Alternative Site Testing
Important:
There are limitations with Alternative Site Testing (AST). Please
consult your health care professional before you perform AST.
● Alternative site testing (AST) should not be
used for calibrating continuous glucose
monitors (CGMs).
● Alternative site testing (AST) should not be
used for insulin dose calculations.
When to use AST?
Food, medication, illness, stress and exercise can affect blood glucose
levels. Capillary blood at the fingertip reflects these changes faster than
capillary blood at other sites. Thus, when testing blood glucose during or
immediately after a meal, physical exercise, or any other event, take a
blood sample from your finger only.
We strongly recommend that you perform AST ONLY at the following
times:
● In a pre-meal or fasting state (more than 2 hours since the last meal).
● Two hours or more after taking insulin.
● Two hours or more after exercise.
Do NOT use AST if:
● You think your blood glucose is low.
● You are unaware of hypoglycemia.
● You are testing for hyperglycemia.
● Your AST results do not match the way you feel.
● Your routine glucose results often fluctuate.
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Suggested Test Areas
for the Hand
Upper Arm
Forearm
Thigh
Calf