Open AccessSevere hypoglycemia due to falsely elevated capillary blood glucose levels in a peritoneal dialysis patient using icodextrin - A case report -
Author(s) -
Eun Jung Cho,
Seung Hwan Lee
Publication year - 2009
Publication title -
korean journal of anesthesiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 29
eISSN - 2005-7563
pISSN - 2005-6419
DOI - 10.4097/kjae.2009.56.2.221
Subject(s) - icodextrin , medicine , hypoglycemia , continuous ambulatory peritoneal dialysis , diabetes mellitus , peritoneal dialysis , endocrinology , anesthesia , urology
In a patient with diabetes mellitus undergoing continuous ambulatory peritoneal dialysis with icodextrin, icodextrin is partially absorbed via lymphatics into the systemic circulation and its metabolites may affect the enzymatic glucose determinations used in many bedside glucometers (using glucose dehydrogenase-based method). This leads to erroneously elevated glucose levels. We report a severe hypoglycemia due to falsely elevated capillary blood glucose levels in a patient with diabetes mellitus undergoing continuous ambulatory peritoneal dialysis with icodextrin during general anesthesia.