An open prospective randomised trial to reduce the pain of blood glucose testing: ear versus thumb

Abstract
We conducted the study in a university hospital emergency department over three weeks; we received approval from the Salford and Trafford Health Authority's research ethics committee. We excluded patients aged under 16 years, and those who were dysphasic, less than alert on the AVPU (“Alert, responds to Voice, responds to Pain, Unresponsive”) scale,2 had a bleeding disorder, or had altered sensation (including pain) or a lesion at any of the test sites.

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