Blackwell Miranda, Wheeler Benjamin J
Department of Women's and Children's Health, University of Otago, PO Box 913, Dunedin, 9054, New Zealand.
Paediatric Endocrinology, Southern District Health Board, Dunedin, New Zealand.
Acta Diabetol. 2017 Jan;54(1):1-8. doi: 10.1007/s00592-016-0907-4. Epub 2016 Sep 7.
Despite advances in technology, the frequent self-measurement of blood glucose (SMBG) remains fundamental to the management of 1 diabetes mellitus (T1DM). Once measured, SMBG results are routinely reported back to health professionals and other interested parties, either verbally, via a logbook, or electronically downloaded from a pump or meter. The misreporting of SMBG using various techniques represents a classic non-adherence behavior and carries with it both acute and chronic dangers. In addition, while this behavior appears very prevalent, many aspects remain largely unstudied. With this in mind, we aimed to summarize literature addressing the misreporting of SMBG in T1DM via a detailed literature search. This produced both recent and past literature. While most of these studies examined the prevalence of deliberate misreporting in a verbal or logbook context, others focused on the motivations behind this behavior, and alternative forms of misreporting, including deliberate manipulation of meters to produce inaccurate results and true technological errors. This timely review covers all aspects of misreporting and highlights multiple patient techniques, which are clearly adapting to advances in technology. We believe that further understanding and attention to this aspect of adherence may lead not only to improvements in glycemic control and safety, but also to the psychological well-being of those affected by type 1 diabetes.
尽管技术不断进步，但频繁的自我血糖监测（SMBG）对于1型糖尿病（T1DM）的管理仍然至关重要。一旦测量，SMBG结果通常会通过口头、日志或从泵或血糖仪电子下载的方式反馈给医疗专业人员和其他相关方。使用各种技术误报SMBG是一种典型的不依从行为，会带来急性和慢性危险。此外，虽然这种行为似乎非常普遍，但许多方面在很大程度上仍未得到研究。考虑到这一点，我们旨在通过详细的文献检索总结关于T1DM中SMBG误报的文献。这检索到了近期和过去的文献。虽然这些研究大多考察了在口头或日志记录情况下故意误报的发生率，但其他研究则关注这种行为背后的动机以及误报的其他形式，包括故意操纵血糖仪以产生不准确的结果和真正的技术错误。这篇及时的综述涵盖了误报的各个方面，并突出了多种患者技术，这些技术显然是在适应技术进步。我们认为，进一步了解和关注依从性的这一方面不仅可能改善血糖控制和安全性，还可能改善1型糖尿病患者的心理健康。
