Measurement and Modification of the Accuracy of Determinations of Urine Glucose Concentration

Lh, Epstein; Pc, Coburn; Dj, Becker; Drash, Allan L.; Siminerio, L

doi:10.2337/diacare.3.4.535

Cited by 31 publications

(10 citation statements)

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“…Determinations were most likely to be correct when either no glucose or large amounts of glucose had been added to the urtne. 25 Thus, although wegenerally ask our patients to monitor themselves by daily spot -checking of urtne, we realize that the information obtained has only limited value. For example, if a patient who generally does not spill glucose starts to do so consistently, something would appear to be wrong and the patient andjor physician should attempt to identify the problem and correct it as soon as possible.…”

Section: Briel Summary Of Prescribing Informationmentioning

confidence: 99%

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Management of type II diabetes mellitus

Emanuele¹,

Lawrence²

1985

Postgraduate Medicine

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Exciting information is rapidly accruing about diabetes and suggests that maintenance of good metabolic control may prevent onset or delay progression of diabetic complications. Patients, as well as their families and health care providers, should be encouraged by the knowledge that tools are available for successful management of type II diabetes. Treatment consists of a diet-exercise-sulfonylurea regimen and, in a substantial number of patients, administration of insulin. Proper assessment of these modalities is essential if optimum metabolic control is to be achieved.

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Section: Briel Summary Of Prescribing Informationmentioning

confidence: 99%

“…25 A given urtne glucose value can reflect a rather wide range of blood glucose concentrations. Renal thresholds for urtnary glucose spillage vary from person to person and may vary over time in the same person.…”

Section: Briel Summary Of Prescribing Informationmentioning

confidence: 99%

Management of type II diabetes mellitus

Emanuele¹,

Lawrence²

1985

Postgraduate Medicine

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“…This should be available 24 hour/day, seven days/week. 6 Studies have demonstrated that urinary glucose measurements frequently do not correlate with blood glucose level.' Furthermore, during pregnancy, increased glomerular filtration causes a rise in glucose excretion which would make glycosuria less reliable as an indicator of blood glucose levels.…”

Section: The Patient and Family Members Should Become Familiarmentioning

confidence: 99%

Two An Interactive Model Program of Care for Diabetic Women Before and During Pregnancy

McCoy¹,

Oswald²

1983

Diabetes Educ

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Pregnancy complicated by insulin-dependent diabetes mellitus is recognized as a cause of maternal morbidity, congenital malformations, intrauterine fetal death, neonatal morbidity, and neonatal death. The incidence and severity of these complications is directly related to the duration of diabetes and the degree of hyperglycemia both prior to and during pregnancy. Therefore, a thorough discussion of complications, risks, and required management should be provided to all diabetic women and their partners so that informed and responsible decisions regarding pregnancy can be made. This article will present a cooperative program of care including specific information on essential educational components.The San Francisco Bay Area Diabetes and Early Pregnancy Program was conceived as an interdisciplinary, interactive team approach to the education and management of insulin-dependent diabetic women prior to and during pregnancy. The program focuses on achieving perinatal survival and preventing as many of the complications as possible. Our method for achieving this is through appropriate diabetes and pregnancy management, intensive patient education, and active patient participation. (See Figure 1.) Three components are essential for an interactive program of patient education and management to be successful.1. All team members (diabetes educators, perinatal nurses, nutritionists, social workers, and physicians) are educated to the possible complications and the new methods of management used to prevent them.2. We, as health care providers, must be consistent and supportive in our interventions. 3. The diabetic woman and her partner must become primary members of the healthcare team.As active participants in healthcare it is imperative that Figure I Diagram of Educational Model each woman and her family be provided the necessary information required to: 1) achieve effective behavioral change and improve selfcare, 2) make appropriate adjustments at home for the control of diabetes, and 3) seek adequate and appropriate healthcare as indicated for both diabetes and pregnancy.Since we know that active patient participation is essential for the success of a pregnancy complicated by diabetes, our education and management program emphasizes advantages, disadvantages, consequences, and benefits of various courses of action, in order to stimulate and more thoroughly involve women in making appropriate healthcare choices.

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“…Finally, the inherent sensitivity-specificity problems of urine test materials, coupled with client testing errors, reduce the value of urine testing as a data collection method. 9 The use of SBGM has accelerated as data supporting its advantages have been reported. Following Tattersall The growth of SBGM has also been enhanced by recent technological advances in reflectance meters, reagent strips and capillary sampling devices.…”

mentioning

confidence: 96%

Self Blood Glucose Monitoring: An Update

McNeil

1983

Diabetes Educ

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The trend toward the use of self blood glucose monitoring (SBGM) can be attributed to several factors. Changing attitudes toward healthcare show signs of moving from the traditional authoritarian to a participative model in which health professionals and consumers share decision making. Indications for its use have multiplied, as have the several methods of monitoring. The newest products, Visidex, Glucoscan II, Glucometer, AccuChek bG, and blood-letting devices, are reviewed. Educator responsibilities are included.Thousands of years elapsed between the time ancient observers first noted the presence of sugar in the urine of individuals with diabetes and the advent of methods for measuring urine sugars. Convenient ways for testing urine glucose have been available to consumers for a mere twenty years.

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Measurement and Modification of the Accuracy of Determinations of Urine Glucose Concentration

Cited by 31 publications

References 1 publication

Management of type II diabetes mellitus

Management of type II diabetes mellitus

Two An Interactive Model Program of Care for Diabetic Women Before and During Pregnancy

Self Blood Glucose Monitoring: An Update

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