A Computerized Model for Home Glucose Monitoring Proficiency Testing: Efficacy of an Innovative Testing Program

Schrot, Richard J.; Foulls, Philip R.; Morrison, Anthony D.; Farese, Robert V.

doi:10.1177/014572179902500107

Cited by 8 publications

(6 citation statements)

References 6 publications

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“…The study revealed two kinds of errors that were quite frequent: errors that falsify the measurement reading as well as errors that can have a negative effect on patient compliance. In the reference literature there is a consensus that individuals with diabetes make numerous mistakes in the self- monitoring of their blood glucose levels and that remedial training sessions are required 22,23,24,25,26,27,28,29,30,33,34,38,39. But there is little data on how much impact to expect from these remedial training sessions for type 2 diabetic patients.…”

Section: Discussionmentioning

confidence: 99%

“…Alto et al found deviations of over 20% in 16% of the study participants22 and Kabadi et al found greater deviations in 25% of the participants 24. In the studies of Bergenstal and Schrot et al, 19% and 31%, respectively, of the readings deviated more than 15% from the control reading 27,30…”

Section: Introductionmentioning

confidence: 93%

“…Nevertheless, this user- friendliness does not ensure that the readings are error-free. Different studies on the evaluation of blood glucose self-monitoring in individuals with diabetes have shown that a number of errors occur during the self-monitoring 22,23,24,25,26,27,28,29,30,31,32. The American Diabetes Association (ADA) assumed in a consensus report published in 1990 that up to 50% of the self-monitored blood glucose readings have more than 20% deviation from the true values 33.…”

Section: Introductionmentioning

confidence: 99%

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Community pharmacy-based intervention to improve self-monitoring of blood glucose in type 2 diabetic patien

Müller

Hämmerlein

Casper

et al. 2006

Pharmacy pract. (Granada Ed. impr.)

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Self-monitoring of blood glucose (SMBG) is clearly correlated with increased life expectancy and quality of life in type 2 diabetic patients.ObjectiveThe objective of our study was to record and assess the errors patients make in preparing, performing, and processing self-monitoring of blood glucose (SMBG). Furthermore, the study aimed to determine to what extent a single standardized SMBG instruction session in a community pharmacy might reduce the number of patients making errors or the number of errors per patient.MethodsBetween May and October 2005, SMBG of 462 randomly selected patients with type 2 diabetes was monitored in 32 pharmacies specialized in diabetes care. The patients performed blood glucose self-tests using their own blood glucose meters. Self-testing was monitored using a standardized documentation sheet on which any error made during the performance of the test was recorded. If necessary, patients were instructed in the accurate operation of their meter and the use of the necessary equipment. Additionally, patients obtained written instructions. Six weeks later, assessment of the quality of patient’s SMBG was repeated.ResultsDuring the first observation, 383 patients (83%) made at least one mistake performing SMBG. By the time of the second observation, this frequency had fallen to 189 (41%) (p<0.001). The average number of mistakes fell from 3.1 to 0.8 per patient. Mistakes that may potentially have led to inaccurate readings were initially recorded for 283 (61%) and at study end for 110 (24%) patients (p<0.001).ConclusionIt is important to periodically instruct type 2 diabetic patients in the proper SMBG technique in order to ensure accurate measurements. In this study it was shown that community pharmacies specialized in diabetes care can provide this service effectively.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Community pharmacy-based intervention to improve self-monitoring of blood glucose in type 2 diabetic patien

Müller

Hämmerlein

Casper

et al. 2006

Pharmacy pract. (Granada Ed. impr.)

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“…The split-sample design is commonly used for quality control of POC instruments at hospitals or in GPs offices (104)(105)(106)(107).…”

Section: Split Sample Designmentioning

confidence: 99%

Self-monitoring of blood glucose with a focus on analytical quality: an overview

Kristensen

Sandberg²

2010

Clinical Chemistry and Laboratory Medicine

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Self-monitoring of blood glucose (SMBG) has been available for patients with diabetes for more than 30 years. Today, SMBG is an important component in diabetes management, helping patients achieve and maintain normal blood glucose concentrations. Implementation of SMBG as an effective glycaemic control tool requires that instruments have acceptable analytical quality, that the patients are educated in using them, and that actions are taken upon the results. This paper gives an overview of SMBG, including the history, clinical utility, principles of measurement and several aspects of analytical quality of SMBG. The latter comprises a standardised evaluation of SMBG performance, quality specifications as well as different approaches to monitor the quality of SMBG performance.

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“…[25] In 2004, €3.9 billion were spent on the SMBG worldwide, with a yearly growth rate of 11.5%. Researchers and patient organizations [25,[28][29][30][31][32] state that patients' measurements should be assessed regularly. In comparison, that same year the amount spent on drugs to lower blood glucose, including insulin, was approximately €52 million.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a method for glucose measurements in community pharmacies

Kjome

Nerhus

Sandberg

2010

International Journal of Pharmacy Practice

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A Computerized Model for Home Glucose Monitoring Proficiency Testing: Efficacy of an Innovative Testing Program

Cited by 8 publications

References 6 publications

Community pharmacy-based intervention to improve self-monitoring of blood glucose in type 2 diabetic patien

Community pharmacy-based intervention to improve self-monitoring of blood glucose in type 2 diabetic patien

Self-monitoring of blood glucose with a focus on analytical quality: an overview

Implementation of a method for glucose measurements in community pharmacies

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