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Current Guidelines
For Type 1 patients who would benefit from ketone testing
FreeStyle Optium is the everyday blood glucose meter that also acts as an early warning system by detecting rising ketones. This means it helps cut hospital costs by preventing unnecessary admissions,1 saving the NHS thousands of pounds each year.
As a bonus, FreeStyle Optium test strips are manufactured in Oxfordshire, making them British born and bred.
In March 2010, the Joint British Diabetes Societies (JBDS) Inpatient Care Group released guidance on the management of DKA and the Scottish Intercollegiate Guideline Network (SIGN) launched updated guidelines that include management of DKA - both recommend the use of blood ketone testing.
While DKA guidelines from the British Society of Paediatric Endocrinology and Diabetes (BSPED) highlight the dangers of diabetic ketoacidosis in children and also stress the superiority of blood ketone testing over urine ketone testing. These respected organisations believe in the benefits of blood ketone testing. The FreeStyle Optium Meter is an everyday blood glucose meter that can also test for blood ketones, therefore beneficial for all Type 1 patients.
JBDS "Ketonaemia is the hallmark of DKA. Frequent repeated measurement of blood 3-betahydroxybutyrate has only recently become a practical option due to the availability of meters which can measure blood ketone levels. Compelling evidence supports the use of this technology for diagnosis and management of DKA" 2
SIGN 116, 3.3.4 "When ketone monitoring is required during sustained hyperglycaemia, blood ketone monitoring with increased healthcare professional support is preferable to urine ketone monitoring in young adults with type 1 diabetes" 3
BSPED "Home measurement of blood β-OHB** [beta-hydroxybutyrate] concentrations, when testing, decreases diabetes-related hospital visits both early identification and treatment of ketosis" 4
These guidelines are available to download:
JBDS Guidelines: www.diabetes.nhs.uk
SIGN Guidelines: www.sign.ac.uk/pdf/sign116.pdf
BSPED Guidelines*: www.bsped.org.uk/professional/guidelines/docs/DKAGuideline.pdf
1. Laffel LM, et al. Sick day management using blood 3-hydroxybutyrate (3OHB) compared with urine ketone monitoring
reduces hospital visits in young people with T1DM: a randomized clinical trial. Diabet Med 2006; 23:278-285.
2. Joint British Diabetes Societies Inpatient Care Group: The management of diabetic ketoacidosis in adults. March 2010.
3. Scottish Intercollegiate Guideline Network (SIGN) 116: Management of diabetes: A national clinical guideline.
March 2010
4. Wolfsdorf J, et al. Pediatr Diabetes 2007; 8:23-43
* For the evidence-base to the management guidelines, please see the 2007 ISPAD guidelines:
www.ispad.org/FileCenter/10-Wolfsdorf_Ped_Diab_2007,8.28-43.pdf
reduces hospital visits in young people with T1DM: a randomized clinical trial. Diabet Med 2006; 23:278-285.
2. Joint British Diabetes Societies Inpatient Care Group: The management of diabetic ketoacidosis in adults. March 2010.
3. Scottish Intercollegiate Guideline Network (SIGN) 116: Management of diabetes: A national clinical guideline.
March 2010
4. Wolfsdorf J, et al. Pediatr Diabetes 2007; 8:23-43
* For the evidence-base to the management guidelines, please see the 2007 ISPAD guidelines:
www.ispad.org/FileCenter/10-Wolfsdorf_Ped_Diab_2007,8.28-43.pdf
