Near patient testing for glucose is now a widely accepted procedure in hospital wards and clinics. However, in a neonatal ward where the detection of hypoglycaemia rather than hyperglycaemia is of paramount importance, it is more difficult to find a suitable glucose monitoring instrument. We compared two Hemocue blood glucose analysers (Hemocue Ltd) in our special care baby unit (SCBU) with the laboratory procedures and found that the Hemocue may overestimate the glucose by as much as 2·5mmol/L. In addition, Hemocue analysers are costly to run. We feel these analysers may be more useful in a general ward rather than in a SCBU.
BlandJMAltmanDG. Statistical methods for assessing the agreement between two methods. Lancet1986; i: 307–10
7.
HameedMPollardRSchariefN. Bedside assessment of blood glucose in the neonatal period—an ongoing problem. Br J Intensive Care1996; 6: 114–7
8.
KirkhamPWatkinsA. Comparison of two reflectance photometers in the assessment of neonatal hypoglycaemia. Arch Dis Child1995; 73: F170–3
9.
KilpatrickESRumleyAGMyintHDominiczakMHSmallM. The effect of variations in haematocrit, mean cell volume and red blood count on reagent strip tests for glucose. Ann Clin Biochem1993; 30: 485–7
10.
Department of Health.Extra Laboratory Use of Blood Glucose Meters and Test Strips: Contraindications, Training and Advice to the Users. Medical Devices Agency Safety Notice 9616 (MDA SN 9616). London: Department of Health, Medical Devices Agency, 1996
11.
Aynsley-GreenA. Glucose: A fuel for thought. J Paediatr Child Health1991; 27: 21–30
12.
GreenAMorganL. Neonatology and Clinical Biochemistry.London: ACB Venture Publications, 1993
13.
YoungRPCritchleyJAJHLauMSWLeeKKCRobertshawAMChanTYK. Reliability of glucose measurement using the Hemocue analyser in hypoglycaemia. Ann Clin Biochem1993; 31: 573–5
14.
EllisMManandharDSManandharNLandJMPatelNdeCostelloAM. Comparison of two cotside methods for the detection of hypoglycaemia among neonates in Nepal. Arch Dis Child1996; 75: F122–5
