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Publication: Diabetes Update
Blood-Sugar Monitors

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Diabetic Digest - Wednesday, Jan. 31, 2007
News, updates and help from and for the diabetic community.


I just wanted to say that today's article really caught 
my attention. It concerns blood-sugar monitors and their 
accuracy. I know if I'm going to pay the outrageous prices 
for test strips those machines better be as accurate as 

Also, the recipe is something that I just might try 
myself. I hope you enjoy it too. 


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Accuracy Of Blood Glucose Meter Questioned

NEW YORK (Reuters Health) - The FreeStyle Navigator
continuous glucose (blood sugar) monitoring system is not
as accurate as the current-generation home glucose meters,
research suggests.

However, investigators believe that the device has the
potential to become an important addition to the treatment
of children with insulin-dependent type 1 diabetes. The
FreeSyle Navigator uses a patch to monitor blood sugar,
avoiding painful finger jabs.

"Direct reading, near-continuous, minimally invasive
glucose sensors hold great promise for improving the care
of patients with diabetes," researchers write in Diabetes
Care. These sensors can provide both a measure of the
current blood sugar level as well as trends in blood sugar
levels, with alarms for high and low blood sugar.

Dr. Darrell M. Wilson and colleagues from the Jaeb Center
for Health Research, Tampa, Florida, assessed the accuracy
and precision of the FreeStyle Navigator in 30 children
with diabetes.

The Navigator glucose values were compared with reference
glucose values from blood samples collected in an inpatient
clinical research center and measured in a central
laboratory, and in an outpatient setting with a FreeStyle

In a total of 1,811 inpatient sensor-reference pairs, the
median absolute difference between these measurements was
17 mg/dL and the median relative absolute difference was
12 percent.

For 8,639 outpatient pairs, the median absolute difference
and relative absolute difference was 20 mg/dL and 14
percent, respectively.

During the inpatient stays, the subjects simultaneously
used two Navigator sensors resulting in 1,971 Navigator-
Navigator pairs. The mean relative absolute difference
between these simultaneous measurements was 13 percent.

Summing up, the researchers say that while the precision
of the FreeStyle Navigator system does not yet match that
of existing systems, it may eventually "become an important
adjunct to treatment."

SOURCE: Diabetes Care January 2007.

Copyright 2007 Reuters Limited.

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                       Diabetic Recipe

                          Tuna Subs

                      (makes 6 servings)

1 14 1/2-ounce (435 g) loaf of Italian or French crusty 
style bread, sliced in half lengthwise with soft inside 
discarded leaving 3/4-inch (1.9 cm) shell intact

2 6-ounce (170 g) cans water-packed tuna, drained well

1 tablespoon (15 ml) fresh lemon juice

1/4 teaspoon (1.25 ml) Worcestershire sauce

1/3 cup (80 ml) low-fat mayonnaise

2 ribs of celery, 4 ounces (120 g) celery, finely chopped

1 large tomato, 8 ounces (240 g) thinly sliced

2 cups (112 g) shredded Romaine lettuce

1. In a bowl, mash the tuna with a fork until chunks are 
   separated into small pieces. Add the lemon juice, 
   Worcestershire sauce, mayonnaise, and celery. Combine 

2. Spoon the mixture into the bottom half of the bread. 
   Top with tomato and lettuce. Cover with top half of 
   the bread and tightly wrap with plastic wrap or 
   aluminum foil. Chill. 

3. When ready to serve, slice off and discard the ends. 
   Slice the remaining sub into 6 portions. 

Per serving: 247 calories (12% calories from fat), 
             18 g protein, 3 g total fat (0.5 g saturated 
             fat), 36 g carbohydrate, 3 g dietary fiber, 
             14 mg cholesterol, 653 mg sodium 

Exchanges: 2 very lean meat, 2 1/2 carbohydrate 
          (2 1/2 bread/starch)

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