Updates on the self monitoring of blood glucose in diabetic patients. Diabetes mellitus is one of the most popular pathologies worldwide, especially among children and adolescents. A bulk of clinical evidences highlights that the self-monitoring of blood glucose is a pivotal aspect in the clinical management of diabetic patients, to prevent a wide set of complications. The self-monitoring of blood glucose is actually based on sophisticated electronic instruments, which are however small, easy to handle and require a minimal amount of capillary blood to perform the analysis. Despite remarkable technological advances have allowed high productive standards, there are still some perplexities on both the analytic quality of the data and results comparability among different analyzers and between analyzers and the second reference method based on the measurement of plasma glucose by esokinase. The imminent introduction of innovative disposals, based on subcutaneous electrodes for the continuous glucose monitoring will hopefully permit to overcome most of the analytic problems, improving contextually the patient’s care and containing expenditures.
Raccomandazioni per la gestione, la valutazione e l’utilizzo dei glucometri in ambito extra-ospedaliero.
MONTAGNANA, Martina;LIPPI, Giuseppe
2009-01-01
Abstract
Updates on the self monitoring of blood glucose in diabetic patients. Diabetes mellitus is one of the most popular pathologies worldwide, especially among children and adolescents. A bulk of clinical evidences highlights that the self-monitoring of blood glucose is a pivotal aspect in the clinical management of diabetic patients, to prevent a wide set of complications. The self-monitoring of blood glucose is actually based on sophisticated electronic instruments, which are however small, easy to handle and require a minimal amount of capillary blood to perform the analysis. Despite remarkable technological advances have allowed high productive standards, there are still some perplexities on both the analytic quality of the data and results comparability among different analyzers and between analyzers and the second reference method based on the measurement of plasma glucose by esokinase. The imminent introduction of innovative disposals, based on subcutaneous electrodes for the continuous glucose monitoring will hopefully permit to overcome most of the analytic problems, improving contextually the patient’s care and containing expenditures.
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