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Alternate-Site Testing Is Reliable in Children and Adolescents With Type 1 Diabetes, Except at the Forearm for Hypoglycemia Detection

¹ Department of Endocrinology, Robert Debre Teaching Hospital, AP-HP, Paris, France
² Center of Clinical Epidemiology, Robert Debre Teaching Hospital, AP-HP, Paris, France
³ Ypsomed, Paris, France

Address correspondence and reprint requests to Dr. Nadine Lucidarme, Department of Endocrinology, Robert Debre Teaching Hospital, 75019 Paris, France. E-mail: nadine.lucidarme@jvr.ap-hop-paris.fr

Abbreviations: AST, alternate-site testing • SMBG, self-monitoring of blood glucose

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

	INTRODUCTION

 
Self-monitoring of blood glucose (SMBG) is crucial to the management of type 1 diabetes (1,2). Until recently, SMBG relied only on capillary blood sampling by fingerstick (a source of pain) and other forms of patient discomfort likely to diminish adherence to SMBG. After approval of alternate-site testing (AST), clinical studies found differences across measurement sites (3) in diabetic adults experiencing rapid blood glucose variations (4). Although pediatric patients with type 1 diabetes may be particularly likely to benefit from new methods that decrease pain and other burdens associated with frequent SMBG, alternate-site SMBG in this age-group has not been fully validated.

The objectives of this study were to determine whether blood glucose measured at alternate testing sites (thenar and forearm) in diabetic children showed clinically significant differences compared with fingertip values and to evaluate patient satisfaction with AST.

	RESEARCH DESIGN AND METHODS

 
We included 29 children (aged 5–17 years) who had type 1 diabetes of at least 1 year’s duration and performed SMBG three or more times a day. The ethics . . . [Full Text of this Article]

	RESULTS

 

	CONCLUSIONS

 

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