switched from alpha trak to accucheck (need range dif)

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babbie & otto

Member Since 2015
hey
Im fed up with my alpa trak - went through 12 sticks in a day. Dang thing wasnt working. Cant find the sticky on the conversion - my ss is in alpha trak and now im confused on readings.
thanks
 
See my signature link Glucometer Notes for reference ranges.

Don't try to convert the numbers you have. Just put a nice solid line between the old meter and the new one and a comment about the meter.
 
When I switched from the AT to ReliOn Micro, I made a huge boo boo due to my not understanding the conversion. Sadly, my cat that was very well regulated, and probably on his way to remission, is now back up to 2 units of ProZinc twice daily. He was on 1.5 once a day. (I know it's only a 12 hour insulin, but once daily was keeping his numbers in the 125 range)

I would suggest, just so there is no confusion, and if you can afford to do so, that you take your new meter to your vet and have them compare it vs their lab machine. That way there is no doubt.
 
Simple 1 time comparison isn't enough, nor can if be used to adjust numbers.
1) ALL meters may read +/- 20% from what a lab may get. Thus, a test of 200 mg/dl could represent a value anywhere from 160 mg/dl 920% lower) to 240 mg/dl (20% higher)
2) Human meters tend to read 30-40% lower than pet meters or vet labs. You'd need to do hundreds of paired samples, at varying glucose levels, using the same blood drop and test equipment, to work out the relationship of your meter to the vet's equipment. Dr Rand of the University of Queensland worked out feline reference ranges for human glucometers and those are in my signature link Glucometer Notes, and in the Lantus Tight Regulation protocol.
 
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I've used the Accuchek for years and mine has never been anywhere near 30-40% difference, less than 15%. If you look at my personal Profile I have Cecil's spreadsheet and there are a few Accu/Alpha comparison tests on him earlier on to show the vet the comparison on our meter to their meter. I have 2 different ones and they seem to be similar. Every meter is going to be a little different so the newer ones might be a little differently calibrated, but I find the Accuchek runs a bit higher than many of the other human meters.
 
The thing about an average (ie mean) is that there are always some numbers higher and some numbers lower than the average. When Rand indicates that human meters are 30-40% lower than pet meters or vet labs, that is an average using numerous types of meters over a wide range of glucose levels. Any one meter may read systematically higher or lower than tha 30-40%, and it also may vary depending on the concentration of the glucose.
 
I am a total newbie at all of this and I'm stressing out. My girl was diagnosed a week ago. Shes been on 1u twice daily of prozinc since Tuesday. I've switched her to a full wet diet of Fancy Feast Classic from the Blue Buffalo dry that she's been on for years. She goes in for her first curve test on Monday. I purchased the relion confirm meter and told my vet of such. She didn't seem thrilled that I got a human meter and told me the numbers are very important for me to do the at home testing and need to be very accurate. She said if they don't match up with hers then I will need to purchase the alphatrek. What do I do or say to her about this? The strips are crazy expensive for that meter... :-/ but I also want accurate dosing for my baby...
 
I made the decision tonite, to go back to the Alphtrak. I felt confident that I was getting the numbers right and haven't felt that way since I switched to the ReliOn. Goof was very well regulated and probably on his way to remission when I switched, not now and not worth the few dollars I was saving.
 
I am a total newbie at all of this and I'm stressing out. My girl was diagnosed a week ago. Shes been on 1u twice daily of prozinc since Tuesday. I've switched her to a full wet diet of Fancy Feast Classic from the Blue Buffalo dry that she's been on for years. She goes in for her first curve test on Monday. I purchased the relion confirm meter and told my vet of such. She didn't seem thrilled that I got a human meter and told me the numbers are very important for me to do the at home testing and need to be very accurate. She said if they don't match up with hers then I will need to purchase the alphatrek. What do I do or say to her about this? The strips are crazy expensive for that meter... :-/ but I also want accurate dosing for my baby...
My vet was really pushing the Alphatrak too, but someone on this board gave me some good advice. "Are you paying for the test strips or is your vet?" That was the deciding point for me. If you are testing regularly, and especially if you have a hypo event, you can go through a lot of test strips in a short period of time. Between Alphatrak kits and testing supplies, some vets have really soaked some people for a lot of money. At least my vet was nice enough, even though she was really pushing the Alphatrak, to suggest that I buy it on Amazon since it would be way cheaper than buying it from them.

