Document Detail


Comparing patient-generated blood glucose diary records with meter memory in diabetes: a systematic review.
MedLine Citation:
PMID:  23324062     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To synthesize evidence relating to comparisons between patient-generated blood glucose records and meter memory in diabetes and to identify any predictors of agreement.
METHODS: A systematic literature search was performed to identify articles comparing meter and diary records in those unaware of this assessment.
RESULTS: Eleven observational studies, covering patients with Type 1, Type 2 and gestational diabetes were included spanning 1984-2009. Failure to record blood glucose measurements in the diary was the most extensive 'error', but addition of values, which were not measured, was a greater cause for concern. When present to a high degree, 'errors' lead to decreased variability in diary records compared with meter records. Allowing for a minimal amount of disagreement, just over 50% of adult diaries can be considered as 'accurate/reliable'. Disagreements were most extensive in teenagers and young adults, but the pregnant populations were only slightly better. Agreement was not related to sex, number of insulin injections or duration of monitoring. Those who were younger were more likely to have 'errors', while those who monitored more frequently had more 'accurate' diaries.
CONCLUSIONS: The lack of meter-diary agreement suggests that the real reason for monitoring is not understood by many patients, raising issues about motivation, perceived need to impress healthcare providers and denial of poor control. Considering that diaries are used to inform decisions about therapy when HbA1c is raised or in pregnancy, when HbA1c is not suitable, there is significant cause for concern in relation to their clinical utility.
Authors:
J E Given; M J O'Kane; B P Bunting; V E Coates
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Diabetic medicine : a journal of the British Diabetic Association     Volume:  30     ISSN:  1464-5491     ISO Abbreviation:  Diabet. Med.     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-17     Completed Date:  2013-10-22     Revised Date:  2014-02-20    
Medline Journal Info:
Nlm Unique ID:  8500858     Medline TA:  Diabet Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  901-13     Citation Subset:  IM    
Copyright Information:
© 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Blood Glucose / analysis*
Blood Glucose Self-Monitoring* / instrumentation
Diabetes Mellitus, Type 1 / blood*,  therapy
Diabetes Mellitus, Type 2 / blood*,  therapy
Diabetes, Gestational / blood*,  therapy
Electronic Health Records*
Evidence-Based Medicine
Female
Health Records, Personal*
Humans
Hyperglycemia / prevention & control
Hypoglycemia / prevention & control
Male
Patient Compliance
Pregnancy
Grant Support
ID/Acronym/Agency:
G0901530//Medical Research Council
Chemical
Reg. No./Substance:
0/Blood Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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