scholarly journals PRIDE Statement on the Need for a Moratorium on the CMS Plan to Cite Hospitals for Performing Point-of-Care Capillary Blood Glucose Monitoring on Critically Ill Patients

2015 ◽  
Vol 100 (10) ◽  
pp. 3607-3612 ◽  
Author(s):  
David C. Klonoff ◽  
Boris Draznin ◽  
Andjela Drincic ◽  
Kathleen Dungan ◽  
Roma Gianchandani ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Point Of Care ◽  
Glucose Monitoring ◽  
Capillary Blood ◽  
Blood Glucose Monitoring ◽  
Capillary Blood Glucose

scholarly journals Continuous Glucose Monitoring in Critically Ill Patients With COVID-19: Results of an Emergent Pilot Study

2020 ◽  
Vol 14 (6) ◽  
pp. 1065-1073
Author(s):  
Archana R. Sadhu ◽  
Ivan Alexander Serrano ◽  
Jiaqiong Xu ◽  
Tariq Nisar ◽  
Jessica Lucier ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Pilot Study ◽  
Insulin Therapy ◽  
Critically Ill ◽  
Continuous Glucose Monitoring ◽  
Critically Ill Patients ◽  
Point Of Care ◽  
Glucose Monitoring ◽  
Blood Glucose Monitoring ◽  
Target Range

Background: Amidst the coronavirus disease 2019 (COVID-19) pandemic, continuous glucose monitoring (CGM) has emerged as an alternative for inpatient point-of-care blood glucose (POC-BG) monitoring. We performed a feasibility pilot study using CGM in critically ill patients with COVID-19 in the intensive care unit (ICU). Methods: Single-center, retrospective study of glucose monitoring in critically ill patients with COVID-19 on insulin therapy using Medtronic Guardian Connect and Dexcom G6 CGM systems. Primary outcomes were feasibility and accuracy for trending POC-BG. Secondary outcomes included reliability and nurse acceptance. Sensor glucose (SG) was used for trends between POC-BG with nursing guidance to reduce POC-BG frequency from one to two hours to four hours when the SG was in the target range. Mean absolute relative difference (MARD), Clarke error grids analysis (EGA), and Bland-Altman (B&A) plots were calculated for accuracy of paired SG and POC-BG measurements. Results: CGM devices were placed on 11 patients: Medtronic ( n = 6) and Dexcom G6 ( n = 5). Both systems were feasible and reliable with good nurse acceptance. To determine accuracy, 437 paired SG and POC-BG readings were analyzed. For Medtronic, the MARD was 13.1% with 100% of readings in zones A and B on Clarke EGA. For Dexcom, MARD was 11.1% with 98% of readings in zones A and B. B&A plots had a mean bias of −17.76 mg/dL (Medtronic) and −1.94 mg/dL (Dexcom), with wide 95% limits of agreement. Conclusions: During the COVID-19 pandemic, CGM is feasible in critically ill patients and has acceptable accuracy to identify trends and guide intermittent blood glucose monitoring with insulin therapy.

Accuracy of Nurses in Performing Capillary Blood Glucose Monitoring

Diabetes Care ◽  
1989 ◽  
Vol 12 (4) ◽  
pp. 298-301 ◽  
Author(s):  
P. A. Lawrence ◽  
M. C. Dowe ◽  
E. K. Perry ◽  
S. Strong ◽  
G. P. Samsa
Keyword(s):  
Blood Glucose ◽  
Glucose Monitoring ◽  
Capillary Blood ◽  
Blood Glucose Monitoring ◽  
Capillary Blood Glucose

Importance of Periodic Reeducation of Hospital-Based Nurses in Capillary Blood Glucose Monitoring and an Evaluation of the Usefulness of Reflectance Meters

1989 ◽  
Vol 15 (5) ◽  
pp. 435-439 ◽  
Author(s):  
Johnm. Amatruda ◽  
Barbara B. Vallone ◽  
Todd Schuster ◽  
Roberta. Mooney
Keyword(s):  
Blood Glucose ◽  
Glucose Monitoring ◽  
Capillary Blood ◽  
Blood Glucose Monitoring ◽  
Practical Significance ◽  
Quality Assurance Program ◽  
Capillary Blood Glucose ◽  
Before And After ◽  
Capillary Glucose ◽  
Improving Accuracy

Precision and accuracy of capillary blood glucose measure ments performed by general staff nurses were assessed before and after a modest reeducation pro gram both with and without the use of reflectance meters. A total of 380 capillary glucose determinations were performed by nurses and the hospital laboratory on the same samples. Prior to reeducation, nurses using meters were more accurate than those reading visually, but no difference was found in precision. Reeducation improved precision equally in both groups while improving accuracy only in the group using meters. While glucose readings with the use of reflectance meters were statistically more accurate than those read visually, the percentage of readings within 10 % and 20 % of the laboratory readings was the same. Thus, the increased accuracy observed with meters may have little practical significance, suggesting that their use might better be based on other consider ations, such as user confidence, convenience, cost, and quality control. Periodic education is, however, an essential component of any quality assurance program.

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