listing readings in chart form according to the time

of day. Once again, be sure to set up the software so that the time

intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

¡ü Do lows tend to occur after highs? (perhaps you are over-dosing

for the highs)

¡ü Do highs tend to occur after lows? (perhaps you are over-eating

or rebounding)

¡ü Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

¡ü Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

¡ü Are there patterns related to when you do (or don't) exercise

<http://www.diabeteshealth.com/browse/fitness/exercise/> ?

¡ü Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks and

valleys, these graphs can help determine whether therapy adjustments are

needed for factors such as menstrual cycles, off/vacation days versus

work/school days, and seasonal variations in physical activity. Trend

graphs are also useful for illustrating control changes over prolonged

periods of time. Gradual upward trends often indicate a need to intensify

therapy. Downward trends may indicate that your therapy is on the right

track, as long as you are not experiencing hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> too often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and the

Internet. For more information, contact gary@... <mailto:

gary%40integrateddiabetes.com> , or call

begin_of_the_skype_highlighting

end_of_the_skype_highlighting.

_____

Categories: Blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> Sugar, CDE

<http://www.diabeteshealth.com/browse/health-care/cde/> ,

<http://www.diabeteshealth.com/browse/columns/>

Link to comment
Share on other sites

Sorry, I did not realize there were extra links. I erased them.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of dave Bond

Sent: Wednesday, January 26, 2011 2:36 PM

To: blind-diabetics

Subject: Re: how to read the graphs that come out of your

meter

Pat,

AS helpful as the text may be in this message, I can not, or will not, read

it. All the links make it too much of an effort. Is there any way to copy

and paste the important part of the message?

Dave

--

Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

Overcast, Light Snow; Mist 30¡ëF Wind:NNE-020¡ë at 17mph gusting to

25mph

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how to read the graphs that come out of your

meter

Too bad the Prodigy does not do this.

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<http://www.diabeteshealth.com/read/2011/01/25/7025/fleeting-moments-of-clar

ity-the-lowdown-on-downloading/> Moments of Clarity: The Lowdown on

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<http://www.diabeteshealth.com/read/2011/01/24/7022/why-we-underestimate-our

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<http://www.diabeteshealth.com/read/2011/01/21/7023/interview-with-nick-jona

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AADE

<http://www.diabeteshealth.com/read/2011/01/19/7019/aade-game-day-tips-for-p

eople-with-diabetes/> Game Day Tips for People with Diabetes

UCSF

<http://www.diabeteshealth.com/read/2011/01/17/7017/ucsf-opens-high-tech-lea

rning-center-for-new-era-of-health-care/> Opens High-tech Learning Center

for New Era of Health Care

January <http://www.diabeteshealth.com/read/2011/01/14/7015/january-fizzle/>

Fizzle

DiabetesSisters'

<http://www.diabeteshealth.com/read/2011/01/05/7001/diabetessisters-national

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Conference Addresses Unique Challenges of Women with Diabetes

Diabetic¡Çs

<http://www.diabeteshealth.com/read/2010/12/31/6998/divabetics-new-year-atti

tude-be-healthy-and-happy-too/> New Year Attitude: Be Healthy & Happy Too!

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Virtually all modern blood glucose meters are downloadable to a PC running

in a Windows environment.

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter

<http://www.diabeteshealth.com/browse/products/meters/> , you probably don't

have a clue about what to do with the data once you've gotten it. That

needs to change. Those of us who live with diabetes

<http://www.diabeteshealth.com/> need to become more adept at analyzing our

own data, to see what's working and what isn't both for our own sake and

that of our time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC running

in a Windows environment; many are also downloadable to a MAC if it has

Windows compatibility software. The meters themselves attach a time and

date stamp to each glucose value so that graphs, charts, and statistics can

be generated. Of course, it helps if the meter's clock and calendar are set

properly, so check these before doing a download. (Nothing ticks me off

more than doing a complete download and data analysis, only to find that the

a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the meter

company's website or by obtaining the software on a compact disk. Download

cables, which plug into your computer's USB port, are either free or

modestly priced. Some connect directly to your meter; others use infrared

signals to communicate with your meter. Below is a summary of the software

used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> lifescan

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> com

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> products

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> otdms

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.lifescan.com%2Fproducts%2Fotdm

s%2F & sa=D & sntz=1 & usg=AFQjCNGydRps7Zxt0y8441Tvj6FTy0_odA>

Bayer (Ascensia): Glucofacts Deluxe

www <http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%25>

2FMonitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs

-hX_ta2kTgwQ3m74d8fDZVQ> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> simplewins

