Systematic Review of Blood Glucose Determined by Glucose Meter and Autoanalyzer_Chinese Journal of Evidence-Based Medicine

Authors：

PENG Yan ,  HU Juan , WANG Qingxu

General Hospital of Chengdu Military Command, Chengdu, Sichuan610083, China;

Corresponding author：

HU Juan, Email: sccdwrc@163.com

Keywords：

Blood glucose; Glucose Meter; Autoanalyzer; Systematic review; Diagnostic test

DOI：

10.7507/1672-2531.20090083

Video：

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Objective 　To assess the differences between a glucose meter and autoanalyzer at home and broad.
Method MEDLINE, CNKI, FMJS, and CBM were searched electronically (1995 to May, 2008). The statistical analysis
of included studies was performed according to the Cochrane systematic reviews method.
Result　 Twenty four studies, including 11 English records and 19 Chinese records involving 4 963 specimens, were included in this study. Meta-analysis showed us the blood glucose values of Abbott, Roche, and Johnson abroad subgroups are higher than the laboratory method, and their WMD (95%CI) are 0.57 (0.34,0.80), 0.43 (0.04,0.81), 0.41 (0.11,0.71). The blood glucose values of the Abbot and Roche domestic subgroups are comparable to the laboratory method [WMD= 0.60, 95%CI (– 0.79, 1.99); WMD= – 0.13, 95%CI (– 0.56, 0.29)]. The blood glucose value of the Johnson domestic subgroup is lower than laboratory method [WMD= – 0.95, 95%CI (– 1.42, – 0.48)].
Conclusion 　The results of the abroad studies are relatively consistent, and the blood glucose values of all abroad subgroups are higher than laboratory method. The domestic studies are different because of other factors.

Citation： PENG Yan,HU Juan,WANG Qingxu. Systematic Review of Blood Glucose Determined by Glucose Meter and Autoanalyzer. Chinese Journal of Evidence-Based Medicine, 2009, 09(4): 446-451. doi: 10.7507/1672-2531.20090083 Copy

1.	李光伟. 糖尿病的防治. 第1版. 北京: 中国友谊出版公司, 2000.191.
2.	周敏芳, 邓忠新. 床边血糖测定及质量控制方法. 中华护理杂志, 2000, 35(1): 19-20.
3.	Bogdan S, Jerzy WN, Jacek S. The Evaluation of Analytical Performance of the Precision GTM Point-of-Care Glucometer. Clin Chem Lab Med, 2001, 39(12): 1283-1286.
4.	Martin DD, Mark DSS, Freeman H, et al. Point-of-care testing of HbA1c and blood glucose in a remote Aboriginal Australian community. MJA, 2005, 182(10): 524-527.
5.	Matthew C, Erin B, Carol D, et al. A comparison of blood glucose meters in Australia. Diabetes Research and Clinical Practice, 2006, 71(2): 113-118.
6.	Bilen H, Kilicaslan A, Akcay G, et al. Performance of glucose dehydrogenase (GDH) based and glucose oxidase (GOX) based blood glucose meter systems at moderately high altitude. Journal of Medical Engineering & Technology, 2007, 31(2): 152-156.
7.	Suleyman D, Gamze CY, Diler A. Technical and clinical evaluation of a glucose meter employing amperometric biosensor technology. Diabetes Research and Clinical Practice, 2008, 79(3): 400-404.
8.	Bogdan S, Jerzy N, Wojciech G. Analytical evaluation of the Optium Xido blood glucose Meter. Clin Chem Lab Med, 2008, 46(1): 143-147.
9.	董清松, 宋秀宇, 林贵兰. 全自动生化分析仪与快速血糖仪测定血糖的比对分析. 福建医药杂志, 2007, 29(6): 101-102.
10.	Critchell CD, Savarese V, Callahan A, et al. Accuracy of bedside capillary blood glucose measurements in critically ill patients. Intensive Care Med, 2007, 33(12): 2079-2084.
11.	张涛, 陶雪斌, 邓宏明. 血糖仪测定血糖值可靠性研究. 护士进修杂志, 2002, 17(12): 890-891.
12.	文秀丽, 孙莹. 血糖仪测定毛细血管和静脉血糖的结果比较. 辽宁药物与临床, 2003, 6(1): 38-39.
13.	周慜, 陈璐璐. 新型快速血糖仪监测血糖的可靠性评价及其社会意义. 医学与社会, 2003, 16(3): 22-23.
14.	叶亚彩. 血糖仪测定血糖结果的可靠性研究. 临床医学, 2005, 25(1): 37-39.
15.	段海平, 刘丽. 血糖仪与全自动生化分析仪180例血糖检测结果对比. 中国民康医学, 2006, 18(8): 656.
16.	梁红峰. 快速血糖仪与日立7180全自动生化分析仪检测血葡萄糖的对比分析. 国际医药卫生导报, 2007, 13(14): 96-98.
17.	彭文娟, 郭明卫. 罗氏快速血糖仪和生化分析仪测定血糖结果的比较. 中国医疗前沿, 2007, 2(13): 112.
18.	Bimenya1 GS, Nzarubara GR, Kiconco J, et al. The accuracy of self monitoring blood glucose meter systems in Kampala Uganda. African Health Sciences, 2003, 3(1): 23-32.
19.	Finkielman MDJD, Oyen LJPD, Afessa BMD. Agreement Between Bedside Blood and Plasma Glucose Measurement in the ICU Setting. Chest, 2005, 127(5): 1749-1751.
20.	王卫庆, 宁光, 张连珍, 等. 血糖监测仪测定毛细血管全血糖的影响因素. 上海第二医科大学学报, 1997, 17(1): 50-51.
21.	郑永雄, 谭灿生. 糖尿病患者毛细血管血糖与静脉血糖的对比研究. 1999, 20(7): 531-532.
22.	董亚红, 张丽红. 袖珍式血糖仪测定不同标本血糖差异性研究. 中华护理杂志, 2001, 36(4): 269-270.
23.	朱军. 不同样本及测定方法对血糖结果的影响. 齐齐哈尔医学院学报, 2004, 25(9): 1008.
24.	李亚, 陈丽娜. 两种仪器及方法检测血糖的对比. 现代医院, 2006, 6(6): 384.
25.	刘凤凤, 周芳. 快速血糖仪与全自动生化分析仪的对比研究. 现代检验, 2006, 3(35): 160.
26.	朱爱民, 刘阔叶. 快速血糖仪的检测结果分析. 中国医药指南, 2007, 5(10): 153-154.

