Diabetes Care, Vol 8, Issue 3 207-213, Copyright © 1985 by American Diabetes Association

ARTICLES

Self-monitoring of capillary blood glucose: changing the performance of individuals with diabetes

RS Mazze, R Pasmantier, JA Murphy and H Shamoon

Standard reflectance meters were modified by the addition of memory chips capable of storing 440 glucose determinations with corresponding time and date. These modified reflectance meters (MR) were given to 20 individuals with type I diabetes in an effort to determine the level of reliability and accuracy they could achieve on a self-monitoring regimen. During a 6-wk period these subjects measured their capillary blood glucose and recorded the results in a logbook (LB). At 2-wk intervals they visited the clinic. Data from the MR was offloaded onto an Apple IIe microcomputer (Apple Computer, Inc., Cupertino, California) and presented to the subjects in a graphic format, depicting the level of metabolic control over the previous 2 wk. The performance of subjects for the 6-wk period showed that they averaged 7 omissions from the LB for every 100 MR recordings; 1 added value in the LB for every 200 MR recordings; and 1 error in accurately copying the test value for every 100 determinations. In comparison with subjects who participated in an earlier study in which they were unaware of the memory function of the reflectance meter, performance during the current study improved in all categories. It was also observed that consistency in reliable and accurate record keeping did not diminish throughout the study period. Despite these positive changes in performance, no alteration in glycemic control was found.
CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				S. L. Norris, M. M. Engelgau, and K.M. Venkat Narayan Effectiveness of Self-Management Training in Type 2 Diabetes: A systematic review of randomized controlled trials Diabetes Care, March 1, 2001; 24(3): 561 - 587. [Abstract] [Full Text]

				B. Guerci, L. Meyer, A. Sallé, A. Charrié, B. Dousset, O. Ziegler, and P. Drouin Comparison of Metabolic Deterioration between Insulin Analog and Regular Insulin after a 5-Hour Interruption of a Continuous Subcutaneous Insulin Infusion in Type 1 Diabetic Patients J. Clin. Endocrinol. Metab., August 1, 1999; 84(8): 2673 - 2678. [Abstract] [Full Text]

				J. J. Seley Professional Development: Is Noncompliance a Dirty Word? The Diabetes Educator, January 1, 1993; 19(5): 386 - 391. [PDF]

				S. M.S. Kurtz Adherence to Diabetes Regimens: Empirical Status and Clinical Applications The Diabetes Educator, January 1, 1990; 16(1): 50 - 56. [PDF]

				J. A. Ahern, S. Bates, and W. V. Tamborlane Discrepancies Between Blood Glucose and Glycosylated Hemoglobin in Intensively Treated Diabetic Patients The Diabetes Educator, January 1, 1988; 14(1): 30 - 32. [PDF]

				R. S. Mazze Diabetes Patient Education: A Health Care Provider Perspective The Diabetes Educator, March 1, 1986; 12(2): 126 - 130. [PDF]