Glucose Meter Accuracy and Capillary Blood Testing In The ICU: Why It Matters

June 22, 2023

EST 1:00 pm / PST 10:00 am

Bedside glucose testing is one of the most performed tests in the hospital. Many clinicians take the accuracy and reliability of these results for granted; however, hospitalized patients can have interference from medications and other endogenous factors that can cause erroneous glucose meter results. Inaccurate results can lead to improper treatment, such as giving insulin to a patient who is hypoglycemic, which can have catastrophic outcomes. This is an ongoing, a real-life problem, with recent published reports of death and disability due to erroneous glucose meter results and inappropriate insulin administration. Aside from these events, hypoglycemia can cause increased length of stay and increase the cost of hospitalization. This seminar will present outcomes achieved through improved glucose meter accuracy, factors which can affect accuracy of some glucose meters, how to avoid glucose meter errors, and how to implement a bedside glucose testing system which protects patients and providers.

Presenters:

Brad S. Karon, M.D., PhD, FACB Associate Professor of Laboratory Medicine & Pathology; Director, Point of Care Testing and Hospital Clinical Labs
Mayo Clinic, Rochester, MN

Naveen Bangia, PhD Director, Medical and Scientific Affairs

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The Role Of Blood Lactate Testing In Optimizing Sports Performance

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Lactate Is A Well-Known Metabolite In Both The Clinical And Applied Sports Performance Sectors. It Has Been Popularized Endurance Sports Due To The Abundance Of Literature Published On The Role Of Lactate In Performance And Changes In Lactate Metabolism Through Various Training Interventions, To Name A Few. Additionally, Due To The Relative Ease Of Measurement Of This Physiological Marker, Coaches, Athletes, And Sport Scientists Can Monitor Lactate Response Both In The Lab And Outdoors.

In This Webinar, You Will Learn About The Bioenergetics Of Lactate During Exercise, Its Role In Endurance And Team Sports, Expected Adaptations To Training, And Basics Of Taking Measurements. Both Theoretical And Practical Topic Areas Will Be Presented, With A Focus On The More Practical Side Of The Application Of Lactate Data To Sports Performance. You Will Also Hear Additional Data Regarding Lactate Measurement Accuracy, Use Of The Nova Lactate Plus Meter For Athlete Training, And The Use Of Lactate Testing In Other Settings.

Presenters:
Ryan Kohler, MS, USAW
Head Coach & Physiologist
Fast Talk Labs In Boulder, CO

Dennis Begos, MD, FACS, FACRS
Medical Director, Medical And Scientific Affairs
Nova Biomedical

Blood Ketone Management in Pediatric DKA

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Diabetic ketoacidosis (DKA) is frequently present at diagnosis of type 1 diabetes, with younger children, especially those less than 2 years-old, at higher risk. Complications include hypoglycemia, acute kidney injury, cardiac arrthymias and cerebral injury. DKA, along with these complications, is the most common cause of hospitalization, mortality, and morbidity in children with type 1 diabetes mellitus.[8] The fatality rate is approximately 0.15-0.31% of cases. 

Beta-Hydroxybutyrate (BHB) is the most common ketone body produced in the body and increases during states of ketosis and ketoacidosis. Monitoring levels of BHB is an integrated part of DKA management.   

Learning Objectives:

• Ketones in physiological and abnormal conditions
• Diabetic ketoacidosis
• Diabetes management during illness
• Case of DKA during illness
• BHN i the differential diagnosis of hypoglycaemia
• Additional situation of blood BHB monitoring

Presenters:

Irena Aldhoon Hainerova
Ph.D.Associate Professor
Hospital Kralovske Vinohrady 

Marcin Pacek
Medical and Scientific Affairs Director
Nova Biomedical