Diabetes Points System - Jade

Jade is the first system ever to provide a points system covering more than just naive blood sugar results. Unlike others, we cover the full gamut of tests that people with diabetes perform.

We want to encourage healthy management practices for people with diabetes. Jade awards points for good results, and also for activities that can help improve results. You can even earn points on high blood glucose values - provided they fit predictions - as they are expected, after all. For example, if your blood sugar is elevated, and you choose to eat, then your blood sugar will first rise further. Jade's point system understands this, and does not penalise you for it.

Also, if your blood sugar is in-range, and you eat a reasonable amount of carbohydrate (e.g. 40+ grams), then chances are that your blood sugar will rise to a level considered 'too high' by other systems. Jade takes this in its stride, as it already expects blood sugars to rise after eating.

The following tables set out the points, and how they are calculated.

Day-to-day management	Aim	Max Points	How Calculated
Taking a BGL	Encourage regular testing	10	Up to 10 per day
BGL in range 4-8 mmol/l	Positive feedback for good results	50	Up to 5 per day
BGLs aligned to predictions within 30%	Fix dosing errors, does not matter if BGLs are High or Low	20	Up to 5 per day
Logging Carbs	Encourage recording of results	10	Up to 10 per day
Logging Insulin4	Encourage recording of results	10	Up to 10 per day
Periodic activities - self-management	Aim	Points	How Calculated
Exercise of 20 minutes or more	Encourage regular exercise	200	Up to 5 per week
Importing meter or pump data	Encourage regular analysis of results	300	Up to 1 every months
Blood test overnight (in 12am-5am time period)	Encourage occasional overnight testing	100	Up to 2 per month
Ketone test	Encourage occasional testing	100	Up to 2 per month
Blood pressure2	Encourage occasional testing	100	Up to 2 per 2 months
Height measured	Encourage better overall health	100	Up to 1 per 3 months
Weight measured	Encourage better overall health	100	Up to 1 per month
Current weight in Normal weight range according to BMI	Encourage better overall health	100	Up to 1 per month
Home test HbA1C1	Encourage periodic testing	200-400	Up to 1 every 3 months
Periodic activities - externally managed	Aim	Points	How Calculated
Lab HbA1C or Fructosamine1	Encourage periodic testing	300-500	Up to 1 every 3 months
Endocrinologist visit	Encourage regular clinical review	1000	Up to 1 every 3 months
Ophthalmologist / Optometrist visit (eye exams)2	Prevent blindness	300	Up to 1 every 6 months
Kidney - urine test for microalbumin1	Prevent kidney failure, leading to dialysis or transplant	200	Up to 1 every 6 months
Blood test for cholesterol levels, Blood Pressure, C-reactive protein	Prevent heart attack or stroke	200	Up to 1 every 6 months
Thyroid Test3	Detect thyroid problems	200	Up to 1 every 6 months
Nerve test - testing feet with monofilament	Prevent amputation	200	Up to 1 every 6 months
Diabetes educator meeting	Improve understanding of diabetes, latest devices	250	Up to 1 every 3 months
Dietician meeting	Improve dietary understanding	250	Up to 1 every 5 months
Podiatrist meeting	Ensure feet are healthy	250	Up to 1 every 12 months

1. HbA1C results are given on a linear sliding scale, from 7.5% as the highest HbA1C, and 4% as the lowest, with the lowest HbA1C getting the most points.
2. 12 years and older
3. Age less than 17
4. For those on Insulin therapy
5. n/a - Not calculated yet

Have we missed any tests or activities, or allocated points badly? Feedback is welcome! Click here

Desired Ranges

Still to be considered:

• Different scoring/ranges for people with Type and Type 2 diabetes
• Different scoring for children/adolescents/adults.