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Chapter 1: Your New Meter ACCU-CHEK Customer Service Center 1-800-858-8072
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!
Information for Professional Caregivers
Healthcare Professionals: Follow the infection control procedures appropriate for your
facility.
Chapter 6: Technical Information ACCU-CHEK Customer Care Service Center 1-800-858-8072
Decisions about whether to recommend alternative site testing (AST) should take into account the motivation and
knowledge level of the patient and his or her ability to understand the considerations relative to diabetes and AST.
If you are considering recommending AST for your patients, you need to understand that there is a potential for a significant
difference between fingertip and alternative site blood glucose results. The difference in capillary bed concentration and
blood perfusion throughout the body can lead to blood sample site-to-site differences in glucose results. These physiological
effects vary between individuals and can vary within a single individual based upon his or her behavior and relative physical
condition. Our studies involving alternative site testing of adults with diabetes show that most persons will find their glucose
level changes more quickly in the fingers’ blood than the alternative sites’ blood. This is especially important when glucose
levels are falling or rising rapidly. If your patient is used to making treatment decisions based upon fingerstick readings, he
or she should consider the delay, or lag-time, affecting the reading obtained from an alternative site.
We strongly recommend that people considering AST understand the following:
• AST is not recommended during periods of rapid decreases or increases in blood glucose levels.
• AST is not recommended for people with a history of recurrent hypoglycemia, who suspect that their blood glucose is
extremely low, or who are unaware of hypoglycemic events.
• Studies show that AST results immediately before a meal and near bedtime are more similar to fingertip results.
• NEVER ignore symptoms that may be due to low or high blood glucose.
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