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*Read only for medical professionals.
How accurate is it to measure at home? See what this latest study has to say! This article summarizes the gold standard for the diagnosis of diabetes, oral glucose tolerance test! You can also screen yourself at home, why don't you try it? Diabetes testing takes two steps, and if there is a problem, go to the hospital! 1 The gold standard for diabetes diagnosis, oral glucose tolerance test! There will be no obvious symptoms for a long time after diabetes occurs, but this time without symptoms is the best time to intervene to prevent diabetes from getting worse
.
Interventions that start before symptoms of diabetes, or even when a patient enters impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), have long been shown to work wonders
.
The results of the meta-analysis found that life>
.
Table 1 Classification of glucose metabolism status based on venous plasma glucose detection In order to prevent early intervention, early diagnosis of prediabetes is the first step
.
Fasting blood sugar, 2-hour postprandial blood sugar, and glycosylated hemoglobin (HbA1c) can all play a role, but the most recognized is the oral glucose tolerance test (OGTT)
.
In 2020, the "Guidelines for the Prevention and Treatment of Type 2 Diabetes in China" pointed out that diabetes should be diagnosed based on venous plasma glucose rather than capillary blood glucose measurements
.
Table 2 Classification of glucose metabolism status based on blood glucose testing of various specimens This also means that you must go to the hospital to measure blood sugar
.
Making an appointment, registering, making an order, drawing blood, drinking sugar water, and then waiting for 2 hours before drawing blood, and then waiting for a report—everyone adds up, this is really time-consuming and laborious, so let’s not test it! However, with the World Health Organization giving a series of conversion values for capillary blood glucose and venous plasma blood glucose, it seems possible to measure the OGTT at home
.
A recent study published in the journal BMJ Open Diabetes Res Care explored the feasibility of this screening method
.
2 You can also screen yourself at home, why don't you try it? The study from Singapore Health Duke-NUS Academic Medical Centre included 30 participants with a history of gestational diabetes or prediabetes
.
These participants had received an OGTT in a hospital and knew what it was like to have an OGTT in a hospital, so they could compare the pros and cons of going to the hospital versus doing an OGTT at home
.
Figure 1 The study was published in the journal BMJ Open Diabetes Res Care.
The researchers provided these participants with detailed remote guidance.
There are eight steps in the specific blood sugar monitoring.
The steps of detecting capillary blood sugar are actually the same as the daily self-testing blood sugar of diabetic patients.
No difference
.
Step 1: Get ready to poke your own needle, known in research as a pocket knife, and the preparation process is as simple as turning the handle and removing the scabbard
.
Figure 2-Step 1 Get your needle ready Step 2: Prepare the blood glucose meter, take out a test strip, and put it on the blood glucose meter
.
Figure 2-Step 2 Prepare the blood glucose meter Step 3: Choose a tie from the index finger, middle finger or ring finger of the hand that is not used frequently, wipe the finger with an alcohol cotton ball and dry it naturally
.
Figure 2-Step 3 Prepare the finger to be pricked Step 4: Press the lancet firmly on the side between the selected fingers, press the button on the lancet, and hear a "click" to indicate that the lancet is pierced.
Do not squeeze your fingers to squeeze out blood
.
Figure 2-Step 4 As soon as you close your eyes, pierce! Step 5: Gently touch the drop of blood with the tip of the test strip on the meter, then lower the meter and wait for the reading to appear and record
.
Figure 2-Step 5 Detection of capillary blood sugar Step 6: Drink 300mL of 75g glucose solution and start the countdown counter for 120 minutes
.
Step 7: Don't eat, don't drink, don't smoke, you can only drink some water now
.
Step 8: After 120 minutes, please repeat steps 1-5 to check the capillary blood sugar again
.
Eleven participants reported 15 manipulation errors during the test, including needing to prick their fingers a few times or blood droplets on other places on the test strip, being older, male, having no higher education, and having not tested capillaries themselves before Participants with blood sugar were more likely to make mistakes
.
These tests were monitored in real-time by researchers via smartphones to ensure participants were completing them correctly
.
Figure 3.
Capillary and venous plasma results are very close Although participants only received remote instruction, blood glucose results from capillary and venous plasma were very close
.
The results showed that fasting blood glucose (r=0.
