Department of Physiology, Faculty of Medicine, Palacký University, Hnevotinska 3, Olomouc, Czech Republic.
Acta Diabetol. 2011 Mar;48(1):35-40. doi: 10.1007/s00592-010-0213-5. Epub 2010 Aug 9.
Conventional glucometer systems for plasma/blood glucose monitoring are based on colorimetry or static electrochemistry using a fixed input signal. The recent glucometer Linus, Wellion, Agamatrix, USA, based on wavesense dynamic electrochemistry, uses a time-varying input signal to give a more accurate glucose reading. The purpose of this study was to compare the plasma glucose (PG) readings obtained by nursing staff from glucometer Linus and PG values estimated on an approved analyzer Daytona™, Randox, Global Medical Instrumentation, Inc., MN, USA. In the course of 5 weeks, 221 fingerprick capillary blood samples were taken from persons with diabetes at different times and investigated using glucometer Linus. Within two following minutes, blood from the same fingerprick was also collected in a tube and centrifuged; the plasma was analyzed on the Daytona™ analyzer. Statistical analysis was performed using the software SPSS v. 15.0, SPSS Inc., Chicago, IL, USA. A total of 221 paired PG values were plotted on the error grid diagram indicating that 218 values (98.6%) of the glucose readings (Linus vs. Daytona) were within the clinically accurate zone A (maximum difference ±20%) and 3 values (1.4%) within the acceptable zone B. Daytona showed 4 PG values <4.2 mmol/l (75 mg/dl) and their difference of respective Linus readings was always <0.83 mmol/l (15 mg/dl). Correlation of results was strong (r = 0.992). Glucometer Linus readings correspond to the ISO and FDA standards. So, Linus appears to be an accurate device for PG-self-monitoring and clinical practice.
传统的用于血浆/血糖监测的血糖仪系统基于比色法或使用固定输入信号的静态电化学。最近的血糖仪 Linus、Wellion、Agamatrix,美国,基于波感动态电化学,使用时变输入信号来提供更准确的血糖读数。本研究的目的是比较由护士从血糖仪 Linus 获得的血浆葡萄糖 (PG) 读数和在经过批准的分析仪 Daytona™(Randox,Global Medical Instrumentation,Inc.,MN,美国)上估计的 PG 值。在 5 周的时间里,从不同时间的糖尿病患者身上采集了 221 个指尖毛细血管血样,并使用血糖仪 Linus 进行了检测。在接下来的两分钟内,同一指尖的血液也被收集在一个管中并离心;血浆在 Daytona™分析仪上进行分析。使用 SPSS v. 15.0 软件(SPSS Inc.,芝加哥,IL,美国)进行统计分析。总共绘制了 221 对 PG 值的误差网格图,表明血糖仪 Linus 与 Daytona 之间的葡萄糖读数(Linus 与 Daytona)中有 218 个值(98.6%)在临床准确的 A 区(最大差异 ±20%)内,3 个值(1.4%)在可接受的 B 区。Daytona 显示了 4 个 PG 值<4.2mmol/l(75mg/dl),并且它们各自的 Linus 读数的差异始终<0.83mmol/l(15mg/dl)。结果相关性很强(r=0.992)。血糖仪 Linus 的读数符合 ISO 和 FDA 标准。因此,Linus 似乎是一种用于 PG 自我监测和临床实践的准确设备。