2003
DOI: 10.2337/diacare.26.4.981
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Clinical Impact of Prandial State, Exercise, and Site Preparation on the Equivalence of Alternative-Site Blood Glucose Testing

Abstract: OBJECTIVE -To determine whether clinically significant differences exist in fasting blood glucose (BG) at the forearm, palm, and thigh relative to the fingertip; to assess the impact of prandial status by comparing BG between alternative sites and the fingertip at several time intervals after carbohydrate intake; to assess the effects of moderate brief exercise on site-to-site differences in BG; to evaluate the impact of site preparation by local rubbing on alternative-site testing (AST) equivalence; and to de… Show more

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Cited by 60 publications
(31 citation statements)
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“…The use of alternate-site glucose testing (i.e., arm, leg, or palm) in the hospital has not been studied. The use of alternate-site glucose testing may cause erroneous results when the blood glucose level is rapi d l y r i s i n g o r f a l l i n g a n d w h e n hypoglycemia occurs (442).…”
Section: What Is the Role Of Bedside Glucose Monitoring In The Hospitmentioning
confidence: 99%
“…The use of alternate-site glucose testing (i.e., arm, leg, or palm) in the hospital has not been studied. The use of alternate-site glucose testing may cause erroneous results when the blood glucose level is rapi d l y r i s i n g o r f a l l i n g a n d w h e n hypoglycemia occurs (442).…”
Section: What Is the Role Of Bedside Glucose Monitoring In The Hospitmentioning
confidence: 99%
“…after meals, after exercise and during hypoglycemia), fingertip testing has been shown to more accurately reflect glycemic status than forearm or thigh testing (50,51). In comparison, blood samples taken from the palm near the base of the thumb (the thenar area) demonstrate a closer correlation to fingertip samples at all times of day and during periods of rapid change in BG levels (52,53).…”
Section: Alternate Site Testingmentioning
confidence: 97%
“…Several of the newer meters allow alternate-site testing (e.g., the arm or leg) to decrease the discomfort of fingersticks. A concern has been raised, however, as alternate-site testing may not reflect arterial glucose measurements as quickly as fingerstick capillary blood glucose measurments, thus creating a delay in documentation of hypoglycemia when the glucose level is changing rapidly (72)(73)(74).…”
Section: Type 1 Diabetes In Children and Adolescentsmentioning
confidence: 99%