HOW TO MEASURE
RANDOM BLOOD
SUGAR (RBS)
Skill Assessment
REQUIREMENTS:
• Glucometer- A glucometer is a small, portable device that lets you
check your blood sugars (glucose levels) at home.
• Glucose test strips
• Lancet/Sterile needle
• Cotton
• Sanitizer
STEPS/PROCEDURE:
• Ask the patient to sit down and explain
what you are going to do.
• Wash your hands and put on gloves.
• Choose the site for the blood sample:
usually the side of a finger.
• Use an alcohol swab to clean the site
and let the alcohol dry.
• Insert the test strip into the monitor,
following the instructions.
• Use a single-use lancet or a lancing
device to draw blood and dispose of it
in a sharps container.
• Apply the blood to the testing strip in the correct way: some strips need the
blood drop to be over the whole of the test pad and some suck up the blood
directly from the site of the bleeding.
• Place the alcohol swab (note: it will sting) or a piece of gauze over the site
and hold it there, or let the patient hold it there until the bleeding stops.
Monitor for excess bleeding.
• Read and record the result, reporting and/or responding to abnormal
readings.
• Tell the patient what the result is, explain it and discuss options.
• Dispose of all used equipment safely, in line with hospital or health care
Who Should Use a Glucometer?
You may need to use a glucometer regularly if you have:
• Type 1 diabetes
• Type 2 diabetes
• Latent autoimmune diabetes in adults, or LADA (type 1 that develops in adulthood)
• Gestational diabetes (similar to type 2 diabetes but occurs only during pregnancy)
Frequent glucometer use can help you:
• Check your blood sugar levels and overall control
• See how your glucose levels respond to exercise or stress
• Recognize what else makes your levels spike or crash
• Monitor the effects of medications and other therapies
• See how well you're meeting treatment goals
• Glucose control is important because of both short-term and long-term health consequences
of unmanaged diabetes.
WHAT IS
DIABETES
MELLITUS?
Diagnosis of Diabetes Mellitus:
Diabetes Mellitus Follow up:
• The HbA1c is recommended to be performed at least twice a year in
diabetes patients with stable blood glucose levels.
• All patients should be screened for Diabetic Peripheral Neuropathy at the
diagnosis of type 2 diabetes and five years after the diagnosis of type 1
diabetes and should receive one or more of the following tests annually:
pinprick, temperature, ankle reflex, and vibration perception (128‐Hz
tuning fork) or pressure sensation (10 g monofilament test)
Glucose Tolerance Test:
• GTT is done to measure Insulin
Performance
RESULTS/INTERPRETATION:
SCREENING:
REFERENCES:
• [Link]
• [Link]
• [Link]
Module%20for%20Multi-Purpose%20Workers%20-
%20Prevention%2C%20Screening%20and%20Control%20of%20Com
mon%20NCDS_2.pdf
