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一种新型基于葡萄糖脱氢酶的血糖仪用于患者自我检测的系统准确性和干扰评估

System Accuracy and Interference Evaluation of a New Glucose Dehydrogenase-Based Blood Glucose Meter for Patient Self-Testing.

作者信息

Pfützner Andreas, Kalasauske Daiva, Hanna Mina, Sachsenheimer Daniela, Raab Gerhard, Weissenbacher Silvia, Thomé Nicole

机构信息

Pfützner Science & Health Institute, Mainz, Germany.

University for Digital Technologies in Medicine and Dentistry, Wiltz, Luxembourg.

出版信息

J Diabetes Sci Technol. 2025 Mar;19(2):431-435. doi: 10.1177/19322968231201862. Epub 2023 Oct 2.

Abstract

New European medical device regulations require the performance of postmarketing surveillance evaluations for blood glucose meters (BGMs). We conducted an ISO15197:2015-conform system performance evaluation with the approved glucose dehydrogenase (GDH)-based Wellion NEWTON BGM. One hundred subjects were enrolled into the study (44 female, 56 male, 43 healthy subjects, 23 type 1 diabetes, 34 type 2 diabetes, age: 53.7 ± 15.8 years). In addition, manipulated heparinized whole blood was used for a laboratory interference test with ten selected substances (interference definition: substance-induced bias > 10%). The mean absolute relative difference (MARD) was 4.7%, and 100% of the values were in zones A (99.7%) and B (0.3%), respectively, of the consensus error grid. Interference was observed with xylose only, which is a known interfering substance for GDH-based BGMs.

摘要

欧洲新的医疗器械法规要求对血糖仪(BGM)进行上市后监测评估。我们使用经批准的基于葡萄糖脱氢酶(GDH)的Wellion NEWTON血糖仪进行了符合ISO15197:2015标准的系统性能评估。100名受试者参与了该研究(44名女性,56名男性,43名健康受试者,23名1型糖尿病患者,34名2型糖尿病患者,年龄:53.7±15.8岁)。此外,使用经过处理的肝素化全血对十种选定物质进行实验室干扰测试(干扰定义:物质诱导偏差>10%)。平均绝对相对差异(MARD)为4.7%,100%的值分别位于一致性误差网格的A区(99.7%)和B区(0.3%)。仅观察到木糖存在干扰情况,木糖是已知的会干扰基于GDH的血糖仪的物质。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dcf/11874304/b11ca2fac3fd/10.1177_19322968231201862-fig1.jpg

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