Avril,
We looked at this on an IFCC POCT
committee and it is being revisited. Where there is a clearly abnormal glucose
then OK and there is a move to HbA1c for screening too.
The IFCC committee were unconvinced that
the imprecisons associated with POCT glucose meters was sufficiently tight to
categorise IFG &/or IGT especially at the margins.
Unfortunately the NACB LMPG on POCT did
not address the question you are asking, nor did the Australian GP POCT study.
Consensus at the moment in don’t use meters to diagnose DM, but OK for
screening.
Ian
Dr Ian D Watson
Clinical Director, Clinical Laboratories
Consultant Biochemist & Toxicologist
Dept Clinical Biochemistry
Lower Lane
L9 7AL
Tel +44 151 529 3575
Fax +44 151 529 3310
From:
Clinical biochemistry discussion list [mailto:
Sent: 07 July 2011 10:06
To:
Subject: Glucose Tolerance Tests
Dear colleagues
As our GPs are being encouraged to undertake more and more
oral glucose tolerance tests, more of them are doing the tests in the surgery
(following the protocol provided by our laboratory). This morning I took a
phone call from one GP who was interested in using POCT glucose meters to
obtain the results rather than sending the samples to the laboratory.
Apart from the obvious facts of laboratory result vs POCT
result, and the issues of capillary sampling, are there any other good reasons
why POCT should not be used? Is anyone out there already doing this?
Kind regards
Avril
Avril Wayte
Consultant Biochemist
Clinical Chemistry
Ysbyty Gwynedd
Clinical Lead for Biochemistry, BCUHB
Cymraeg
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