Self-Monitoring of Blood Glucose, Cutaneous Finger Injury, and Sensory Loss in Diabetic Patients

Floch, Jean-Pierre Le; Bauduceau, B.; Lévy, Marc; Mosnier-Pudar, Helen; Sachon, C.; Kakou, Bénédicte

doi:10.2337/dc08-1174

Cited by 17 publications

(13 citation statements)

References 4 publications

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“…Furthermore, there are numerous factors that affect sampling that are not associated with the initial lancing event per se or the device itself, such as the postlancing technique (eg, pressure applied) used to express the blood sample from the skin. 3,[11][12][13] This study did not seek to control these factors.…”

Section: Discussionmentioning

confidence: 99%

A Clinical Evaluation of Routine Blood Sampling Practices in Patients With Diabetes

Grady

Pineau²,

Pynes³

et al. 2014

J Diabetes Sci Technol

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These results provide evidence across 8 lancing systems that challenge the current perceptions that patients with diabetes struggle to produce sufficient blood samples to fill most test strips, including those with 1-µL fill requirements, and that obtaining larger volumes of blood is more painful. These results are consistent with the previous literature suggesting that patients derive no real benefits from very low strip volumes and generally prefer a blood drop size that enables them to confidently fill their test strip.

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Section: Discussionmentioning

confidence: 99%

A Clinical Evaluation of Routine Blood Sampling Practices in Patients With Diabetes

Grady

Pineau²,

Pynes³

et al. 2014

J Diabetes Sci Technol

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“…The device was designed to lessen test complexity and reduce the number of handling steps, which can affect patients' adherence to recommended testing frequencies 19 , [20] . The system also utilizes new lancing device technology, enabling nearly pain-free testing, which can impact patient adherence [21] .…”

Section: Methodsmentioning

confidence: 99%

Use of an integrated strip-free blood glucose monitoring system increases frequency of self-monitoring and improves glycemic control: Results from the ExAct study

Maran

Tschöepe

Mauro

et al. 2014

Journal of Clinical & Translational Endocrinology

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AimsWe investigated the impact of using an integrated, strip-free system compared to the use of single-strip systems on testing frequency and glycemic control in individuals with insulin-treated diabetes.MethodsThis multinational, comparative, cluster-randomized, observational study included 311 patients with type 1 and insulin-treated type 2 diabetes who were performing SMBG at suboptimal frequencies. Sites were cluster-randomized to “integrated strip-free” system (EXP group) or any “single-strip” system (CNL group). Testing frequency and HbA1c were measured at baseline, 12 weeks and 24 weeks.ResultsAt week 24, the EXP group showed an increase in SMBG frequency from baseline of 4.17 tests/week (95% CI 2.76, 5.58) compared with an increase of 0.53 tests/week (95% CI −0.73, 1.79) among CNL patients, resulting in a between-group difference of 3.63 tests/week (p < 0.0002). Mixed-effects models for repeated measurements (MMRM) controlling for baseline frequency of testing, country and clinical site confirmed a higher SMBG testing frequency in the EXP group compared to the CNL group, with a between-group difference of 2.70 tests/week (p < 0.01). Univariate analysis showed greater HbA1c reductions in the EXP group than CNL group: −0.44% (95% CI −0.59, −0.29) vs. −0.13% (95% CI −0.27, 0.01), respectively, p < 0.0002. MMRM analyses confirmed these HbA1c reductions. A greater percentage of EXP than CNL patients achieved HbA1c reductions of ≥0.5%: 45.1% vs. 29.1%, respectively, p < 0.01.ConclusionsThe use of an integrated, strip-free SMBG system improved testing adherence and was associated with improvements in glycemic control.

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“…To conclude, the advantages of SMBG are that it is relatively inexpensive, easy to train youth to complete, provides an accurate measure of capillary glucose concentrations, and available glucose meters can offer features including memory, downloading software, no coding strips, and small blood sample requirements (3, 10, 11, 14). Disadvantages are the impact of user error on test accuracy (11), the need for multiple finger-stick blood samples each day, and the limited data available (e.g., SMBG provides a single snap shot of glucose concentrations, not trending data).…”

Section: Self-monitoring Blood Glucose (Smbg)mentioning

confidence: 99%

Continuous Glucose Monitoring Versus Self-monitoring of Blood Glucose in Children with Type 1 DiabetesThe Pros and Cons

Patton¹,

Clements²

2012

US Endocrinology

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Glucose monitoring is essential for modern diabetes treatment and the achievement of near-normal glycemic control. Monitoring provides the data necessary for patients to make daily management decisions related to food intake, insulin dose, and physical exercise and can enable patients to avoid potentially dangerous episodes of hypo- and hyperglycemia. Additionally, monitoring can provide health care providers with the information needed to identify glycemic patterns, educate patients, and adjust insulin. Presently, youth with type 1 diabetes can self-monitor blood glucose via home blood glucose meters or monitor glucose concentrations nearly continuously using a continuous glucose monitor. There are advantages and disadvantages to the use of either of these technologies. This review describes the two technologies and the research supporting their use in the management of youth with type 1 diabetes in order to weigh their relative costs and benefits.

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Self-Monitoring of Blood Glucose, Cutaneous Finger Injury, and Sensory Loss in Diabetic Patients

Cited by 17 publications

References 4 publications

A Clinical Evaluation of Routine Blood Sampling Practices in Patients With Diabetes

A Clinical Evaluation of Routine Blood Sampling Practices in Patients With Diabetes

Use of an integrated strip-free blood glucose monitoring system increases frequency of self-monitoring and improves glycemic control: Results from the ExAct study

Continuous Glucose Monitoring Versus Self-monitoring of Blood Glucose in Children with Type 1 DiabetesThe Pros and Cons

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Self-Monitoring of Blood Glucose, Cutaneous Finger Injury, and Sensory Loss in Diabetic Patients

Cited by 17 publications

References 4 publications

A Clinical Evaluation of Routine Blood Sampling Practices in Patients With Diabetes

A Clinical Evaluation of Routine Blood Sampling Practices in Patients With Diabetes

Use of an integrated strip-free blood glucose monitoring system increases frequency of self-monitoring and improves glycemic control: Results from the ExAct study

Continuous Glucose Monitoring Versus Self-monitoring of Blood Glucose in Children with Type 1 DiabetesThe Pros and Cons

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Continuous Glucose Monitoring Versus Self-monitoring of Blood Glucose in Children with Type 1 DiabetesThe Pros and Cons