The Chronic Injury Glucose Error Grid: A Tool to Reduce Diabetes Complications. (14th October 2014)

• Record Type: Journal Article
• Authors: Krouwer, Jan S.; Cembrowski, George S.
• Is Part Of: Journal of diabetes science and technology. Volume 9:Number 1(2015:Jan.)
• Page Start: 149
• Page End: 152
• Publication Date: 2014-10-14
• Subjects: diabetes complications -- error grid -- long-term bias -- surveillance; Diabetes -- Periodicals; Medical technology -- Periodicals; Diabetes Mellitus -- Periodicals; 616.462005
• DOI: 10.1177/1932296814554415
• Languages: English
• ISSNs: 1932-2968

Abstract

Traditional glucose error grids provide error limits for glucose meters. These criteria help to assess the meter's suitability to prevent acute injury. We present a rationale for an error grid that provides a different set of error limits to help prevent chronic injury in diabetes. For example, glucose values in the no treatment zone of a traditional error grid could be harmful in diabetic retinopathy. The same method comparison data informs both the acute and chronic injury error grids. All of the data are used in an acute injury error grid, whereas only long-term biases populate a chronic injury error grid. These biases can be due to reagent lots and patient specific interferences. An example of a chronic injury glucose error grid is provided using simulated data.