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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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Newbie question: Do you re-use lancets?

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RPS - 07 Aug 2007 07:02 GMT
I am supposed to test 3 times a day. This is not the "greenest" issue,
but somehow I do find it quite wasteful to discard a lancet after one
use.

I talked to nurses and staffers about it and every reason they gave me
(would get dull, risk of infection, etc) should apply to shaving blades
as well and most people don't throw those away after one shave.

So, for a reality check here: Do you re-use your lancets? How many
times?
Good Night Moon - 07 Aug 2007 07:11 GMT
> So, for a reality check here: Do you re-use your lancets? How many
> times?

Yes, until they start to really hurt, from getting dull :)
For me that's ~5 times.
Alexander Arnakis - 07 Aug 2007 19:46 GMT
>> So, for a reality check here: Do you re-use your lancets? How many
>> times?
>
>Yes, until they start to really hurt, from getting dull :)
>For me that's ~5 times.

I change lancets every 6 months or so. That's hundreds of uses for
each one. They're not expensive -- I just don't want to be bothered
changing them.
Julie Bove - 07 Aug 2007 07:40 GMT
>I am supposed to test 3 times a day. This is not the "greenest" issue,
> but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 6 lines]
> So, for a reality check here: Do you re-use your lancets? How many
> times?

I use one lancet for many months.  I don't keep track of how long it has
been in there.  I just know it's time to change when it starts hurting.

You do need to change if you are testing someone else's blood though.
RPS - 07 Aug 2007 07:58 GMT
: I use one lancet for many months.  I don't keep track of how long it has
: been in there.  I just know it's time to change when it starts hurting.
:
: You do need to change if you are testing someone else's blood though.

Yes I do understand this. I forgot to mention that I would be the only
one using this meter.

BTW, how do you keep the exposed needle between tests? Wraps it in an
alcohol pad; just clean before re-use; or something else?
Julie Bove - 07 Aug 2007 08:11 GMT
> : I use one lancet for many months.  I don't keep track of how long it has
> : been in there.  I just know it's time to change when it starts hurting.
[quoted text clipped - 6 lines]
> BTW, how do you keep the exposed needle between tests? Wraps it in an
> alcohol pad; just clean before re-use; or something else?

Mine is not exposed.  I don't clean it and you NEVER want to put alcohol on
it.  They are lubed with something and alcohol will remove that. Mine is
retractable so it is covered with plastic.
johnniemccoy@ - 08 Aug 2007 00:10 GMT
"Julie Bove" <juliebove@verizon.net> wrote in message news:ftUti.2204

> I use one lancet for many months.  I don't keep track of how long it has
> been in there.  I just know it's time to change when it starts hurting.

At first, I changed mine every time - which was a pain (....yeah, I know -
pain...right). It was a relief to find out everybody here was just as lazy
as I am so, guilt free, I stopped changing them so often. Which reminds me,
this ones been in there about 6 months... probably time, huh?

John
Will, T2 - 08 Aug 2007 00:18 GMT
>At first, I changed mine every time - which was a pain (....yeah, I know -
>pain...right). It was a relief to find out everybody here was just as lazy
>as I am so, guilt free, I stopped changing them so often. Which reminds me,
>this ones been in there about 6 months... probably time, huh?

Check with Ted, but many of us  follow the St. Swithun's Day rule...
Do it that day and on the winter solstice, and you are good to go... I
have used only about 4 in the last couple of years... I do make sure
my finger about to be pricked is relatively clean.

The real bite is the cost of strips...

Will, T2
Mike - 14 Aug 2007 21:09 GMT
I stopped finger sticking more than 2 years ago......use my upper forearm
now.....no pain and BS is not much different than finger. The finger gives a
more accurate test of current blood sugar.  But you can test forearm and
finger and compare the difference. Mine is sometimes about less than 20
difference, and sometimes the same.

http://diabetes.webmd.com/guide/how-test-blood-glucose
Blood glucose levels in the fingertips show changes more quickly than those
in alternative testing sites. This is especially true when your blood
glucose is rapidly changing, like after a meal or after exercise. It is also
important to know that if you are checking your sugar at an alternative site
while you are experiencing symptoms of hypoglycemia, you should not rely on
these test results.

