Continuous glucose monitoring system: dawn period calibration does not change accuracy of the method

Arq Bras Endocrinol Metabol. 2009 Jun;53(4):425-8. doi: 10.1590/s0004-27302009000400006.

Abstract

Introduction: Continuous glucose monitoring system is a valuable instrument to measure glycemic control, which uses a retrospective calibration based upon 3 to 4 capillary glucose meter values inserted by the patient each day.

Objective: We evaluated the interference of calibration during the dawn period in the system accuracy.

Methods: The monitoring data were retrospectively divided into two groups: with (Group A) or without (Group B) the dawn period calibration (between 1:00 and 5:00 AM). Accuracy of the method was expressed by relative absolute difference.

Results: Thirty-four continuous glucose monitoring data were evaluated comprising a total of 112 nights. A total of 289 paired readings were analyzed - 195 in Group A and 94 in Group B. We did not find a difference in relative absolute difference (RAD%) in any analyzed period of day by adding dawn calibration.

Conclusions: These data suggest that dawn calibration does not alter accuracy of method.

MeSH terms

  • Adolescent
  • Adult
  • Blood Glucose / metabolism*
  • Blood Glucose Self-Monitoring / methods*
  • Blood Glucose Self-Monitoring / standards
  • Calibration
  • Circadian Rhythm*
  • Diabetes Mellitus / blood*
  • Epidemiologic Methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Time Factors
  • Young Adult

Substances

  • Blood Glucose