Accuracy and Reliability of Reporting Self-monitoring of Blood Glucose Results in Adults With Type 1 and Type 2 Diabetes

Kalergis, Maria; Nadeau, Julie; Pacaud, Danièle; Yared, Zeina; Yale, Jean‐François

doi:10.1016/s1499-2671(06)03006-1

Cited by 16 publications

(31 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This error pattern is consistent with previous reports [5,8]. However, at 7.6% of total recordings this is substantially lower than previous logbook studies which found phantom/absent rates of up to 44% [8,9]. If a frequent event, phantom readings have a number of potential consequences: they may have implications for overall glycaemic control, as more frequent testing has been linked to lower HbA1c values [13]; additionally, fabrication of results may cause inappropriate insulin adjustments, which may be harmful.…”

Section: Discussionsupporting

confidence: 94%

“…In 1984, the first study revealed 26% of self-reported values were not concordant with the meter-downloaded values, and 75% of subjects modified their reports to a significantly lower value [5]. These findings have been confirmed in three additional papers in adults [6-8], and one in an adolescent population [9]. One further study in 19 adolescents explored the reliability of self-reported frequency of daily glucose monitoring.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Accuracy of verbal self-reported blood glucose in teenagers with type I diabetes at diabetes ski camp

Chae

Reith

Tomlinson

et al. 2014

J Diabetes Metab Disord

View full text Add to dashboard Cite

BackgroundWhile there have been considerable advances in diabetes management, self-monitoring of blood glucose remains vital. A number of studies, predominantly in adults, have confirmed that logbook entries are prone to a number of common errors. To date, no studies in either adults or children have looked at the accuracy of verbally reported self-monitored blood glucose levels (SMBG). Our aim was to determine the accuracy of verbally reported SMBG levels in adolescents at a diabetes camp.MethodsDual Data (verbally reported and meter-downloaded values) were obtained as part of camp safety monitoring from 20 adolescents (aged 13–18 years) attending a 3 day diabetes winter camp. Blood glucose values were classified as: accurate, absent/phantom, or modified - verbally reported value > / < meter downloaded value. No participant had prior awareness of the planned meter data download at camp conclusion.ResultsDiscrepancies between verbally reported and meter downloaded values were observed in 14/20 (70%) participants and in 53/394 (13.5%) instances of testing. Absent/Phantom readings were the most common error at 30/394 (7.6%). Errors relating to hypoglycaemia were seen in 8/47 (17%) hypoglycaemia-related incidents of testing. No relationship with HbA1c was found between those with reporting errors and those without (p > 0.05).ConclusionWhile 70% of adolescents had errors, the overall error rate at 13.5% is lower than that previously reported for logbook studies. While this rate is lower than expected, misreporting remains a concern, particularly in the context of diabetes camp and exercise induced hypoglycaemia.

show abstract

Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Accuracy of verbal self-reported blood glucose in teenagers with type I diabetes at diabetes ski camp

Chae

Reith

Tomlinson

et al. 2014

J Diabetes Metab Disord

View full text Add to dashboard Cite

show abstract

“…While the majority of articles explored all the discrepancies in their population's diaries, some set a minimum level below which an ‘error’ was not counted. The value used varied between studies from 0.55 mmol/l to 2.78 mmol/l , or a difference of ≤ 15% between meter and diary . No rationale was given for the values chosen and setting a limit like this will mean that their level of discrepancies will appear less than in those studies where every ‘error’ was counted no matter how small.…”

Section: Resultsmentioning

confidence: 99%

“…The amount of under‐reporting was very consistent in adults with Type 1 diabetes, except for Kalergis et al . at their first time point. This decreased significantly so it was in line with that of the other articles at time point two .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Comparing patient‐generated blood glucose diary records with meter memory in diabetes: a systematic review

et al. 2013

View full text Add to dashboard Cite

The lack of meter-diary agreement suggests that the real reason for monitoring is not understood by many patients, raising issues about motivation, perceived need to impress healthcare providers and denial of poor control. Considering that diaries are used to inform decisions about therapy when HbA1c is raised or in pregnancy, when HbA1c is not suitable, there is significant cause for concern in relation to their clinical utility.

show abstract

Prior knowledge of blood glucose meter download improves the accuracy of verbal self-reported blood glucose in teenagers with type I diabetes at ski camp

et al. 2016

View full text Add to dashboard Cite

This study demonstrates an improvement in accuracy and reliability of verbally reported SMBG, following a simple intervention of ensuring participants were aware of a meter download at the completion of camp. This intervention could be easily incorporated into adolescent diabetes camp safety protocols and may provide an easy, low-cost way of improving verbally reported SMBG accuracy and therefore safety on camp.

show abstract

Accuracy and Reliability of Reporting Self-monitoring of Blood Glucose Results in Adults With Type 1 and Type 2 Diabetes

Cited by 16 publications

References 15 publications

Accuracy of verbal self-reported blood glucose in teenagers with type I diabetes at diabetes ski camp

Accuracy of verbal self-reported blood glucose in teenagers with type I diabetes at diabetes ski camp

Comparing patient‐generated blood glucose diary records with meter memory in diabetes: a systematic review

Prior knowledge of blood glucose meter download improves the accuracy of verbal self-reported blood glucose in teenagers with type I diabetes at ski camp

Contact Info

Product

Resources

About