1. 李光伟. 糖尿病的防治. 第1版. 北京: 中国友谊出版公司, 2000.191.
2. 周敏芳, 邓忠新. 床边血糖测定及质量控制方法. 中华护理杂志, 2000, 35(1): 19-20.
3. Bogdan S, Jerzy WN, Jacek S. The Evaluation of Analytical Performance of the Precision GTM Point-of-Care Glucometer. Clin Chem Lab Med, 2001, 39(12): 1283-1286.
4. Martin DD, Mark DSS, Freeman H, et al. Point-of-care testing of HbA1c and blood glucose in a remote Aboriginal Australian community. MJA, 2005, 182(10): 524-527.
5. Matthew C, Erin B, Carol D, et al. A comparison of blood glucose meters in Australia. Diabetes Research and Clinical Practice, 2006, 71(2): 113-118.
6. Bilen H, Kilicaslan A, Akcay G, et al. Performance of glucose dehydrogenase (GDH) based and glucose oxidase (GOX) based blood glucose meter systems at moderately high altitude. Journal of Medical Engineering & Technology, 2007, 31(2): 152-156.
7. Suleyman D, Gamze CY, Diler A. Technical and clinical evaluation of a glucose meter employing amperometric biosensor technology. Diabetes Research and Clinical Practice, 2008, 79(3): 400-404.
8. Bogdan S, Jerzy N, Wojciech G. Analytical evaluation of the Optium Xido blood glucose Meter. Clin Chem Lab Med, 2008, 46(1): 143-147.
9. 董清松, 宋秀宇, 林贵兰. 全自动生化分析仪与快速血糖仪测定血糖的比对分析. 福建医药杂志, 2007, 29(6): 101-102.
10. Critchell CD, Savarese V, Callahan A, et al. Accuracy of bedside capillary blood glucose measurements in critically ill patients. Intensive Care Med, 2007, 33(12): 2079-2084.
11. 张涛, 陶雪斌, 邓宏明. 血糖仪测定血糖值可靠性研究. 护士进修杂志, 2002, 17(12): 890-891.
12. 文秀丽, 孙莹. 血糖仪测定毛细血管和静脉血糖的结果比较. 辽宁药物与临床, 2003, 6(1): 38-39.
13. 周慜, 陈璐璐. 新型快速血糖仪监测血糖的可靠性评价及其社会意义. 医学与社会, 2003, 16(3): 22-23.
14. 叶亚彩. 血糖仪测定血糖结果的可靠性研究. 临床医学, 2005, 25(1): 37-39.
15. 段海平, 刘丽. 血糖仪与全自动生化分析仪180例血糖检测结果对比. 中国民康医学, 2006, 18(8): 656.
16. 梁红峰. 快速血糖仪与日立7180全自动生化分析仪检测血葡萄糖的对比分析. 国际医药卫生导报, 2007, 13(14): 96-98.
17. 彭文娟, 郭明卫. 罗氏快速血糖仪和生化分析仪测定血糖结果的比较. 中国医疗前沿, 2007, 2(13): 112.
18. Bimenya1 GS, Nzarubara GR, Kiconco J, et al. The accuracy of self monitoring blood glucose meter systems in Kampala Uganda. African Health Sciences, 2003, 3(1): 23-32.
19. Finkielman MDJD, Oyen LJPD, Afessa BMD. Agreement Between Bedside Blood and Plasma Glucose Measurement in the ICU Setting. Chest, 2005, 127(5): 1749-1751.
20. 王卫庆, 宁光, 张连珍, 等. 血糖监测仪测定毛细血管全血糖的影响因素. 上海第二医科大学学报, 1997, 17(1): 50-51.
21. 郑永雄, 谭灿生. 糖尿病患者毛细血管血糖与静脉血糖的对比研究. 1999, 20(7): 531-532.
22. 董亚红, 张丽红. 袖珍式血糖仪测定不同标本血糖差异性研究. 中华护理杂志, 2001, 36(4): 269-270.
23. 朱军. 不同样本及测定方法对血糖结果的影响. 齐齐哈尔医学院学报, 2004, 25(9): 1008.
24. 李亚, 陈丽娜. 两种仪器及方法检测血糖的对比. 现代医院, 2006, 6(6): 384.
25. 刘凤凤, 周芳. 快速血糖仪与全自动生化分析仪的对比研究. 现代检验, 2006, 3(35): 160.
26. 朱爱民, 刘阔叶. 快速血糖仪的检测结果分析. 中国医药指南, 2007, 5(10): 153-154.

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