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Factors affecting blood glucose monitoring: sources of errors in measurement.
J Diabetes Sci Technol. 2009 Jul 01; 3(4):903-13.JD

Abstract

Glucose monitoring has become an integral part of diabetes care but has some limitations in accuracy. Accuracy may be limited due to strip manufacturing variances, strip storage, and aging. They may also be due to limitations on the environment such as temperature or altitude or to patient factors such as improper coding, incorrect hand washing, altered hematocrit, or naturally occurring interfering substances. Finally, exogenous interfering substances may contribute errors to the system evaluation of blood glucose. In this review, I discuss the measurement of error in blood glucose, the sources of error, and their mechanism and potential solutions to improve accuracy in the hands of the patient. I also discuss the clinical measurement of system accuracy and methods of judging the suitability of clinical trials and finally some methods of overcoming the inaccuracies. I have included comments about additional information or education that could be done today by manufacturers in the appropriate sections. Areas that require additional work are discussed in the final section.

Authors+Show Affiliations

Diabetes Technology Consultants, Wyckoff, New Jersey 07481, USA. diabetes_consultants@yahoo.com

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

20144340

Citation

Ginsberg, Barry H.. "Factors Affecting Blood Glucose Monitoring: Sources of Errors in Measurement." Journal of Diabetes Science and Technology, vol. 3, no. 4, 2009, pp. 903-13.
Ginsberg BH. Factors affecting blood glucose monitoring: sources of errors in measurement. J Diabetes Sci Technol. 2009;3(4):903-13.
Ginsberg, B. H. (2009). Factors affecting blood glucose monitoring: sources of errors in measurement. Journal of Diabetes Science and Technology, 3(4), 903-13.
Ginsberg BH. Factors Affecting Blood Glucose Monitoring: Sources of Errors in Measurement. J Diabetes Sci Technol. 2009 Jul 1;3(4):903-13. PubMed PMID: 20144340.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors affecting blood glucose monitoring: sources of errors in measurement. A1 - Ginsberg,Barry H, Y1 - 2009/07/01/ PY - 2010/2/11/entrez PY - 2010/2/11/pubmed PY - 2010/6/3/medline SP - 903 EP - 13 JF - Journal of diabetes science and technology JO - J Diabetes Sci Technol VL - 3 IS - 4 N2 - Glucose monitoring has become an integral part of diabetes care but has some limitations in accuracy. Accuracy may be limited due to strip manufacturing variances, strip storage, and aging. They may also be due to limitations on the environment such as temperature or altitude or to patient factors such as improper coding, incorrect hand washing, altered hematocrit, or naturally occurring interfering substances. Finally, exogenous interfering substances may contribute errors to the system evaluation of blood glucose. In this review, I discuss the measurement of error in blood glucose, the sources of error, and their mechanism and potential solutions to improve accuracy in the hands of the patient. I also discuss the clinical measurement of system accuracy and methods of judging the suitability of clinical trials and finally some methods of overcoming the inaccuracies. I have included comments about additional information or education that could be done today by manufacturers in the appropriate sections. Areas that require additional work are discussed in the final section. SN - 1932-2968 UR - https://www.unboundmedicine.com/medline/citation/20144340/full_citation L2 - https://journals.sagepub.com/doi/10.1177/193229680900300438?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -