title: Blood glucose measurement by glucometer in comparison with standard method in diagnosis of neonatal hypoglycemia.
abstract: Hypoglycemia is considered as a serious risk factor in neonates. In the majority of cases, it occurs with no clinical symptoms. Accordingly, early diagnosis is extremely imperative, which can also lead to less morbidity and mortality. The aim of this study was to assess the importance of screening blood glucose using glucometer (known as a quick and cost-effective diagnostic test) in comparison with laboratory method. A total of 219 neonates at risk of hypoglycemia were included in this study. Blood glucose was measured by glucometer and laboratory. In addition glucose level of capillary blood was measured by glucometer at the same time. Sensitivity and specificity of capillary blood glucose measurement by glucometer were 83.5%, 97.5% respectively (ppv=80%), (npv=98%). Capillary blood glucose measured by glucometer has an acceptable sensitivity and specificity in measurement of neonatal blood glucose. Therefore measurement by glucometer is recommended as a proper diagnostic test.
authors.affiliation: Family Health Institute, Maternal- Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran. fnayeri@tums.ac.ir.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Nayeri
authors.affiliation: Family Health Institute, Maternal- Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran. mshariat@tums.ac.ir.
authors.forename: Mamak
authors.initials: M
authors.lastname: Shariat
authors.affiliation: Family Health Institute, Maternal- Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran. bitaebrahim@yahoo.ca.
authors.forename: Hamid Modarres
authors.initials: HM
authors.lastname: Mousavi Behbahani
authors.affiliation: Family Health Institute, Maternal- Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran. bitaebrahim@yahoo.ca.
authors.forename: Padideh
authors.initials: P
authors.lastname: Dehghan
authors.affiliation: Family Health Institute, Breast Feeding Research Center, Tehran University of Medical Sciences, Tehran, Iran. bitaebrahim@yahoo.ca.
authors.forename: Bita
authors.initials: B
authors.lastname: Ebrahim
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D003955:Diagnostic Tests, Routine / Q000379:methods*; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis*; D007231:Infant, Newborn; D008297:Male; D012307:Risk Factors; D012680:Sensitivity and Specificity
chemical_list: D001786:Blood Glucose