Diabetes is a growing global health concern. The Centers for Disease Control and Prevention reports that over 30 million people are affected by diabetes in the United States.₁ Diabetes can affect many parts of the body, and if left uncontrolled, it may lead to complications. However, people with diabetes, together with their healthcare team, family, and support network, can reduce the risk of complications by maintaining their blood sugar within a healthy range. Blood pressure and lipids (such as cholesterol and triglycerides) may also be monitored frequently by your healthcare provider (HCP).
References 1. Center for Disease Control and Prevention. National Diabetes Fact Sheet, 2017. Atlanta, GA: Center for Disease Control and Prevention, US Dept Health and Human Services; 2017 2. American Diabetes Association (ADA). Standards of Medical Care in Diabetes. Diabetes Care 2019;42(Suppl 1):S1-S193
Living with diabetes may seem complicated, but understanding it can help you take control. Pay attention to:
A blood sugar (or blood glucose) test tells you how much sugar is in your blood at the moment it is tested. One way to find out the amount of sugar in your blood is to get a blood test in a doctor’s office. Another way to find out is to test it yourself. This is called self-monitoring or self-testing. Many factors affect your blood sugar levels every day. Testing your blood sugar may indicate if your meal plan, medication, and physical activity levels are working to help you manage your diabetes.
Blood sugar testing is important for everyone with diabetes. People living with diabetes can learn how to test their own blood sugar using a blood glucose monitoring system.
When you self-test regularly, you may learn what makes your blood sugar too high or too low. With the help of your healthcare team, you can make adjustments to your meal plan, medications, and physical activity levels that will help you better control your diabetes. When you keep your blood sugar in a normal range, you lower your risk of developing problems with your heart, eyes, kidneys, brain, feet, and nerves that can occur because of diabetes.₃
Reference: 3. Mayo Clinic.Hyperglycemia in Diabetes.https://www.mayoclinic.org/diseases-conditions/ hyperglycemia/symptoms-causes/syc-20373631. Accessed January 2019
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References: 4. Christiansen, M. et al. A New, Wireless-enabled Blood Glucose Monitoring System That Links to a Smart Mobile Device: Accuracy and
User Performance Evaluation. Journal of Diabetes Science and Technology. 2017, Vol. 11(3) 567-573. 5: Bernstein, et al. A New Test Strip Technology Platform for Self-Monitoring of Blood Glucose. J Diabetes Sci Technol 2013; 7(5): 1386-1399. 6. Ascensia Diabetes Care. Data on File. Second Chance Sampling Research Topline Report (May 2015) A 15-minute online study was conducted among people with diabetes. Hall & Partners.
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4. Christiansen, M. et al. A New, Wireless-enabled Blood Glucose Monitoring System That Links to a Smart Mobile Device: Accuracy and User Performance Evaluation. Journal of Diabetes Science and Technology. 2017, Vol. 11(3) 567-573. 5: Bernstein, et al. A New Test Strip Technology Platform for Self-Monitoring of Blood Glucose. J Diabetes Sci Technol 2013; 7(5): 1386-1399
What Can You Do to Improve Your Self-Testing?
Talk to your healthcare team about your meter and how to test. Always follow the directions that come with your meter. An important thing you can do to ensure a good self-test is to properly wash and dry your hands right before the test, as explained in the user manual. If your hands are not completely clean, this can cause an incorrect blood sugar reading. Before doing the test, wash your hands in warm, soapy water and dry them well. DO NOT use alcohol-based hand sanitizers, gels or wipes in replacement of soap and water.
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References: 4. Christiansen, M. P. (2017). A New, Wireless-enabled Blood Glucose Monitoring System That Links to a Smart Mobile Device: Accuracy and User Performance Evaluation. Journal of Diabetes Science and Technology, 11(3), 567-573.. 5. Bernstein, R. et al. (2013). A New Test Strip Technology Platform for Self-Monitoring of Blood Glucose. Journal of Diabetes Science and Technology, 7(5), 1386-1399. 7. Bailey, J. et al. (2015). Accuracy and user performance evaluation of the Contour® Next Link 2.4 blood glucose monitoring system. Clinica Chimica Acta, 448(2015), 139-145
The American Diabetes Association (ADA) recommends nutrition therapy for all people with type 1 and type 2 diabetes. Consult with your healthcare team to find a Registered Dietician Nutritionist (RDN - an expert in nutrition) or other qualified HCP, who can personalize your meal plan to fit your individual needs. Within the first 6 months of your diabetes diagnosis, you should meet with your RDN 3 to 4 times. Don’t hesitate to ask for help with your meal plan. Many health insurance plans cover nutrition and diabetes education sessions.₈
Reference: 8. Vojta D, Koehler TB, Longjohn M, Lever JA, Caputo NF. A Coordinated National Model for Diabetes Prevention Linking Health Systems to an Evidence-Based Community Program. Am J Prev Med 2013;44(4S4):S301–S306.
Exercise is an important part of the diabetes management plan. Regular exercise has been shown to improve blood glucose control, reduce cardiovascular risk factors (blood pressure and cholesterol), contribute to weight loss, and improve well-being (reduce stress and increase energy levels).Always talk with your healthcare provider before starting any exercise program.
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