Hadar Eran, Chen Rony, Toledano Yoel, Tenenbaum-Gavish Kinneret, Atzmon Yuval, Hod Moshe
a Helen Schneider Hospital for Women, Rabin Medical Center , Petach-Tikva , Israel.
b Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel.
J Matern Fetal Neonatal Med. 2019 Oct;32(20):3393-3400. doi: 10.1080/14767058.2018.1463987. Epub 2018 Apr 23.
Current modalities for glucose monitoring are invasive and inconvenient. The search for a noninvasive technique is still ongoing, without a clinically viable product. The aim of our study was to evaluate the safety and accuracy of a novel non-invasive continuous glucometer - the Wizmi™ device. Prospective, observational, controlled clinical trial. We included healthy pregnant women designated to undergo a 3-hour oral glucose tolerance test. Each participant underwent synchronous and simultaneous glucose measurement by venous sampling of plasma glucose and non-invasive glucose by Wizmi device. Primary outcome was the accuracy of the Wizmi device as assessed by comparing between paired measurements, i.e. non-invasive glucose measurements by Wizmi versus standard plasma glucose levels, which were taken at the exact same time. Thirty-two women underwent oral glucose tolerance test (OGTT), contributing 224 paired glucose measurements. Of the 224 paired measurements, all were within the clinically appropriate zones of the Clarke error grid analysis zones -208 (93%) in Zone A and 16 (7%) in zone B. Mean absolute relative difference of the Wizmi non-invasive glucose versus plasma glucose laboratory reference was 7.23% or 9.66 mg/dl. Overall, for all 224 paired measurements, across all Wizmi glucose ranges, the agreement was 86.6, 92.0, 97.8 and 99.5% for deviations within ±15, 20, 30, 40% (if glucose >80 mg/dl) or mg/dl (if glucose ≤80 mg/dl). Wizmi device is novel non-invasive continuous glucose monitor, safe to use, with overall high accuracy compared to a gold standard reference of plasma glucose.
当前的血糖监测方式具有侵入性且不方便。对非侵入性技术的探索仍在进行中,尚未有临床可行的产品。我们研究的目的是评估一种新型非侵入性连续血糖仪——Wizmi™设备的安全性和准确性。前瞻性、观察性、对照临床试验。我们纳入了指定要进行3小时口服葡萄糖耐量试验的健康孕妇。每位参与者通过采集血浆葡萄糖的静脉采样和使用Wizmi设备进行非侵入性葡萄糖测量,进行同步和同时的血糖测量。主要结果是通过比较配对测量来评估Wizmi设备的准确性,即Wizmi的非侵入性葡萄糖测量值与在同一时间采集的标准血浆葡萄糖水平。32名女性进行了口服葡萄糖耐量试验(OGTT),提供了224对血糖测量值。在这224对测量值中,所有测量值都在克拉克误差网格分析区域的临床适当区域内——A区为208个(93%),B区为16个(7%)。Wizmi非侵入性葡萄糖与血浆葡萄糖实验室参考值的平均绝对相对差异为7.23%或9.66mg/dl。总体而言,对于所有224对测量值,在所有Wizmi血糖范围内,当偏差在±15%、20%、30%、40%(如果葡萄糖>80mg/dl)或mg/dl(如果葡萄糖≤80mg/dl)时,一致性分别为86.6%、92.0%、97.8%和99.5%。Wizmi设备是一种新型非侵入性连续血糖监测仪,使用安全,与血浆葡萄糖的金标准参考相比总体准确性较高。