TITLE

The Accuracy of Blood Glucose Testing by Children

AUTHOR(S)
Strumph, Paul S.; Odoroff, Charles L.; Amatruda, John M.
PUB. DATE
April 1988
SOURCE
Clinical Pediatrics;Apr1988, Vol. 27 Issue 4, p188
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
While studies have evaluated the accuracy of adult patients and health personnel in reading various glucose oxidase impregnated strips to estimate blood glucose, there are no studies exclusively evaluating the accuracy of children with diabetes reading their own strips as compared to a staff member, and meter to meter variability in reading these strips. We evaluated the accuracy of reading chemstrip bG by children at a summer camp. The children's visual readings of their own strips were compared to the visual reading of a single staff member. A total of 356 Chemstrip bG's were visually read by diabetic children and a single trained staff member at a summer camp for diabetics. The strips were then analyzed by two Accu-Chek bG meters. Intermachine variability was found to be negligible over the entire bG range. For the purposes of this study, we define accurate visual readings as those within ±15 percent of the meter reading of a given strip. At low bG values (40–79 mg/dl), accuracy by children and staff is low, with underestimating occurring in 39 percent of staff readings and 57 percent of children's readings. At intermediate bG values (120–239 mg/dl) readings are more accurate, especially when read by the staff, with misreadings occurring in only 16–19 percent of the strips. At high bG values (240-399 mg/dl), accuracy by children is decreased, with underestimation 500 percent more often than staff. We conclude that children are less accurate at reading Chemstrip bG than a trained staff member (51% versus 33% misreading), especially at the upper and lower ranges of bG values when visual readings are least accurate, and the need for therapeutic intervention is the greatest.
ACCESSION #
17100462

 

Related Articles

  • A Comparative Clinical Evaluation of a New Proprietary Method for Urine Testing in Juvenile Diabetics. Traisman, Howard S.; Greenwood, Ronald D. // Clinical Pediatrics;Jun1973, Vol. 12 Issue 6, p357 

    Compares the efficacy of Keto-Diastix dip-and-read test for urine testing in juvenile diabetics. Claim that this plastic strip are affixed two reagent pad areas which are reactive to glucose and ketones respectively; Need for any patient or family adopting this method should receive adequate...

  • HOW WE HANDLE IT: Our baby has diabetes. Sprinkle, Nicole; Geddes, Jennifer Kelly // Parenting;Aug2005, Vol. 19 Issue 7, p34 

    Presents an article relating an experience in having a child with Type 1 diabetes. Symptoms of diabetes; Effects of the diabetes on the child's health; Challenges in distinguishing the child's blood sugar level.

  • Alternate-Site Testing for Diabetic Children Gets Thumbs Up. Trecroci, D. // Diabetes Health;Aug2004, Vol. 13 Issue 8, p68 

    Deals with a study on the use of finger-prick testing as an alternative for blood glucose measurement in children and adolescents with diabetes. Details of the study.

  • Diabetes in School: Kids Share Their Hope, Fears, & Tips for the New School Year. Krueger, Laurie // Countdown;Fall2004, Vol. 25 Issue 4, Special Section p9 

    Discusses the school experiences of children with diabetes in the United States. Efforts not to be treated differently; Importance of staying positive; Dealing with unwanted attention; Taking control of life; Need to monitor blood sugar; Differences of concerns and fears with normal children.

  • Does Blood Glucose Monitoring Increase Prior to Clinic Visits in Children With Type 1 Diabetes? DRISCOLL, KIMBERLY A.; JOHNSON, SUZANNE BENNETT; TANG, YUANYHAN; YANG, FANG; DEEB, LARRY C.; SILVERSTEIN, JANET H. // Diabetes Care;Oct2011, Vol. 34 Issue 10, p2170 

    OBJECTIVE--To assess the occurrence of white coat adherence in families with children who have type 1 diabetes. RESEARCH DESIGN AND METHODS--Blood glucose data were downloaded from meters of 72 children, aged 2-11 years, with type 1 diabetes at four consecutive clinic visits. Generalized...

  • Salivary characteristics of diabetic children. Gheena, S.; Chandrasekhar, T.; Pratibha, Ramani // Brazilian Journal of Oral Sciences;2011, Vol. 10 Issue 2, p93 

    Aim: The objectives of this study were to evaluate the levels of glucose, cholesterol, protein and albumin in saliva, and to correlate the levels of glucose of the saliva to oral health and blood glucose of diabetic and non-diabetic children. Methods: 32 children with type 1 diabetes mellitus...

  • Insights from the WHO and National Lists of Essential Medicines: Focus on Pediatric Diabetes Care in Africa. Rowlands, Amanda; Ameyaw, Emmanuel; Rutagarama, Florent; Dipesalema, Joel; Majaliwa, Edna Siima; Mbogo, Joyce; Ogle, Graham D.; Chanoine, Jean-Pierre // Hormone Research in Paediatrics;Oct2018, Vol. 90 Issue 2, p82 

    Background: Access to essential medicines in pediatric endocrinology and diabetes is limited in resource-limited countries. The World Health Organization (WHO) maintains two non-binding lists of essential medicines (EMLs) which are often used as a template for developing national EMLs. Methods:...

  • Neonatal Diabetes: A Case Study. Cashin, Kathryn M.; Briars, Rosemary L. // Pediatric Nursing;May/Jun99, Vol. 25 Issue 3, p271 

    Discusses a case study about neonatal diabetes. Incidence and characteristics of neonatal diabetes; Etiology and its treatment.

  • 11 Things Your Pediatric Endocrinologist Should Tell You. Cara, Jose F. // Diabetes Health;Nov2006, Vol. 15 Issue 11, p14 

    The article presents a list of issues that a pediatric endocrinologist should tell his or her young patient. Children with diabetes should be told by the pediatric endocrinologist that the health-care team and their parents are on their side to make sure they stay healthy. They should also be...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics