PMID- 24510329
OWN - NLM
STAT- MEDLINE
DCOM- 20140311
LR  - 20191210
IS  - 1833-3516 (Print)
IS  - 1833-3516 (Linking)
VI  - 43
IP  - 4
DP  - 2013 Dec
TI  - Comparison of venous glucose to finger-prick glucose in patients with diabetes 
      under hyperbaric hyperoxic conditions: a pilot study.
PG  - 226-8
AB  - INTRODUCTION: Blood glucose is commonly measured in diabetic patients undergoing 
      hyperbaric oxygen treatment (HBOT) from a 'finger-prick' capillary sample. 
      Although this method is an accurate reflection of venous glucose under normal 
      conditions it has not been validated under hyperbaric, hyperoxic conditions. 
      METHODS: Four patients with diabetes mellitus undergoing HBOT had venous blood 
      samples drawn simultaneously with routine capillary samples before, during and 
      immediately after three of four HBOT sessions. The Bland-Altman method of 
      assessing agreement between these two measures was used separately for the three 
      time periods. RESULTS: The relationship between venous and finger-prick glucose 
      at room air was altered significantly by HBOT. The bias (finger-prick minus 
      venous measurements) was significantly less than zero during the HBOT session but 
      not immediately after completion of the session. Owing to the small sample size, 
      the limits of agreement straddled zero at all time points, although the lower 
      limit was close to zero during treatment (finger measurement appeared to be 
      higher than venous measurement on room air and lower than venous undergoing 
      HBOT). CONCLUSION: Finger-prick capillary sampling may not be an accurate 
      reflection of venous glucose during HBOT.
FAU - McIlroy, David
AU  - McIlroy D
AD  - Hyperbaric medicine registrar, Hyperbaric Medicine Unit, Fremantle Hospital, at 
      the time of the study. 154 B Samson Street, White Gum Valley, WA 6162, Australia, 
      Phone: +61-(0)407-445-602, E-mail: davidmcilroy75@hotmail.com.
FAU - Banham, Neil
AU  - Banham N
AD  - Medical Director, Hyperbaric Medicine Unit, Fremantle Hospital, Fremantle, WA, 
      Australia.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Validation Study
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Adult
MH  - Blood Glucose/*analysis
MH  - Capillaries
MH  - Diabetes Mellitus/*blood
MH  - Fingers/blood supply
MH  - Humans
MH  - *Hyperbaric Oxygenation
MH  - Pilot Projects
MH  - Punctures/methods
MH  - Veins
OTO - NOTNLM
OT  - Diabetes
OT  - blood sugar level
OT  - hyperbaric oxygen
OT  - patient monitoring
EDAT- 2014/02/11 06:00
MHDA- 2014/03/13 06:00
CRDT- 2014/02/11 06:00
PHST- 2012/12/18 00:00 [received]
PHST- 2013/11/11 00:00 [accepted]
PHST- 2014/02/11 06:00 [entrez]
PHST- 2014/02/11 06:00 [pubmed]
PHST- 2014/03/13 06:00 [medline]
PST - ppublish
SO  - Diving Hyperb Med. 2013 Dec;43(4):226-8.