Is Sharing a Blood Glucose Lancing Device Safe? Risks and Precautions - Internal Medicine

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Shared blood glucose lancet


Hello, I lost my blood glucose lancing device, and the pharmacy ordered a new one for me.
They also provided me with a demo lancing device for temporary use.
I would like to ask if sharing a blood glucose lancing device (not the needle) can transmit bloodborne diseases, such as HIV or Hepatitis B.
I am concerned that my carelessness could put my family at risk.
Additionally, how can I track or confirm if I have been infected? Thank you.

Liu Xiaomi, 40~49 year old female. Ask Date: 2022/07/14

Dr. Liao Zhongxin reply Internal Medicine


A.
According to the data from the Centers for Disease Control: https://www.cdc.gov.tw/Category/Page/lehLY2EFku4q7Gqv4bql2w, there are three main routes of HIV transmission: 1.
Sexual transmission: Engaging in oral, anal, or vaginal intercourse or any other exchange of bodily fluids with an HIV-infected individual carries the risk of infection.
2.
Blood transmission: (1) Receiving or coming into contact with blood or blood products contaminated with HIV.
(2) Sharing needles, syringes, or diluents with individuals who are HIV-positive and inject drugs.
(3) Receiving an organ transplant from an HIV-infected donor.
3.
Vertical transmission from mother to child: Infants can acquire HIV from their infected mothers during pregnancy, childbirth, or through breastfeeding.
B.
Generally, HIV dies within ten minutes after leaving the human body and does not survive in the external environment.
If you still have concerns, please consult a healthcare facility that offers testing and counseling.

Reply Date: 2022/07/14

More Info


Sharing a blood glucose lancing device, particularly the device itself (excluding the lancet), generally poses a low risk for transmitting bloodborne diseases such as HIV or Hepatitis B. However, there are important considerations and precautions to keep in mind.

First, it's crucial to understand how bloodborne pathogens are transmitted. HIV, Hepatitis B, and other similar viruses are primarily spread through direct contact with infected blood. The risk of transmission through shared medical devices is significantly reduced if the device is properly cleaned and if only the lancet (the needle used to prick the skin) is shared. Most modern lancing devices are designed to be used with single-use lancets, which should be disposed of after each use to prevent cross-contamination.

When using a demo lancing device, ensure that you are using a new, sterile lancet each time you test your blood glucose. The device itself can be reused as long as it is cleaned according to the manufacturer's instructions. If the device has been properly sanitized and you are using a new lancet, the risk of transmitting infections is minimal.

However, if you are concerned about potential exposure, here are some precautions you can take:
1. Use New Lancets: Always use a new, sterile lancet for each blood glucose test. This is the most effective way to prevent the transmission of infections.

2. Clean the Device: If you are using a shared lancing device, clean it according to the manufacturer's guidelines before and after use. This may involve wiping it down with alcohol wipes or other disinfectants.

3. Monitor for Symptoms: If you are worried about potential infection, be vigilant for any symptoms associated with bloodborne diseases, such as unexplained fatigue, fever, or unusual bruising. However, many infections can be asymptomatic, so monitoring alone is not sufficient.

4. Testing for Infections: If you have significant concerns about exposure, consider getting tested for bloodborne pathogens. Many healthcare providers offer routine testing for HIV and Hepatitis B, and it’s a good idea to discuss your concerns with a healthcare professional who can guide you on the appropriate tests.

5. Educate Family Members: If you are worried about the safety of your family, educate them about the importance of using their own lancing devices and lancets. Encourage them to follow safe practices to minimize any risk of infection.

In summary, while the risk of transmitting bloodborne diseases through sharing a blood glucose lancing device is low, it is essential to follow proper hygiene practices. Always use a new lancet, clean the device as recommended, and be aware of any symptoms that may arise. If you have any lingering concerns, consulting a healthcare professional for personalized advice and testing is always a prudent step.

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