title: Point-of-care blood glucose testing for diabetes care in hospitalized patients: an evidence-based review.
abstract: Glycemic control in hospitalized patients with diabetes requires accurate near-patient glucose monitoring systems. In the past decade, point-of-care blood glucose monitoring devices have become the mainstay of near-patient glucose monitoring in hospitals across the world. In this article, we focus on its history, accuracy, clinical use, and cost-effectiveness. Point-of-care devices have evolved from 1.2 kg instruments with no informatics to handheld lightweight portable devices with advanced connectivity features. Their accuracy however remains a subject of debate, and new standards for their approval have now been issued by both the International Organization for Standardization and the Clinical and Laboratory Standards Institute. While their cost-effectiveness remains to be proved, their clinical value for managing inpatients with diabetes remains unchallenged. This evidence-based review provides an overall view of its use in the hospital setting.
authors.affiliation: Ipswich Hospital NHS Trust, Ipswich, UK.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Rajendran
authors.affiliation: Ipswich Hospital NHS Trust, Ipswich, UK gerry.rayman@ipswichhospital.nhs.uk.
authors.forename: Gerry
authors.initials: G
authors.lastname: Rayman
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D003362:Cost-Benefit Analysis; D019317:Evidence-Based Medicine; D006761:Hospitals; D006801:Humans; D007297:Inpatients; D019095:Point-of-Care Systems / Q000191:economics
chemical_list: D001786:Blood Glucose
keywords: blood glucose; blood glucose meter; diabetes; hospital; inpatients; point of care