Comparison of patient-side capillary glucose measurements with autoanalyzer results

Year 2020, Volume: 37 Issue: 2, 37 - 40, 06.04.2020

Savaş Sezik , Handan Atsız Sezik

Abstract

Rapid diagnosis and treatment are essential issues for emergency department (ED) physicians. A glucometer is a biochemical measurement tool used for the rapid diagnosis and the detection of complications that can be lethal for patients with diabetes and differential diagnosis in the ED. Patients who were admitted to our ED between August 2014 and August 2015, had their finger-prick glucose values measured with a glucometer and their blood glucose levels checked si- multaneously with an autoanalyzer in our biochemistry laboratory were enrolled in our study. In our study, the correlation coefficients for the capillary blood glucometer glucose versus the laboratory autoanalyzer blood glucose was found to be 0.9654 (95 % confidence interval (CI)). According to Bland-Altman anal- ysis, glucose values were mostly within conformity limits. According to Error Grid analysis, 92.2 % of the participants were in the A zone, 6.7 % were in the B zone 0.97 % were in the D zone. Perhaps another important point is that a new biochemical autoanalyzer, that can yield values very similar to reference values within a short period and allows rapid decision making at the clinical level, needs to be developed.

Keywords

Autoanalyzer blood glucose, Capillary blood glucose, Finger-prick glucose, Glucometer

References

• https://www.iso.org/obp/ui/#iso:std:iso:15197:ed-2:v1:en
• American Diabetes Association. Sell-Monitoring of Blood Glucose. Diabetes Care January 1996:19:62-6. http://care.diabetesjournals.org/content/19/Supplement_1/S67.full.pdf+html
• CLSI.Point-of-Care Blood Glucose Testing in Acute and Chronic Care Facilities; Approved Guideline—Third Edition.CLSI document POCT12-A3. Wayne, PA: Clinical and Laboratory Standards Institute; 2013.
• Clarke WL, Cox D, Gonder-Frederick LA, at all.Evaluating Clinical Accuracy of Systems for Self-Monitoring of Blood GlucoseDiabetes Care September/October 1987;10:5: 622-28. http://care.diabetesjournals.org/content/10/5/622.full.pdf+html
• R Boyd, B Leigh and P Stuart. Capillary versus venous bedside blood glucose. Emerg Med J 2005;22:177–79http://emj.bmj.com/content/22/3/177#BIBL
• Yaraghi A, Mood NE and Dolatabadi LK. Comparison of capillary and venous blood glucose levels using glucometer and laboratory blood glucose level in poisoned patients being in coma. Adv. Biomed Res. 2015;4:247. Downloaded free from http://www.advbiores.net on Tuesday, May 03, 2016, IP: 88.243.99.253
• Nayeri F, Shariat M, Behbahani HMM, at all. Blood glucose measurement by glucometer in comparison with standard method in diagnosis of neonatal hypoglycemia. ActaMedicaIranica, [S.l.], p. 619-622, Aug. 2014. ISSN 1735-9694. Available at: <http://acta.tums.ac.ir/index.php/acta/article/view/4564>. Date accessed: 12 May. 2016.
• Patel N, Patel K. A Comparative Study of Venous and Capillary Blood Glucose Levels by Different Methods. GCSMC J Med Sci Vol (IV) No (I) January-June 2015
• Aral H, Tonbaklar P, Özdemir AT, at all. GlukometrePerformansDeğerlendirmesi. TürkKlinikBiyokimyaDerg 2004; 2(3): 105-112. http://tkb.dergisi.org/text.php3?id=38
• Chen HS, Kuo BI, Hwu CM, at all. Technical and clinical evaluation of an electrochemistry glucose meter: experience in a diabetes center. Diabetes Research and Clinical Practice, Vol. 42, Issue 1, p9–15. http://dx.doi.org/10.1016/S0168-8227(98)00077-1
• Foss-Freitas et al.: Comparison of venous plasma glycemia and capillary glycemia for the screening of type 2 diabetes mellitus in the Japanese-Brazilian community of Mombuca (GuataparáSP). Diabetology& Metabolic Syndrome 2010 2:6. http://www.dmsjournal.com/content/2/1/6
• Yang C, Chang C and Lin J. A Comparison between Venous and Finger-Prick Blood Sampling on Values of Blood Glucose.International Proceedings of Chemical, Biological & Environmental 2012:39;206-10
• Freckmann G, Schmid C, Baumstark A, at all. System Accuracy Evaluation of 43 Blood Glucose Monitoring Systems for Self-Monitoring of Blood Glucose according to DIN EN ISO 15197. J Diabetes SciTechnol2012:6;5