Comparison of Laser and Conventional Lancing Devices for Blood Glucose Measurement Conformance and Patient Satisfaction in Diabetes Mellitus

• Published in: Diabetes & metabolism journal Vol. 46; no. 6; pp. 936 - 940
• Main Authors: Kim, Jung A, Park, Min Jeong, Song, Eyun, Roh, Eun, Park, So Young, Lee, Da Young, Kim, Jaeyoung, Yu, Ji Hee, Seo, Ji A, Choi, Kyung Mook, Baik, Sei Hyun, Yoo, Hye Jin, Kim, Nan Hee
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Diabetes Association / Daehan Dangnyobyeong Hakoe 01.11.2022; Korean Diabetes Association; 대한당뇨병학회
• Subjects: Blood Glucose; Blood Glucose Self-Monitoring; Compliance; Diabetes; Diabetes Mellitus; Energy; Fear & phobias; Glucose; Humans; Lasers; Pain; Pain - etiology; Patient Satisfaction; Short Communication; 내과학; South Korea; Seoul South Korea; Blood glucose self-monitoring; Pain; Lasers; Diabetes mellitus
• ISSN: 2233-6079; 2233-6087; 2233-6087
• DOI: 10.4093/dmj.2021.0293

Self-monitoring of capillary blood glucose is important for controlling diabetes. Recently, a laser lancing device (LMT-1000) that can collect capillary blood without skin puncture was developed. We enrolled 150 patients with type 1 or 2 diabetes mellitus. Blood sampling was performed on the same finger on each hand using the LMT-1000 or a conventional lancet. The primary outcome was correlation between glucose values using the LMT-1000 and that using a lancet. And we compared the pain and satisfaction of the procedures. The capillary blood sampling success rates with the LMT-1000 and lancet were 99.3% and 100%, respectively. There was a positive correlation (r=0.974, P<0.001) between mean blood glucose levels in the LMT-1000 (175.8±63.0 mg/dL) and conventional lancet samples (172.5±63.6 mg/dL). LMT-1000 reduced puncture pain by 75.0% and increased satisfaction by 80.0% compared to a lancet. We demonstrated considerable consistency in blood glucose measurements between samples from the LMT-1000 and a lancet, but improved satisfaction and clinically significant pain reduction were observed with the LMT-1000 compared to those with a lancet.