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Clinical Pediatrics
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Accuracy of Glucose Reflectance Testing for Detecting Hypoglycemia in Term Newborns

Linda Meloy, MD, FAAP

Medical College of Virginia, Virginia Commonwealth University, Richmond, VA; Children's Medical Center, Box 980506, MCV Station, Richmond, VA 23298

Greg Miller, PhD

M. H. Chandrasekaran, MD

Carol Summitt, BA

Gary Gutcher, MD

Medical College of Virginia, Virginia Commonwealth University, Richmond, VA

Glucose concentrations of 248 newborns at 1 and 3 hours of age were determined at the bedside by means of the Accu-Chek III Reflectance® meter and in the laboratory by means of the Vitros 750® analyzer. Hypoglycemia being defined as a glucose concentration less than 40 mg/dL, the reflectance meter had a sensitivity of 0.757 and a specificity of 0.876 at 1 hour and 0.975 at 3 hours. The imprecision of the reflectance meter at 1 hour eliminated it as a routine testing method.

Clinical Pediatrics, Vol. 38, No. 12, 717-724 (1999)
DOI: 10.1177/000992289903801204


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Arch. Dis. Child. Fetal Neonatal Ed.Home page
H T Ho, W K Y Yeung, and B W Y Young
Evaluation of "point of care" devices in the measurement of low blood glucose in neonatal practice
Arch. Dis. Child. Fetal Neonatal Ed., July 1, 2004; 89(4): F356 - F359.
[Abstract] [Full Text] [PDF]