• A & A case reports · Dec 2013

    Icodextrin causing glucose meter error and severe hypoglycemia after deceased donor renal transplant in a patient receiving continuous ambulatory peritoneal dialysis.

    • Andrew Disque, Anahat Dhillon, and Albin Gritsch.
    • From the Departments of *Anesthesiology and †Urology, UCLA Medical Center, Los Angeles, CA.
    • A A Case Rep. 2013 Dec 15;1(6):89-91.

    AbstractHypoglycemia is a frequent problem encountered with diabetics and hospitalized patients. Although point-of-care glucose meters have revolutionized management, there are circumstances wherein glucose meter readings are inaccurate. One such example of glucose meter error occurred in a patient with end-stage renal disease receiving peritoneal dialysis who underwent renal transplantation. After surgery, the patient's laboratory testing reflected hypoglycemia, while point-of-care glucose meter testing indicated hyperglycemia. It is important to remember that the "gold standard" is the laboratory serum glucose test, and if a discrepancy from point-of-care results occurs, an investigation should be made to ascertain the reason.

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