Diabetes Research Institute, Mills-Peninsula Health Services, San Mateo, California, USA (Mr Chaudhry, Dr Klonoff)
Diabetes Educ. 2013 Sep-Oct;39(5):689-95. doi: 10.1177/0145721713495791. Epub 2013 Jul 29.
The purpose of this project was to determine how prevalent control solution calibration is in patients who perform self-monitoring of blood glucose (SMBG).
Eighteen patients with or parents of children with type 1 diabetes mellitus were surveyed to gauge patients' knowledge of control testing and the prevalence of its use. U.S. census data of educational attainment of residents in the surveyed region were used. The availability of control solution (CS) in all pharmacies in 8 cities in mid San Mateo County, California, was evaluated as well. User manuals from 6 leading blood glucose monitor (BGM) manufacturers were retrieved for their indications for using CS.
It was found that although 82% of respondents claimed to know what CS is, 58% claimed to never use this product. In the analyzed geographic region, the educational attainment was above the educational level for the entire San Francisco Bay Area and the United States. CS in our region was stocked by only 15% of pharmacies that sold BGM equipment, even though 6 major BGM manufacturers in the aggregate listed 10 indications for its use.
It was concluded that BGM users are frequently not using CS to calibrate their monitors. The low availability of CS at pharmacies might contribute to the low demand for this product. It can be concluded that patients who perform SMBG need education from diabetes educators about proper CS calibration. Without the use of CS, BGMs are not being used according to manufacturer's specifications. This misuse could lead to erroneous results and erode the potential benefits of SMBG.
本项目旨在确定自我监测血糖（SMBG）患者中进行控制液校准的普遍程度。
调查了 18 名 1 型糖尿病患者或其父母，以评估患者对控制检测的了解程度及其使用的普遍性。使用了调查区域居民的受教育程度的美国人口普查数据。评估了加利福尼亚州圣马特奥县中部 8 个城市所有药店的控制液（CS）的供应情况。检索了 6 家主要血糖监测仪（BGM）制造商的用户手册，以了解其使用 CS 的说明。
发现尽管 82%的受访者声称知道 CS 是什么，但 58%的人声称从未使用过该产品。在分析的地理区域，教育程度高于整个旧金山湾区和美国的教育水平。尽管 6 家主要的 BGM 制造商总共列出了 10 种使用 CS 的适应症，但在销售 BGM 设备的药店中，只有 15%的药店库存 CS。
研究得出结论，BGM 用户经常不使用 CS 来校准他们的监测器。药店 CS 的供应不足可能导致对该产品的需求较低。可以得出结论，进行 SMBG 的患者需要接受糖尿病教育者关于正确的 CS 校准的教育。如果不使用 CS，BGM 将不符合制造商的规格使用。这种误用可能导致错误的结果，并削弱 SMBG 的潜在益处。
