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Diabetes Care 28:708-709, 2005
© 2005 by the American Diabetes Association, Inc.

Clinical Care/Education/Nutrition
Brief Report

Hypoglycemia Detection Rate Differs Among Blood Glucose Monitoring Sites

Shu Meguro, MD, PHD, Osamu Funae, MD, Kazuhiro Hosokawa, MD, PHD and Yoshihito Atsumi, MD

From Saiseikai Central Hospital, Tokyo, Japan

Address correspondence and reprint requests to Shu Meguro, MD, PhD, Saiseikai Central Hospital, 1-4-17, Mita, Minato-ku, Tokyo, Japan. E-mail: shumeg1580083@yahoo.co.jp

Abbreviations: SMBG, self-monitoring of blood glucose

The first 20% of the full text of this article appears below.


   INTRODUCTION
 
To achieve better glycemic control, self-monitoring of blood glucose (SMBG) plays an important role in diabetes management. Although fingertip capillary blood has been used for SMBG, alternative-site blood glucose testing (i.e., from the forearm or the palm of the hand) has been developed because patients have requested less painful measurement techniques. However, there has been debate about blood glucose equivalence at alternative sites because some reports suggest that glucose monitoring at the forearm shows a delayed value if blood glucose changes rapidly (1,2). One study reported that blood glucose measurement at the palm is not delayed compared with fingertip measurement after a test meal and exercise load (3). Another study reported that palm blood glucose is comparable to fingertip blood glucose in acute hypoglycemia (4). Since there has been no research comparing blood glucose values simultaneously at the fingertip, forearm, and . . . [Full Text of this Article]


   RESEARCH DESIGN AND METHODS
 

   RESULTS
 

   CONCLUSIONS
 

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Copyright © 2005 by the American Diabetes Association.