Friday, November 27, 2009

MyGlucoHealth Blood Glucose Meter

Recently I was given the MyGlucoHealth blood glucose meter for review. It's made by Entra Health Systems a new entrant to this enormous market.

I considered giving a summary up front, but it’s not that easy with this meter. It has some good points and ways in which it can be improved, I don’t think a summary would do justice to these.

The meter arrived in an elegant white box somewhat like an Apple product. I was really pleased to see the meter picture on the front had a blood glucose reading of 157 mg/dL. Finally, a manufacturer that’s not scared to show a more realistic reading.

The box contained the meter and the usual accessories (lancing device, lancets, some test strips, a carrying case, a USB cable, and an instruction manual). Two AAA batteries were included. I'm glad to see that is uses these instead of the more expensive button batteries used on many other small meters. The cost of this kit is $89.95 on the http://www.myglucohealthstore.com site. I was also given 50 test strips, which are worth an additional $49.95.

While small, the meter is not compact. Here’s a picture of the myglucohealth meter (on the right) beside a OneTouch UltraMini (on top), a WaveSense Jazz on the left and a Bayer Breeze2 Meter in the middle.



From this picture you can see that the blood glucose readings are large and easily readable. Unfortunately there’s no backlight, so using the meter in low light levels is really not an option

The strips require a 0.3µL drop of blood and results are shown in about 3 seconds, which is fairly standard features on the better meters available today. The meter is self coding, when you insert a strip the code is read off it and displayed, so you save a little time on each new vial of strips.

You can use the meter straight out of the box, though MyGlucoHealth strongly suggests you read the manual. I didn’t do this and wasted several strips until I talked with MyGlucoHealth support. Here’s the problem, after you insert the strip and the code is displayed you have to select an activity code before you can add a blood sample. This is not obvious and completely different to the many other meters that I’ve used.

Even after learning this I continued to waste strips because I’d apply blood after the code disappeared but before I chose an ‘activity’. There are four activities to choose from: before a meal; after a meal; after sports; after taking drugs. This is a very limited set of options: what about sickness or fasting options? What if I didn't want to add an activity code?

I think the need to choose the activity before testing is a poor design choice and I’m surprised this wasn’t fixed when the meter was being field tested before release.

The meter has a neat little slider at the top which makes it easier to extract the used strip.

The supplied kit also comes with a 3-month MyGlucoHealth.net subscription. This is the site where you can upload your readings, add other health information and share these with your healthcare providers. I don’t know what the annual costs are for an ongoing subscription.

I did hit a snag when trying to upload readings from my meter. I had chosen a password that contained invalid characters, so it wasn’t accepted. Unfortunately I didn’t get a warning about this and had to contact MyGlucoHealth support to resolve this problem.



To upload readings you create an account, logon and press the big blue Get Readings button on the home page of the web site. This launches an application from the web site that asks you to connect your meter. (Firefox users, you’ll need to install the Microsoft .NET Framework Assistant before doing this.)

The first time you do this, you’ll need to fill in a short form so this application can connect with the web site to send the data from your MyGlucoHealth meter.



Then go back to the Meter tab on this application


Now you need to connect your meter. You can either plug in the standard USB cable that’s provided, or you can connect directly if you’ve got Bluetooth on your PC. I tried both approaches and they worked equally well.

After all the readings are downloaded the Meter tab will change to show the most recent blood glucose reading. You can add a comment to go with this reading, or use the arrows to add comments to any other readings. (You can also add comments to readings on the web site.) Press the Continue button and all your data is on the MyGlucoHealth.net website.


On the website you can view your readings as a chart


Or as a table


You can also add other readings, such as my HbA1c line in the middle of the above table. And you can export your readings to an Excel spreadsheet from this page

If your doctor is registered on the MyGlucoHealth site then they can review your readings and exchange messages with you through this secure site. It’s not clear to me how healthcare providers register, currently there are less than 30 doctors listed on the My Doctors tab.

The site allows you to set reminders when your testing frequency is below a specified level, or when the supply of test strips is below a certain amount, and other options. You can also setup alerts when your blood sugar is out of range and have these sent as email or text messages to several people.

