Evaluating the Accuracy of Modern Glucose Meters |
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| Institution: | 1. Baylor College of Medicine, 1 Baylor Plaza MC 315, Houston, TX, 77030, USA;2. Texas Children''s Hospital, Houston, TX, 77030, USA;1. From the Director, AMCR Institute Escondido, California Clinical Associate Professor, University of California, San Diego School of Medicine;2. Chairman, Grunberger Diabetes Institute; Clinical Professor, Internal Medicine and Molecular Medicine & Genetics, Wayne State University School of Medicine; Professor, Internal Medicine Oakland University William Beaumont School of Medicine Bloomfield Hills, Michigan;3. Atlanta Diabetes Associates; Associate Professor of Medicine, Emory University School of Medicine Atlanta, Georgia;4. Medical Director and Principal Investigator, Metabolic Institute of America; President, American College of Endocrinology Tarzana, California;5. Professor of Medicine, University of Washington School of Medicine Seattle, Washington;6. Physician Consultant, Sansum Diabetes Research Institute; Clinical Professor of Medicine, University of Southern California-Keck School of Medicine; Attending Physician-Santa Barbara County Health Care Services; Adjunct Professor, Biomolecular Science and Engineering and Chemical Engineering, University of California-Santa Barbara Santa Barbara, California;7. Professor of Internal Medicine, University of Central Florida College of Medicine Orlando, Florida;8. Chief Scientific Officer, Biomedical Informatics Consultants LLC Potomac, Maryland;9. Professor and Chief of Pediatric Endocrinology, Yale School of Medicine New Haven, Connecticut;10. Diabetes Clinical Specialist, AMCR Institute Escondido, California |
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| Abstract: | Background: Self-mmonitoring of blood glucose (SSMBG) is important for all patients with diabetes, as it provides valuable feedback on the effects of diet, exercise, and medications. To maximize the potential benefits of SMBG, clinicians must have confidence in the accuracy of their patients' glucose meters.Objective: The aim of this article is to review several issues related to glucose meter accuracy and ways that accuracy can be enhanced.Methods: A MeDLINE search of English-language articles using the terms SMBG, glucose meter,and accuracy as an initial screen was performed. After articles describing the use of outdated technologies or vague methodologies were excluded, appropriate articles that analyzed various aspects regarding meter accuracy were selected.Results: Glucose meter accuracy studies are complicated by issues related to the reference method, the sample being assayed, nd he ay n which accuracy s reported. error rid analysis ives linicians a means to valuate the clinical importance of meter error. Modern glucose meters have many technological improvements and enhanced clinical accuracy; however, the accuracy of readings depends not only on the instrument but also on patient technique and other aspects of the overall testing process.Conclusions: SMBG has proven to be a valuable tool for the management of diabetes whether it is used to guide insulin dosing, provide feedback on the effect of meals, or detect hypoglycemia. Accuracy of SMBG can be optimized by patient education and continued improvements in meter technology. |
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