| The accuracy of home glucose meters in hypoglycemia. | |
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MedLine Citation:
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PMID: 20615103 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Home glucose meters (HGMs) may not be accurate enough to sense hypoglycemia. We evaluated the accuracy and the capillary and venous comparability of five different HGMs (Optium Xceed [Abbott Diabetes Care, Alameda, CA, USA], Contour TS [Bayer Diabetes Care, Basel, Switzerland], Accu-Chek Go [Roche Ltd., Basel, Switzerland], OneTouch Select [Lifescan, Milpitas, CA, USA], and EZ Smart [Tyson Bioresearch Inc., Chu-Nan, Taiwan]) in an adult population. METHODS: The insulin hypoglycemia test was performed to 59 subjects (56 males; 23.6 +/- 3.2 years old). Glucose was measured from forearm venous blood and finger capillary samples both before and after regular insulin (0.1 U/kg) was injected. Venous samples were analyzed in the reference laboratory by the hexokinase method. In vitro tests for method comparison and precision analyses were also performed by spiking the glucose-depleted venous blood. RESULTS: All HGMs failed to sense hypoglycemia to some extend. EZ Smart was significantly inferior in critical error Zone D, and OneTouch Select was significantly inferior in the clinically unimportant error Zone B. Accu-Chek Go, Optium Xceed, and Contour TS had similar performances and were significantly better than the other two HGMs according to error grid analysis or International Organization for Standardization criteria. The in vitro tests were consistent with the above clinical data. The capillary and venous consistencies of Accu-Chek Go and OneTouch Select were better than the other HGMs. CONCLUSIONS: The present results show that not all the HGMs are accurate enough in low blood glucose levels. The patients and the caregivers should be aware of these restrictions of the HGMs and give more credit to the symptoms of hypoglycemia than the values obtained by the HGMs. Finally, these results indicate that there is a need for the revision of the accuracy standards of HGMs in low blood glucose levels. |
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Authors:
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Alper Sonmez; Zeynep Yilmaz; Gokhan Uckaya; Selim Kilic; Serkan Tapan; Abdullah Taslipinar; Aydogan Aydogdu; Mahmut Yazici; Mahmut Ilker Yilmaz; Muhittin Serdar; M Kemal Erbil; Mustafa Kutlu |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Diabetes technology & therapeutics Volume: 12 ISSN: 1557-8593 ISO Abbreviation: Diabetes Technol. Ther. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-09 Completed Date: 2010-10-08 Revised Date: 2011-03-02 |
Medline Journal Info:
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Nlm Unique ID: 100889084 Medline TA: Diabetes Technol Ther Country: United States |
Other Details:
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Languages: eng Pagination: 619-26 Citation Subset: IM |
Affiliation:
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Department of Endocrinology and Metabolism, Gulhane School of Medicine, Ankara, Turkey. alpersonmez@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Glucose / analysis* Blood Glucose Self-Monitoring / instrumentation*, standards* Female Humans Hypoglycemia / blood* Male Prospective Studies |
| Chemical | |
Reg. No./Substance:
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0/Blood Glucose |
| Comments/Corrections | |
Comment In:
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Diabetes Technol Ther. 2011 Feb;13(2):171
[PMID:
21284485
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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