title: Capillary bedside blood glucose measurement in neonates: missing a diagnosis of galactosemia.
abstract: A number of factors may lead to inaccuracy in measurement of capillary blood glucose with a glucometer. Measurement of other carbohydrate molecules such as galactose and fructose along with glucose can potentially be a cause of error. We report a newborn patient who was referred to our hospital with conjugated bilirubinemia, hepatomegaly and high capillary blood glucose levels measured with a glucometer. Simultaneous biochemical measurements revealed normal blood glucose levels. Further investigation led to a diagnosis of classical galactosemia. Capillary blood glucose level measured with glucometer also dropped to normal values following cessation of breastfeeding and initiation of feeding with a lactose-free formula.
authors: acettepe University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey. E-mail: dr_huseyin@hotmail.com.
authors: Mehmet Nuri
authors: MN
authors: Özbek
authors: Murat
authors: M
authors: Öcal
authors: Sibel
authors: S
authors: Tanrıverdi
authors: Birsen
authors: B
authors: Baysal
authors: Ahmet
authors: A
authors: Deniz
authors: Kahraman
authors: K
authors: Öncel
authors: Hüseyin
authors: H
authors: Demirbilek
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D003955:Diagnostic Tests, Routine / Q000379:methods*; D005693:Galactosemias / Q000097:blood / Q000175:diagnosis*; D006529:Hepatomegaly / Q000503:physiopathology*; D006801:Humans; D006932:Hyperbilirubinemia / Q000503:physiopathology*; D007231:Infant, Newborn; D008297:Male
chemical_list: D001786:Blood Glucose