>>At first, I changed mine every time - which was a pain (....yeah, I know -
>>pain...right). It was a relief to find out everybody here was just as lazy
[quoted text clipped - 10 lines]
>
> Will, T2
johnniemccoy@ - 14 Aug 2007 23:40 GMT
>I stopped finger sticking more than 2 years ago......use my upper forearm
>now.....no pain and BS is not much different than finger. The finger gives
>a more accurate test of current blood sugar.  But you can test forearm and
>finger and compare the difference. Mine is sometimes about less than 20
>difference, and sometimes the same.

I would think it wouldn't matter which way you tested, as long as you always
test the same place. Once you got used to the reading always being higher...
using testing, as a tool, would be the same.... wouldn't it?

John
johnniemccoy@ - 14 Aug 2007 23:40 GMT
>I stopped finger sticking more than 2 years ago......use my upper forearm
>now.....no pain and BS is not much different than finger. The finger gives
>a more accurate test of current blood sugar.  But you can test forearm and
>finger and compare the difference. Mine is sometimes about less than 20
>difference, and sometimes the same.

I would think it wouldn't matter which way you tested, as long as you always
test the same place. Once you got used to the reading always being higher...
using testing, as a tool, would be the same.... wouldn't it?

John
Nicky - 15 Aug 2007 08:30 GMT
>>I stopped finger sticking more than 2 years ago......use my upper forearm
>>now.....no pain and BS is not much different than finger. The finger gives
[quoted text clipped - 5 lines]
>test the same place. Once you got used to the reading always being higher...
>using testing, as a tool, would be the same.... wouldn't it?

Yes, I think so - as long as you built in a lower trigger number. For
instance, if my finger stick goes above 7 on a pp, I go and exercise.
As alternate sites are slower, that trigger might need to be, say, 6.5
- because your eyes are faster than your forearm. You would also need
to be doing a lot of mental translation when everyone else is talking
about pp numbers, but not fasting ones, or you'd be in worse control
than they are.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
johnniemccoy@ - 14 Aug 2007 23:40 GMT
>I stopped finger sticking more than 2 years ago......use my upper forearm
>now.....no pain and BS is not much different than finger. The finger gives
>a more accurate test of current blood sugar.  But you can test forearm and
>finger and compare the difference. Mine is sometimes about less than 20
>difference, and sometimes the same.

I would think it wouldn't matter which way you tested, as long as you always
test the same place. Once you got used to the reading always being higher...
using testing, as a tool, would be the same.... wouldn't it?

John
johnniemccoy@ - 14 Aug 2007 23:42 GMT
>>I stopped finger sticking more than 2 years ago......use my upper forearm
>>now.....no pain and BS is not much different than finger. The finger gives
[quoted text clipped - 9 lines]
>
> John

As you can tell.... I really like this post......hahaha

John
(cross post sending issue with OE)
Alan S - 07 Aug 2007 10:19 GMT
Hi RPS

I've read all your questions but I'll reply to them all here
for simplicity.

First, I'll presume that you are newly diagnosed type 2,
please correct me if I'm wrong.

>I am supposed to test 3 times a day.
At this early stage, I'd see that as a bare minimum. Read
these two links to see why I say that:
http://www.alt-support-diabetes.org/NewlyDiagnosed.htm
http://loraldiabetes.blogspot.com/2006/11/when-to-test-one-hour-or-two-hour.html

> This is not the "greenest" issue, but somehow I do find
> it quite wasteful to discard a lancet after one use.

So do most of us. I toss mine when it starts to hurt; I
think I changed the last one on St Swithuns day:
http://tinyurl.com/2yhnk7

>I talked to nurses and staffers about it and every reason they gave me
>(would get dull, risk of infection, etc) should apply to shaving blades
>as well and most people don't throw those away after one shave.
>
>So, for a reality check here: Do you re-use your lancets? How many
>times?

