Cited by 390Diabetes Management and ResearchElectrochemical sensors and biosensorsHyperglycemia and glycemic control in critically ill and hospitalized patients

A Tale of Two Compartments: Interstitial Versus Blood Glucose Monitoring

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Cengiz, Eda, Tamborlane, William V.·2009·Diabetes Technology & Therapeutics

Abstract

Self-monitoring of blood glucose was described as one of the most important advancements in diabetes management since the invention of insulin in 1920. Recent advances in glucose sensor technology for measuring interstitial glucose concentrations have challenged the dominance of glucose meters in diabetes management, while raising questions about the relationships between interstitial and blood glucose levels. This article will review the differences between interstitial and blood glucose and some of the challenges in measuring interstitial glucose levels accurately.

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Crossref · 10.1089/dia.2009.0002

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  • The ratio of blood to tissue glucose is not constant and depends on metabolic rates related to glucose and insulin physiology, including cellular glucose uptake, blood flow, and capillary permeability.

    “This assumption is problematic because the ratio of blood/tissue glucose is not constant, but rather depends on the metabolic rates related to glucose and insulin physiology including glucose uptake by cells or from blood vessels, blood flow, and permeability of capillaries.78”
  • Under normal conditions, the physiological lag time between blood and interstitial fluid glucose is between 5 and 10 minutes.

    “Under normal conditions (i.e., conditions in which glucose levels are not rapidly changing from activities such as exercising or eating), the physiological lag time between blood and interstitial fluid glucose ranges between 5 and 10 min.78,81”

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References 60 · Cited by 390

Research works printed but not linked: 2

  1. [14]Monfre SL. Hazen KH. Fischer JS. Welch M. Hocker-Smith L. Guttridge RJ. Ruchti TL. Physiologic differences between volar and dorsal capillary forearm glucose concentrations and finger stick glucose concentrations in diabetes [abstract] Diabetes. 2002;51(Suppl 2):A125. [Google Scholar]
  2. [44]Gerritsen M. Jansen JA. Kros A. Vriezema DM. Sommerdijk NA. Nolte RJ. Lutterman JA. Van Hövell SW. Van der Gaag A. Influence of inflammatory cells and serum on the performance of implantable glucose sensors. J Biomed Mater Res. 2001;54:69–75. doi: 10.1002/1097-4636(200101)54:1<69::aid-jbm8>3.0.co;2-q. [DOI] [PubMed] [Google Scholar] · DOI

Authors
Cengiz, E., & Tamborlane, W. V.
Affiliations
Yale University (US)
Corresponding author
Cengiz, Eda
Venue
Diabetes Technology & Therapeutics
Published
2009-06-02
Volume
11
Issue
S1
Pages
S-11-S-16
ISSN
  • 1520-9156 (ISSN-L)
  • 1557-8593
OpenAlex
W2009177416
Cited by
390
References
60
Citations by year
2026: 24 · 2025: 22 · 2024: 30 · 2023: 38 · 2022: 33 · 2021: 26 · 2020: 25 · 2019: 30 · 2018: 44 · 2017: 25 · 2016: 22 · 2015: 14 · 2014: 13 · 2013: 11 · 2012: 13
FWCI
7.99
Type
journal article
Language
en
Open access
Locations
  • Diabetes Technology & Therapeutics (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Georgia Clinical and Translational Science Alliance
  • National Institutes of Health
  • National Institute of Diabetes and Digestive and Kidney Diseases (K12DK063709)
  • National Center for Research Resources (RR 023423)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrochemical sensors and biosensors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
Keywords
interstitial glucose, blood glucose, glucose monitoring, glucose sensor, continuous glucose monitoring, self-monitoring of blood glucose, diabetes management, blood glucose meters
MeSH terms
Arterioles, Blood Glucose, Diabetes Mellitus, Humans, Monitoring, Physiologic, Skin, Venules, Blood Glucose Self-Monitoring, Reproducibility of Results, Biosensing Techniques, Extracellular Fluid

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