Technology to help you manage your diabetes

It’s no exaggeration to say we’re living through a revolution in diabetes care. New treatments and technological advances are rapidly transforming the outlook for patients – with major improvements in virtually every aspect of managing your condition, from continuous glucose monitoring to insulin pumps…

For a specialist Consultant appointment (no Doctor’s referral required) or to get a second opinion Call +44 (0)800 0483 330 Email info@londonmedical.co.uk

Meters – Guide to Glucose Monitoring

Blood glucose (sugar) control is very important for people with diabetes. Home blood testing will help you to keep your diabetes under control, as well as give you valuable feedback on how different foods, illness, activity, or stress affect your glucose levels. 

In addition to monitoring your own glucose levels, your Diabetes Team will request an HbA1c test every 3-6 months. This test can be taken on the day of your appointment at the London Medical and you will have the result within 5-10 minutes. This test shows what your average blood glucose has been over the previous two – three months. A result of 6.5% or below is desirable to reduce the risk of complications associated with diabetes. 

For a GP appointment (no Doctor’s referral required) or to get a second opinion Call +44 (0)800 0483 330 Email info@londonmedical.co.uk

Which blood glucose meter?

The pharmacy at the London Medical has a selection of blood glucose meters. Our Diabetes Specialist Nurse can help you select the most suitable meter for you and provide training on its use. All meters have a manufacturer’s user guide leaflet, and it is important that you read and understand the instructions. Helpline (free phone) telephone advice is available from each meter company. 

It is important you replace your meter if it is over three years old to ensure your test results are accurate. Often new technology replaces old meters and may have some added benefits that your old meter did not have: for example, the newer models convert the result of whole blood automatically to plasma values; require far less blood; give the result in less than 5-10 seconds; allow you to upload your results onto your computer with a full analysis for easier understanding of what you might need to do. Each meter company Customer Careline will send you the cable and instructions about how to upload your glucose test data. Your meter will come with a warranty card for you to complete. 

Below are some of our range:

For a nurse or dietitian appointment (no Doctor’s referral required) or to get a second opinion Call +44 (0)800 0483 330 Email info@londonmedical.co.uk

Where can I obtain my strips and lancets?

The London Medical stocks the full range of test strips and lancets to match the glucose meters in our Pharmacy. These can be purchased when you attend the clinic or we can arrange for the products to be delivered to you by post. If you have an older meter please check by ringing the clinic to ensure you obtain accurate test results. Alternatively, you could ask your General Practitioner to prescribe the equipment required.

How to use your glucose monitoring information?

If you are experiencing problems with your blood glucose control, or if you would like advice about your treatment, you can send your blood glucose levels to your Diabetes Care Team at London Medical. Many meters can now be downloaded at home and sent to us via diasend a web-based diabetesmanagement system, e-mail, or phone the Diabetes Specialist Nurse/Educator with your results. Most meter companies will be happy to send you the equipment (CD-ROM and/or download cable) to enable you to download all your meter data and have the analysed results printed out from your computer.

https://www.diasend.com/en/patient

CGM – Continuous glucose monitoring

Continuous glucose monitoring is a way to measure glucose levels in real-time throughout the day and night. A tiny electrode called a sensor is inserted under the skin to measure glucose levels in the tissue fluid.

For a specialist Consultant appointment (no Doctor’s referral required) or to get a second opinion Call +44 (0)800 0483 330 Email info@londonmedical.co.uk

CGM systems offer the following:

  • A display of current glucose level
  • A trend arrow indicating whether glucose is falling or rising
  • Trend information e.g. a graph showing results over the last three, six or 24 hours
  • Some have alarms to indicate high or low glucose or rapid change
  • Ability to download data and view graphs and statistics

CGM systems usually have three parts:

  • Sensor – this senses how much glucose there is in the interstitial fluid and is inserted into the skin. This is connected to the transmitter.
  • Transmitter – this is worn on the skin which communicates with the receiver (usually wirelessly).
  • Receiver – this records results and displays them on a pager sized device often worn on a belt or carried in a handbag. Systems that display immediate results are often called ‘real-time’.

    For a GP appointment (no Doctor’s referral required) or to get a second opinion Call +44 (0)800 0483 330 Email info@londonmedical.co.uk

Many people can benefit from continuous glucose monitoring:

  • Adults and children with type 1 or type 2 diabetes
  • People whose glucose level is outside of the normal range, not yet diagnosed with diabetes or other medical conditions  
  • People with diabetes who have lost the ability to detect hypoglycaemia during the night or day
  • Pregnant ladies with diabetes, gestational diabetes or trying to conceive
  • People with diabetes wishing to reduce erratic blood glucose fluctuations
  • People with diabetes who are involved in sporting activities
  • People with diabetes whose concentration is affected by changing glucose levels 
  • People with diabetes who require additional monitoring whilst driving  
  • People with diabetes who live alone
  • People who are changing diabetes therapy such as starting insulin pump therapy
  • People with diabetes who require observation during hospital admission 

For a nurse or dietitian appointment (no Doctor’s referral required) or to get a second opinion Call +44 (0)800 0483 330 Email info@londonmedical.co.uk


Research suggests that using a CGM can help reduce Hba1c without the risk of hypoglycaemia.

There are currently various suppliers offering continuous monitoring systems:

What Is Insulin Pump Therapy

An insulin pump is a small battery-operated device that provides your body with precise doses of rapid-acting insulin to closely match your body’s needs.
The insulin is delivered via a tiny flexible cannula, inserted under the skin. The cannula can be left in for two to three days before it needs to be replaced and moved to a different insulin injection site.

Basal Rate: (background insulin) Small amounts of insulin delivered continuously (24/7) for normal functions of the body (not including food). Basal rates can be adjusted in increments as small as 0.025unit/hr
Bolus Dose: (Insulin for food) Additional insulin you can deliver “on demand” to match the food you are going to eat or to correct a high blood sugar. Insulin pumps have bolus calculators that help you calculate your bolus amount

Advantages of insulin pump therapy:

  • Better control of your blood sugar levels, with fewer highs and lows.
  • Help to prevent long-term complications
  • Fewer injections – the cannula only needs replacing two or three times a week.
  • More flexibility with what, when and how much you eat.
  • Less risk of highs and lows when exercising.
  • More predictable absorption of insulin than injections.
  • Ability to change your basal (background) insulin if you’re ill.
  • Greater accuracy in bringing down high blood sugar levels.
  • Better management of blood sugar levels when travelling across time zones.

For a specialist Consultant appointment (no Doctor’s referral required) or to get a second opinion Call +44 (0)800 0483 330 Email info@londonmedical.co.uk

What pump types are available?

Pumps vary from being a tethered (line pump) or patch pump also vary in colour, battery life, screen size and extra features, such as a remote control and linking to CGM’s.

Our diabetes healthcare team will help you choose.

https://www.medtronic-diabetes.co.uk/minimed-system/minimed-640g-insulin-pump

http://www2.cellnovo.com/pump

https://www.myomnipod.com/explore-omnipod/omnipod-system/

https://www.accu-chek.co.uk/gb/products/insulinpumps/index.html

At London Medical our pump training programme can be tailor-made to meet your individual needs. The number of appointments and hours required can be planned with the diabetes team to ensure you receive adequate training time.

For a GP appointment (no Doctor’s referral required) or to get a second opinion Call +44 (0)800 0483 330 Email info@londonmedical.co.uk