Glucose Monitoring After Fruit Peeling: Pseudohyperglycemia When Neglecting Hand Washing Before Fingertip Blood Sampling
Wash your hands with tap water before you check blood glucose level
- Takahisa Hirose, MD1,2,3,
- Tomoya Mita, MD1,
- Yoshio Fujitani, MD1,2,3,
- Ryuzo Kawamori, MD2,3,4 and
- Hirotaka Watada, MD1
- 1Department of Metabolism and Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan
- 2Center for Therapeutic Innovations in Diabetes, Juntendo University Graduate School of Medicine, Tokyo, Japan
- 3Center for Beta-Cell Biology and Degeneration, Juntendo University Graduate School of Medicine, Tokyo, Japan
- 4Sportolgy Center, Juntendo University Graduate School of Medicine, Tokyo, Japan
- Corresponding author: Takahisa Hirose, .
OBJECTIVE To examine whether hand contamination with fruit results in a false blood glucose (BG) reading using capillary fingertip blood sample.
RESEARCH DESIGN AND METHODS The study subjects were healthy volunteers with normal glucose tolerance test. Capillary BG samples were collected from the fingertip after peeling orange, grape, or kiwi fruit, followed by no action, washing hands with tap water, or rubbing the fingertip with an alcohol swab, then analyzed with glucose monitors.
RESULTS The BG levels measured after peeling any of the fruits, followed by washing hands, were similar to the control subjects (no fruit handling), but the levels after fruit peeling, followed by no washing, were abnormally and significantly high, even when the fingertip was cleaned once or five times with an alcohol swab before blood sampling.
CONCLUSIONS To avoid overestimation of blood glucose using portable monitors, the hands should be washed before monitoring capillary BG, especially after fruit has been handled.
- Received September 2, 2010.
- Accepted December 1, 2010.
- © 2011 by the American Diabetes Association.
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