Literature DB >> 31311312

Clinical Evaluation of a New, Lower Pain, One Touch Lancing Device for People With Diabetes: Virtually Pain-Free Testing and Improved Comfort Compared to Current Lancing Systems.

Mike Grady1, Greg Lamps2, Ashley Shemain2, Hilary Cameron1, Linda Murray3.   

Abstract

BACKGROUND: Patients worldwide use lancing devices to perform self-monitoring of blood glucose (SMBG). Continued innovation remains important to minimize pain associated with finger sticking to facilitate patient adherence to SMBG regimens. The original One Touch Delica lancer (OTD) reduced the pain of testing. This study investigated a completely re-engineered lancing system, called One Touch Delica Plus (OTDP), intended to further minimize pain while improving the patient experience.
METHODS: One hundred and three subjects (type 1 or 2 diabetes) experienced finger sticks with both lancing systems. Device depth and blood volume (BV) generation were determined during visit 1. These parameters were used during pain assessments in visit 2. Patient feedback was also recorded using surveys.
RESULTS: Finger-stick testing was less painful using OTDP compared to original OTD irrespective of whether 30 (-48.2 mm, -30.4 mm, P < 0.0001) or 33 gauge (-42.6 mm, 30.5 mm, P = 0.0004) lancets were used. All 103 subjects generated the required BV (≥0.4 µL) per protocol. At equivalent depth penetration, OTDP generated higher average BVs than OTD using 30 (1.58 µL, 1.10 µL) or 33 gauge lancets (1.39 µL, 0.98 µL). Subjects responded that testing with OTDP was virtually pain free (78%) and that testing with OTDP was less painful than using their current lancing systems (79%) or original OTD (67%).
CONCLUSION: OTDP demonstrated lower pain than the original OTD lancing system and participants agreed that testing with OTDP was virtually pain free and less painful than using their current lancing systems.

Entities:  

Keywords:  blood sampling; glucose monitoring; lancets; lancing device; pain

Year:  2019        PMID: 31311312      PMCID: PMC7783011          DOI: 10.1177/1932296819856665

Source DB:  PubMed          Journal:  J Diabetes Sci Technol        ISSN: 1932-2968


  10 in total

1.  Clinical Utility of SMBG: Recommendations on the Use and Reporting of SMBG in Clinical Research.

Authors:  Oliver Schnell; Katharine Barnard; Richard Bergenstal; Emanuele Bosi; Satish Garg; Bruno Guerci; Thomas Haak; Irl B Hirsch; Linong Ji; Sashank R Joshi; Maarten Kamp; Lori Laffel; Chantal Mathieu; William H Polonsky; Frank Snoek; Philip Home
Journal:  Diabetes Care       Date:  2015-09       Impact factor: 19.112

Review 2.  Lancing: quo vadis?

Authors:  Lutz Heinemann; Dirk Boecker
Journal:  J Diabetes Sci Technol       Date:  2011-07-01

3.  Finger pricking and pain: a never ending story.

Authors:  Lutz Heinemann
Journal:  J Diabetes Sci Technol       Date:  2008-09

4.  A clinical evaluation of routine blood sampling practices in patients with diabetes: impact on fingerstick blood volume and pain.

Authors:  Mike Grady; Mitchel Pineau; Mary Kate Pynes; Laurence B Katz; Barry Ginsberg
Journal:  J Diabetes Sci Technol       Date:  2014-04-30

5.  Introduction: Standards of Medical Care in Diabetes-2018.

Authors: 
Journal:  Diabetes Care       Date:  2018-01       Impact factor: 19.112

6.  Comparison of lancing devices for self-monitoring of blood glucose regarding lancing pain.

Authors:  Serge Kocher; J K Tshiang Tshiananga; Richard Koubek
Journal:  J Diabetes Sci Technol       Date:  2009-09-01

7.  Evaluating the OneTouch® Delica™: a low-pain lancing system for self-monitoring of blood glucose.

Authors:  Barry H Ginsberg; Ashley Shemain; Mary Kate Pines; Derek A Wallace; Mitchel Pineau
Journal:  Postgrad Med       Date:  2011-07       Impact factor: 3.840

8.  Patient perceptions of different lancing sites for self-monitoring of blood glucose: a comparison of fingertip site with palm site using the OneTouch Ultra Blood Glucose Monitoring System.

Authors:  Takao Ito; Kyuzi Kamoi; Shinichi Minagawa; Keita Kimura; Akane Kobayashi
Journal:  J Diabetes Sci Technol       Date:  2010-07-01

9.  Low discomfort and pain associated with intensified insulin therapy in children and adolescents.

Authors:  B Karges; R Muche; M Moritz; I Riegger; K-M Debatin; E Heinze; M Wabitsch; W Karges
Journal:  Diabetes Res Clin Pract       Date:  2007-12-26       Impact factor: 5.602

10.  Adherence of self-monitoring of blood glucose in persons with type 1 diabetes in Sweden.

Authors:  Peter Moström; Elsa Ahlén; Henrik Imberg; Per-Olof Hansson; Marcus Lind
Journal:  BMJ Open Diabetes Res Care       Date:  2017-04-06
  10 in total
  1 in total

1.  Reliability of continuous glucose monitoring system in the inpatient setting.

Authors:  Renee Murray-Bachmann; Tung Ming Leung; Alyson K Myers; Swetha Murthi; Mulugeta Sarbanes; Karina Ziskovich; Martin Lesser; Leonid Poretsky
Journal:  J Clin Transl Endocrinol       Date:  2021-07-07
  1 in total

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