Response to Jungheim and Koschinsky

  1. Andreas Pfützner, MD, PHD and
  2. Thomas Forst, MD
  1. From the Institute for Clinical Research & Development, Mainz, Germany

    In a recent letter of observation, Jungheim and Koschinsky (1) reported on their findings about a risky delay of hypoglycemia detection by glucose monitoring at the arm. Given the possible significant implications of their findings, we repeated their experiment in our own clinical unit in an institutional review board (IRB)-approved study. We would hereby like to report on our results with 10 patients (4 women, 6 men, 6 type 1 diabetic, and 4 type 2 diabetic subjects; age [mean ±SD] 49 ±14 years, mean disease duration: 50 ±14 years). During an oral glucose tolerance test (OGTT) phase, results obtained from the arm with no rubbing (Soft-Sense; Abbott Medisense) were lower than the results obtained with our reference …

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