Between 50 and several hundred. And I do nothing to store
it, apart from leaving it in my Soft-clix.

Your other questions:

>Naively, I would think that as my goal is to burn BG,
> it makes most sense to exercise when it is likely to be high,
> ie, a little after eating. Is that true?

It's what I do myself - so I must agree:-)

>Is there a book, or a very short list, that you consider
> to be the best on the subject of diabetes?

The First Year, Type 2 Diabetes, An Essential Guide for the
Newly Diagnosed. Author: Gretchen Becker. ISBN 1-56924-646-0

For more books and useful links, see:
http://loraldiabetes.blogspot.com/2006/10/books-and-links.html

Finally, I'm not aware of any meters that will test both A1c
and BG's. Best to continue with a BG meter that suits your
needs and get the "home" A1c tests that I believe are
available over there - or just get it from your path lab.

In among all those links, you may have missed the most
important one, so I'll repeat it:
http://www.alt-support-diabetes.org/NewlyDiagnosed.htm

Cheers Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg  
Signature

I have no medical qualifications beyond my own experience.
Choose your advisers carefully, because experience can be
an expensive teacher.
http://loraldiabetes.blogspot.com/
Everything in Moderation - Except Laughter.

RPS - 07 Aug 2007 16:25 GMT
: First, I'll presume that you are newly diagnosed type 2...

Yes, indeed.

: >I am supposed to test 3 times a day.
: At this early stage, I'd see that as a bare minimum. Read
: these two links to see why I say that:
: <http://www.alt-support-diabetes.org/NewlyDiagnosed.htm>
: <http://loraldiabetes.blogspot.com/2006/11/when-to-test-one-hour-or-two-hour.ht
: ml>

FYI, the second link seems broken.

My doctor wants me to test 3 times a day (fasting, 2 hours after lunch,
and before going to bed), so that is the minimum indeed. I could buy
extra strips and test more on my own.

Thank you for the information and links provided below.

: > This is not the "greenest" issue, but somehow I do find
: > it quite wasteful to discard a lancet after one use.
[quoted text clipped - 41 lines]
: Cheers Alan, T2, Australia.
: d&e, metformin 1500mg, ezetrol 10mg
Alan S - 07 Aug 2007 21:59 GMT
>: First, I'll presume that you are newly diagnosed type 2...
>
[quoted text clipped - 8 lines]
>
>FYI, the second link seems broken.

Your newsreader cut html in two:-)
Try http://tinyurl.com/26js9o


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraltraveloz.blogspot.com/
latest: Mossman Gorge in the Daintree Rainforest
http://loraldiabetes.blogspot.com/
latest: Self-Testing and Type 2 Management
RPS - 07 Aug 2007 22:28 GMT
: http://tinyurl.com/26js9o

Great, thanks!
Willa Hunt - 09 Aug 2007 22:46 GMT
>>Naively, I would think that as my goal is to burn BG,
>> it makes most sense to exercise when it is likely to be high,
>> ie, a little after eating. Is that true?

True, but with a couple of caveats: you need some time to
digest first, and it's generally not recommended that you
exercise if your sugars are really high (over 240.)  Some people
find vigorous exercise raises their BG, so you might want to
test a few times when you're starting out. I confess, I never
worry about this.

I exercise an hour after eating, which allows for digestion
and is also my BG peak time.
jackiepatti@gmail.com - 07 Aug 2007 11:21 GMT
> So, for a reality check here: Do you re-use your lancets? How many
> times?

Hundreds of time.  Mebbe even thousands.

I change my lancets before and after I test someone else's bg. That
probably occurs 2 or 3 times a year, so is pretty much the only time I
change them.

I reuse pen needles too - 3 or 4 times each.  More than that and they
get painful.

I don't reuse syringes for vial insulin - it's too expensive to ruin a
bottle over a cheapo syringe.
Lou - 07 Aug 2007 14:55 GMT
>I am supposed to test 3 times a day. This is not the "greenest" issue,
> but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 6 lines]
> So, for a reality check here: Do you re-use your lancets? How many
> times?

