Oxygen effects on glucose measurements with a reference analyzer and three handheld meters.

Oxygen may affect glucose meter and reference analyzer measurements. We evaluated the effects of changes in blood oxygen tension (Po2) on Accu-Chek Comfort Curve (Roche Diagnostics, Indianapolis, IN), Precision G, (Abbott Laboratories, Bedford, MA) and One Touch II (Lifescan, Milpitas, CA) glucose meter measurements, and on Yellow Springs Instruments (YSI) (Yellow Springs, OH) reference analyzer measurements. Venous blood drawn from healthy volunteers was adjusted to three glucose levels of 80, 200, and 400 mg/dL, each tonometered with six different Po2 levels (40, 80, 160, 240, 320, and 400 torr). To quantitate oxygen effects on reference analyzer measurements, glucose differences between test sample (Po2 changed) and control (Po2 80 torr) were calculated (YSItest-YSIcontrol). The threshold for determination of oxygen effects was +/-2 SD, where 2 SD was fro

[1]  J. Sawers,et al.  Falsely low blood glucose readings by a blood glucose meter system. , 1994, Diabetic medicine : a journal of the British Diabetic Association.

[2]  R. Jenkins,et al.  Self monitoring of blood glucose. , 1993, BMJ.

[3]  H S Chen,et al.  Technical and clinical evaluation of an electrochemistry glucose meter: experience in a diabetes center. , 1998, Diabetes research and clinical practice.

[4]  G. Martin,et al.  Cardiac stun in infants undergoing extracorporeal membrane oxygenation. , 1991, The Journal of thoracic and cardiovascular surgery.

[5]  J. Nichols,et al.  Technical evaluation of five glucose meters with data management capabilities. , 1999, American journal of clinical pathology.

[6]  T. Hachenberg,et al.  The Ventilation‐Perfusion Relation and Gas Exchange in Mitral Valve Disease and Coronary Artery Disease Implications for Anesthesia, Extracorporeal Circulation, and Cardiac Surgery , 1997, Anesthesiology.

[7]  The Effect of the Partial Pressure of Oxygen on Blood Glucose Concentration Examined Using Glucose Oxidase with Ferricyan Ion , 1994, Anesthesia and analgesia.

[8]  H. Nathan,et al.  Profound hypoxemia during treatment of low cardiac output after cardiopulmonary bypass , 1999, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[9]  F. Sjöberg,et al.  Adverse effects of hyperoxemia during cardiopulmonary bypass. , 1996, The Journal of thoracic and cardiovascular surgery.

[10]  P. Coriat,et al.  Inhaled nitric oxide-induced closure of a patent foramen ovale in a patient with acute respiratory distress syndrome and life-threatening hypoxemia. , 1995, Anesthesiology.

[11]  M. Ohtsuka,et al.  Influence of blood sample oxygen tension on blood glucose concentration measured using an enzyme-electrode method. , 1997, Critical care medicine.

[12]  G J Kost,et al.  Oxygen effects on glucose meter measurements with glucose dehydrogenase- and oxidase-based test strips for point-of-care testing , 2001, Critical care medicine.

[13]  G J Kost,et al.  Point-of-care glucose testing: effects of critical care variables, influence of reference instruments, and a modular glucose meter design. , 2000, Archives of pathology & laboratory medicine.

[14]  D. Houssin,et al.  Pulmonary arteriovenous shunting in children with liver disease. , 1995, The Journal of pediatrics.

[15]  I. Garutti,et al.  Arterial oxygenation during one-lung ventilation: combined versus general anesthesia. , 1999, Anesthesia and Analgesia.

[16]  G J Kost,et al.  Effects of different hematocrit levels on glucose measurements with handheld meters for point-of-care testing. , 2009, Archives of pathology & laboratory medicine.

[17]  L. Jorfeldt,et al.  Skeletal Muscle Oxygen Pressure Fields in Artificially Ventilated, Critically 111 Patients , 1980, Acta anaesthesiologica Scandinavica.

[18]  S P Halloran Influence of blood oxygen tension on dipstick glucose determinations. , 1989, Clinical chemistry.

[19]  R. Sachdeva,et al.  Evaluation of a real-time blood glucose monitor in children with diabetic ketoacidosis. , 1999, Diabetes research and clinical practice.

[20]  E. Kilpatrick,et al.  Variations in Sample pH and pO2 Affect ExacTech Meter Glucose Measurements , 1994, Diabetic medicine : a journal of the British Diabetic Association.

[21]  G. Buckberg Studies of hypoxemic/reoxygenation injury: I. Linkage between cardiac function and oxidant damage. , 1995, The Journal of thoracic and cardiovascular surgery.

[22]  P. Slinger,et al.  Improving arterial oxygenation during one-lung ventilation. , 1988, Anesthesiology.

[23]  P. Slinger,et al.  Arterial Oxygenation during One-lung Ventilation: A Comparison of Enflurane and Isoflurane , 1995, Anesthesiology.

[24]  G J Kost,et al.  Multicenter study of oxygen-insensitive handheld glucose point-of-care testing in critical care/hospital/ambulatory patients in the United States and Canada. , 1998, Critical care medicine.

[25]  Javier H. Campos Effects on Oxygenation During Selective Lobar Versus Total Lung Collapse With or Without Continuous Positive Airway Pressure , 1997, Anesthesia and Analgesia.