A Computer-Based Glucose Management System Reduces the Incidence of Forgotten Glucose Measurements: A Retrospective Observational Study

Abstract

IntroductionFrequent glucose measurements are needed for good blood glucose control in hospitals; however, this requirement means that measurements can be forgotten. We developed a novel glucose management system using an iPod® and electronic health records.MethodsA time schedule system for glucose measurement was developed using point-of-care testing, an iPod®, and electronic health records. The system contains the glucose measurement schedule and an alarm sounds if a measurement is forgotten. The number of times measurements were forgotten was analyzed.ResultsApproximately 7000 glucose measurements were recorded per month. Before implementation of the system, the average number of times measurements were forgotten was 4.8 times per month. This significantly decreased to 2.6 times per month after the system started. We also analyzed the incidence of forgotten glucose measurements as a proportion of the total number of measurements for each period and found a significant difference between the two 9-month periods (43/64,049–24/65,870, P = 0.014, chi-squared test).ConclusionsThis computer-based blood glucose monitoring system is useful for the management of glucose monitoring in hospitals.FundingJohnson & Johnson Japan.

Is Raman the best strategy towards the development of non-invasive continuous glucose monitoring devices for diabetes management?

“…GlucoGenius (ESER Health Care Digital Technology Co. Ltd., Taiwan) is the only available device on the market, while other non-invasive devices, one from Health-Care Computer (Japan) and G2 Mobile (Eser Digital, India), are under development. Hitachi Ltd. (Japan) announced in 2004 the development of a unique non-invasive blood sugar monitoring device for diabetics but it was never released ( Okura et al, 2018 ; Villena Gonzales et al, 2019 ). The main issue of these tools is that they don’t provide a direct glucose monitoring; besides, they suffer of high sensitivity towards temperature and sweat; thus, MHC doesn’t seems a suitable technology for continuous glucose monitoring purpose ( Bolla and Priefer, 2020 ).…”