Document Detail


Comparison of blood glucose measurements using samples obtained from the forearm, finger skin puncture, and venous serum.
MedLine Citation:
PMID:  20603587     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Blood glucose testing (BGT) at the forearm minimizes the pain experienced during sampling of capillary blood. We compared the BGT results for forearm sampling with those for standard finger skin puncture and venous serum to evaluate the clinical validity of forearm BGT. METHODS: BGT was performed on the finger (G(F)) and forearm (G(A)) with a portable glucometer in 555 subjects, including 61 diabetic patients, under fasting conditions. BGT with venous serum (G(V)) was followed within an hour in 514 subjects. Simple linear regression, intraclass correlation, and Passing-Bablok regression analyses were performed using the G(A)-G(F) and G(A)-G(V) data. RESULTS: G(A) showed an excellent linear relationship with both G(F) and G(V) with a Pearson correlation coefficient (r) of 0.97 (P<0.0001) in the patient group, which was similar to the findings in the normal group except for the lower r values. The mean bias between G(A) and G(F) and between G(A) and G(V) were within +/- 10 mg/dL in both groups. The intraclass correlation coefficients were slightly smaller than the corresponding r values, but they showed the same tendency in both groups. In the Passing-Bablok analyses, the 95% confidence intervals of the slope and intercept parameters were <+/-20% of unity and <+/-20 mg/dL, respectively, which were within the acceptable ranges. All 3 statistical analyses supported the satisfactory agreement of G(A) with G(F) or G(V). CONCLUSIONS: BGT at the forearm was highly consistent with the standard BGT, thereby confirming its applicability in clinical practice for self-testing under steady fasting conditions.
Authors:
Kyung Soon Park; Mi Sook Park; Young Joo Cha; Wun Jae Kim; Seong Su Choi; Kyoung Ok Kim; Eun Jong Cha; Kyung Ah Kim
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Korean journal of laboratory medicine     Volume:  30     ISSN:  1598-6535     ISO Abbreviation:  Korean J Lab Med     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-06     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101322822     Medline TA:  Korean J Lab Med     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  264-75     Citation Subset:  IM    
Affiliation:
Personalized Tumor Engineering Research Center, Chungbuk National University, Cheongju, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Glucose / analysis*
Blood Specimen Collection
Female
Fingers / blood supply*
Forearm / blood supply*
Humans
Male
Middle Aged
Regression Analysis
Chemical
Reg. No./Substance:
0/Blood Glucose

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


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