ArticleJournal of diabetes science and technology2017
Variability of Diabetes Alert Dog Accuracy in a Real-World Setting.
Article in Journal of diabetes science and technology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The therapeutic use of the dog in Spain: a review from a historical and cross-cultural perspective of a change in the human-dog relationship.Journal of ethnobiology and ethnomedicine · 2017Pooled it
- What Is the Role of Diabetic Alert Dogs in Glycemic Monitoring for Individuals with Type 1 Diabetes? A Scoping Review.Medical sciences (Basel, Switzerland) · 2026Article
- Unraveling the potential of breath and sweat VOC capture devices for human disease detection: a systematic-like review of canine olfaction and GC-MS analysis.Frontiers in chemistry · 2023Review
- The Use of Biological Sensors and Instrumental Analysis to Discriminate COVID-19 Odor Signatures.Biosensors · 2022Article
- Interactions between the Public and Assistance Dog Handlers and Trainers.Animals : an open access journal from MDPI · 2021Article
- Canine olfactory detection and its relevance to medical detection.BMC infectious diseases · 2021Review
- Dog Owners' Survey reveals Medical Alert Dogs can alert to multiple conditions and multiple people.PloS one · 2021Article
- Dogs demonstrate the existence of an epileptic seizure odour in humans.Scientific reports · 2019Article
- An Owner-Independent Investigation of Diabetes Alert Dog Performance.Frontiers in veterinary science · 2019Article
- Diabetes Alert Dogs (DADs): An assessment of accuracy and implications.Diabetes research and clinical practice · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundDiabetes alert dogs (DADs) are growing in popularity as an alternative method of glucose monitoring for individuals with type 1 diabetes (T1D). Only a few empirical studies have assessed DAD accuracy, with inconsistent results. The present study examined DAD accuracy and variability in performance in real-world conditions using a convenience sample of owner-report diaries.
methodEighteen DAD owners (44.4% female; 77.8% youth) with T1D completed diaries of DAD alerts during the first year after placement. Diary entries included daily BG readings and DAD alerts. For each DAD, percentage hits (alert with BG ≤ 5.0 or ≥ 11.1 mmol/L; ≤90 or ≥200 mg/dl), percentage misses (no alert with BG out of range), and percentage false alarms (alert with BG in range) were computed. Sensitivity, specificity, positive likelihood ratio (PLR), and true positive rates were also calculated.
resultsOverall comparison of DAD Hits to Misses yielded significantly more Hits for both low and high BG. Total sensitivity was 57.0%, with increased sensitivity to low BG (59.2%) compared to high BG (56.1%). Total specificity was 49.3% and PLR = 1.12. However, high variability in accuracy was observed across DADs, with low BG sensitivity ranging from 33% to 100%. Number of DADs achieving ≥ 60%, 65% and 70% true positive rates was 71%, 50% and 44%, respectively.
conclusionsDADs may be able to detect out-of-range BG, but variability across DADs is evident. Larger trials are needed to further assess DAD accuracy and to identify factors influencing the complexity of DAD accuracy in BG detection.
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