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Related Experiment Videos

Audit in a diabetic clinic

D F Child, C P Williams

    Journal of the Royal Society of Medicine
    |June 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Home blood glucose monitoring significantly improved diabetic control in insulin-dependent patients over 12 months. Self-testing with meters showed good accuracy, unlike clinic-based random tests.

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    Area of Science:

    • Endocrinology
    • Diabetes Management

    Background:

    • Insulin-dependent diabetes requires consistent blood glucose monitoring for effective management.
    • Many patients initially exhibit unsatisfactory glycemic control, characterized by high blood glucose levels or frequent hypoglycemia.

    Purpose of the Study:

    • To assess the effectiveness of home preprandial blood glucose sampling using a microcapillary system in improving diabetic control.
    • To evaluate the accuracy of unsupervised blood glucose monitoring by patients using home testing devices.

    Main Methods:

    • Involved 82 established insulin-dependent diabetic patients using a microcapillary system for home blood glucose sampling.
    • Assessed patient self-monitoring accuracy using Ames Glucometers and BM-Glycemie 20-800 test strips against laboratory results.

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    Main Results:

    • Initial assessment revealed unsatisfactory control in 62% of patients.
    • After 12 months, the proportion of patients with satisfactory control increased from 24% to 60%.
    • 86% of home meter results were within one-third of laboratory values; BM-Glycemie 20-800 test strips showed a bias towards under-reading high glucose values.

    Conclusions:

    • Home blood glucose monitoring, particularly with microcapillary systems, can significantly improve glycemic control in insulin-dependent diabetics.
    • Patient self-monitoring devices demonstrate reasonable accuracy, though potential biases should be considered.
    • Routine random blood glucose estimations in a clinical setting offer limited value compared to consistent home monitoring.