Ruggiero L, Kairys S, Fritz G, Wood M
Rhode Island Hospital/Brown University Program in Medicine, Providence.
J Adolesc Health. 1991 Mar;12(2):101-6. doi: 10.1016/0197-0070(91)90451-q.
Although self-monitoring of blood glucose (SMBG) is an integral part of the daily self-care regimen for the effective management of insulin-dependent diabetes mellitus (IDDM), compliance with this task remains a significant problem, particularly for adolescents. Research should be focused on identifying other management approaches which may supplement SMBG. One potential approach involves placing greater reliance on the patient's own ability to estimate glucose levels. Although some research has examined blood glucose self-estimation in adults, little is known about this construct in children and adolescents. The purpose of the current study was to examine the accuracy of blood glucose self-estimates in adolescents with IDDM and examine the relation between child characteristics and accuracy. The results for 70 adolescents with IDDM indicated that as a group they were moderately accurate in estimating their glucose levels; however, much variability in accuracy was found among subjects. Subject characteristics were not found to be significantly related to accuracy.
尽管自我血糖监测（SMBG）是有效管理胰岛素依赖型糖尿病（IDDM）日常自我护理方案的一个组成部分，但坚持这项任务仍然是一个重大问题，尤其是对青少年而言。研究应集中于确定其他可能补充自我血糖监测的管理方法。一种潜在方法是更多地依赖患者自身估计血糖水平的能力。虽然一些研究已在成年人中检验了血糖自我估计，但对于儿童和青少年的这一概念却知之甚少。本研究的目的是检验IDDM青少年血糖自我估计的准确性，并检验儿童特征与准确性之间的关系。70名IDDM青少年的结果表明，作为一个群体，他们在估计血糖水平方面有一定的准确性；然而，在受试者中发现准确性存在很大差异。未发现受试者特征与准确性有显著相关性。
