Hospital in‐patient monitoring of diabetes

The introduction of Reflolux S blood glucose meters (BM UK Ltd) onto all wards of a District General Hospital is described. We established a continuing, structured education programme and a laboratory‐based quality assurance scheme (QA) and issued guidelines regarding safety and correct usage of the meter. A formal hospital policy on blood glucose monitoring together with certification of user competence recorded on a database has enabled evaluation of nurse training and audit. The introduction of a QA scheme has allowed assessment of meter results, identified areas where more education was needed and provided data to feed back to ward staff. Poor performers have benefited from positive liaison with diabetic nurse specialists at an early stage.

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Are Blood Glucose Reagent Strips Reliable in Renal Failure?

Clark¹,

Goldberg²,

Jones³

et al. 1991

Diabetic Medicine

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In vitro studies have suggested that a low packed cell volume may cause reagent strips to overestimate blood glucose concentration. The reliability of such strips has therefore been investigated in diabetic patients with end-stage renal failure, all of whom had low haematocrits (24 +2- 4 (4/- SD) %). Three brands of strips were evaluated and their results were compared with laboratory whole blood glucose concentrations determined on the same samples. All over-read compared with the laboratory (BM Glycemie 1-44 strips 118 +/- 1%, Glucostix 132 +/- 2%, ExacTech strips 163 +/- 4%) and the percentage overread was negatively correlated with the haematocrit for each strip (all p less than 0.001).

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Hospital in‐patient monitoring of diabetes

Cited by 5 publications

References 17 publications

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Are Blood Glucose Reagent Strips Reliable in Renal Failure?

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