Performance of Blood-Glucose Meters

Borthwick, L J; Ross, I.S.

doi:10.1016/s0140-6736(79)91401-6

Cited by 10 publications

(6 citation statements)

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“…Accurate results with SMBG are very technique-dependent, regardless of whether test strips are read visually or with a meter (4,(43)(44)(45)(46)(47)(48). If SMBG is prescribed by the health care provider, an effort should be made to assure that the patient's measurement technique is acceptable, both initially and at regular intervals thereafter.…”

Section: Although It Is Desirable That Patientsmentioning

confidence: 99%

“…Several studies have shown that performance of glucose meters varies widely and that use of these devices as "gold standards" with which patient monitoring systems are compared should be subject to rigorous quality control procedures (43,44,46,49). Yet, based on current U.S. government guidelines, whole blood glucose is classified as a "waived" test-one not requiring any proficiency testing-if the analysis is performed on a monitoring device cleared by the FDA for home use (52).…”

Section: Blood Glucose Testing By Health Care Providers For Routine Omentioning

confidence: 99%

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Tests of Glycemia in Diabetes

et al. 1995

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Section: Although It Is Desirable That Patientsmentioning

confidence: 99%

Section: Blood Glucose Testing By Health Care Providers For Routine Omentioning

confidence: 99%

Tests of Glycemia in Diabetes

et al. 1995

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“…6 We disagree with this conclusion. In our hands, as well as our patients', both the accuracy and precision of the ADE were adequate.…”

Section: Resultsmentioning

confidence: 85%

“…2 " 5 Others have found the ADE inaccurate to the point of challenging its usefulness. 6 We report here our experience with the ADE as a tool for achieving and maintaining improved metabolic control in patients with moderately to extremely unstable diabetes in an ambulatory setting.…”

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confidence: 99%

Feasibility of Blood Glucose Self-Monitoring in Unstable Insulin-dependent Diabetes

et al. 1980

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We have studied the impact of home blood glucose measurements with the Ames Dextrostix/Eyetone system on the metabolic control of 17 insulin-dependent, ketosis-prone, unstable diabetic patients. Thirteen patients (69 patient-months) were enrolled in a comprehensive program designed to achieve excellent metabolic control and which included the daily use of the Eyetone meter. Eleven of these patients were diabetic kidney recipients on daily prednisone. The improvement of the metabolic control, as assessed by daily home blood glucose measurements, was highly significant (P < 0.001) in 11 patients (85%). The control was still inadequate, however, in at least seven patients. In four unstable diabetic patients who were given the meter for 4 mo but were not followed closely during this period, modest or no improvement in metabolic control was observed. The Eyetone meter proved highly precise and accurate in our patients' hands. Several patients achieved a coefficient of variation of less than 5 (in 10 consecutive determinations) and a correlation coefficient with the Beckman glucose analyzer of 0.96. We concluded that the metabolic control can be markedly improved in the most unstable diabetic patients with home blood glucose measurements, provided the patients receive adequate and frequent encouragement and diabetic teaching. Without the latter, at least in unstable diabetes, whether patients are compliant or not, the instrument may have little impact on control.

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“…1-4 While numerous investigations have also revealed that these systems are accurate when used by trained nurses and physicianS5 6, contradictory findings have been noted . 7 The majority of studies designed to assess whether individuals with diabetes could learn to accurately measure their own blood glucose levels have also yielded positive results.9 II However, examinations of patient proficiency have been limited primarily to observing patients perform a blood test in a laboratory or doctor's office. Demonstrations of consistent accurate use of home monitors by patients in their natural environment are lacking.…”

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confidence: 99%

The Accuracy of Glucose Monitoring by Diabetic Individuals in Their Home Setting

Most

Gross²,

Davidson

et al. 1986

Diabetes Educ

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This study evaluated the accuracy of patient self- monitoring of blood glucose. Determinations were performed at home with simultaneous collec tions of whole blood into capillary tubes. Specimens were mailed to the laboratory where they were analyzed by a glucose-oxidase analyzer. A significant correlation was observed between pa tient determined and laboratory determined glucose values. However, patient-determined values differed from the laboratory values by >+20% in 53.8% of the samples. Inaccuracies were unrelated to training format, time since train ing, type of monitor, age, sex, duration of diabetes, frequency of monitor use, educational level, or knowledge of monitoring technique.

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Performance of Blood-Glucose Meters

Cited by 10 publications

References 0 publications

Tests of Glycemia in Diabetes

Tests of Glycemia in Diabetes

Feasibility of Blood Glucose Self-Monitoring in Unstable Insulin-dependent Diabetes

The Accuracy of Glucose Monitoring by Diabetic Individuals in Their Home Setting

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