First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic review

Introduction The accuracy of the first or second drop of capillary blood for blood glucose monitoring remains unclear. This meta-analysis aimed to compare and evaluate the accuracy of the first or second drop of capillary blood for blood glucose monitoring, to provide evidence for clinical blood glu...

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Main Authors: Xiaowan Dong, Chen Zhang, Tiantian Wu, Baimei Zhu
Format: Article
Language:English
Published: Termedia Publishing House 2024-05-01
Series:Archives of Medical Science
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Online Access:https://www.archivesofmedicalscience.com/First-versus-second-drop-of-capillary-blood-for-monitoring-blood-glucose-a-meta-analysis,186657,0,2.html
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author Xiaowan Dong
Chen Zhang
Tiantian Wu
Baimei Zhu
author_facet Xiaowan Dong
Chen Zhang
Tiantian Wu
Baimei Zhu
author_sort Xiaowan Dong
collection DOAJ
description Introduction The accuracy of the first or second drop of capillary blood for blood glucose monitoring remains unclear. This meta-analysis aimed to compare and evaluate the accuracy of the first or second drop of capillary blood for blood glucose monitoring, to provide evidence for clinical blood glucose monitoring and nursing care. Material and methods Two authors searched PubMed, ClinicalTrials, Cochrane Library, Clinical Evidence, EMBASE, China National Knowledge Infrastructure (CNKI), Wanfang and Weipu databases for relevant literature about the comparison of blood glucose values of the first capillary blood from the establishment of each database until November 10, 2023. After screening, extracting data and evaluating the quality of the literature, RevMan 5.4 software was used for meta-analysis. Results Twenty-three studies involving a total of 3121 patients were finally included in this meta-analysis. There was no significant difference in the measured value of blood glucose between the first drop and the second drop of capillary blood (MD = –0.01, 95% CI (–0.04, 0.03), p = 0.73). There was no publication bias in the synthesized outcome tested by Begg’s regression analysis (p = 0.152). The result of subgroup analysis showed that there was no difference in the blood glucose values of the first two drops of blood measured by different blood glucose meters and different cleaning methods (all p > 0.05). Conclusions Current evidence suggests that when using capillary blood to monitor blood glucose, the first drop of capillary blood can be directly used to measure blood glucose.
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spelling doaj-art-a54ceffa923b43278cc9d63b618b5f0b2025-01-27T10:45:12ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512024-05-012061909191710.5114/aoms/186657186657First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic reviewXiaowan Dong0Chen Zhang1Tiantian Wu2Baimei Zhu3Department of Emergency, Children’s Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Emergency, Children’s Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Emergency, Children’s Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Emergency, Children’s Hospital of Nanjing Medical University, Nanjing, ChinaIntroduction The accuracy of the first or second drop of capillary blood for blood glucose monitoring remains unclear. This meta-analysis aimed to compare and evaluate the accuracy of the first or second drop of capillary blood for blood glucose monitoring, to provide evidence for clinical blood glucose monitoring and nursing care. Material and methods Two authors searched PubMed, ClinicalTrials, Cochrane Library, Clinical Evidence, EMBASE, China National Knowledge Infrastructure (CNKI), Wanfang and Weipu databases for relevant literature about the comparison of blood glucose values of the first capillary blood from the establishment of each database until November 10, 2023. After screening, extracting data and evaluating the quality of the literature, RevMan 5.4 software was used for meta-analysis. Results Twenty-three studies involving a total of 3121 patients were finally included in this meta-analysis. There was no significant difference in the measured value of blood glucose between the first drop and the second drop of capillary blood (MD = –0.01, 95% CI (–0.04, 0.03), p = 0.73). There was no publication bias in the synthesized outcome tested by Begg’s regression analysis (p = 0.152). The result of subgroup analysis showed that there was no difference in the blood glucose values of the first two drops of blood measured by different blood glucose meters and different cleaning methods (all p > 0.05). Conclusions Current evidence suggests that when using capillary blood to monitor blood glucose, the first drop of capillary blood can be directly used to measure blood glucose.https://www.archivesofmedicalscience.com/First-versus-second-drop-of-capillary-blood-for-monitoring-blood-glucose-a-meta-analysis,186657,0,2.htmlblood glucosemonitoringcarenursinghealth
spellingShingle Xiaowan Dong
Chen Zhang
Tiantian Wu
Baimei Zhu
First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic review
Archives of Medical Science
blood glucose
monitoring
care
nursing
health
title First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic review
title_full First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic review
title_fullStr First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic review
title_full_unstemmed First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic review
title_short First versus second drop of capillary blood for monitoring blood glucose: a meta-analysis and systematic review
title_sort first versus second drop of capillary blood for monitoring blood glucose a meta analysis and systematic review
topic blood glucose
monitoring
care
nursing
health
url https://www.archivesofmedicalscience.com/First-versus-second-drop-of-capillary-blood-for-monitoring-blood-glucose-a-meta-analysis,186657,0,2.html
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AT chenzhang firstversusseconddropofcapillarybloodformonitoringbloodglucoseametaanalysisandsystematicreview
AT tiantianwu firstversusseconddropofcapillarybloodformonitoringbloodglucoseametaanalysisandsystematicreview
AT baimeizhu firstversusseconddropofcapillarybloodformonitoringbloodglucoseametaanalysisandsystematicreview