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J R Soc Med. 1982 June; 75(6): 399–403.
PMCID: PMC1437977

Audit in a diabetic clinic.


Diabetic control was assessed in 82 established insulin-dependent diabetics using a microcapillary system for home preprandial blood glucose sampling. At initial assessment control in the majority (62%) was found to be unsatisfactory (at least 1 preprandial blood glucose greater than 13.0 mmol/l or frequent and severe hypoglycaemia). Sixty-three of these patients were assessed on more than one occasion. Only 24% were satisfactorily controlled at their first assessment, but this proportion had risen to 60% after 12 months. The ability of patients to perform unsupervised blood glucose levels using Ames Glucometers or BM-Glycemie 20-800 test strips was also assessed: 86% of the meter results were within one-third of the laboratory-based results, but there was evidence of bias towards the under-reading of higher glucose values using BM-Glycemie 20-800 test strips. Random blood glucose estimations performed in the diabetic clinic were of little value.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Jarrett RJ, Keen H. Hyperglycaemia and diabetes mellitus. Lancet. 1976 Nov 6;2(7993):1009–1012. [PubMed]
  • Lawson PM, Kesson CM, Ireland JT. Performance of blood-glucose strips. Lancet. 1979 Oct 6;2(8145):742–742. [PubMed]
  • Sönksen PH, Judd SL, Lowy C. Home monitoring of blood-glucose. Method for improving diabetic control. Lancet. 1978 Apr 8;1(8067):729–732. [PubMed]
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  • Walford S, Clarke P, Paisey R, Hartog M, Allison SP. Home blood-glucose measurements without reflectance meter. Lancet. 1980 Mar 22;1(8169):653–654. [PubMed]
  • Walford S, Gale EA, Allison SP, Tattersall RB. Self-monitoring of blood-glucose. Improvement of diabetic control. Lancet. 1978 Apr 8;1(8067):732–735. [PubMed]
  • Walford S, Page MM, Allison SP. The influence of renal threshold on the interpretation of urine tests for glucose in diabetic patients. Diabetes Care. 1980 Nov-Dec;3(6):672–674. [PubMed]
  • Williams CP, Davies GK, Child DF. A novel five-microlitre capillary system for home glucose monitoring. Ann Clin Biochem. 1981 Sep;18(Pt 5):304–307. [PubMed]

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