What to do if I get a hyperglycemia reading on my Contour Next Gen (Continuous Glucose Monitoring System) glucometer?

Managing Hyperglycemia Readings on Contour Next Gen Glucometer

If you get a hyperglycemia reading (≥200 mg/dL) on your Contour Next Gen glucometer, you should first verify the reading with a repeat test, then follow your healthcare provider's treatment plan which may include taking insulin or other medication, increasing physical activity, adjusting diet, and increasing fluid intake to prevent dehydration. 1, 2

Verifying Your High Blood Glucose Reading

• First, verify the reading by performing a second test, as meter readings that seem discordant with how you feel should be retested 3
• Ensure your meter and test strips are functioning properly - only use unexpired strips purchased from a pharmacy or licensed distributor 3, 2
• Be aware that certain substances can interfere with glucose readings, including high-dose vitamin C, acetaminophen, and L-dopa (for glucose oxidase monitors) 3
• The Contour Next Gen uses glucose dehydrogenase technology, which is less affected by oxygen variations but can be affected by icodextrin (used in peritoneal dialysis) 3, 4

Immediate Actions for Hyperglycemia

• Follow your personalized treatment plan prescribed by your healthcare provider 5, 6
• If your blood glucose is >250 mg/dL (13.9 mmol/L) within a 24-hour period or >300 mg/dL (16.7 mmol/L) over 2 consecutive days, contact your healthcare provider 1
• If your reading is too high for the glucometer to measure, contact your healthcare provider immediately 1
• If you're experiencing symptoms of hyperglycemic crisis (excessive thirst, frequent urination, nausea, vomiting, abdominal pain, confusion), seek immediate medical attention 5, 6
• Increase your fluid intake to prevent dehydration 1

Treatment Considerations

• If you take insulin, you may need to administer a correction dose according to your healthcare provider's instructions 7
• If you're on oral medications, take them as prescribed 6
• Avoid carbohydrate-rich foods until your blood glucose returns to target range 7
• Engage in light physical activity if you feel well enough and your healthcare provider has approved exercise during hyperglycemia 7
• Continue monitoring your blood glucose more frequently (every 3-4 hours) until levels return to your target range 2

When to Contact Healthcare Provider

• For readings >250 mg/dL (13.9 mmol/L) within a 24-hour period 1
• For readings >300 mg/dL (16.7 mmol/L) over 2 consecutive days 1
• If you're sick with vomiting, symptomatic hyperglycemia, or poor oral intake 1
• If you have symptoms of diabetic ketoacidosis (fruity breath, deep rapid breathing, nausea/vomiting, abdominal pain) 5, 6
• If you're unable to keep your blood glucose within your target range despite following your treatment plan 6

Reliability of Contour Next Gen Meters

• Contour Next systems have demonstrated high accuracy in clinical studies, with mean absolute relative differences (MARD) as low as 7.0-7.8% in some studies 8, 9
• The system meets International Organization for Standardization (ISO) accuracy criteria 10, 11
• The Second-Chance® sampling feature recognizes insufficient sample volume and allows application of more blood to the same test strip if needed 10

Prevention of Future Hyperglycemia Episodes

• Keep a log of your readings to identify patterns and triggers 2
• Work with your healthcare provider to adjust your medication regimen if needed 6
• Maintain consistent carbohydrate intake as recommended by your healthcare team 7
• Stay hydrated and exercise regularly as approved by your healthcare provider 7
• Ensure you have adequate supplies of medication, test strips, and emergency supplies 2

Remember that consistent blood glucose monitoring is essential for diabetes management, and your Contour Next Gen meter is a reliable tool when used properly 3, 2. Always follow your healthcare provider's specific instructions for managing hyperglycemia.