Summary

For the first meter from a new company in this space I think the MyGlucoHealth meter scores about 70 out of 100. These days I assume that meters will be full featured and well designed, unfortunately the meter doesn't score top marks for either of these.

It can calculate averages, store up to 250 results, and remind you when you need to test. But the lack of any backlight is surprising. The user manual is barely adequate and really needs improvement. For example the explanation for setting alarms and average results were very hard to follow.

The ability to upload readings directly to a website is innovative. With electronic health records (EHR) and personal health records (PHR) I think many new meters are going to have a feature like this. This is forward thinking.

The Bluetooth connectivity and the use of a completely standard USB cable is nice (WaveSense take note). However you need to install a serial driver if you’re going to use the USB cable, which is irritating even if other meter companies do the same thing.

The website is nicely interactive using Adobe Flash technology appropriately. But the upload software is Microsoft .NET based, so I don’t think it will work on non-Windows machines. These days, all diabetes device makers should be building software that runs on Windows, Mac OS and Linux.

There’s no way to take readings off the meter without the software from the website, which means you need internet access to use the meter effectively. I’d believe there should b separate download software than can be used without the need to be online, but I know this won't be important for everyone.

I hope that Entra Health Systems succeeds with this meter and the website, so that more manufacturers follow this integrated approach.

Update: The MyGlucoHealth meter can be purchased here http://www.myglucometer.com.

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Monday, November 09, 2009

Happy 5th D-Blog Day

Gina Capone of DiabetesTalkFest started D-Blog day in November 2005 and this year, we can all celebrate the 5th anniversary.

While World Diabetes Day is coming up quickly, today is a great opportunity to celebrate the richness of the online diabetes community (the DOC). When I started blogging about 3 years ago, people were blogging about diabetes and online communities did exist. Since then, the diabetes presence online has soared!

Today, we're blessed by social communities like TuDiabetes, DiabetesDaily, JoyOfDiabetes, and others. According to the diabetes search engine, there are over 525 blogs that cover life with diabetes. And many of us are also online using Twitter.

Today Twitter was full of #dblogday tweets, but any hour of the day you can find a lot of us at the Twitter water-cooler talking about diabetes, swapping blood glucose readings (especially on Wednesdays). To my view, Twitter has become a way to quickly update folks, look for help, or share successes.

Thank you to all my many online friends. Those that I've met, and all of you that I hope to say hello to in person before too long. I appreciate your insight, helpfulness, common sense and cold water. I know that living with diabetes is far easier because of you all.

On Saturday I'm planning to take part in the Big Blue Test, organized by Manny Hernandez. I'll be exercising for 14 minutes at 2 PM EST, and reporting my after exercise blood glucose readings afterwards (on Twitter and TuDiabetes). It's an easy way to get involved in the fun of the DOC, won't you join us?

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Sunday, November 08, 2009

The Ultimate Diabetes Resource

Earlier in the year at the Diabetes bloggers summit, my friend Gina gave me a preview of The Diabetes Resource. Even though this was waay back in July and long before the official launch, I was impressed by the design of the site itself and the sheer amount of really useful information that's in there.

Gina, is responsible for the DiabetesTalkFest site and the CGM Anti-Denial Campaign site and has been online for many years. She really understands the kinds of diabetes information that people are looking for and she and her team have done an awesome job at providing a great resource that's easy to use and well organized.

For example, The Diabetes Resource currently lists 41 web sites that provide diabetes accessories, most of which I didn't even know about. The events page on The Diabetes Resource gives you all the information about upcoming events, and makes it easy for you to add information about your event. There's also a chat room at The Diabetes Resource, so you have extra chances to connect with others who are living with diabetes.

I know, from maintaining the diabetes search engine, that the number of sites focusing on diabetes is constantly expanding. Many of these are useful and informative, but there are also a lot of sites with misleading information and spam. It takes a lot of effort to separate these sites from one another, luckily The Diabetes Resource has a great team that knows all about life with diabetes, so it can be depended on to keep this well maintained.


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