Even if you do decide to go with the Alphatrak, it's good to have the ReliOn confirm as a backup. If you run out of Alphatrak test strips during a hypo you can't just run out and buy more, while many Walmarts are open 24 hours or at least late. Though, there is some recent info on using Freestyle Lite strips in the Alphatrak with good results (http://www.felinediabetes.com/FDMB/...-monitor-fslite-human-monitor-updated.135726/ ). Those strips are cheaper and easier to get on short notice.

As far as accuracy of human meters versus the Alphatrak, I think @BJM says it very well in his Glucometer Notes. "Comparing a human glucometer to a pet-specific glucometer is like reading temperature in Celsius vs Fahrenheit. Both are correct. You just need to know the reference ranges to interpret what the numbers mean." He also states that "in general, a human glucometer will read 30-40 percent lower than a pet-specific glucometer. At the low end of values, that difference is approximately 18 points. At the high end of the scale, it really doesn't matter. If the test is high, its high and you take the appropriate action based on the insulin you are using."

Much of the information on this site is set up for using human meter numbers; thus, the appropriate conversion from human to cat ranges has already been taken into account. Consider this, if a human meter is reliable enough for a human to use to keep themselves safe it ought to be reliable enough for your cat too. Perhaps your vet could be reminded of that when talking about accuracy of meters.

Also, have you considered doing your own BG curve at home (assuming you're comfortable testing your cat)? The stress from being at the vet often raises a cat's BG numbers significantly making the curve at the vet's far different from one you would get at home. If you can, I'd do your own BG curve at home with your ReliOn confirm. Just do it on whatever day works well for you and will allow you to be at home to do the testing. That should give you a good curve with non-stressed numbers and with the meter that you will be using on an everyday basis. Those are the numbers you really need when testing and getting your cat regulated, not the vet's numbers. Plus, you don't have to pay your vet the extra money to run a curve that you could do more accurately on your own.

One more note, as I've said before on this site, "how much do you really care what your vet personally thinks of you?" You're paying them for their opinion and a service, but that doesn't mean you must absolutely follow every thing they say. That said, it is nice to maintain a good relationship with your vet as they can be very helpful, but remember, there are other vets out there if your current one doesn't work out. (Your vet sounds a bit pushy, but decent so far. At least she's advocating hometesting, which is a very good thing.)
 
I guess this is where I'm very fortunate, my vet actually charges me less than anywhere else I found the AT strips. I also couldn't find a lower priced AT meter. I pay $90 for the ProZinc and I've heard of people paying as much as $150 for it. The first and only curve done by my vet, I do it myself now, I was only charged for the office call. The office number switches to his cell after hours, if he doesn't answer immediately, he always calls back asap. He told me there's no need to go the emergency vet and pay $178 office call, just to call him, anytime. On Goofs last appointment, they did a full blood work up, no charge.

But considering that I have 6 cats, and 2 dogs, he maybe thinks I spend enough at his clinic!
 
I guess this is where I'm very fortunate, my vet actually charges me less than anywhere else I found the AT strips. I also couldn't find a lower priced AT meter. I pay $90 for the ProZinc and I've heard of people paying as much as $150 for it. The first and only curve done by my vet, I do it myself now, I was only charged for the office call. The office number switches to his cell after hours, if he doesn't answer immediately, he always calls back asap. He told me there's no need to go the emergency vet and pay $178 office call, just to call him, anytime. On Goofs last appointment, they did a full blood work up, no charge.

But considering that I have 6 cats, and 2 dogs, he maybe thinks I spend enough at his clinic!

