Report of the Committee on Standardization of Laboratory Testing Related to Diabetes Mellitus: Cooperative Experiments, 2002, Regarding the Device-to-Device Variation of Self-monitoring of Blood Glucose

  • Tominaga Makoto
    Department of Laboratory Medicine, Yamagata University School of Medicine
  • Makino Eiichi
    Department of Laboratory Medicine, Ehime Universlty School of Medicine
  • Yoshino Gen
    Department of Laboratory Medicine, Toho University School of Medicine
  • Kuwa Katsuhiko
    Institute of Clinical Medicine, University of Tsukuba
  • Takei Izumi
    Department of Laboratory Medicine, Keio University School of Medicine
  • Aono Yukuko
    Clinical Laboratory, Tokyo University Hospital
  • Hoshino Tadao
    Institute of Biopathological Medicine
  • Shimatsu Akira
    Clinical Research Institute, Kyoto National Hospital
  • Sanke Tokio
    Department of Clinical Biology and Medicine, Wakayama Prefectural Medical School
  • Kuwajima Masamichi
    Department of Laboratory Medicine, The University of Tokushima, School of Medicine
  • Taminato Tomohiko
    Department of Laboratory Medicine, Kagawa University School of Medicine
  • Ono Junko
    Department of Laboratory Medicine, Fukuoka University School of Medicine

Bibliographic Information

Other Title
  • 血糖自己測定機器の機種間差に関する共同実験2002について  糖尿病関連検査の標準化に関する委員会報告

Abstract

In 1999, The Japan Diabetes Society (IDS) Committee on Standardization of Laboratory Testing Related to Diabetes Mellitus in cooperation with the Japan Society of Clinical Chemistry (JSCC) revealed significant device-to-device variations in glucose levels measured with devices intended for use in the self-monitoring of blood glucose (SMBG). The main cause of the discrepancy seemed to arise from differences in the manufacturers' comparative methods. The Committee recommended the use of a venous blood method as the standardized comparative method. In 2001, the Committee confirmed that blood glucose measurements of venous blood performed using 10 SMBG devices did not show any large variations. However, the ordinary use of SMBG is to measure glucose levels in fingertip blood. In 2002, the Committee repeated the same experiment in cooperation with volunteer patients with diabetes mellitus. The results suggested the presence of two groups of SMBG devices. In one group, consisting of the Free Style, Medisafe Reader, Xtra and AccuChek Comfort, the measurement of glucose in fingertip blood samples was almost the same as the glucose levels measured in arterial blood measured with the hexokinase method. In the other group, consisting of the Glucocard α and Dexter Z II, the measurements were close to the glucose levels measured in venous blood measured with the hexokinase method. Clinical diabetes educators, who advise patients with diabetes mellitus about the use of SMBG devices, should be aware of these characteristics of SMBG devices.

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Details 詳細情報について

  • CRID
    1390282679880562816
  • NII Article ID
    130004115373
  • DOI
    10.11213/tonyobyo1958.46.889
  • COI
    1:CAS:528:DC%2BD2cXhtlant7c%3D
  • ISSN
    1881588X
    0021437X
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
    • Crossref
  • Abstract License Flag
    Disallowed

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