Selected Publication:
Trajanoski, Z; Brunner, GA; Gfrerer, RJ; Wach, P; Pieber, TR.
Accuracy of home blood glucose meters during hypoglycemia.
Diabetes Care. 1996; 19(12):1412-1415
Doi: 10.2337/diacare.19.12.1412
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- Co-authors Med Uni Graz
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Brunner Gernot
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Pieber Thomas
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- Abstract:
- OBJECTIVE: To evaluate the accuracy of home blood glucose meters during hypoglycemia. METHODS: Six blood glucose meters-One Touch II (LifeScan, Milpitas, CA), Companion II (Medisense, Cambridge, U.K.), Reflolux (Boehringer Mannheim, Mannheim, Germany), Accutrend (Boehringer Mannheim), Elite (Bayer, Munich, Germany), and HemoCue (HemoCue, Angelholm, Sweden)-were compared with a reference method (Beckman Glucose Analyzer 2). Glucose concentrations from arterialized venous blood samples were measured using all glucose meters (whole blood) and the reference method (plasma) during hypoglycemic-hyperinsulinemic clamps in 15 subjects. RESULTS: In total, 663 blood glucose monitor readings and 119 reference values ranging from 2.28 to 3.89 mmol/l were analyzed. The correlation coefficients and the percentage of measurements within 20% and outside 40% of the reference values for each glucose meter were as follows: One Touch II: 0.91, 99.2% and 0%; Companion II: 0.81, 88.2% and 2.5%; Reflolux: 0.78, 85.0% and 0.9%; Accutrend: 0.88, 46.0% and 6.6%; Elite: 0.78, 75.6% and 4.2%; and HemoCue: 0.93, 96.6% and 0% (P < 0.001). CONCLUSIONS: There were substantial differences between the blood glucose meters during hypoglycemia, and none of the devices met the latest criteria recommended by the American Diabetes Association.
- Find related publications in this database (using NLM MeSH Indexing)
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Blood Glucose - analysis
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Blood Glucose Self-Monitoring - instrumentation
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Diabetes Mellitus, Type 1 - blood
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Glucose Clamp Technique - blood
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Humans - blood
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Hypoglycemia - blood
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Reference Standards - blood
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Regression Analysis - blood
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Reproducibility of Results - blood