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> com

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> sections <http://www.google.com/url?q=http%3A%2F%2Fwww.

simplewins.com%2Fsections%2FMonitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & s

a=D & sntz=1 & usg=AFQjCNF8BYs-hX_ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> Monitor

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> meters

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> glucofactsdeluxe

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.simplewins.com%2Fsections%2FMo

nitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & sa=D & sntz=1 & usg=AFQjCNF8BYs-hX_

ta2kTgwQ3m74d8fDZVQ> overview <http://www.google.com/url?q=http%3A%2F%2Fwww.

simplewins.com%2Fsections%2FMonitor%2Fmeters%2Fglucofactsdeluxe%2Foverview & s

a=D & sntz=1 & usg=AFQjCNF8BYs-hX_ta2kTgwQ3m74d8fDZVQ>

Abbott (FreeStyle): CoPilot

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> . <http://www.google.com/url?q=http%3A%

<http://www.google.com/url?q=http%3A%25>

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

abbottdiabetescare

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> . <http://www.google.com/url?q=http%3A%

<http://www.google.com/url?q=http%3A%25>

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

com

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> / <http://www.google.com/url?q=http%3A%

<http://www.google.com/url?q=http%3A%25>

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

content

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> / <http://www.google.com/url?q=http%3A%

<http://www.google.com/url?q=http%3A%25>

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

en

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> _ <http://www.google.com/url?q=http%3A%

<http://www.google.com/url?q=http%3A%25>

2F%2Fwww.abbottdiabetescare.com%2Fcontent%2Fen_US%2F20.40%3A40%2Fproduct%2FP

roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

US

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> /20.40:40/

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> product

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> / <http://www.google.com/url?q=http%3A%

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roduct_Profile_0027.htm & sa=D & sntz=1 & usg=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ>

Product

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nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> _ <http://www.google.com/url?q=http%3A%

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Profile

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nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> _0027.

<http://www.google.com/url?q=http%3A%2F%2Fwww.abbottdiabetescare.com%2Fconte

nt%2Fen_US%2F20.40%3A40%2Fproduct%2FProduct_Profile_0027.htm & sa=D & sntz=1 & usg

=AFQjCNHO_wQxz63HsOY0YVaH_TS4DoLnrQ> htm

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Roche (Accu-Chek): Accu-Chek 360¡ë

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A> /360-

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A> software

<http://www.google.com/url?q=http%3A%2F%2Fwww.accu-chek.com%2Fus%2Fdata-mana

gement%2F360-software.html & sa=D & sntz=1 & usg=AFQjCNEKYm-w8umk5WwJ1ZP43UJrL_qIu

A> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.accu-chek.com%2Fus%2Fdata-mana

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A> html

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gement%2F360-software.html & sa=D & sntz=1 & usg=AFQjCNEKYm-w8umk5WwJ1ZP43UJrL_qIu

A>

Home Diagnostics: True Manager

http

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Q> manager <http://www.google.com/url?q=http%3A%2F%2Fhomediagnosticsinc.com%

<http://www.google.com/url?q=http%3A%2F%2Fhomediagnosticsinc.com%25>

2Four_products%2Fma_true_manager.aspx & sa=D & sntz=1 & usg=AFQjCNHoWfW6H4pgmVUAbm

2D0XlVVR3icQ> .

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AgaMatrix (WaveSense): Zero Click

www

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> .

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> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> wavesense

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> .

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> info

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<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> /

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> zero

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

> & sa

=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> -

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click

<http://www.google.com/url?q=http%3A%2F%2Fwww.wavesense.info%2Fzero-click & sa

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=D & sntz=1 & usg=AFQjCNHT9y14OpNeVvTta5sjqPABbRvUfA> click

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ReliOn: My Care Team

Call begin_of_the_skype_highlighting

end_of_the_skype_highlighting to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better suited

for eating than insightful data analysis. The following items are the ones

that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of readings

that are above, below, and within your target range. The average should

correlate well with your A1C

<http://www.diabeteshealth.com/browse/monitoring/a1c-test/> , although it

may underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your average,

your readings include many extreme highs and/or lows. A SD that is less

than one third of your average means that your readings are fairly

consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they won't

necessarily wreck your percent in-range. In the software, be sure to set

your target range, based on a discussion with your healthcare provider. The

preset range is usually very tight and narrow, and applicable to only a

small segment of the population. For those who take multiple doses of

insulin <http://www.diabeteshealth.com/browse/medications/insulin/> , ranges

of 70 to 150 or 80 to 180 mg/dL may be more reasonable.

