I've often wondered if there are med on the market that can mask actual bg
READINGS. Ones that can make the meter read high. Not knowing how strips
and meters work, I don't understand the possibility of that happening. I
know beta blockers, which I take, can affect how I FEEL, but not the
readings. Anyone ever have any experience with this? Thanks.
B
J.C. Hartmann - 14 Apr 2007 17:51 GMT
> I've often wondered if there are med on the market that can mask actual bg
> READINGS. Ones that can make the meter read high. Not knowing how strips
> and meters work, I don't understand the possibility of that happening. I
> know beta blockers, which I take, can affect how I FEEL, but not the
> readings. Anyone ever have any experience with this? Thanks.
> B
In the past, extremely high levels of ascorbic acid (Vitamin C) could
skew BG results. Most meter manufacturers have modified their strip
chemistry to minimize this.
There are other compounds that could affect BG strip chemistry, but they
would never be found in the human body. This is another good reason to
wash your hands before testing. It's not just sugar that you need to
wash off.
Jim
Kurt - 14 Apr 2007 19:38 GMT
> I've often wondered if there are med on the market that can mask actual bg
> READINGS. Ones that can make the meter read high. Not knowing how strips
> and meters work, I don't understand the possibility of that happening. I
> know beta blockers, which I take, can affect how I FEEL, but not the
> readings. Anyone ever have any experience with this? Thanks.
> B
Not sure about "masking" a blood sugar level but there are some that
might cause it to rise. You should ask your doctor, or even your
pharmacist. Here's a good link that you might be interested in
reading that's kind of all inclusive basics but has a few things that
might be of interest to you, Like this:
"Get informed about new medications. When you get a prescription to
treat another condition or if you want to take an over-the-counter
medication, be sure to tell the doctor or pharmacist you have diabetes
and ask if the medication can affect blood sugar. If the drug may make
blood sugar control more difficult, consult your diabetes doctor."
Here's the link:
http://www.mayoclinic.com/health/diabetes-management/DA00005
This link discusses some drug interactions, including drugs that might
mask "hypoglycemia" (which is not really what you're asking about, but
the article is interesting)
http://www.diabetesincontrol.com/issues/issue246/drugs.pdf
Check (and verify) any information with your doctor before making any
changes in your own personal medication.
Kurt
TigerLily - 15 Apr 2007 01:08 GMT
vitamin C can give a false reading on the new
'electric resistance' strips (versus the chromatic
strips)
i have to think what the other things were, but
there are more
kate

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> I've often wondered if there are med on the market that can mask actual bg
> READINGS. Ones that can make the meter read high. Not knowing how strips
> and meters work, I don't understand the possibility of that happening. I
> know beta blockers, which I take, can affect how I FEEL, but not the
> readings. Anyone ever have any experience with this? Thanks.
> B
Quentin Grady - 15 Apr 2007 06:21 GMT
This post not CC'd by email
On Sat, 14 Apr 2007 18:08:32 -0600, "TigerLily" <me@privacy.net>
wrote:
>vitamin C can give a false reading on the new
>'electric resistance' strips (versus the chromatic
[quoted text clipped - 4 lines]
>
>kate
G'day G'day Kate,
Vitamin C did give false readings on the strips that used reducing
power as the indicator of blood glucose. These strips weren't
selective. They worked on the assumption that the only common
reducing agent that could be present in large quantities in the blood
was glucose. Then along came the mega dosing folks with their 1000 mg
tablets of Vit C. For the first time there was another reducing agent
present in sufficient quantity to affect the readings. While some
other drugs also had reducing properties they weren't likely to be
present in sufficient quantities to create an error worth considering.
(It is possible I've over looked some rarer one)
Some other sugars besides glucose also could give false readings IF we
considered only glucose as being harmful. However the other sugars
that could also act as reducing agents also glycated proteins and did
damage so it didn't much matter whether or not they were glucose. We
simply had to think of the test as a blood sugar test rather than a
blood glucose test. Many of these sugars don't make it past the liver
so the problem sort of solved itself anyway.
OK, so what is the key point that needs to be made here?
Well at about the same time the electrical conduction based meters
came into production a more selective method of measuring the glucose
content became available. (Someone with a better sense of history is
welcome to correct my time scale.) Enzymes are amazing. Truly
amazing.
In the tertiary institute library where I work there was a diagram of
an enzyme showing the specifics of a lock and key model for an enzyme.
The substrate (chemical to be reacted, in this instance glucose) had
to fit into the cavity in the enzyme so that each functional group eg
OH had to fit in exactly the right place. It was like looking at a six
tumbler lock. The notches on the key had to fit perfectly or the
enzyme would not work.
Some creationist student had scrawled in the book, "So now do you
believe in God?" I smiled. They had a point. It takes a lot of
faith to think such a precise system as that required by enzymes to
work could have evolved.
Sorry about the ramble. My point is the electrical resistance meters
as I have experienced them are LESS likely to be influenced by Vit C
since they use enzymes which are highly specific.
In the end it is probably no big deal.
Best wishes,

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Quentin Grady ^ ^ /
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