Self-monitoring of blood glucose

A negative test result does not distinguish between hypoglycemia, euglycemia, and moderate hyperglycemia. 

Other factors influence testing (e.g., fluid intake, urine concentration, ingestion of salicylates or ascorbic acid, and urinary tract infections). 

Portable meters for measurement of blood glucose concentrations are used in three major settings (a) in acute and chronic care facilities (at the patient s bedside and in clinics or hospitals) (b) in physicians offices and (c) by patients at home, work, and school. The last, self-monitoring of blood glucose (SMBG), used by approximately 1 miUion diabetic patients, is performed in the United States at least once a day by 40% and 26% of individuals with type 1 and 2 diabetes, respectively. The worldwide market for SMBG is 2.7 billion per year, with annual growth estimated at 10% to 12%.  

Patients measure their own blood glucose concentration and modify their insulin dose based on this glucose value. It 

Multiple analytical goals have been proposed for the performance of glucose meters. The rationale for these is not always clear. In 1987 the ADA recommended a goal of total error (in the hands of users) of less than 10% at glucose concentrations of 30 to 400mg/dL 100% of the time. The 

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Patients and clinicians can evaluate blood glucose control through a combination of self-monitoring of blood glucose data and hemoglobin HbAlc testing. 

SMBG Self-monitoring of blood glucose UPT Urine pregnancy test... 

Major commercial electrochemical systems for self-monitoring of blood glucose... 

Clarke WL, Cox D, Gonder-Frederick LA, Carter W, Pohl SL. Evaluating clinical accuracy of systems for self-monitoring of blood glucose. Diabetes Care 1987, 10, 622-628. 

Cordray JP, Merceron RE, Guillerd X, Nys P. Baisse du fer serique due a 1 auto-surveillance glycemique chez le dia-betique. [Low serum iron level caused by self-monitoring of blood glucose in the diabetic patient.] Presse Med 1991 20(7) 310. 

Faas A, Schellevis FG, Van Eijk JT. The efficacy of self-monitoring of blood glucose in NIDDM subjects, A criteria-based literature review. Diabetes Care 1997 20 1482-6. 

American Diabetes Association. Self-monitoring of blood glucose. Diabetes Care 1994 17 81-86. 

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