In some meter software packages, more detailed statistics are available.

These include averages by day of the week (to see if you are having control

issues related to your weekly schedule) and averages and percent

high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood glucose

control grouped according to your usual mealtimes. As was the case with

setting your target BG range, be sure the meal schedule in the software

corresponds with your usual schedule. (many are preset for the " early bird

special " crowd, with meals and bedtime at very early times of day).

Take a look at your modal day report for the past several weeks. Are there

frequent highs or lows at certain times of day? Are the readings consistent

or widely scattered? When viewed in conjunction with the averages and

percent high/low/in range statistics described above, you may be able to

determine not only when your highs/lows occur, but also what may be

contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day reports

can be misleading if you check more than once when your blood glucose is

high or low, or if you tend to check more often when you feel that something

isn't quite right. The logbook report allows a more complete look at your

blood glucose history, listing readings in chart form according to the time

of day. Once again, be sure to set up the software so that the time

intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

¡ü Do lows tend to occur after highs? (perhaps you are over-dosing

for the highs)

¡ü Do highs tend to occur after lows? (perhaps you are over-eating

or rebounding)

¡ü Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

¡ü Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

¡ü Are there patterns related to when you do (or don't) exercise

<http://www.diabeteshealth.com/browse/fitness/exercise/> ?

¡ü Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks and

valleys, these graphs can help determine whether therapy adjustments are

needed for factors such as menstrual cycles, off/vacation days versus

work/school days, and seasonal variations in physical activity. Trend

graphs are also useful for illustrating control changes over prolonged

periods of time. Gradual upward trends often indicate a need to intensify

therapy. Downward trends may indicate that your therapy is on the right

track, as long as you are not experiencing hypoglycemia

<http://www.diabeteshealth.com/browse/complications-and-care/low-blood-sugar

/> too often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and the

Internet. For more information, contact gary@... <mailto:

gary%40integrateddiabetes.com> , or call

begin_of_the_skype_highlighting

end_of_the_skype_highlighting.

_____

Categories: Blood

<http://www.diabeteshealth.com/browse/monitoring/blood-sugar/> Sugar, CDE

<http://www.diabeteshealth.com/browse/health-care/cde/> ,

<http://www.diabeteshealth.com/browse/columns/>

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Share on other sites

Sorry. I tried to copy and paste and obviously copied too much.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Jesso

Sent: Wednesday, January 26, 2011 2:55 PM

To: blind-diabetics

Subject: Re: how to read the graphs that come out of your

meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_00

27.htm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...

<mailto:gary%40integrateddiabetes.com> ,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

<mailto:bardtalk-subscribe%40yahoogroups.com>

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

Sorry. I tried to copy and paste and obviously copied too much.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Jesso

Sent: Wednesday, January 26, 2011 2:55 PM

To: blind-diabetics

Subject: Re: how to read the graphs that come out of your

meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_00

27.htm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...

<mailto:gary%40integrateddiabetes.com> ,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

<mailto:bardtalk-subscribe%40yahoogroups.com>

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

Sorry. I tried to copy and paste and obviously copied too much.

_____

From: blind-diabetics

[mailto:blind-diabetics ] On Behalf Of Jesso

Sent: Wednesday, January 26, 2011 2:55 PM

To: blind-diabetics

Subject: Re: how to read the graphs that come out of your

meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_00

27.htm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...

<mailto:gary%40integrateddiabetes.com> ,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

<mailto:bardtalk-subscribe%40yahoogroups.com>

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

Thanks jen for this useable explanation. A keeper for sure, Harry

Re: how to read the graphs that come out of your

meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_0027.h\

tm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

Thanks jen for this useable explanation. A keeper for sure, Harry

Re: how to read the graphs that come out of your

meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_0027.h\

tm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

Thanks jen for this useable explanation. A keeper for sure, Harry

Re: how to read the graphs that come out of your

meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_0027.h\

tm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

I've never tried it, but it might be possible to use the " save as " option under

file to save a page as a text file. I'll have to try it some time. Usually I

just highlight the portion of a web page I'm interested in and stick it in

notepad and save it as text.

Dave

--

Weather conditions on 1/26/2011 8:00:15 PM in Lancaster, Pennsylvania

Overcast, Snow; Freezing Fog 30°F Wind:N-010° at 17mph gusting to 26mph

Join the BARD Talk list: bardtalk-subscribe

Visit the BARD Talk web site: http://www.bardtalk.com

Created by Weather Signature v1.32 . http://www.weathersig.com

Re: how to read the graphs that come out of your

meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_0027.h\

tm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

Dave, yes, you can save it as a text file, but you still get all of the

other stuff with it. It does not save just the text part.

The only way to do it, is to select the portion you want, and copy it to the

clipboard, and then paste it into a word or notepad or whatever.

Re: how to read the graphs that come out of

your meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_0027.h\

tm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

with the later versions of jaws you can tell it to copy from the virtual

cursor so you can select just the text you want and save it.then you can

paste it into an e-mail.

Dean

Re: how to read the graphs that come out of

your meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_0027.h\

tm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

with the later versions of jaws you can tell it to copy from the virtual

cursor so you can select just the text you want and save it.then you can

paste it into an e-mail.

Dean

Re: how to read the graphs that come out of

your meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_0027.h\

tm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

Link to comment
Share on other sites

with the later versions of jaws you can tell it to copy from the virtual

cursor so you can select just the text you want and save it.then you can

paste it into an e-mail.

Dean

Re: how to read the graphs that come out of

your meter

Hi Dave and all,

Below is a clean version of the article. Remember when selecting

articles that if you simply do a CTRL + A to select all it selects

everything, including all the advertisements and sidebar links and other

text that is not relevent and a pain to wade through. I googled the

title of the article and selected just the relevent text. Hope it's

helpful, although its topic is of a somewhat inaccessible nature.

Jen

Fleeting Moments of Clarity: The Lowdown on Downloading

Scheiner, MS, CDE

Jan 25, 2011

It doesn't matter if you're a computer geek or complete technophobe: If

you've ever made the effort to download your blood glucose meter, you

probably don't have a clue about what to do with the data once you've

gotten it. That needs to change. Those of us who live with diabetes

need to become more adept at analyzing our own data, to see what's

working and what isn't both for our own sake and that of our

time-strapped healthcare providers. .

The Download Process

Virtually all modern blood glucose meters are downloadable to a PC

running in a Windows environment; many are also downloadable to a MAC if

it has Windows compatibility software. The meters themselves attach a

time and date stamp to each glucose value so that graphs, charts, and

statistics can be generated. Of course, it helps if the meter's clock

and calendar are set properly, so check these before doing a download.

(Nothing ticks me off more than doing a complete download and data

analysis, only to find that the a.m. and p.m. are reversed)

Meter downloading software is usually free of charge, available on the

meter company's website or by obtaining the software on a compact disk.

Download cables, which plug into your computer's USB port, are either

free or modestly priced. Some connect directly to your meter; others

use infrared signals to communicate with your meter. Below is a summary

of the software used to download meters from the major manufacturers:

LifeScan (Ultra): One Touch Zoom DMS

www.lifescan.com/products/otdms/

Bayer (Ascensia): Glucofacts Deluxe

www.simplewins.com/sections/Monitor/meters/glucofactsdeluxe/overview

Abbott (FreeStyle): CoPilot

www.abbottdiabetescare.com/content/en_US/20.40:40/product/Product_Profile_0027.h\

tm

Roche (Accu-Chek): Accu-Chek 360°

www.accu-chek.com/us/data-management/360-software.html

Home Diagnostics: True Manager

http://homediagnosticsinc.com/our_products/ma_true_manager.aspx

AgaMatrix (WaveSense): Zero Click

www.wavesense.info/zero-click

ReliOn: My Care Team

Call to order, or visit www.mycareteam.com

From my experience with charts, beautiful pies and bars are better

suited for eating than insightful data analysis. The following items

are the ones that I find truly useful when viewing downloaded meter data:

Statistics

When viewing data over the past couple of weeks or more, focus on the

overall average glucose, standard deviations and the percentage of

readings that are above, below, and within your target range. The

average should correlate well with your A1C, although it may

underestimate a bit if you don't do any after-meal testing (BGs tend to

spike up for a short while after meals and snacks).