I change mine once a month.

Lou
Måck©® - 07 Aug 2007 15:50 GMT
>I am supposed to test 3 times a day. This is not the "greenest" issue,
>but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 6 lines]
>So, for a reality check here: Do you re-use your lancets? How many
>times?

many of re-use lancets.  especially if we use various lancing devices
to hold them.  we simply do not expose the lancet to anything but our
own clean skin at the time of testing.  

of course standard hygiene and safety rules applies.
1. never test anyone with a lancet you have used or test yourself with
a lancet used by someone else.
2. always clean testing sight.  Soap and water is best.  alcohol
doesn't clean as well as soap and water and long term use tends to dry
and crack the skin.

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RPS - 07 Aug 2007 16:36 GMT
: 2. always clean testing sight.  Soap and water is best.  alcohol
: doesn't clean as well as soap and water and long term use tends to dry
: and crack the skin.

I have been washing with soap and water. A bit worried that "fruity"
handwashing soaps my SO loves may contaminate the test, I even bought a
plain soap for me.

However, I have also been mimicking what I saw my nurse do in the lab:
rub the test site with an alcohol pad before testing and keep one
pressed on it after pricking. I thought that was to avoid infection.

Is all of this unnecessary when testing at home and washing hands in
advance?
Måck©® - 07 Aug 2007 16:56 GMT
>: 2. always clean testing sight.  Soap and water is best.  alcohol
>: doesn't clean as well as soap and water and long term use tends to dry
[quoted text clipped - 10 lines]
>Is all of this unnecessary when testing at home and washing hands in
>advance?

yes it's unnecessary.  If you tend to keep bleeding, you may need to
adjust your lancing device to a smaller depth.  and simply wash after
testing if possible.

your nurse has standards to follow that she is not allowed to alter
from.  Those standards are set by the hospital and OSHA(in the USA).
That does not mean that every step in the process is all that
effective.  And is geared to preventing the spread of blood bourn
pathogens in an environment where they are easily passed if one is
careless.

Signature

Måck©® Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org
http://www.pandora.com  enter "Jason & Demarco"

"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
...Theodore Roosevelt

        (o ô)  
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
             ....Bilbo Baggins

DISCLAIMER If you find a posting or message from me
offensive, inappropriate, or disruptive, please ignore it.
If you don't know how to ignore a posting, complain to
me and I will be only too happy to demonstrate...
.

W. Baker - 07 Aug 2007 16:59 GMT
In alt.support.diabetes RPS <rps@null.void> wrote:
: M?ck?? <trolls@renotworthsaving.net> wrote:

: : 2. always clean testing sight.  Soap and water is best.  alcohol
: : doesn't clean as well as soap and water and long term use tends to dry
: : and crack the skin.

: I have been washing with soap and water. A bit worried that "fruity"
: handwashing soaps my SO loves may contaminate the test, I even bought a
: plain soap for me.

: However, I have also been mimicking what I saw my nurse do in the lab:
: rub the test site with an alcohol pad before testing and keep one
: pressed on it after pricking. I thought that was to avoid infection.

: Is all of this unnecessary when testing at home and washing hands in
: advance?

Yup!  It is unnecessary and when I was first diagnosed I was told by the
nurse showing me how to test that soap and warm or hot water was
preferable to alcohol pads.  You don't need to pres on the finger tip
after testing as, unless you are not a clotter or are on coumadin, it will
clot very quickly.  If something interruptms me between lancing and
ttesting I often have to make a new  hole as the clot has formed already.  

By the way, have you scheuled an appointment with an opthtamologist, not
an opomitrist for a fully dilated retinal exam?  I is  good idea to make
sure that no little retinal problems have started that coul dbe fixed
easily adn for a base line fo rthe doctor.  You shouldn't get anew
perscription until you get your blood glucose stable, as your eyes may
vary quit a bit as the numbers go up and down.

