Performance of an interstitial glucose monitoring device in patients with type 1 diabetes during haemodialysis

被引:0
作者
Cornet, Sophie [1 ]
Moranne, Olivier [2 ,3 ]
Jouret, Francois [1 ,4 ]
Parotte, Marie Christine [5 ]
Georges, Benoit [6 ]
Godon, Eric [7 ]
Cavalier, Etienne [8 ]
Radermecker, Regis P. [9 ]
Delanaye, Pierre [1 ]
机构
[1] Univ Liege, Dept Nephrol Dialysis & Transplantat, CHU Liege, Liege, Belgium
[2] Univ Montpellier, Ctr Hosp Univ Caremeau Nimes, Apheresis Unit, Nephrol Dialysis, Montpellier, France
[3] Univ Montpellier, IDESP, UMR, Montpellier, France
[4] Univ Liege, Interdisciplinary Grp Appl Genoprote Cardiovasc Sc, Liege, Belgium
[5] CHR Verviers East Belgium, Dept Internal Med, Div Nephrol Dialysis, Verviers, Belgium
[6] Ctr Hosp Regional Huy, Nephrol & Dialysis Dept, Huy, Belgium
[7] Ctr Hosp Reg Huy, Nephrol & Dialysis Clin, Huy, Belgium
[8] Univ Liege, Dept Clin Chem, CIRM, CHU Liege, Liege, Belgium
[9] Univ Liege, Dept Diabetol Nutr & Metab Disorders, CHU Liege, Clin Pharmacol, Liege, Belgium
关键词
diabetes mellitus; flash glucose monitoring; Freestyle Libre 2; haemodialysis; renal insufficiency; type; 1; ACCURACY; SYSTEMS;
D O I
10.1093/ckj/sfae045
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background. The use of interstitial glucose monitoring devices such as flash glucose monitoring has been shown to be beneficial in patients with type 1 diabetes mellitus (T1DM). However, these devices have been little studied in patients with diabetes treated by chronic haemodialysis ( HD) . Methods. The goal of this prospective, observational, multicentric study was to evaluate the analytical performance of the FreeStyle Libre 2 (FSL2) sensor in T1DM patients during HD sessions. During three HD sessions, interstitial fluid glucose (ISFG) concentrations given by the FSL2 were compared every 15 minutes with blood glucose (BG) concentrations obtained simultaneously. BG concentrations were measured by two different glucometers: the Accu-Chek Guide and StatStrip meters. Results. Twelve HD patients were included, with a mean age of 54 +/- 11 years and a mean diabetes duration of 36.5 +/- 11.6 years. Dialysis vintage was 35 +/- 22 months. A total of 565 pairs of ISFG/BG values were available for analysis. The mean absolute relative difference, defined as the mean of the absolute relative differences between the ISFG and BG measurements, was 17.4% and 20.9% when the ISFG was compared with the StatStrip meter or Accu-Chek Guide, respectively. Interstitial results tend to underestimate blood results, but all values were classified as having clinically acceptable error. The differences observed remained stable during the dialysis session and were not associated with the ultrafiltration rate. Conclusion. Use of the FSL2 interstitial glucose monitoring device in HD patients with T1DM is clinically acceptable, even though the accuracy of the device is generally poorer than in studies including non-dialysis patients.
引用
收藏
页数:8
相关论文
共 21 条
  • [1] abbottstore, FreeStyle Libre 2 Flash Glucose Monitoring System
  • [2] The Accuracy of Continuous Glucose Sensors in People with Diabetes Undergoing Hemodialysis (ALPHA Study)
    Avari, Parizad
    Tang, Wenxi
    Jugnee, Narvada
    Hersi, Ibrahim
    Al-Balah, Amer
    Tan, Tricia
    Frankel, Andrew H.
    Oliver, Nick
    Reddy, Monika
    [J]. DIABETES TECHNOLOGY & THERAPEUTICS, 2023, 25 (07) : 447 - 456
  • [3] STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
    BLAND, JM
    ALTMAN, DG
    [J]. LANCET, 1986, 1 (8476) : 307 - 310
  • [4] Head-to-head comparison between flash and continuous glucose monitoring systems in outpatients with type 1 diabetes
    Bonora, B.
    Maran, A.
    Ciciliot, S.
    Avogaro, A.
    Fadini, G. P.
    [J]. JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION, 2016, 39 (12): : 1391 - 1399
  • [5] EVALUATING CLINICAL ACCURACY OF SYSTEMS FOR SELF-MONITORING OF BLOOD-GLUCOSE
    CLARKE, WL
    COX, D
    GONDERFREDERICK, LA
    CARTER, W
    POHL, SL
    [J]. DIABETES CARE, 1987, 10 (05) : 622 - 628
  • [6] Diabetes Technology: Standards of Care in Diabetes-2023
    ElSayed, Nuha A.
    Aleppo, Grazia
    Aroda, Vanita R.
    Bannuru, Raveendhara R.
    Brown, Florence M.
    Bruemmer, Dennis
    Collins, Billy S.
    Hilliard, Marisa E.
    Isaacs, Diana
    Johnson, Eric L.
    Kahan, Scott
    Khunti, Kamlesh
    Leon, Jose
    Lyons, Sarah K.
    Perry, Mary Lou
    Prahalad, Priya
    Pratley, Richard E.
    Seley, Jane Jeffrie
    Stanton, Robert C.
    Gabbay, Robert A.
    [J]. DIABETES CARE, 2023, 46 : S111 - S127
  • [7] Freckmann Guido, 2019, J Diabetes Sci Technol, V13, P575, DOI 10.1177/1932296818812062
  • [8] Accuracy of Flash Glucose Monitoring in Patients with Diabetes Mellitus on Hemodialysis and Its Relationship with Hydration Status
    Genua, Idoia
    Sanchez-Hernandez, Joan
    Jose Martinez, Maria
    Pujol, Isabel
    Places, Jaume
    Gonzalez, Carmen
    Martinez, Esther
    Manuel Diaz, Juan
    Chico, Ana
    [J]. JOURNAL OF DIABETES SCIENCE AND TECHNOLOGY, 2021, 15 (06): : 1308 - 1312
  • [9] Gordon I, 2020, DIABETES RES CLIN PR, V164, DOI 10.1016/j.diabres.2020.108158
  • [10] Validation of the Accuracy of Interstitial Glucose CGM in an Insulin-Treated Population of Patients Requiring In-Center Haemodialysis
    Horne, Christopher
    Cranston, Iain
    Amos, Mark
    Flowers, Katey
    [J]. JOURNAL OF DIABETES SCIENCE AND TECHNOLOGY, 2023, 17 (04): : 971 - 975