Journal of Clinical Pediatrics and Neonatal Care

Glucometer Manipulation in Adolescents with Type 1 Diabetes Mellitus

Published on: 2016-06-15


This study sought to determine the frequency of and reasons for manipulation of glucometers in adolescents with Type 1 diabetes. Using a cross sectional study design, adolescents with Type 1 diabetes who attended Baystate Pediatric Endocrinology Clinic, completed a brief, confidential questionnaire assessing intentional glucometer manipulation. Eligible subjects were aged 12-22 years with a Type 1 diabetes diagnosis for greater than two years. One hundred thirteen teenagers (mean age 16.7 ± 2.7) with Type 1 diabetes for an average of 8.7 years (± 4.2 years) and an average A1c of 8.7% (SD=1.5) participated in this study. Fourteen (12.4%) teenagers admitted to intentionally manipulating their glucometer, reasons included: high readings make them feel bad (55.8%), make their parents upset (61.1%), and make their doctors upset (54.0%). Clinicians caring for adolescents with type 1 diabetes should be aware of the possibility and implications of glucometer manipulation.


Diabetes Mellitus; Type 1; Adolescent; Blood Glucose; Patient Compliance; Patient Adherence