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Finger stick glucose testing

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https://www.readbyqxmd.com/read/29887987/insulin-degludec-overdose-in-an-adolescent-with-type-1-diabetes-proactive-management-including-monitoring-using-the-freestyle-libre-flash-glucose-monitoring-system
#1
Harmony Thompson, Helen Lunt, Cate Fleckney, Steven Soule
An adolescent with type 1 diabetes and a history of self-harm, which included intentional overdoses and insulin omission, presented with an insulin degludec overdose. She had been commenced on the ultra-long-acting insulin, degludec, with the aim of reducing ketoacidosis episodes in response to intermittent refusal to take insulin. Insulin degludec was administered under supervision as an outpatient. Because it was anticipated that she would attempt a degludec overdose at some stage, the attending clinicians implemented a proactive management plan for this (and related) scenarios...
2018: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/29774672/glucose-sensitive-silicone-hydrogel-contact-lens-toward-tear-glucose-monitoring
#2
Ramachandram Badugu, Edward Albert Reece, Joseph R Lakowicz
Accurate and reliable monitoring of blood glucose is needed for the treatment of diabetes, which has many challenges, including lack of patient compliance. Measuring tear glucose is an alternative to traditional finger-stick tests used to track blood sugar levels, but glucose sensing using tears has yet to be achieved. We report a methodology for possible tear glucose monitoring using glucose-sensitive silicone hydrogel (SiHG) contact lenses, the primary type of lenses available in today's market. Initially, we assessed the interpenetrating polymer network, with nearly pure silicone and water regions, existing in the SiHGs using a polarity-sensitive probe Prodan...
May 2018: Journal of Biomedical Optics
https://www.readbyqxmd.com/read/29756070/reducing-severe-hypoglycaemia-in-hospitalised-patients-with-diabetes-early-outcomes-of-standardised-reporting-and-management
#3
Katherine A Araque, Deepak K Kadayakkara, Nino Gigauri, Diane Sheehan, Sachin Majumdar, Gregory Buller, Clare A Flannery
Background: Severe hypoglycaemic events (HGEs) in hospitalised patients are associated with poor outcomes and prolonged hospitalization. Systematic, coordinated care is required for acute management and prevention of HGEs; however, studies evaluating quality control efforts are scarce. Objective: To investigate the effectiveness of system-based interventions to improve management response to HGEs. Methods: System-based interventions were designed and implemented following a root cause analysis of HGE in adult patients with diabetes from two general medical wards with the highest incidence of HGE...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29750797/critical-depth-raman-spectroscopy-enables-home-use-non-invasive-glucose-monitoring
#4
Signe M Lundsgaard-Nielsen, Anders Pors, Stefan O Banke, Jan E Henriksen, Dietrich K Hepp, Anders Weber
One of the most ambitious endeavors in the field of diabetes technology is non-invasive glucose sensing. In the past decades, a number of different technologies have been assessed, but none of these have found its entry into general clinical use. We report on the development of a table-top confocal Raman spectrometer that was used in the home of patients with diabetes and operated for extended periods of time unsupervised and without recalibration. The system is based on measurement of glucose levels at a 'critical depth' in the skin, specifically in the interstitial fluid located below the stratum corneum but above the underlying adipose tissue layer...
2018: PloS One
https://www.readbyqxmd.com/read/29488442/factors-associated-with-timely-blood-glucose-testing-and-insulin-administration-in-patients-receiving-mealtime-insulin-coverage-in-medical-surgical-units
#5
Ann R Kaisen, Janet A Parkosewich, Kelly A Bonito
Purpose The purpose of the study was to identify the rate and factors associated with timely mealtime capillary blood glucose (CBG) testing and insulin coverage in hospitalized patients with diabetes. Methods A descriptive-correlational design was used with a random sample of patients (n = 77) and nurses (n = 36) on a medicine and a neuroscience unit of a large Magnet hospital. After written consent was obtained, post-meal patient and nurse interviews were conducted to collect information about patient, nurse, and situational factors known to influence timely mealtime diabetes care...