Wendy- wearing her "eye police" hat.  Please excuse my typos as I am
visually challanged.
RPS - 07 Aug 2007 17:37 GMT
: Yup!  It is unnecessary and when I was first diagnosed I was told by the
: nurse showing me how to test that soap and warm or hot water was
: preferable to alcohol pads.  You don't need to pres on the finger tip
: after testing...

Great! If I can get away with soap + water, plus maybe a kleenex at
most, I'll just save the alcohol pads for special occasions like
travel.

: By the way, have you scheuled an appointment with an opthtamologist,

Yes, my doctor saw to that and sent me to a specialist in diabetic eyes
etc. Fortunately my eyes are ok. I do wear glasses as I have for years,
Alan S - 07 Aug 2007 21:56 GMT
>: Yup!  It is unnecessary and when I was first diagnosed I was told by the
>: nurse showing me how to test that soap and warm or hot water was
[quoted text clipped - 9 lines]
>Yes, my doctor saw to that and sent me to a specialist in diabetic eyes
>etc. Fortunately my eyes are ok. I do wear glasses as I have for years,

Forget the alcohol. I still have my original pack; they get
used to clean my meter and soft-clix occasionally.


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraltraveloz.blogspot.com/
latest: Mossman Gorge in the Daintree Rainforest
http://loraldiabetes.blogspot.com/
latest: Self-Testing and Type 2 Management
Loretta Eisenberg - 07 Aug 2007 20:04 GMT
rps, the alcohol swabs are not necessary.  with doing all the steps you
were told to do you will be spending far to much time on this procedure
imo.

I use scented soaps and they do not affect my bgs.  I either use hand
sanitzier or wash my hands before every test, the alcohol will dry out
your skin.

Loretta
Julie Bove - 07 Aug 2007 20:33 GMT
> : 2. always clean testing sight.  Soap and water is best.  alcohol
> : doesn't clean as well as soap and water and long term use tends to dry
[quoted text clipped - 10 lines]
> Is all of this unnecessary when testing at home and washing hands in
> advance?

Do not use alcohol!  It is drying to the skin and can cause infection.  The
nurse only uses it because she is testing person after person.  At home, use
soap.  Any soap will do unless it has some form of carbs in it like milk or
honey.  I suppose it's possible that a "fruity" soap has real fruit in it,
but it's not likely.  More likely it is just a scent.
matt weber - 07 Aug 2007 20:52 GMT
>: 2. always clean testing sight.  Soap and water is best.  alcohol
>: doesn't clean as well as soap and water and long term use tends to dry
[quoted text clipped - 10 lines]
>Is all of this unnecessary when testing at home and washing hands in
>advance?
Don't use alcohol. It toughens the skin, and to be polite, it isn't
very effective as a disinfectant either. It takes prolonged alcohol
exposure to kill bugs, not 10 seconds, more like 10 minutes. The
reality the main disinfecting impact of the alcohol swab is
mechanical, and soap and water does it at least as well.

The reality is your body learned how to deal with most of the bugs
that live on the skin long ago. About 10 years ago there was a trial
in which some patients swabbed with alcohol before injection, and some
actually injected right through their clothers. The trial failed to
show ANY difference in skin infection rates between the groups.

Keep in mind that a Drs office isn't the same as at home. Drs offices,
and hospitals have the nastiest bugs in the world (having nearly died
of a Hospital acquired MRSA infection last year), but most of what is
around the house and on your skin, your immune system deals with quite
easily. So there are reasons to be more careful in a hospital or drs
office setting. Those aren't the bugs your body is accustomed to
dealing with.

Now if you have HIV, or are otherwise immuno compromised, re-use of
lancets, or failing to wash before injections may not be such a good
idea, but for most people, it just doesn't make any difference.

I reuse lancets, and needles until they get dull. No, I don't get 4
months, but I easily get a week...
J J Levin - 07 Aug 2007 22:00 GMT
>>: 2. always clean testing sight.  Soap and water is best.  alcohol
>>: doesn't clean as well as soap and water and long term use tends to dry
[quoted text clipped - 24 lines]
> Keep in mind that a Drs office isn't the same as at home. Drs offices,
> and hospitals have the nastiest bugs in the world

I remember what someone told me once: the worst thing to touch in a
hospital is... doorknobs.  They're  touched by EVERYONE, doctors, nurses,
patients, guests, and no one gives a second thought to handling them.

Jay
jackiepatti@gmail.com - 08 Aug 2007 01:24 GMT
> Is all of this unnecessary when testing at home and washing hands in
> advance?

Yes.  Washing is quite sufficient.

Sometimes my timer goes off to remind me to test when I'm in the car
or something where there's no sinak around.  Frankly, I just suck on
my finger a minute to make sure there's no food residue on it to screw
up the results.

This assumes my finger is *relatively* clean to begin with - I
wouldn't do this if I'd just checked the oil, for instance.

I've never gotten an infection from testing.
Alan S - 08 Aug 2007 04:51 GMT
>Yes.  Washing is quite sufficient.
>
[quoted text clipped - 7 lines]
>
>I've never gotten an infection from testing.

I call that the KFC method.

Finger-lickin' good.

It's as near as I get to KFC these days:-)


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraltraveloz.blogspot.com/
latest: Mossman Gorge in the Daintree Rainforest
http://loraldiabetes.blogspot.com/
latest: Self-Testing and Type 2 Management
Ben Skversky - 07 Aug 2007 16:09 GMT
I test 4 times a day. I use the same lancet. I change lancets every day.

>I am supposed to test 3 times a day. This is not the "greenest" issue,
> but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 6 lines]
> So, for a reality check here: Do you re-use your lancets? How many
> times?
ray - 07 Aug 2007 16:16 GMT
> I am supposed to test 3 times a day. This is not the "greenest" issue,
> but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 6 lines]
> So, for a reality check here: Do you re-use your lancets? How many
> times?

I believe my current lancet has only been in use about four months. I see
no reason to switch until they become dull.
Warren and Paula Jo - 07 Aug 2007 17:29 GMT
Personally I don't feel its worth any risk from infection so for my 13 years
with diabetes I've always used new lancets or new needles each time.  I can
only recall two occasions reusing a lancet and that was because I forget to
fill my case when I left home and only had one with me for two tests.
Needles are a little more expensive but my lancets cost one cent each.  To
save money by reusing a lancet at that level of cost would push me from my
current status of 'cheap' to 'cheap bastard'  ;-)

The BD web site has a page about reuse (and yes I know they have a vested
interest in it).  Its about their needles but the same would seem to
logically apply to lancets.  There are two points that stand out to me:

http://www.bddiabetes.com/us/main.aspx?cat=1&id=266

1) The tip of a reused needle can be weakened to the point where it breaks
off and gets stuck under your skin.

2) Studies have shown that there's a link between needle reuse and the
appearance of lumps of fatty tissue that can form at an injection site
(lipodystrophy).

>I am supposed to test 3 times a day. This is not the "greenest" issue,
> but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 6 lines]
> So, for a reality check here: Do you re-use your lancets? How many
> times?
Alan S - 09 Aug 2007 09:04 GMT
>Personally I don't feel its worth any risk from infection so for my 13 years
>with diabetes I've always used new lancets or new needles each time.  I can
[quoted text clipped - 3 lines]
>save money by reusing a lancet at that level of cost would push me from my
>current status of 'cheap' to 'cheap bastard'  ;-)

Hey - I accept that I am a cheap bastard.

However, I do not re-use lancets based on cost, purely on
convenience. It takes three times as long for me to do a
test when I add lancet-change and disposal. When I was
following Jennifer's test advice that was simply
impractical. I found that re-uding the lancet had no
negatives so I continued the practice.

>The BD web site has a page about reuse (and yes I know they have a vested
>interest in it).  Its about their needles but the same would seem to
>logically apply to lancets.

There we differ. The same does not logically apply at all. A
lancet and a needle are different gauges, different
construction, are used for different purposes and go to
different depths.

> There are two points that stand out to me:
>
[quoted text clipped - 6 lines]
>appearance of lumps of fatty tissue that can form at an injection site
>(lipodystrophy).


