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Original scientific paper

Alternative site testing of blood glucose in children and adolescents with type I Diabetes

V. Škrabić
J. Jakšić
T. Matić
Z. Kačić
M. Šitum

Fulltext: english, doc (22 KB) pages 87-87 downloads: 143* cite
APA 6th Edition
Škrabić, V., Jakšić, J., Matić, T., Kačić, Z. & Šitum, M. (2007). Alternative site testing of blood glucose in children and adolescents with type I Diabetes. Paediatria Croatica, 51 (3), 87-87. Retrieved from https://hrcak.srce.hr/18016
MLA 8th Edition
Škrabić, V., et al. "Alternative site testing of blood glucose in children and adolescents with type I Diabetes." Paediatria Croatica, vol. 51, no. 3, 2007, pp. 87-87. https://hrcak.srce.hr/18016. Accessed 2 Mar. 2021.
Chicago 17th Edition
Škrabić, V., J. Jakšić, T. Matić, Z. Kačić and M. Šitum. "Alternative site testing of blood glucose in children and adolescents with type I Diabetes." Paediatria Croatica 51, no. 3 (2007): 87-87. https://hrcak.srce.hr/18016
Harvard
Škrabić, V., et al. (2007). 'Alternative site testing of blood glucose in children and adolescents with type I Diabetes', Paediatria Croatica, 51(3), pp. 87-87. Available at: https://hrcak.srce.hr/18016 (Accessed 02 March 2021)
Vancouver
Škrabić V, Jakšić J, Matić T, Kačić Z, Šitum M. Alternative site testing of blood glucose in children and adolescents with type I Diabetes. Paediatria Croatica [Internet]. 2007 [cited 2021 March 02];51(3):87-87. Available from: https://hrcak.srce.hr/18016
IEEE
V. Škrabić, J. Jakšić, T. Matić, Z. Kačić and M. Šitum, "Alternative site testing of blood glucose in children and adolescents with type I Diabetes", Paediatria Croatica, vol.51, no. 3, pp. 87-87, 2007. [Online]. Available: https://hrcak.srce.hr/18016. [Accessed: 02 March 2021]
Fulltext: croatian, doc (3 MB) pages 83-87 downloads: 866* cite
APA 6th Edition
Škrabić, V., Jakšić, J., Matić, T., Kačić, Z. & Šitum, M. (2007). Korištenje alternativnih mjesta mjerenja glukoze u krvi u djece i adolescenata oboljelih od šećerne bolesti tipa I. Paediatria Croatica, 51 (3), 83-87. Retrieved from https://hrcak.srce.hr/18016
MLA 8th Edition
Škrabić, V., et al. "Korištenje alternativnih mjesta mjerenja glukoze u krvi u djece i adolescenata oboljelih od šećerne bolesti tipa I." Paediatria Croatica, vol. 51, no. 3, 2007, pp. 83-87. https://hrcak.srce.hr/18016. Accessed 2 Mar. 2021.
Chicago 17th Edition
Škrabić, V., J. Jakšić, T. Matić, Z. Kačić and M. Šitum. "Korištenje alternativnih mjesta mjerenja glukoze u krvi u djece i adolescenata oboljelih od šećerne bolesti tipa I." Paediatria Croatica 51, no. 3 (2007): 83-87. https://hrcak.srce.hr/18016
Harvard
Škrabić, V., et al. (2007). 'Korištenje alternativnih mjesta mjerenja glukoze u krvi u djece i adolescenata oboljelih od šećerne bolesti tipa I', Paediatria Croatica, 51(3), pp. 83-87. Available at: https://hrcak.srce.hr/18016 (Accessed 02 March 2021)
Vancouver
Škrabić V, Jakšić J, Matić T, Kačić Z, Šitum M. Korištenje alternativnih mjesta mjerenja glukoze u krvi u djece i adolescenata oboljelih od šećerne bolesti tipa I. Paediatria Croatica [Internet]. 2007 [cited 2021 March 02];51(3):83-87. Available from: https://hrcak.srce.hr/18016
IEEE
V. Škrabić, J. Jakšić, T. Matić, Z. Kačić and M. Šitum, "Korištenje alternativnih mjesta mjerenja glukoze u krvi u djece i adolescenata oboljelih od šećerne bolesti tipa I", Paediatria Croatica, vol.51, no. 3, pp. 83-87, 2007. [Online]. Available: https://hrcak.srce.hr/18016. [Accessed: 02 March 2021]

Abstracts
Several previous studies in adults with type 1 diabetes have documented that glucose levels obtained at alternative sites and at fingertip are not the same, a difference was noticed after a meal, after insulin application or during and after exercise.
This study was done specifically to look at alternative site testing (AST) to determine if the site differences previously observed in adults are also found in children and adolescents. Glucose measurements were made using OneTouch Ultra System at fingertip and forearm sites, before breakfast and dinner, but at least two hours after insulin application and two hours after a meal. Twenty-four diabetics attending a summer camp in Dalmatia participated in the testing. At the completion of the camp, the children were questioned about their experience with AST. A total of 217 forearm measurements were made. Linear regression analysis showed that forearm glucose values were highly correlated with fingertip values (p<0.001, R=0.96). Using Clarke Error Grid analysis with fingertip readings as the reference values, 89.9% of values fell in zone A, 8.3% in zone B, 2% fell in zone D. Parkes Error Grid analysis showed 90.3% of values in zone A, 10% in zone B and none in zone C and D.
Although 37% of the diabetics examined had a slight subjective feeling of pain, 46% did not feel pain using AST, 25% emphasized the simplicity of measuring blood glucose using AST and only 29% will use AST more frequently at home in regards to using it at the summer camp. 71% will periodically or rarely use AST (41% because it requires more time and 58% because it was harder to obtain blood for measurement or visible stab wounds were present).
Glucose values obtained from forearm sites in children and adolescents studied in real life at the diabetic camp correlated closely with fingertip values. This suggests that when children follow the current guidlines for AST largely developed in adults, the results are reliable and can safely be utilized.

Keywords
Descriptors: DIABETES MELLITUS, TYPE 1 – blood; BLOOD GLUCOSE – analysis; BLOOD GLUCOSE SELF-MONITORING – methods

Hrčak ID: 18016

URI
https://hrcak.srce.hr/18016

[croatian]

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