April 2018: Diabetes Educator
https://www.readbyqxmd.com/read/29356072/flash-forward-a-review-of-flash-glucose-monitoring
#6
REVIEW
L Leelarathna, E G Wilmot
The FreeStyle Libre flash glucose monitor became available on prescription (subject to local health authority approval) in all four nations of the UK from November 2017, a watershed moment in the history of diabetes care. Calibration free, the FreeStyle Libre is a disc worn on the arm for 14 days which is designed largely to replace the recommended 4-10 painful finger-stick blood glucose tests required each day for the self-management of diabetes. This review discusses clinical data from randomized and observational studies, considers device accuracy metrics and deliberates its popularity and the potential challenges that this new device brings to diabetes care in the UK...
April 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29108571/wearable-non-invasive-epidermal-glucose-sensors-a-review
#7
Jayoung Kim, Alan S Campbell, Joseph Wang
The growing recent interest in wearable and mobile technologies has led to increased research efforts toward development of non-invasive glucose monitoring platforms. Continuous glucose monitoring addresses the limitations of finger-stick blood testing and provides the opportunity for optimal therapeutic interventions. This article reviews recent advances and challenges toward the development of non-invasive epidermal electrochemical glucose sensing systems. Recent reports claim success in glucose monitoring in human subjects using skin-worn electrochemical sensors...
January 15, 2018: Talanta
https://www.readbyqxmd.com/read/28638894/hepatitis-b-vaccination-rate-in-patients-with-diabetes-assessment-of-racial-and-socioeconomic-disparity
#8
Ayse Aytaman, Nwakile Ojike, Samantha Zizi, S R Pandi-Perumal, Ismet Lukolic, Amit Bhanvadia, Felix Nwamaghinna, Haroon Kamran, Alla Akivis, Olusegun Bankole, Moro O Salifu, Samy I McFarlane
INTRODUCTION: Less hygienic use of blood glucose monitoring equipment such as blood glucose meters, lancets, finger stick devices or other diabetes-care equipment such as syringes or insulin pens by self-administration often exposes the diabetic patient to Hepatitis B infection. This study evaluates hepatitis B vaccination among individuals with diabetes. METHODS: The study used data from the 2000-2013 National Health Interview Survey (NHIS). Vaccination rates among adult individuals with diabetes of various ethnic backgrounds was accessed and compared using chis-square tests...
2016: International Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28569662/sliding-scale-insulin-use-in-long-term-care-an-updated-perspective
#9
REVIEW
Joy Woods, Micki Nadelson
Diabetes affects approximately 26% of individuals oldeR THAN 65 years of age in the United States and up to 33% of patients in long-term care facilities. The most commonly prescribed insulin therapy for patients in long-term care is sliding-scale insulin (SSI): the use of finger-stick blood glucose testing to assess the need for insulin administration based on current blood glucose levels. SSI has been on the Beers Criteria of Potentially Inappropriate Medications since 2012. However, its sole use for long-term treatment is specifically not recommended by the American Diabetes Association and other stakeholders in diabetes management...
February 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27331169/comparing-finger-stick-%C3%AE-hydroxybutyrate-with-dipstick-urine-tests-in-the-detection-of-ketone-bodies
#10
Baris Kuru, Mustafa Sever, Ersin Aksay, Tarik Dogan, Necmiye Yalcin, Ezgi Seker Eren, Fusun Ustuner
OBJECTIVES: Blood ketone (beta-hydroxybutyrate) measurements are suggested instead of urine ketone (acetoacetate) measurements in the diagnosis of diabetic ketoacidosis. Urine ketone examination is difficult and time consuming, and may result in an incorrect interpretation. Studies performed in emergency departments on blood ketones are limited. Our objective is to compare urine ketones and capillary blood ketones in patients whose serum glucose levels were ≥150 mg/dl. METHODS: In our cross-sectional prospective study, finger-stick blood beta-hydroxybutyrate, arterial blood gas and urine ketone measurements of patients whose serum glucose levels were 150 mg/dL and higher were performed in the emergency department...