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
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latest: Mossman Gorge in the Daintree Rainforest
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latest: Self-Testing and Type 2 Management
Cheri - 07 Aug 2007 18:03 GMT
>I am supposed to test 3 times a day. This is not the "greenest" issue,
>but somehow I do find it quite wasteful to discard a lancet after one
>use.

I change mine about every six months. Also, change it if testing
someone else, before and after.

Cheri
jtees4 - 07 Aug 2007 19:12 GMT
>I am supposed to test 3 times a day. This is not the "greenest" issue,
>but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 6 lines]
>So, for a reality check here: Do you re-use your lancets? How many
>times?

I re-use lancets until they become dull...genearally a week. I also
test three times a day.... and I don't pay for them. Good luck.
J J Levin - 07 Aug 2007 19:22 GMT
>>I am supposed to test 3 times a day. This is not the "greenest" issue,
>>but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 9 lines]
> I re-use lancets until they become dull...genearally a week. I also
> test three times a day.... and I don't pay for them. Good luck.

Is it possible to dip the tip of the lancets in a bit of alcohol and clean
them?

Jay
Loretta Eisenberg - 07 Aug 2007 20:06 GMT
Jay, you could do that, but it would negate the fact that you have to
have clean hands,  You will be sterilizing the lancet but there could be
the remainder of food on your hands that you dont see and give you
higher numbers.

Loretta
J J Levin - 07 Aug 2007 20:33 GMT
> Jay, you could do that, but it would negate the fact that you have to
> have clean hands,  You will be sterilizing the lancet but there could be
> the remainder of food on your hands that you dont see and give you
> higher numbers.
>
> Loretta

Of course I wash my hands (well, most times anyway). I was thinking more of
sterilizing the lancet tip to prevent infections.

Jay
Loretta Eisenberg - 07 Aug 2007 22:30 GMT
Jay, in eight years I have never sterilized a lancet and I havent had
any infections. ymmv but i have never heard anyone say that that got an
infection from reusing a lancet.

Loretta
jtees4 - 13 Aug 2007 15:08 GMT
>Jay, in eight years I have never sterilized a lancet and I havent had
>any infections. ymmv but i have never heard anyone say that that got an
>infection from reusing a lancet.
>
>Loretta

Same here, except it's only been three years for me (+10 on pills
before insulin).
Julie Bove - 07 Aug 2007 22:44 GMT
> Of course I wash my hands (well, most times anyway). I was thinking more
> of sterilizing the lancet tip to prevent infections.

I've yet to hear of anyone becoming infected from a lancet.
Alan S - 07 Aug 2007 23:28 GMT
>> Of course I wash my hands (well, most times anyway). I was thinking more
>> of sterilizing the lancet tip to prevent infections.
>
>I've yet to hear of anyone becoming infected from a lancet.

The only report that I am aware of is this one:
http://www.cdc.gov/mmwr/preview/mmwrhtml/00046679.htm

However, the problems reported there were all related to
multiple testing of several patients in nursing homes or
hospitals sequentially. The lancets were changed for each
patient; however the end caps of the lancet device were not,
or, when they were, the used and unused end caps were mixed.

Therefore, it was not lancet re-use that caused those
infections but poor end cap hygiene. A point worth noting
for those of us who test friends and relatives. I always
change lancets for those occasions but I've not changed end
caps. I do clean the end cap between people but I'll take a
little extra care in future.

I have yet to see any reports of infection from personal
repeated re-use of lancets.


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraltraveloz.blogspot.com/
latest: Mossman Gorge in the Daintree Rainforest
http://loraldiabetes.blogspot.com/
latest: Self-Testing and Type 2 Management
RPS - 08 Aug 2007 03:31 GMT
: Of course I wash my hands (well, most times anyway). I was thinking
: more of sterilizing the lancet tip to prevent infections.

I was at peace with just re-using the lancet without such steps once I
realized it is no different from re-using my shaving razor. Perhaps
because t is viewed as a routine activity rather than a medical one,
nobody ever bother with "sterilizing" their razor the second time.
Julie Bove - 07 Aug 2007 20:36 GMT
> Is it possible to dip the tip of the lancets in a bit of alcohol and clean
> them?

