{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T14:19:48Z","timestamp":1783952388878,"version":"3.55.0"},"reference-count":12,"publisher":"Mark Allen Group","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2026,6,4]]},"abstract":"<jats:p>Effective self-monitoring of blood glucose is integral for maintaining glycaemic management and preventing serious health complications in people living with diabetes (PLwD). While glucose monitoring is standard, the combined use of blood glucose and beta-ketone testing provides a critical, comprehensive view of metabolic health. This article examines the clinical utility of this dual approach, focusing on the Nipro 4SURE Smart Duo system, a device validated to exceed the latest ISO accuracy standards. By offering accurate, real-time beta-ketone measurement alongside glucose readings, this technology allows PLwD to detect and prevent life-threatening conditions like diabetic ketoacidosis earlier, enhancing patient safety and improving clinical outcomes.<\/jats:p>","DOI":"10.12968\/bjon.2026.0238","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:17:38Z","timestamp":1783419458000},"page":"586-590","source":"Crossref","is-referenced-by-count":0,"title":["Dual-action combined glucose and beta-ketone monitoring in diabetes care with Nipro's 4SURE Smart Duo"],"prefix":"10.12968","volume":"35","author":[{"given":"Tamsin","family":"Fletcher-Salt","sequence":"first","affiliation":[{"name":"Diabetes and Endocrine Nurse Team Leader, Clinical Diabetes Nurse and Specialist Diabetes Inpatient Clinical Lead, Midlands, NHS England"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_1","unstructured":"Breakthrough T1D UK. Blood ketone monitoring. 2023. https:\/\/breakthrought1d.org.uk\/knowledge-support\/blood-ketone-monitoring\/ (accessed 11 March 2026)"},{"key":"e_1_3_2_2_1","unstructured":"Diabetes UK. Chapter 8 \u2013 eating problems. 2026. https:\/\/www.diabetes.org.uk\/professionals\/resources\/shared-practice\/psychological-care\/emotional-health-professionals-guide\/chapter-8-eating-problems (accessed 9 April 2026)"},{"key":"e_1_3_2_3_1","unstructured":"Diabetes UK. What are ketones?. 2023. https:\/\/www.diabetes.org.uk\/about-diabetes\/looking-after-diabetes\/ketones-and-diabetes (accessed 11 March 2026)"},{"key":"e_1_3_2_4_1","unstructured":"DigiBete. Ketone management guidance. 2025. https:\/\/www.digibete.org\/content\/page\/lwd-chapter-j (accessed 9 April 2026)"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296818821105"},{"key":"e_1_3_2_6_1","unstructured":"National Institute for Health and Care Excellence. Diabetes (type 1 and type 2) in children and young people: diagnosis and management (NG18). 2023. https:\/\/www.nice.org.uk\/guidance\/ng18 (accessed 11 March 2026)"},{"key":"e_1_3_2_7_1","unstructured":"National Institute for Health and Care Excellence. Type 1 diabetes in adults: diagnosis and management (NG17). 2022. https:\/\/www.nice.org.uk\/guidance\/ng17 (accessed 11 March 2026)"},{"key":"e_1_3_2_8_1","unstructured":"National Institutes of Health. Use of a combined blood-glucose- and beta-ketone-measuring device improves glycemic control in insulin-treated patients with diabetes: the Gold Plus Study. 2021. https:\/\/clinicaltrials.gov\/study\/NCT04744467 (accessed 11 March 2026)"},{"key":"e_1_3_2_9_1","unstructured":"NHS. Diabetic ketoacidosis. 2026. https:\/\/www.nhs.uk\/conditions\/diabeticketoacidosis\/ (accessed 9 April 2026)"},{"key":"e_1_3_2_10_1","unstructured":"Nipro. Smart Duo for self-testing and point-of-care-testing of whole blood glucose and \u03d0-ketone. 2023. https:\/\/www.nipro-diagnostics.co.uk\/sites\/default\/files\/uk\/downloads\/datasheet_-_4SURE_smart_duo_1.pdf (accessed 11 March 2026)"},{"key":"e_1_3_2_11_1","unstructured":"Nipro. System performance summary: SMART DUO blood glucose monitoring system. 2018. https:\/\/www.nipro-group.com\/sites\/default\/files\/2019-11\/whitepaper4SUREsmart%20-%20uk.pdf (accessed 11 March 2026)"},{"key":"e_1_3_2_12_1","unstructured":"Northern Treatment Advisory Group. New consultation: NENC draft guidelines \u2013 self-monitoring of blood glucose and ketones in diabetes. 2023. https:\/\/ntag.nhs.uk\/new-consultation-nenc-draft-guidelines-self-monitoring-of-blood-glucose-and-ketones-in-diabetes\/ (accessed 11 March 2026)"}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2026.0238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:21:18Z","timestamp":1783948878000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2026.0238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,4]]},"references-count":12,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,6,4]]}},"alternative-id":["10.12968\/bjon.2026.0238"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2026.0238","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,4]]}}}