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

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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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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: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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 › Medicine › Public Health, Environmental and Occupational Health › 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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Reliability of blood glucose monitoring by patients with diabetes mellitus

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