Dear colleagues
Following an overwhelming demand by our requesters (both primary care and
acute services) we have recently made a decision to highlight abnormal
results on our paper reports. As a consequence of this, we have had to
provide a reference range for our blood glucose results, otherwise grossly
abnormal values would not be highlighted. After consultation with colleagues
and our diabetologist, we decided on an arbitrary range of 2.2-11.1 mmol/L
(2.2 being the threshold for hypoglycaemia, and 11.1 being the diagnostic
level for diabetes in a 2h glucose following glucose load).
As a result we have had a phone call from a GP who seriously dislikes this
range, and who claims that this might result in early diabetics being
labelled 'normal'. This is the only complaint so far. To be honest, we would
prefer not to quote a reference range for glucose at all, but seeing as we
have to, does anyone have any suggestions or comments that would help us?
Best regards
Avril Owen
Principal Biochemist
Department of Clinical Chemistry
Ysbyty Gwynedd
Bangor
Wales
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