That would remove the protective coating and  make them hurt.
Måck©® - 07 Aug 2007 23:27 GMT
>>>I am supposed to test 3 times a day. This is not the "greenest" issue,
>>>but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 14 lines]
>
>Jay

NO!!!

that will result in the protective coating being stripped off and it
won't clean them simply by dipping them.  

In order to actually clean, sterilize, something with alcohol you have
to soak it in alcohol for a period of time.

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Loretta Eisenberg - 07 Aug 2007 20:01 GMT
Hi welcome to our group  As to the answer to your quesrtion, I reuse,
reuse and reuse them again.  I woudl say I use about two or three a week
and I test six to eight times a day.  I think you will find that most of
us do reuse the lancets

Loretta
Flying Rat - 07 Aug 2007 20:43 GMT
> Hi welcome to our group  As to the answer to your quesrtion, I reuse,
> reuse and reuse them again.  I woudl say I use about two or three a week
> and I test six to eight times a day.  I think you will find that most of
> us do reuse the lancets
>
> Loretta

I change mine every Easter whether it needs it or not...

Ratty
Jeffrey Kaplan - 07 Aug 2007 21:57 GMT
It is alleged that RPS claimed:

> I am supposed to test 3 times a day. This is not the "greenest" issue,
> but somehow I do find it quite wasteful to discard a lancet after one
[quoted text clipped - 6 lines]
> So, for a reality check here: Do you re-use your lancets? How many
> times?

When I was given my meter a couple months ago, the Diabetes Educator
told me that the Official Recommendation is to change every use for
reasons of cleanliness.  But unless you're sharing the lancet, it
should be good for at least a week.  She said that after a week, you
would start pushing the risk of infection and sharpness.  I seem to be
changing the lancet about every 10 or so days.

As for the comment about changing it when it starts to hurt... it
always hurts.  How much depends on which finger and where on the
finger.

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Alan S - 07 Aug 2007 22:08 GMT
>As for the comment about changing it when it starts to hurt... it
>always hurts.  How much depends on which finger and where on the
>finger.

Mine rarely hurts. Time I re-posted this:

http://loraldiabetes.blogspot.com/2006/10/painless-pricks.html

Painless Pricks

One of the common objections to testing blood glucose more
frequently is a fear of pain from testing. If you are
suffering pain when you test - then you are doing it
incorrectly.

This is some advice I passed on to some friends, based on my
own experience. As always, check with your doctor if in any
doubt.

Wash your hands in warm water first, and shake them to get
the circulation going. Check your lancet - it should be
adjustable. Mine is Soft-clix, made by Roche and is usually
painless. I get an occasional tiny sting, and it lets me
know if it's getting blunt sometimes, but I've tested well
over 5000 times in the past 5 years without any trauma.
That's from a guy who was, and is, needle-phobic.

Start with the second lowest setting (1 or 1.5), hold it
firmly against your skin on the side of a finger near the
tip. Don't flinch when you release the button. The button
releases a spring-loaded tiny needle which makes a tiny hole
in your skin and instantly retracts. Incidentally, using the
sides has two advantages - there are less nerve-ends than on
the pads, and it doubles the number of test-points so you
can rotate through the positions.

Massage gently (milking a cow) until a drop of blood forms
sufficient to put on the test strip. If this setting doesn't
provide an adequate quantity, move the lancet setting up one
notch for the next one. If you got a large sample and it
hurt a little, go to the lower setting.

And that's all there is to it. Sometimes it helps to shake
your hands a little more, or warm them up if it's cold. The
manufacturers advise changing the lancet needle every time;
I change mine when I remember or if it gets a bit blunt. You
do what you are comfortable with, subject to doctor's
orders.

Cheers Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg  

I have no medical qualifications beyond my own experience.
Choose your advisers carefully, because experience can be
an expensive teacher.
http://loraldiabetes.blogspot.com/
Everything in Moderation - Except Laughter.
 
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