Evidence map›Paper›PMID 26810924›Full record

Trial reportJournal of diabetes science and technology2016

Assessing the Accuracy of Continuous Glucose Monitoring (CGM) Calibrated With Capillary Values Using Capillary or Venous Glucose Levels as a Reference.

Mervi Andelin, Jort Kropff, Viktorija Matuleviciene, Jeffrey I Joseph, Stig Attvall, Elvar Theodorsson, Irl B Hirsch, Henrik Imberg, Sofia Dahlqvist, David Klonoff and 3 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of diabetes science and technology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 28 citations in OpenAlex.

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  15. Future of Automated Insulin Delivery Systems.Diabetes technology & therapeutics · 2017
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 3 countries.

Mervi AndelinDepartment of Medicine, NU Hospital Group, Uddevalla, Sweden.
Jort KropffDepartment of Endocrinology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Viktorija MatulevicieneInstitute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Jeffrey I JosephDepartment of Anaesthesiology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
Stig AttvallInstitute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Elvar TheodorssonDepartment of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Sweden.
Irl B HirschUniversity of Washington, Seattle, WA, USA.
Henrik ImbergStatistiska Konsultgruppen, Gothenburg, Sweden.
Sofia DahlqvistDepartment of Medicine, NU Hospital Group, Uddevalla, Sweden.
David KlonoffDiabetes Research Institute, Mills-Peninsula Health Services, San Mateo, CA, USA.
Börje HaraldssonInstitute of Medicine, University of Gothenburg, Gothenburg, Sweden.
J Hans DeVriesDepartment of Endocrinology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Marcus LindDepartment of Medicine, NU Hospital Group, Uddevalla, Sweden Institute of Medicine, University of Gothenburg, Gothenburg, Sweden lind.marcus@telia.com.
NU Hospital Group · SEUniversity of Gothenburg · SEAcademic Medical Center · NLLinköping University · SEMills Peninsula Health Services · USThomas Jefferson University · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUsing the standard venous reference for the evaluation of continuous glucose monitoring (CGM) systems could possibly negatively affect measured CGM accuracy since CGM are generally calibrated with capillary glucose and venous and capillary glucose concentrations differ. We therefore aimed to quantify the effect of using capillary versus venous glucose reference samples on estimated accuracy in capillary calibrated CGM.

methodsWe evaluated 41 individuals with type 1 diabetes mellitus (T1DM) using the Dexcom G4 CGM system over 6 days. Patients calibrated their CGM devices with capillary glucose by means of the HemoCue system. During 2 visits, capillary and venous samples were simultaneously measured by HemoCue and compared to concomitantly obtained CGM readings. The mean absolute relative difference (MARD) was calculated using capillary and venous reference samples.

resultsVenous glucose values were 0.83 mmol/L (15.0 mg/dl) lower than capillary values over all glycemic ranges, P < .0001. Below 4 mmol/l (72 mg/dl), the difference was 1.25 mmol/l (22.5 mg/dl), P = .0001, at 4-10 mmol/l (72-180 mg/dl), 0.67 mmol/l (12.0 mg/dl), P < .0001 and above 10 mmol/l (180 mg/dl), 0.95 mmol/l (17.1 mg/dl), P < .0001. MARD was 11.7% using capillary values as reference compared to 13.7% using venous samples, P = .037. Below 4 mmol/l (72 mg/dl) MARD was 16.6% and 31.8%, P = .048, at 4-10 mmol/l (72-180 mg/dl) 12.1% and 12.6%, P = .32, above 10 mmol/l (180 mg/dl) 8.7% and 9.2%, P = .82.

conclusionUsing capillary glucose concentrations as reference to evaluate the accuracy of CGM calibrated with capillary samples is associated with a lower MARD than using venous glucose as the reference. Capillary glucose concentrations were significantly higher than venous in all glycemic ranges.

Indexed as

CapillariesVeinsAdultAgedBlood GlucoseBlood Glucose Self-MonitoringCalibrationDiabetes Mellitus, Type 1FemaleHumansMaleMiddle AgedReference ValuesYoung AdultBlood Glucoseaccuracycalibrationcapillarycontinuous glucose monitoring (CGM)type 1 diabetesvenous

Identifiers

PMID26810924
PMCPMC4928217
OpenAlexW2300183148

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.