Sample Handling - Accu-Chek Performa User Manual

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6
Technical Information

Sample Handling

Always.wear.gloves.when.handling.blood-contaminated.items..Always.adhere.to.the.recognised.procedures.
for.handling.objects.that.are.potentially.contaminated.with.human.material..Follow.the.hygiene.and.safety.
policy.of.your.laboratory.or.institution..Prepare.the.selected.blood.collection.site.per.facility.policy.
Refer.to.the.test.strip.package.insert.for.additional.information.regarding.acceptable.sample.types,.
anticoagulants,.and.handling.instructions.
Recommending Alternative Site Testing to Patients
Decisions.about.whether.to.recommend.Alternative.Site.Testing.(AST).should.take.into.account.the.
motivation.and.knowledge.level.of.the.patient.and.his.or.her.ability.to.understand.the.considerations.relative.
to.diabetes.and.AST..If.you.are.considering.recommending.AST.for.your.patients,.you.need.to.understand.
that.there.is.a.potential.for.a.significant.difference.between.fingertip.or.palm.test.results.and.test.results.
obtained.from.the.forearm.or.upper.arm..The.difference.in.capillary.bed.concentration.and.blood.perfusion.
throughout.the.body.can.lead.to.sample.site-to-site.differences.in.blood.glucose.results..These.physiological.
effects.vary.between.individuals.and.can.vary.within.a.single.individual.based.upon.his.or.her.behavior.and.
relative.physical.condition.
Our.studies.involving.alternative.site.testing.of.adults.with.diabetes.show.that.most.persons.will.find.their.
glucose.level.changes.more.quickly.in.blood.from.the.fingertip.or.palm.than.in.blood.from.the.forearm.or..
upper.arm.*.This.is.especially.important.when.blood.glucose.levels.are.falling.or.rising.rapidly..If.your.patient.
is.used.to.making.therapy.decisions.based.upon.fingertip.or.palm.test.results,.he.or.she.should.consider.the.
delay,.or.lag.time,.affecting.the.test.results.obtained.with.blood.from.the.forearm.or.upper.arm.
*Data.on.file
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7/11/13 1:27 PM

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