Alternative-Site Blood Glucose Measurement at the Abdomen
Abstract
Alternative sites for self-monitoring of blood glucose (SMBG) (e.g., forearm, abdomen, calf, or thigh) are currently being introduced in clinical practice (1). However, blood glucose (BG) concentrations by these methods may differ from those by traditional fingertip pricking (2–4). In an elegant study, Jungheim and Koschinski (3) demonstrated that BG measurements, at the forearm by three commercially available devices, showed a less steep increase after an oral glucose load and a delayed decline after insulin administration. In addition, Ellison et al. (4) showed similar findings, which were less adequately followed at the forearm after a standardized meal. Given the patients’ preference for alternative-site SMBG, an appreciation mainly based on the avoidance of painful fingertip pricking (1), clinical application will certainly ensue and, thereby, will introduce a new …
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When glucose is rising or has just risen sharply, fingertip capillary glucose is greater than at forearm, thigh, and abdomen, with variable differences in repeated tests.
“When glucose concentrations are rising or have just risen sharply, fingertip capillary glucose concentrations are greater than those in capillary blood from other sites including forearm, thigh and abdomen (Ellison et al. 2002;Jungheim & Koschinsky, 2002;van der Valk et al. 2002), with variable differences in repeated tests on the same subject (Ellison et al. 2002);”
From Glycaemic index methodology (2005) · cites this paper as van der Valk et al. 2002
Cites
Ellison, J. M., Stegmann, J. M., Colner, S. L., Michael, R. H., Sharma, M. K., Ervin, K. R., & Horwitz, D. L. (2002) · Diabetes Care · doi:10.2337/diacare.25.6.961 · Cited by 133 · see citing works
Jungheim, K., & Koschinsky, T. (2002) · Diabetes Care · doi:10.2337/diacare.25.6.956 · Cited by 114 · see citing works
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Brouns, F., Bjorck, I., Frayn, K. N., Gibbs, A. L., Lang, V., Slama, G., & Wolever, T. M. S. (2005) · Nutrition Research Reviews · doi:10.1079/nrr2005100 · Cited by 1,061 · see citing works
A Tale of Two Compartments: Interstitial Versus Blood Glucose Monitoring
Cengiz, E., & Tamborlane, W. V. (2009) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2009.0002 · Cited by 390 · see citing works
- Authors
- van der Valk, P. R., van der Schatte Olivier-Steding, I., Wientjes, K.-J. C., Schoonen, A. J., & Hoogenberg, K.
- Affiliations
- Department of Internal Medicine, Martini Hospital, Groningen, the Netherlands
- Pharmacy, State University, Groningen, the Netherlands
- University of Groningen (NL)
- Martini Ziekenhuis (NL)
- ORCID
- Hoogenberg, Klaas
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2002-11-01
- Volume
- 25
- Issue
- 11
- Pages
- 2114-2115
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2162340650
- Cited by
- 15
- References
- 2
- Citations by year
- 2022: 1 · 2021: 2 · 2020: 1 · 2012: 2
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Health Sciences › Medicine › Dermatology › Skin Diseases and Diabetes
- Keywords
- self-monitoring of blood glucose, glucose meter accuracy, insulin response, oral glucose tolerance
- MeSH terms
- Abdomen, Blood Glucose, Capillaries, Humans, Skin, Reproducibility of Results
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