June 2014: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27207206/noninvasive-technique-for-estimating-blood-glucose-levels-among-diabetic-patients
#11
COMPARATIVE STUDY
M D Shylaja, Prashant A Punde, George Sam, S Nubesh Khan, Abhilash Abdul Latheef, Ashutosh J Thorat
AIM: The present study was aimed to assess the fasting and postprandial gingival crevicular blood (GCB) glucose and finger stick blood glucose measurements using a glucometer. MATERIALS AND METHODS: A total of 30 subjects with periodontitis and positive bleeding on probing were considered. Subjects were instructed to report to the department after overnight fasting. Gingival crevicular blood samples were collected from anterior region showing bleeding on probing followed by finger stick blood sample collection...
March 1, 2016: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/27110138/is-blood-glucose-associated-with-descending-modulation-of-spinal-nociception-as-measured-by-the-nociceptive-flexion-reflex
#12
Ellen L Terry, Yvette M Güereca, Satin L Martin, Jamie L Rhudy
OBJECTIVES: Prior research has shown a relationship between blood glucose levels and some forms of self-regulation (eg, executive function), with low blood glucose levels associated with impaired self-regulation. Further, engagement in self-regulation tasks depletes blood glucose. Given these relationships, the present study examined whether blood glucose is associated with another form of self-regulation, ie, descending pain modulatory processes. METHODS: Forty-seven (32 female) pain-free participants were recruited and completed testing...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/26672421/comparative-clinical-evaluation-of-glycosylated-haemoglobin-level-in-healthy-and-chronic-periodontitis-patients-a-chairside-diagnostic-method
#13
COMPARATIVE STUDY
T S Srinivasa, Parul Agrawal, Pravesh Goyal, Sana Farista, N K Sowmya, Sushmita Deonani
OBJECTIVE AND BACKGROUND: Glycosylated haemoglobin (HbA1c) level can consequently be interpreted as an average of the blood glucose present over the past 3-4 months. Periodontitis is associated with glycemic control in patients with diabetes. The purpose of this study was to determine the level of HbA1c in healthy and periodontitis patients who were previously not diagnosed with diabetes mellitus. MATERIALS AND METHODS: A total of 40 patients were selected for study and divided into two groups...
September 2015: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/26378851/type-2-diabetes-and-anxiety-symptoms-among-women-in-new-delhi-india
#14
Lesley Jo Weaver, S V Madhu
OBJECTIVES: We explored the relationship between mental health and type 2 diabetes among women in New Delhi, India, in 2011. METHODS: We recruited a convenience sample of 184 diabetic women from 10 public and private clinics. They completed a finger-stick blood test and a questionnaire assessing demographic characteristics, depression and anxiety symptoms, and diabetes-related disabilities restricting their performance of daily tasks. A subsample of 30 women participated in follow-up qualitative interviews at their homes...
November 2015: American Journal of Public Health
https://www.readbyqxmd.com/read/25737101/hypoglycemia-after-roux-en-y-gastric-bypass-detection-rates-of-continuous-glucose-monitoring-cgm-versus-mixed-meal-test
#15
Ronald Kefurt, Felix B Langer, Karin Schindler, Soheila Shakeri-Leidenmühler, Bernhard Ludvik, Gerhard Prager
BACKGROUND: Neuroglucopenic hypoglycemia might be an underestimated threat for roux-en-Y gastric bypass (RYGB) patients leading to fatigue, syncope, seizures or even accidental deaths. Different measurements can assess hypoglycemia such as a finger-stick glucometer, an Oral Glucose Tolerance Test, a Mixed Meal-Test (MMT) or, as introduced recently, continuous glucose monitoring (CGM). SETTING: University Hospital, Austria. METHODS: To assess the incidence of hypoglycemic episodes under real life conditions, 5-day CGM was performed in a series of 40 patients at a mean of 86 months after RYGB...