95; p<0.
001) detected by capillary venous plasma was closely related to 2-hour blood glucose (r=0.
95; p<0.
001) after glucose load, and the results of the two indicators were very consistent (Fleiss-Kappa 0.
79, p<0.
0001)
.
The results of these blood sugar tests, which will eventually be used to screen people with diabetes and prediabetes, were found to be pretty good at classifying them
.
Table 3 Comparison of test results Although the results of the capillary test and the venous plasma test were not completely consistent, the method had excellent sensitivity (94.
1%) and negative predictive value (91.
7%) for prediabetes or type 2 diabetes
.
In other words, this method can catch the vast majority of patients who need intervention, and if the test results show that your blood sugar is normal, then there is a high probability that you are really okay
.
Figure 4 Test results identify the majority of patients with diabetes and prediabetes In addition to test results, the study also asked participants how they felt after the test
.
The results showed that more than 90% of the participants were confident that they could do the OGTT on their own, and believed that others would soon learn to do the OGTT on their own
.
However, 43% of participants felt that preparing for the OGTT on their own was a bit complicated, and older, less educated participants were less likely to accept DIY OGTT at home
.
3 Diabetes testing is two steps, and if there is a problem, go to the hospital! The researchers believe that most people can DIY an OGTT at home with a blood glucose meter and a glucose solution to screen for diabetes
.
Therefore, the future OGTT may be able to adopt a two-step approach.
First, do an OGTT at home, and if there is a problem, go to the hospital for an OGTT to confirm pre-diabetes or diabetes
.
At the same time, with the popularity of smart phones, the reliability of this detection method has been further guaranteed
.
Professionals can provide real-time or post-mortem monitoring of screened high-risk groups through cellphone photos or videos
.
In this way, the relatively troublesome detection method of OGTT can be introduced into thousands of households, allowing more high-risk groups of diabetes to be screened - maybe there will be a DIY diabetes test kit that can be delivered to your home in the future! Reference: [1] Roberts S, Barry E, Craig D, Airoldi M, Bevan G, Greenhalgh T.
Preventing type 2 diabetes: systematic review of studies of cost-effectiveness of life>
How accurate is it to measure at home? See what this latest study has to say! This article summarizes the gold standard for the diagnosis of diabetes, oral glucose tolerance test! You can also screen yourself at home, why don't you try it? Diabetes testing takes two steps, and if there is a problem, go to the hospital! 1 The gold standard for diabetes diagnosis, oral glucose tolerance test! There will be no obvious symptoms for a long time after diabetes occurs, but this time without symptoms is the best time to intervene to prevent diabetes from getting worse
.
Interventions that start before symptoms of diabetes, or even when a patient enters impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), have long been shown to work wonders
.
The results of the meta-analysis found that life>
.
Table 1 Classification of glucose metabolism status based on venous plasma glucose detection In order to prevent early intervention, early diagnosis of prediabetes is the first step
.
Fasting blood sugar, 2-hour postprandial blood sugar, and glycosylated hemoglobin (HbA1c) can all play a role, but the most recognized is the oral glucose tolerance test (OGTT)
.
In 2020, the "Guidelines for the Prevention and Treatment of Type 2 Diabetes in China" pointed out that diabetes should be diagnosed based on venous plasma glucose rather than capillary blood glucose measurements
.
Table 2 Classification of glucose metabolism status based on blood glucose testing of various specimens This also means that you must go to the hospital to measure blood sugar
.
Making an appointment, registering, making an order, drawing blood, drinking sugar water, and then waiting for 2 hours before drawing blood, and then waiting for a report—everyone adds up, this is really time-consuming and laborious, so let’s not test it! However, with the World Health Organization giving a series of conversion values for capillary blood glucose and venous plasma blood glucose, it seems possible to measure the OGTT at home
.
A recent study published in the journal BMJ Open Diabetes Res Care explored the feasibility of this screening method
.
2 You can also screen yourself at home, why don't you try it? The study from Singapore Health Duke-NUS Academic Medical Centre included 30 participants with a history of gestational diabetes or prediabetes
.
These participants had received an OGTT in a hospital and knew what it was like to have an OGTT in a hospital, so they could compare the pros and cons of going to the hospital versus doing an OGTT at home
.
