Test strips

Test strips

I love the continuing conversation our community has about test strips. This morning I signed a petition asking Medicare to cover CGM’s, I complained to someone yesterday about the lack of coverage for unlimited tests with various insurance companies and Medicare, and last week there was a discussion in chat about which test strips are better or worse than others. Today I found two test strips on the floor of my car.

My relationship with test strips is well, less than full. Of course when I was newly diagnosed I used clinistix and clinitest. For those of us who have never heard of this (I hope we never have anyti8ng like this again) it was urine testing. For clinitest one would urinate and collect the specimen then use a mix of water, a chemical tablet, and the specimen shake and judge the color of the solution to a printed chart on the side of the box. For clinistix one would dip the treated end of the plastic stick in the specimen and then once again compare it to a color chart on the side of the box.

If the process seems flawed, it was. For one it really measured what occurred with your blood sugar 2-3 hours prior. I for one had difficulty judging the color. Is the color brown or yellow or in between, or blue or green or whatever. One could seriously judge the same result at least 4 different ways and on the boxes I used two or three languages. The results were read as negative, 1+, 2+ 3+ or the dreaded 4+. Oh and before someone reminds me, if the sample was not judged at the exact right time, the sample was concoction was spoiled and you had to do it again. Sometimes you wondered, did I measure to soon, too late, too on time?

An acquaintance who had diabetes long before me told me a time she was on a date and spilled the specimen all over her clothes twice. She needed the test for a doctor’s visit the morning after and she said she ran out of the date, found a telephone called her mother and went away without telling her date she was leaving. Yes it was quit the 70s thing for High School kids to wear urine.

By the time I was about 15 my mom (also a type 1) could no longer see much, let alone distinguish color. So she took to running from the bathroom to my father’s side in the given 30 seconds, while counting seconds, restaurants were a particularly difficult task. My mom on crutches running out the women’s restroom and stumbling thru the restaurant calling Larry, Larry (My dad’s name) is something I will never forget. Also my mother, sensing my dismay with the whole matter, taught me to say Plop, Plop, Fizz, Fizz oh what a relief it is while I waited for the results. I of course changed it to Plop, Plop, Fizz, Fizz oh what a pain in the (ahh, ahh oh yes) behind it is. Or something like that. No matter how you stacked it up it was an awful way to run the good ship diabetes.

Then of course we got the blood mixer kits. Wow what a terrific advance. (not). Same general thing you draw some blood on your finger and put it on a surface, I think mine was plexiglass, and then you use the blood to prepare a specimen and once again compare that final concoction, this time to a liquid color chart contained in glass tubes. The color would tell you your blood sugar range, for instance in my kit the color green was 150 to 200. There were nine colors as I recall in my kit and it took up more space than my entire baseball card collection times 3. Wow I hated lugging that thing around, so I well ahh stopped lugging it around. In fact I stopped using it. My father (who by that time was doing all of my moms) would call and wonder what my blood sugar was and I would look at the kit and call out a color. Well dad, I am blue green today. Then he would report my moms and he wondered why I got upset talking to him. I didn’t have the heart to tell him that I could not afford the test stuff, refused to see a doctor and really didn’t care. He would always so oh I am so glad we are not doing Clinitest. Me as well dad was always my response. I mean a man needs something to do and doing this was my dad’s thing for years.

Finally of course we became digital. Stick a strip in drop some blood on it and wait for the digital read out. First a minute wait, then 45 seconds and finally it was down to the magic of today. So when I find test strips on the floor of my car. Well it brings up countless memories. Every day I stick myself 7 to 10 times each time it brings up a memory. I suppose some are good many upsetting and many more makes one melancholy. Today seeing those test strips, sent me to this melancholy place.

-30-

Rick

rick, i never think about those olden days, i just do what i need to do today.
of course it's easier now.
let's just hope we have enough strips to take care of ourselves.

I am laughing reading this...I too remember those days...having been type one for 45 years...but I have a recent concern with what I am hearing about the non regulation of our blood strips and that the test results can vary by as much as 20 which is critical. I recently took a test and within seconds took a second test ( by accident as I forgot to send the result to my pump ) and it was off by 15...I could not believe it...I now randomly do two tests at once to see...I have had as much as 10 point difference (which is not acceptable) and as little as a 5 point difference which is to be expected...I use the Bayer Contour Next which was sent to me with my new Revel pump...anybody else with thoughts on this???

Suncat, I believe that there will always some variance. Most industrial measurements also demonstrate some variance. Anyway that is what my son the mechanical engineer told me when I asked about this issue. His other comment sort of put it in context. He said that variance can be lessened with money. For instance if he wants or needs tighter tolerance he can expect to pay not just for the machine but also for the material he tests with. His statement was that one pays double for half better control. Each half being double again. I doubt that this is the case with glucose meters and strips. Somehow I think we are being charged double the price for half the tolerance. But it will take consumers and the government to demand better. My libertarian friends not withstanding.

In the mean time I suppose we can enjoy the fantasy of 15 second testing. It is nice until one knows the truth, speed makes things less accurate and since there are no standards, speed may not be a good way to purchase a meter. Or in some cases it might be a great way to do it. I mean we simply do not know.

You’ve just reminded a lot of people that testing today is so much easier and that we should be greatful. I am. Thank you!