The standard deviation (SD) reflects the amount of variability in your

readings. Lower is better. If the SD is more than half of your

average, your readings include many extreme highs and/or lows. A SD

that is less than one third of your average means that your readings are

fairly consistent from day to day, without too many in the extreme ranges.

The percent of readings within range is, to me, the gold standard for

assessing the quality of your diabetes management. While a couple of

extreme highs or lows can greatly influence your average and SD, they

won't necessarily wreck your percent in-range. In the software, be sure

to set your target range, based on a discussion with your healthcare

provider. The preset range is usually very tight and narrow, and

applicable to only a small segment of the population. For those who

take multiple doses of insulin, ranges of 70 to 150 or 80 to 180 mg/dL

may be more reasonable.

In some meter software packages, more detailed statistics are

available. These include averages by day of the week (to see if you are

having control issues related to your weekly schedule) and averages and

percent high/low/in-range by mealtime.

Modal Day (or Standard Day) Report

This provides a scatter plot of blood glucose values arranged by time of

day. It gives a quick visual summary of the quality of your blood

glucose control grouped according to your usual mealtimes. As was the

case with setting your target BG range, be sure the meal schedule in the

software corresponds with your usual schedule. (many are preset for the

" early bird special " crowd, with meals and bedtime at very early times

of day).

Take a look at your modal day report for the past several weeks. Are

there frequent highs or lows at certain times of day? Are the readings

consistent or widely scattered? When viewed in conjunction with the

averages and percent high/low/in range statistics described above, you

may be able to determine not only when your highs/lows occur, but also

what may be contributing to them.

Logbook Report

Summary statistics (averages, SD, percent in-range) and modal day

reports can be misleading if you check more than once when your blood

glucose is high or low, or if you tend to check more often when you feel

that something isn't quite right. The logbook report allows a more

complete look at your blood glucose history, listing readings in chart

form according to the time of day. Once again, be sure to set up the

software so that the time intervals correspond with your typical schedule.

A detailed look at your logbook can answer questions such as:

? Do lows tend to occur after highs? (perhaps you are

over-dosing for the highs)

? Do highs tend to occur after lows? (perhaps you are

over-eating or rebounding)

? Do you tend to run several highs in a row? (perhaps your

correction doses are insufficient)

? Do glucose levels change overnight or between meals? (perhaps

your basal insulin needs adjustment)

? Are there patterns related to when you do (or don't) exercise?

? Are there patterns after you eat out or have take-out food?

Glucose Trend Graphs

Trend graphs provide a plot of glucose values over an extended period of

time, such as a month or several months. By highlighting periodic peaks

and valleys, these graphs can help determine whether therapy adjustments

are needed for factors such as menstrual cycles, off/vacation days

versus work/school days, and seasonal variations in physical activity.

Trend graphs are also useful for illustrating control changes over

prolonged periods of time. Gradual upward trends often indicate a need

to intensify therapy. Downward trends may indicate that your therapy is

on the right track, as long as you are not experiencing hypoglycemia too

often.

Scheiner is a Certified Diabetes Educator with a private practice,

Integrated Diabetes Services (www.integrateddiabetes.com), near

Philadelphia. He and his staff provide advanced diabetes management and

education services for insulin users throughout the world via phone and

the Internet. For more information, contact gary@...,

or call .

>

> Pat,

>

> AS helpful as the text may be in this message, I can not, or will not,

> read it. All the links make it too much of an effort. Is there any way

> to copy and paste the important part of the message?

>

> Dave

>

> --

> Weather conditions on 1/26/2011 5:33:13 PM in Lancaster, Pennsylvania

> Overcast, Light Snow; Mist 30°F Wind:NNE-020° at 17mph gusting to 25mph

> Join the BARD Talk list: bardtalk-subscribe

> <mailto:bardtalk-subscribe%40yahoogroups.com>

> Visit the BARD Talk web site: http://www.bardtalk.com

>

> Created by Weather Signature v1.32 . http://www.weathersig.com

>

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