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Evaluation of Two Methods of Rapid Blood‐Glucose Monitoring by Unskilled Personnel during Surgery
Author(s) -
Madsbad S.,
Adelhøj B.,
Bigler D.,
Hilsted J.
Publication year - 1984
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1984.tb02138.x
Subject(s) - medicine , glucose meter , blood glucose monitoring , surgery , reflectivity , insulin , diabetes mellitus , endocrinology , physics , optics
The accuracy of two rapid methods of blood‐glucose monitoring without (Haemo‐glucotest 1—44®) and with a reflectance meter (Hypocount B®) was compared using a laboratory method. The assessment was carried out by personnel with no previous experience in measuring blood glucose. Eighty‐five percent of the 92 measurements obtained with the hypocount B were within ± 20% of the laboratory glucose values. Using haemo‐glucotest 1–44 strips, 74% of the readings were within ± 20% of the reference laboratory values. For values below 5.5 mmol/1, there was a tendency for results to be too low, with 77% of the readings below laboratory values —20%. All situations with severe hypoglycaemia were detected with both strips. The study also demonstrates the ineffectiveness of s.c. insulin regimens during surgery. Only 47% of the measured blood glucose values were within the range of 5.5–10 mmol/1 and two of ten patients had hypoglycaemia with values below 2.5 mmol/1. Therefore glucose monitoring during surgery in diabetics seems justified. This monitoring can be performed adequately with strips.