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논문 기본 정보

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학술저널
저자정보
Mei Uemura (Mie University Graduate School of Medicine) Yutaka Yano (Mie University Hospital) Toshinari Suzuki (Mie University Hospital) Taro Yasuma (Mie University Graduate School of Medicine) Toshiyuki Sato (Sysmex Corporation) Aya Morimoto (Sysmex Corporation) Samiko Hosoya (Sysmex Corporation) Chihiro Suminaka (Sysmex Corporation) Hiromu Nakajima (Osaka Medical Center for Cancer and Cardiovascular Diseases) Esteban C. Gabazza (Mie University Graduate School of Medicine) Yoshiyuki Takei (Mie University Graduate School of Medicine)
저널정보
대한당뇨병학회 Diabetes and Metabolism Journal Diabetes and Metabolism Journal Vol.41 No.4
발행연도
2017.1
수록면
265 - 274 (10page)

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patients and institutions. We are developing a glucose area under the curve (AUC) monitoring system without blood sampling using a minimally invasive interstitial fluid extraction technology (MIET). Here we evaluated the accuracy of interstitial fluid glucose (IG) AUC measured by MIET in patients with diabetes for an extended time interval and the potency of detecting hyperglycemia using CGM data as a reference. Methods: Thirty-eight inpatients with diabetes undergoing CGM were enrolled. MIET comprised a pretreatment step using a plastic microneedle array and glucose accumulation step with a hydrogel patch, which was placed on two sites from 9:00 AM to 5:00 PM or from 10:00 PM to 6:00 AM. IG AUC was calculated by accumulated glucose extracted by hydrogel patches using sodium ion as standard. Results: A significant correlation was observed between the predicted AUC by MIET and CGM in daytime (r=0.76) and nighttime (r=0.82). The optimal cutoff for the IG AUC value of MIET to predict hyperglycemia over 200 mg/dL measured by CGM for 8 hours was 1,067.3 mg·hr/dL with 88.2% sensitivity and 81.5% specificity. Conclusion: We showed that 8-hour IG AUC levels using MIET were valuable in estimating the blood glucose AUC without blood sampling. The results also supported the concept of using this technique for evaluating glucose excursion and for screening hyperglycemia during 8 hours in patients with diabetes at any time of day.

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