Home glucose monitor

The resulting current is directly proportional to the glucose concentration of the analyte solution. A vai ialion on thi.s type of semsor is often found in home glucose monitors widely used by diabetic patients. This device Is one of the largest-selling chemical instruments in the world. 

Tests performed outside clinical laboratories are attracting increasing interest. Complex technology and chemistry are combined in easy-to-use machines dry-film technology is the commonest technique used. The philosophy is that economically the immediacy of the result offsets the high consumables costs. For many analytes there is no need for such immediacy however, patients can perform their own home glucose monitoring, GPs and others may offer cholesterol analysis as part of an assessment of cardiovascular disease, and intensive therapy units in hospitals invariably have blood gas machines to hand. 

Clinical utility takes the concept a step further and shows that the patient s medical outcome is favorably influenced by knowledge of the diagnostic test. An example would be that the tight insulin control that is only possible with frequent home blood glucose monitoring has a positive impact on delay of complications of diabetes. FDA does not require that a demonstration of clinical utility be performed in support of submissions but does... 

Home/self blood glucose monitoring, HbAj,, signs and symptoms of hyper/hy-poglycemia, complete blood count, routine blood chemistry... 

Gross TM, Bode BW, Einhorn D, Kayne DM, Reed JH, White NH, Mastrototaro JJ. Performance evaluation of the MiniMed continuous glucose monitoring system during patient home use. Diabetes Technology Therapeutics 2000, 2, 49-56. 

Home glucose test strips were able to reach the market two decades before the first continuous glucose monitors. This points to the tremendous challenges faced in the development of CGM. Following the long and colorful development of the technology will make it easier to understand the present systems. 

Patient motivation and interest Diet compliance and carbohydrate counting Frequent home blood glucose monitoring (generally four to six times per day)... 

Home blood glucose monitoring is recommended for all patients on antidiabetic medications, particularly insulin, If values are below 4mmol/L or persistently above 15 mmol/L, patients should seek immediate medical advice. Self-monitoring is usually offered to those with type 2 diabetes as an integral part of self-management education,... 

The U.S. Market for Home Blood Glucose Monitoring products, www.findsvp.com/tocs/ML0392.htm. 

Tate PF, Clements CA, Walters JE. Accuracy of home blood glucose monitors. Diabetes Care 1992 15 ... 

Urdang M, Ansede-Luna G, Muller B, Newson R, Lacy-Pettit A, O Shea D. An independent pilot study into the accuracy and reliability of home blood glucose monitors. Lancet 1999 353 1065-6. 

Glucose monitoring devices cleared by the FDA for home use Various Monitoring of blood glucose levels... 

FIGURE 33-19 Photograph of a blood glucose monitor for in home use. The meter (a) contains the electronics and display. A droplet of blood is placed on a test strip (b). which is placed at the top of the meter. The test strip contains immobilized glucose oxidase and electrodes for the amperometric detection system. (Courtesy of Life-Scan. Inc., Milpitas. CA.)... 

Major medical literature publications on home blood glucose monitoring with portable meters... 

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