Blood Glucose versus Interstitial Glucose Levels

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The page below is a sample from the LabCE course Continuous Glucose Monitors: Control and Monitoring of Diabetes Mellitus. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Blood Glucose versus Interstitial Glucose Levels

It is important to point out that the significant difference between glucose meters (GMs) or glucometers and continuous glucose monitors (CGMs) is that CGMs do not measure blood glucose levels. Whereas GMs or glucometers do measure blood glucose, CGMs instead measure glucose levels in interstitial fluid between layers of tissue. Although CGMs give a close estimation of blood glucose levels, there are physiological differences between the interstitial fluid and capillary blood, which may result in differences in glucose readings between the CGM systems and results from a fingerstick test using a GM or glucometer. Differences in glucose readings between interstitial fluid and capillary blood may be observed during times of rapid change in blood glucose, such as after eating, dosing insulin, or exercising.

Figure 2. CGM device attached to the skin with the sensor inserted
under the skin. The sensor measures glucose in the interstitial
fluid, not the blood vessel. The transmitter above the skin transmits the
glucose reading to a receiver.