Self-Monitoring of Blood Glucose by Adolescents With Diabetes: Technical Skills and Utilization of Data

Alan M. Delamater, Susan G. Davis, Jeanne Bubb, Julio V. Santiago, Jeffrey A. Smith, Neil H. White

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Two studies of adolescent patients were conducted to determine their technical skills and utilization of data obtained by self-monitoring of blood glucose (SMBG). In Study 1, direct observations of 58 adolescents revealed an overall SMBG technical accuracy score of 82%. Most frequent errors were not cleaning fingers (45%), not placing blood on strips correctly (21%), and wiping strip at wrong time (14%). Technical performance was inversely correlated with blood glucose concentration, but was unrelated to other variables. In Study 2, a questionnaire was used to determine SMBG practices among 64 adolescents. Although the majority of patients reported doing daily SMBG, most did not record results in logbooks every time or utilize such data for self-management. No significant relationships were found between SMBG behaviors and other variables. We conclude that periodic evaluation and retraining are required for maintenance of SMBG skills and that methods to enhance utilization of SMBG data be developed for this patient population.

Original languageEnglish (US)
Pages (from-to)56-61
Number of pages6
JournalThe Diabetes educator
Issue number1
StatePublished - Feb 1989
Externally publishedYes

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)


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