May 2015: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/25713975/the-potential-for-glycemic-control-monitoring-and-screening-for-diabetes-at-dental-visits-using-oral-blood
#16
Shiela M Strauss, Mary T Rosedale, Michael A Pesce, David M Rindskopf, Navjot Kaur, Caroline M Juterbock, Mark S Wolff, Dolores Malaspina, Ann Danoff
OBJECTIVES: We examined the potential for glycemic control monitoring and screening for diabetes in a dental setting among adults (n = 408) with or at risk for diabetes. METHODS: In 2013 and 2014, we performed hemoglobin A1c (HbA1c) tests on dried blood samples of gingival crevicular blood and compared these with paired "gold-standard" HbA1c tests with dried finger-stick blood samples in New York City dental clinic patients. We examined differences in sociodemographics and diabetes-related risk and health care characteristics for 3 groups of at-risk patients...
April 2015: American Journal of Public Health
https://www.readbyqxmd.com/read/25520565/monitoring-hiv-infected-patients-with-diabetes-hemoglobin-a1c-fructosamine-or-glucose
#17
So-Young Kim, Patricia Friedmann, Amit Seth, Adrienne M Fleckman
BACKGROUND: Published studies report inappropriately low hemoglobin A1C (HbA1c) values that underestimate glycemia in HIV patients. METHODS: We reviewed the charts of all HIV patients with diabetes mellitus (DM) at our clinic. Fifty-nine patients had HbA1c data, of whom 26 patients also had fructosamine data. We compared the most recent HbA1c to finger-stick (FS) glucose averaged over three months, and fructosamine to FS averaged over six weeks. Predicted average glucose (pAG) was calculated as reported by Nathan et al: pAG (mg/dL) = 28...
2014: Clinical Medicine Insights. Endocrinology and Diabetes
https://www.readbyqxmd.com/read/25429227/low-perfusion-index-affects-the-difference-in-glucose-level-between-capillary-and-venous-blood
#18
Nurdan Acar, Hamit Ozcelik, Arif Alper Cevik, Engin Ozakin, Goknur Yorulmaz, Nur Kebapci, Ugur Bilge, Muzaffer Bilgin
AIM: In emergency cases, finger stick testing is primarily used to check the blood glucose value of patients since it takes longer to obtain the venous value. In critical patients, under conditions that cause an increase in metabolic state and level of stress, there occurs considerable difference in glucose levels between capillary and venous measurements. This study aimed to investigate the comparability of capillary and venous glucose values, according to the perfusion index level obtained with the Masimo Radical-7(®) device, in critical patients aged 18 years and over...
2014: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/24876543/feasibility-of-factory-calibration-for-subcutaneous-glucose-sensors-in-subjects-with-diabetes
#19
Udo Hoss, Erwin S Budiman, Hanqing Liu, Mark P Christiansen
BACKGROUND: Continuous glucose monitoring using subcutaneously inserted sensors currently requires blood glucose tests for sensor calibration. Alternatively, sensors precalibrated during the manufacturing process may eliminate the need for fingerstick calibrations. In this study we evaluated the feasibility of sensor factory calibration in subjects with diabetes. METHODS: A total of 33 subjects with diabetes were asked to wear 4 sensors in parallel, 2 on the arm and 2 on the abdomen...
January 2014: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/24801361/accuracy-of-bedside-glucometry-in-critically-ill-children-with-peripheral-hypoperfusion
#20
Anant Khositseth, Onsuthi Pharadornuwat, Rojjanee Lertbunrian, Nattachai Anantasit, Jarin Vaewpanich
The accuracy of glucose test strip in critically care has been questioned. We investigated the accuracy of glucose test strip in critically ill children. Patients, aged from 1 month to 18 years admitted in pediatric intensive care unit. Demographic data, hemodynamic parameters, and perfusion index (PI) were recorded. Glucose test strips were performed from finger stick blood [capillary blood glucose (CBG)] and from whole blood [whole blood glucose (WBG)] along with laboratory plasma blood glucose (PBG) from either arterial or venous blood samples...
February 2015: Journal of Clinical Monitoring and Computing
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