You're very blessed to have such a wonderful vet. I will be charged $100 for a curve test on Monday. It's been suggested I do my own, but I don't know I feel entirely confident yet... But at the same time, I want accurate results and I'm not sure the vet will get them either with Abby being so nervous and stressed out. The vet charged me $35 to do a simple BG test on her last time. that floored me. What a rip off. I paid $115 for my bottle of Prozinc. I surely hope this whole thing gets a lot easier and less stressful. I already fudged up this morning... My phone died through the night and thus my alarm never went off for AM feeding and insulin shot. Normally the crew is ahead of schedule with mealtime but I think I messed that up by giving late night snack at 1230AM. Ay yiyi...this is driving me batty. So Abilene was an hour past due on her dose of 1u that she gets twice daily. I know it's certainly not good that I was late, but did I REALLY screw things up? I wish it was as simple as do this, don't do this but there seems to be so much variation with things and boils down to people's opinions and experiences. Not too much set in stone... I feel like I'm going to fail her with this disease...
 
Prozinc is much more forgiving of the erratic schedule, as there generally is no overlap between doses affecting the glucose levels. You can slightly reduce tonight's dose (if needed), whereas you normally would not do that with Lantus or Levemir.
 
The only reason I switched was the alpha trak was flaking out on me - put in a new battery and still going through 4 sticks per prick b/c it wouldnt soak up the blood. My new accu trak was just as expensive but blood soaks up every time with minimal amounts of blood. My cats #'s are so high it really doesnt matter how we match up right now - I just have to get the numbers down in a reasonable range. Probably not in the same position as you. Ill say it again, I hate the alpha trak after 3 months of using it and making the switch.
 
I guess this is where I'm very fortunate, my vet actually charges me less than anywhere else I found the AT strips. I also couldn't find a lower priced AT meter. I pay $90 for the ProZinc and I've heard of people paying as much as $150 for it. The first and only curve done by my vet, I do it myself now, I was only charged for the office call. The office number switches to his cell after hours, if he doesn't answer immediately, he always calls back asap. He told me there's no need to go the emergency vet and pay $178 office call, just to call him, anytime. On Goofs last appointment, they did a full blood work up, no charge.

But considering that I have 6 cats, and 2 dogs, he maybe thinks I spend enough at his clinic!
It sounds like you have a really great vet. With that many animals I'm sure you probably do spend a fair amount at the clinic, but his caring for your animals seems to go beyond that. It's nice to find vets like that. Which side of Minnesota are you on?
 
You're very blessed to have such a wonderful vet. I will be charged $100 for a curve test on Monday. It's been suggested I do my own, but I don't know I feel entirely confident yet... But at the same time, I want accurate results and I'm not sure the vet will get them either with Abby being so nervous and stressed out. The vet charged me $35 to do a simple BG test on her last time. that floored me. What a rip off. I paid $115 for my bottle of Prozinc. I surely hope this whole thing gets a lot easier and less stressful. I already fudged up this morning... My phone died through the night and thus my alarm never went off for AM feeding and insulin shot. Normally the crew is ahead of schedule with mealtime but I think I messed that up by giving late night snack at 1230AM. Ay yiyi...this is driving me batty. So Abilene was an hour past due on her dose of 1u that she gets twice daily. I know it's certainly not good that I was late, but did I REALLY screw things up? I wish it was as simple as do this, don't do this but there seems to be so much variation with things and boils down to people's opinions and experiences. Not too much set in stone... I feel like I'm going to fail her with this disease...
We really do love our vet! Have you tried calling other veterinary offices and asking their prices of services? If there is a smaller town close to you, try them, usually their prices are lower. In the town in live in, to spay and vax a kitty will run close to $300, but just 12 miles, that drops to $180, and 30 miles it drops to $150!

Every cat is different and it'll just take a little time to find your ryhthm. You'll get the hang of it and be just fine. I had the same fears as you because we have an odd work schedule. You really should try doing the curve yourself, it's not at all difficult and then you'll have all the numbers using YOUR meter, which is quite valuable. Also, the $100 will but your next bottle of insulin!
 
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