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Monitoring the Glucose Level of Diabetic Patients

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Monitoring of the glucose level of diabetic patients is a cornerstone of diabetes care and management. The reliability of the home based glucose monitoring devices is critically important because the whole self-care and management of diabetes depends upon it. But there is still a big question mark on the accuracy of the results of the glucose monitoring devices. The ability of currently marketed glucose monitoring systems to determine the glycemic status of the patient is not very accurate. The glucose monitors detect less accurately than the clinicians usually think. The need for the adjustment of the treatment is greatest when the blood glucose level is in the hypoglycemic range and conversely this is the range of glucose level where the accuracy of the glucose measuring devices falls to the lowest. Various studies have demonstrated the poor performance of the home based glucose monitors in the hypoglycemic and hyperglycemic range. None of the devices in the market fulfills the criteria of accuracy set by American diabetes association and other authorities. Several studies have been done regarding the statistical and clinical accuracy of the home based glucose meters when the blood glucose level is in the hypoglycemic range, during the last two decades. Pohl et al. reported in a study in 1985 that the home based glucose monitoring devices demonstrate poor accuracy when the blood glucose level is in hypoglycemic range. The study demonstrated that the correlation coefficient

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