Blood glucose estimations in adolescents with type 1 diabetes: predictors of accuracy and error.
Blood glucose estimations in adolescents with type 1 diabetes: predictors of accuracy and error.
复制标题
1 型糖尿病青少年的血糖估计：准确性和误差的预测因素。
DOI：
10.1093/jpepsy/jsg008
复制
发表时间：
2003
影响因子：
3.6
通讯作者：
Silverstein,Janet
中科院分区：
文献类型：
--
作者：
Meltzer,LisaJ;Johnson,SuzanneBennett;Pappachan,Sarah;Silverstein,Janet
目的检查 1 型糖尿病青少年血糖 (BG) 估计准确性和误差的预测因子。方法 78 名青少年（11-19 岁）在进行每日 BG 测试之前评估其身体症状并估计其 BG。 BG 估计数据经过误差网格分析。使用分层回归来确定 BG 估计准确性和误差的预测因子。结果 平均参与者在 37% 的时间内做出准确的 BG 估计，在 24% 的时间内做出临床相关的 BG 估计错误。与男孩和年龄较小的青少年相比，女孩和年龄较大的青少年的 BG 估计准确率较高，BG 估计错误率较低。较高的 BG 变异性也与增加的 BG 估计误差相关。 结论 尽管男孩、青少年和 BG 变异性较高的人表现出较高的 BG 估计错误率，但大多数参与者表现出 BG 估计准确率较低和 BG 估计错误率较高。由于患者难以准确估计血糖，医疗服务提供者可能会低估不适当自我治疗的频率。
ObjectiveTo examine predictors of blood glucose (BG) estimation accuracy and errors in adolescents with Type 1 diabetes.MethodSeventy-eight adolescents (ages 11-19) rated their physical symptoms and estimated their BG prior to conducting daily BG tests. BG estimation data were subject to an error grid analysis. Hierarchical regression was used to identify predictors of BG estimation accuracy and errors.ResultsThe average participant made accurate BG estimations 37% of the time and clinically relevant BG estimation errors 24% of the time. Girls and older adolescents had higher BG estimation accuracy rates and lower BG estimation error rates than boys and younger adolescents. Higher BG variability was also associated with increased BG estimation errors.ConclusionsAlthough boys, younger adolescents, and those with higher BG variability showed higher BG estimation error rates, most participants showed low rates of BG estimation accuracy and high rates of BG estimation error. Health providers may underestimate the frequency of inappropriate self-treatment as a result of patient difficulty in estimating BG accurately.