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Sunday, February 20, 2022

DIY Protective Covers for Continuous Glucose Monitoring (CGM) Sensors


19 February 2022

About 1 in 10 people will have diabetes. This number of diabetes is expected to double in future years.  It is a serious disease that will cause death if it is not properly managed and controlled.  The disease is more commonly found in aged people.   People get diabetes when their blood glucose is too high.  This glucose in the blood is commonly referred to as blood sugar, 

This article will not go into details about controlling and managing blood sugar as there are lots of good articles written about this on the net.   I just want to share about how to DIY a  cover for the Continuous Glucose Monitoring (CGM) Sensors when one happens to wear one.

What is Continuous Glucose Monitoring (CGM)?

There are generally 2 common types of methods to measure the level of blood sugar at home.  One of them is by using a glucose meter with a special test strip;  


the other is by using a special sensor that has to be planted on our body.   


The former is most commonly found at home and have been used for years.   The latter is only available in recent years.  It is by far the most effective way to control and manage the blood sugar in our bodies.  More details about CGM can be found here and elsewhere on the net.   This article will only talk about how to best secure and how to DIY a cover for the  CGM Sensor when it is installed on our body.

Why the need to secure the Sensor?

Usually,  the sensors are provided with means to secure the sensor to our body as one can see in the above picture,  But it does not look really very secure.  It is not that it will fall off that easily;  it is just the feeling of most people who wear them that the sensor could just "shear off" when it hit against something like a door jamb.  Besides,  there is always this sensation of arm-sore that will not go away even after days of wearing the sensor.  This could be because the needle of the sensor could be moving around when one is flexing the arms.  

As such,  one can find a lot of companies selling specially made covers or patches to secure these sensors.  They are not cheap either.



How to DIY the Cover?

There is actually no requirement specified by the manufacturer nor there are any standards available for the design of the sensor cover.   It is generally felt that the cover should have the prerequisites:

a)  It is waterproof;

b)  It must have a strong adhesive to stick firmly.  Easily replaced.

c)  It must not cause skin occlusion 

It must be waterproof so that water will not soak the sensor or its adhesive base when one is taking a bath.  It must have a strong adhesive itself to stick firmly to the skin & easily replaced.    Most important of all,  it must not cause skin occlusion which will often cause skin irritation,  leading to skin rashes or inflammation.  

Searching around,  we found the 3M micropore tape or similar most suitable for the DIY as it fit the 3 prerequisites.  The 3 M tape comes in 4 sizes,  the 3",  the 2",  the 1" and the 1/2".  The most common one found in the self is the 2",  the 1" and the 1/2";  but,  the most suitable one for use as a cover for the sensor is the 3" type.    

How to Use the Smaller size 3M Tape?

The only way is to join the pieces together using the following step by step.  In this case,  the most suitable one is the 1" type.

1)  Cut 3 pieces of 1" tape;  each tape is best to be roughly about 3.5 in length;

2)  Laid the tape on the glass.  In this example,  a mobile phone was used;


3)  Lightly place the 3 pieces of tape,  overlapping the edges as shown attached.   Apply some pressure over the overlapping edges to stick the pieces together;


4)  After that,  remove the tape;

5)  Cut a small round piece of plastic using a small bottle as the template as shown as stick the round piece right in the centre.  the plastic round piece should be larger than the adhesive of the CGM sensor.  This is to ensure the tape will not stick to the sensor and the adhesive and the tape can be easily replaced if necessary;


6)  Trim the DIY sensor cover and place the cover over the sensor as shown.





 




Thursday, February 3, 2022

How Best to Test & Calibrate a Blood Pressure Meter?

3 February 2022

A blood pressure meter is a common household item nowadays.  This is especially so when there are elderly people in the house.  

In the old day,  we used to have a mercury type of pressure meter which they called "sphygmomanometer".


Today,  most of us will use an electronic type of blood pressure meter as shown below
The good old mercury type of pressure meters are still being used by a lot of medical personnel because it is still the most reliable and accurate pressure meter around; whereas, electronic meters will often need regular calibration and routine checking.

This article will show how one can accurately check the accuracy of an electronic meter.


What's Needed?



How to Connect up?

 1.  Connect 8-mm Silicone Tube to the mercury reservoir as shown


2.  Connection the 8-mm tube to the T-Joint



Testing 

As shown in the video,   this Omron Blood Pressure BP742 meter under test has an accuracy of about +4 mm Hg or 3% of reading @ 131 mm Hg.  it is slightly off the manufacturer's limits of +- 3 mm Hg or 2% reading.  However, it has an accuracy of -1 mm Hg or -1% of reading @ 100 mm Hg which is better than the manufacturer's limits.

Diastolic &  Systolic Pressure Readings

To complete the test,  one should also place a stethoscope underneath the handcuff to listen to the heartbeats to check the accuracy of the systolic and diastolic pressure..  

During the working process,  one can hear the meter pumping up the pressure to the handcuff and the heartbeat sounds through the stethoscope as the pressure is building up.  When the pressure goes higher than a certain set of systolic pressure,   the meter will stop pumping.  This is when one could not hear any heartbeats.  Thereafter,  the meter will slowly release the pressure and the pressure readings will drop.  Note down the reading when one first hears a heartbeat. This is systolic pressure.  With further pressure drop,  note the reading when one no longer hear the heartbeat sounds. This is your diastolic pressure.  Compare this two readings with the readings recorded by the meter.  They should be within +-3%.

Calibration

Unfortunately,  there is no adjustment allowed in this Omron Blood Pressure BP742 meter as shown in the following picture.  It would appear the calibration has to be carried out by using some kind of software and this can be done only by the manufacturer as explained by the author of this article...



How Much is a Sphygmomanometer?

The market is selling a Sphygmomanometer at a price of around SGD 40/= to about SGD 300/=.



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