Efektivitas Monitoring Glukosa Darah dengan Pengambilan Sampel di Telapak Tangan Terhadap Penurunan Nyeri Akibat Tusukan Jarum pada Pasien Diabetes Mellitus

  • Laili Fitriana Universitas Indonesia
  • Agung Waluyo Universitas Indonesia
  • Lestari Sukmarini Universitas Indonesia


This literature study aims to determine Effectiveness of Blood Glucose Monitoring by Sampling on the Palm of the Hand in Reducing Needlestick Pain in Diabetes Mellitus Patients. The research design is a systematic review, using 6 databases, ProQuest, EMBASE, SpringerLink, Sage Journals, Scopus and Taylor and Francis. A total of 10 articles were reviewed from 2010 to 2022. The keywords used in the literature search were Diabetes Mellitus AND Blood Glucose AND pain AND palm site AND fingertip. The protocol and literature review evaluation used the Critical Appraisal Skills Program issued by the JBI Guideline. The results of the study showed that the palms of the hands as blood glucose sampling sites were effective in reducing pain due to needle pricks in patients with diabetes mellitus. In addition, pain can also be minimized by adjusting the diameter of the lancet and the depth of the puncture and using the latest technology/method for testing blood glucose. In conclusion, palms as an alternative site for blood glucose sampling are effective in reducing pain due to needle pricks in patients with diabetes mellitus.


Keywords: Diabetes Mellitus, Blood Glucose, Pain, Palms, Fingertips


Anitha Pavithran, A., Ramamoorthy, L., Bs, S., Murugesan, R., & Mj, K. (2020). Comparison of Fingertip vs Palm Site Sampling on Pain Perception, and Variation in Capillary Blood Glucose Level among Patients with Diabetes Mellitus. Journal of caring sciences, 9(4), 182–187. https://doi.org/10.34172/jcs.2020.028

Diana Sherifali, R., & Robyn, L. (2018). Diabetes Canada clinical practice guidelines expert committee. Can. J. Diabet, 42, S6-S9. https://doi.org/10.1016/j.jcjd.2017.10.002

Grady, M., Lamps, G., Shemain, A., Cameron, H., & Murray, L. (2021). Clinical Evaluation of a New, Lower Pain, One Touch Lancing Device for People With Diabetes: Virtually Pain-Free Testing and Improved Comfort Compared to Current Lancing Systems. Journal of Diabetes Science and Technology, 15(1), 53–59. https://doi.org/10.1177/1932296819856665

Stefanovski, D., Vellanki, P., Smiley-Byrd, D. D., Umpierrez, G. E., & Boston, R. C. (2020). Population insulin sensitivity from sparsely sampled oral glucose tolerance tests. Metabolism, 110, 154298. https://doi.org/10.1016/j.metabol.2020.154298

Grill-Wikell, H., Annersten, M., & Frid, A. (2005). Pain in connection with capillary blood test at different sites in the palm. International Diabetes Nursing, 2(2), 65–68. https://doi.org/10.1002/edn.22

Hoffman, M. S., McKeage, J. W., Xu, J., Ruddy, B. P., Nielsen, P. M., & Taberner, A. J. (2023). Minimally invasive capillary blood sampling methods. Expert review of medical devices, 20(1), 5-16. https://doi.org/10.1080/17434440.2023.2170783

Atlas, I. D. (2021). IDF Atlas 10th Edition, International Diabetes Federation. IDF Diabetes Atlas.

Farmer, L., Winfield, C., Quatrara, B., Letzkus, L., Schenck, P., Finneran, P., Pollak, D., McCaskill, C., Nealy, R., & Conaway, M. (2017). Does Site Matter? Comparing Accuracy and Patient Comfort of Blood Glucose Samples Taken From the Finger and Palm of the Perioperative Patient. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 32(6), 573–577. https://doi.org/10.1016/j.jopan.2016.10.006

Ito, T., Kamoi, K., Minagawa, S., Kimura, K., & Kobayashi, A. (2010). Patient of Perceptions of Different Lancing Sites For Self-Monitoring of Blood Glucose: A Comparison of Fingertip Site with Palm Site Using the Onetouch Ultra Blood Glucose Monitoring System. Journal of Diabetes Science and Technology, 4(4), 906–910. https://doi.org/10.1177/193229681000400420

Kim, J. A., Park, M. J., Song, E., Roh, E., Park, S. Y., Lee, D. Y., Kim, J., Yu, J. H., Seo, J. A., Choi, K. M., Baik, S. H., Yoo, H. J., & Kim, N. H. (2022). Comparison of Laser and Conventional Lancing Devices for Blood Glucose Measurement Conformance and Patient Satisfaction in Diabetes Mellitus. Diabetes & metabolism journal, 46(6), 936–940. https://doi.org/10.4093/dmj.2021.0293

Ma, Yonghao & Lee, Chisong & Lee, Ghunil & Cho, Yonggeun & Lee, Sang-Guk & Jung, Hyungil. (2019). Clinical Evaluation of a Novel Micro-lancet (ML) for Minimizing Lancing Pain. BioChip Journal. 13. https://doi.org/10.1007/s13206-019-3411-4.

Mianowska, B., Mlynarski, W., Szadkowska, I., & Szadkowska, A. (2021). Evaluation of Three Lancing Devices: What Do Blood Volume and Lancing Pain Depend On?. Journal of Diabetes Science and Technology, 15(5), 1076–1083. https://doi.org/10.1177/1932296820949930

Pfützner, A., Demircik, F., Pfützner, J., Kessler, K., Strobl, S., Spatz, J., Pfützner, A. H., & Lier, A. (2020). System Accuracy Assessment of a Combined Invasive and Noninvasive Glucometer. Journal of diabetes science and technology, 14(3), 575–581. https://doi.org/10.1177/1932296819883306

Punthakee, Z., Goldenberg, R., & Katz, P. (2018). Definition, Classification and Diagnosis of Diabetes, Prediabetes and Metabolic Syndrome. Canadian journal of diabetes, 42(1), S10–S15. (2018). https://doi.org/10.1016/j.jcjd.2017.10.003

Suryati, N. I., & Kep, M. (2021). Buku Keperawatan Latihan Efektif Untuk Pasien Diabetes Mellitus Berbasis Hasil Penelitian. Deepublish.

Xu, J., McKeage, J. W., Ruddy, B. P., Nielsen, P. M., & Taberner, A. J. (2023). Jet-induced blood release from human fingertips: a single-blind, randomized, crossover trial. Journal of Diabetes Science and Technology, 17(2), 374-380. https://doi.org/10.1177/19322968211053895
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