Glucose by Meter


Sunquest Code:BGM  
Epic Code:LAB5001Epic Name:Glucose by Meter
Synonyms:Blood Sugar; Accucheck
Methodology:Electrochemistry
Turnaround Time:Performed daily; results are available immediately.
Special Instructions:Outpatient EPIC code is NUR1149


Collection Instructions

Specimen:Blood
Optimal Volume:1 mL
Minimum\Peds Volume:0.1 mL
Container:Patient
[Alternate Containers: Green (lithium heparin, gel)]
Collection Instructions:Fresh whole blood by capillary collection. Alternatively, whole blood collected into a green lithium heparin tube.
Contraindications:In cases of severe hypotension and peripheral circulatory failure, glucose measurement from capillary samples may be misleading. In these situations, it is recommended the glucose be analyzed on venous or arterial blood.


Processing and Shipping

Stability:Capillary specimens: test immediately. Green lithium heparin tube: test within 2 hours. For questions, contact the point of care team at your facility.
Test Performed at or Referral Lab Point of Care  (Range, UMMC-East Bank, Lakes, Ridges, Northland, Southdale, UMMC/UMMCH-West Bank, Clinics, M Health Clinic and Surgery Center)


Interpretive

Critical Range:
Age mg/dL
0 - 71 h Less than 40 or greater than 200 mg/dL
3 d - 5 mo Less than 51 or greater than 200 mg/dL
6 mo and older Less than 51 or greater than 500 mg/dL
   
Reference Range:
The Nova Biochemical Statstrip meter has been calibrated to give values equivalent to plasma values.
Age Fasting
mg/dL
Casual
mg/dL
0-47 h 40-99 50-139
48 h - 5 mo 51-99 51-139
6 mo & older 70-99 70-139
Fasting glucose is defined as no caloric intake for 8 hours. Casual glucose is defined as any time of day without regard to time since last meal. Casual glucose range is dependent upon food intake, intravenous fluids or parenteral nutrition. A fasting glucose greater than 126 mg/dL or a casual plasma glucose greater than 200 mg/dL if confirmed on a subsequent day, meets the threshold for the diagnosis of diabetes, and precludes the need for a glucose challenge.  
Use:Monitor glucose levels in patients with diabetes mellitus.


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