Monitoring Neonatal Hypoglycemia with the Accu-chek Advantage II Glucose Meter: The Cautionary Tale of Galactosemia

摘要

Hand-held glucose meters are a practical solution for measuring glucose in neonatal intensive care units and special care nurseries because of their portability, the immediacy of results, and minimal blood volume requirements compared with dispatching samples for central laboratory analysis. We have used the Roche Accu-chek Advantage II meter for some time in our neonatal intensive care unit, but we no longer use it in view of the following findings.Nonidentical twins, born 4 weeks prematurely, were managed in our special care nursery. Twin 2 was found to have increasing glucose over the first 24 h, reaching a maximum …