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Seven-Year Clinical Surveillance Program Demonstrates Consistent MARD Accuracy Performance of a Blood Glucose Test
Steven Setford1, Mike Grady1, Stephen Mackintosh1
11 LifeScan Scotland Ltd, Inverness, UK.
This 7.5-year study shows the OneTouch Verio® glucose meter consistently delivers accurate blood glucose readings. Its low mean absolute relative difference (MARD) ensures reliable performance across various glucose levels and over time.
Area of Science:
- Diabetes technology
- Medical device performance evaluation
- Clinical diagnostics
Background:
- Mean Absolute Relative Difference (MARD) is a key metric for glucose monitoring system accuracy.
- This study evaluates the performance of the OneTouch Verio® glucose meter using a large clinical dataset.
- A 7.5-year self-surveillance program collected over 80,000 data points.
Purpose of the Study:
- To assess the long-term accuracy and consistency of the OneTouch Verio® glucose monitoring system.
- To quantify the Mean Absolute Relative Difference (MARD) across various conditions.
- To compare the system's performance against established reference methods.
Main Methods:
- Routinely sampled test strips from manufacturer production batches.
- Clinical accuracy assessment conducted at three clinic sites using fresh capillary blood.
- Comparison of meter system results with a standard laboratory reference instrument.
Main Results:
- The overall MARD for 80,258 data points was 5.05%.
- Consistent MARD values observed across different glucose levels (e.g., 4.81% at ≥100 mg/dL) and years of manufacture (4.67-5.42%).
- Mean bias recorded at 1.28, with a mean absolute difference of 5.60 mg/dL at low glucose levels.
Conclusions:
- The OneTouch Verio® meter demonstrates consistently low MARD, indicating high accuracy and agreement with reference methods.
- Performance remained stable over the 7.5-year surveillance period.
- The system's reliability provides user confidence, especially when using new strip batches, and shows favorable comparison to continuous glucose monitoring (CGM) systems.
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