A memorable patient: Home glucose monitoring, who started it?

BMJ 1998;316:1467 ( 9 May )

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A memorable patient

Home glucose monitoring, who started it?

Clara Lowy, reader in medicine, London.
The first 150 words of the full text of this article appear below.

In 1975 there was compelling evidence that glycaemic control in pregnancy was critical for a successful outcome for motherand baby. However, diabetic control could be monitored only bythe women testing the urine for reducing substances. The renalthreshold for glucose not uncommonly falls in pregnancy with resultantglycosia when the blood glucose values are still in the normalrange. The instruction to diabetic pregnant women was to keep"the urine blue" (clinitest tablets were still in use and whenfive drops of urine and 10 drops of water were added to the clinictest tablet the mixture would remain blue if free of reducingsubstances). My patient had obeyed this instruction, but unfortunatelyfor her, and perhaps fortunately for the diabetic fraternity,she developed a drastic reduction in her renal threshold for glucose,which resulted in a prolonged hypoglycaemic episode. So at 26weeks of pregnancy I advised her to . . . [Full text of this article]

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