Figure 1 The study was published in the journal BMJ Open Diabetes Res Care.
The researchers provided these participants with detailed remote guidance.
There are eight steps in the specific blood sugar monitoring.
The steps of detecting capillary blood sugar are actually the same as the daily self-testing blood sugar of diabetic patients.
No difference
.
Step 1: Get ready to poke your own needle, known in research as a pocket knife, and the preparation process is as simple as turning the handle and removing the scabbard
.
Figure 2-Step 1 Get your needle ready Step 2: Prepare the blood glucose meter, take out a test strip, and put it on the blood glucose meter
.
Figure 2-Step 2 Prepare the blood glucose meter Step 3: Choose a tie from the index finger, middle finger or ring finger of the hand that is not used frequently, wipe the finger with an alcohol cotton ball and dry it naturally
.
Figure 2-Step 3 Prepare the finger to be pricked Step 4: Press the lancet firmly on the side between the selected fingers, press the button on the lancet, and hear a "click" to indicate that the lancet is pierced.
Do not squeeze your fingers to squeeze out blood
.
Figure 2-Step 4 As soon as you close your eyes, pierce! Step 5: Gently touch the drop of blood with the tip of the test strip on the meter, then lower the meter and wait for the reading to appear and record
.
Figure 2-Step 5 Detection of capillary blood sugar Step 6: Drink 300mL of 75g glucose solution and start the countdown counter for 120 minutes
.
Step 7: Don't eat, don't drink, don't smoke, you can only drink some water now
.
Step 8: After 120 minutes, please repeat steps 1-5 to check the capillary blood sugar again
.
Eleven participants reported 15 manipulation errors during the test, including needing to prick their fingers a few times or blood droplets on other places on the test strip, being older, male, having no higher education, and having not tested capillaries themselves before Participants with blood sugar were more likely to make mistakes
.
These tests were monitored in real-time by researchers via smartphones to ensure participants were completing them correctly
.
Figure 3.
Capillary and venous plasma results are very close Although participants only received remote instruction, blood glucose results from capillary and venous plasma were very close
.
The results showed that fasting blood glucose (r=0.
95; p<0.
001) detected by capillary venous plasma was closely related to 2-hour blood glucose (r=0.
95; p<0.
001) after glucose load, and the results of the two indicators were very consistent (Fleiss-Kappa 0.
79, p<0.
0001)
.
The results of these blood sugar tests, which will eventually be used to screen people with diabetes and prediabetes, were found to be pretty good at classifying them
.
Table 3 Comparison of test results Although the results of the capillary test and the venous plasma test were not completely consistent, the method had excellent sensitivity (94.
1%) and negative predictive value (91.
7%) for prediabetes or type 2 diabetes
.
In other words, this method can catch the vast majority of patients who need intervention, and if the test results show that your blood sugar is normal, then there is a high probability that you are really okay
.
Figure 4 Test results identify the majority of patients with diabetes and prediabetes In addition to test results, the study also asked participants how they felt after the test
.
The results showed that more than 90% of the participants were confident that they could do the OGTT on their own, and believed that others would soon learn to do the OGTT on their own
.
However, 43% of participants felt that preparing for the OGTT on their own was a bit complicated, and older, less educated participants were less likely to accept DIY OGTT at home
.
3 Diabetes testing is two steps, and if there is a problem, go to the hospital! The researchers believe that most people can DIY an OGTT at home with a blood glucose meter and a glucose solution to screen for diabetes
.
Therefore, the future OGTT may be able to adopt a two-step approach.
First, do an OGTT at home, and if there is a problem, go to the hospital for an OGTT to confirm pre-diabetes or diabetes
.
At the same time, with the popularity of smart phones, the reliability of this detection method has been further guaranteed
.
Professionals can provide real-time or post-mortem monitoring of screened high-risk groups through cellphone photos or videos
.
In this way, the relatively troublesome detection method of OGTT can be introduced into thousands of households, allowing more high-risk groups of diabetes to be screened - maybe there will be a DIY diabetes test kit that can be delivered to your home in the future! Reference: [1] Roberts S, Barry E, Craig D, Airoldi M, Bevan G, Greenhalgh T.
Preventing type 2 diabetes: systematic review of studies of cost-effectiveness of life>
