title: Evaluation of four portable blood glucose meters in diabetic and non-diabetic dogs and cats.
abstract: BACKGROUND
  Monitoring of an animal's blood glucose concentration is critical for diagnostic and therapeutic decisions. Over the past few decades, portable blood glucose meters (PBGMs) have been used to monitor blood glucose concentrations in animals. Recently, new and improved PBGMs have been made available on the market.
  
  
  OBJECTIVE
  The purpose of this study was to evaluate four PBGMs for use in dogs and cats.
  
  
  METHODS
  A total of 155 venous blood samples of dogs and 85 venous blood samples of cats were tested using four PBGMs. Control solutions from manufacturers were used to determine the precision of each meter. The coefficient of variation was calculated to determine precision during a set of replicates. Pearson's correlation analysis, Passing-Bablok regression, and Bland-Altman analysis were used to determine the accuracy of four PBGMs against the hexokinase reference method. Error grid analysis was used to evaluate clinical relevance.
  
  
  RESULTS
  All PBGMs, except CERA-PET®, were clinically acceptable for monitoring blood glucose concentrations; AlphaTrak® and VetMate® appeared to be the most accurate ones, demonstrating that to use PBGMs for glucose monitoring, it is important to understand the strengths or limitations of each meter. The difference in results between the PBGMs and the reference method increased at high glucose concentration ranges, which were also affected by the hematocrit.
  
  
  CONCLUSIONS
  Although readings of the PBGMs and the reference method varied across glycemic ranges (low, normal, and high glucose concentrations), most PBGMs were clinically acceptable for monitoring blood glucose concentrations in dogs and cats.
authors.affiliation: a Department of Veterinary Internal Medicine, College of Veterinary Medicine , Konkuk University , Seoul , South Korea.
authors.forename: Min-Hee
authors.initials: MH
authors.lastname: Kang
authors.affiliation: b Korea Animal Medical Science Institute , Sano-dong 360-1, Guri-si , Gyeonggi-do , South Korea.
authors.forename: Do-Hyung
authors.initials: DH
authors.lastname: Kim
authors.affiliation: b Korea Animal Medical Science Institute , Sano-dong 360-1, Guri-si , Gyeonggi-do , South Korea.
authors.forename: In-Seong
authors.initials: IS
authors.lastname: Jeong
authors.affiliation: c Animal Medical Center W , Seogyo-dong 444-5, Mapo-gu, Seoul , South Korea.
authors.forename: Gab-Chol
authors.initials: GC
authors.lastname: Choi
authors.affiliation: a Department of Veterinary Internal Medicine, College of Veterinary Medicine , Konkuk University , Seoul , South Korea.
authors.forename: Hee-Myung
authors.initials: HM
authors.lastname: Park
mesh_terms: D000818:Animals; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation / Q000662:veterinary*; D002371:Cat Diseases / Q000097:blood*; D002415:Cats; D003920:Diabetes Mellitus / Q000097:blood / Q000662:veterinary*; D004283:Dog Diseases / Q000097:blood*; D004285:Dogs; D005260:Female; D006943:Hyperglycemia / Q000097:blood / Q000662:veterinary*; D008297:Male
chemical_list: D001786:Blood Glucose
keywords: blood glucose; cat; dog; glucometer; hyperglycemia; hypoglycemia