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Related Experiment Videos

'Hospital hyperglycaemia'; perception or reality?

M V Lakshmi1, K L Tieszen, S Hollis

  • 1Department of Endocrinology, Hope Hospital, Salford, UK.

Diabetic Medicine : a Journal of the British Diabetic Association
|January 1, 1995
PubMed
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Fasting blood glucose measurements in Type 2 diabetes are reliable whether taken at home or in clinic. This study found no significant differences, supporting its use for monitoring glycaemic control.

Area of Science:

  • Endocrinology
  • Diabetes Mellitus Research
  • Clinical Chemistry

Background:

  • Patients with Type 2 diabetes sometimes perceive clinic fasting blood glucose measurements as artificially high.
  • Accurate glycaemic control monitoring is crucial for managing Type 2 diabetes.

Purpose of the Study:

  • To investigate patient perceptions of fasting blood glucose measurements in Type 2 diabetes.
  • To compare the accuracy and stability of home- versus clinic-based fasting blood glucose measurements.

Main Methods:

  • 18 men and 14 women from the UKPDS Salford cohort participated.
  • Fasting blood glucose was measured at home by patients and via collected samples (home and clinic).
  • Clinic samples were analyzed immediately and after a time lapse to control for glycolysis.

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Main Results:

  • Mean fasting blood glucose levels showed no significant differences between home and hospital measurements (p > 0.05).
  • Patient self-measurements and home-collected samples closely matched clinic measurements.
  • Occasional discrepancies exceeding 2 mmol/l were noted, but no systematic bias was observed.

Conclusions:

  • Fasting blood glucose levels are a stable and patient-independent measure for glycaemic control in Type 2 diabetes.
  • Home-based monitoring of fasting blood glucose is a reliable method.
  • Clinic measurements are also reliable and not systematically affected by patient perception.