Clarke S F, Foster J R
History Committee, Institute of Biomedical Science, 12 Coldbath Square, London.
Br J Biomed Sci. 2012;69(2):83-93.
Self-monitoring blood glucose (SMBG) systems have the potential to play an important role in the management of diabetes and in the reduction of risk of serious secondary clinical complications. This review describes the transition from simple urine sugar screening tests to sophisticated meter and reagent strip systems to monitor blood glucose. Significant developments in design and technology over the past four decades are described since the first meter was introduced in 1970. Factors that have influenced this evolution and the challenges to improve analytical performance are discussed. Current issues in the role of SMBG from the clinical, patient and manufacturer perspectives, notably adherence, costs and regulations, are also considered.
自我血糖监测（SMBG）系统在糖尿病管理以及降低严重继发性临床并发症风险方面具有发挥重要作用的潜力。本综述描述了从简单的尿糖筛查测试到用于监测血糖的精密血糖仪和试纸条系统的转变。自1970年第一台血糖仪问世以来，介绍了过去四十年来在设计和技术方面的重大进展。讨论了影响这一演变的因素以及提高分析性能所面临的挑战。还从临床、患者和制造商的角度考虑了SMBG作用方面的当前问题，尤其是依从性、成本和法规。
