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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 [OPEN ACCESS]
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Co-authors Med Uni Graz
Brunner Gernot
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)
Blood Glucose - analysis
Blood Glucose Self-Monitoring - instrumentation
Diabetes Mellitus, Type 1 - blood
Glucose Clamp Technique - blood
Humans - blood
Hypoglycemia - blood
Reference Standards - blood
Regression Analysis - blood
Reproducibility of Results - blood

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