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Cited by 261Diabetes Management and ResearchDiabetes Management and EducationPatient Safety and Medication Errors

Reliability of blood glucose monitoring by patients with diabetes mellitus

Mazze, Roger S., Shamoon, Harry, Pasmantier, Rosemarie, Lucido, David, Murphy, Joann, Hartmann, Klaus, Kuykendall, Victor, Lopatin, William·1984·The American Journal of Medicine
DOI 10.1016/0002-9343(84)90693-4
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Abstract

Nineteen patients with insulin-dependent diabetes mellitus were evaluated for overall reliability of self-generated data from capillary blood glucose monitoring. For a period of 12 to 14 days, standard reflectance meters used by these subjects were replaced by meters internally modified with memory chips capable of storing all glucose readings by date and time. The subjects were not aware of this modification and were instructed to continue to test capillary blood glucose as they had been and to continue their practice of recording the meter readings in a logbook. To assess reliability of patient-generated data as recorded in the logbook, the addition, deletion, and alteration of test results were determined. A significantly lower (p less than 0.0001) mean blood glucose level was reported in the logbooks than recorded in the memory reflectance meters. Differences in logbooks and memory reflectance meters ranged from 0 to 109 mg/dl. Three fourths of the subjects had reported lower than actual mean blood glucose values. Under-reporting, or omission of memory reflectance meter readings, averaged 10 percent, whereas over-reporting or addition of phantom values averaged 40 percent. An average of 26 percent of the logbook entries were not identical to memory reflectance meter values determined at the corresponding time. Two thirds of the subjects had reported values in such a manner as to obscure hyper- and hypoglycemia, leading to misleading clinical impressions about the fluctuat…

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  • The development of high-reliability glucose monitoring devices requires new technologies and strategies to make sensors more affordable, non-invasive, and suitable for continuous monitoring.

    “Today, the development of devices for glucose monitoring with high reliability need new technologies and strategies to make those sensors more affordable, non-invasive, and suitable for continuous monitoring of glycemic status 40-42.”

    From Glucose biosensors in clinical practice: principles, limits and perspectives of currently used devices (2022) · cites this paper as [40]

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Authors
Mazze, R. S., Shamoon, H., Pasmantier, R., Lucido, D., Murphy, J., Hartmann, K., Kuykendall, V., & Lopatin, W.
Corresponding author
Mazze, Roger S.
ORCID
Shamoon, Harry
Venue
The American Journal of Medicine
Publisher
Elsevier BV
Published
1984-08
Volume
77
Issue
2
Pages
211-217
ISSN
0002-9343 (ISSN-L)
DOI
10.1016/0002-9343(84)90693-4
OpenAlex
W2171957007
Cited by
261
References
16
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2021: 6 · 2020: 7 · 2019: 7 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 5 · 2014: 10 · 2013: 5 · 2012: 3
FWCI
9.46
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The American Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
Keywords
diabetes mellitus, type 1 diabetes, capillary blood glucose monitoring, self-monitoring of blood glucose, glycemic control, hypoglycemia, hyperglycemia
MeSH terms
Adolescent, Adult, Blood Glucose, Diabetes Mellitus, Type 1, Evaluation Studies as Topic, Female, Humans, Insulin, Male, Monitoring, Physiologic, Self Care

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