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Icodextrin Causing Glucose Meter Error and Severe Hypoglycemia After Deceased Donor Renal Transplant in a Patient Receiving Continuous Ambulatory Peritoneal Dialysis

Disque, Andrew MD*; Dhillon, Anahat MD*; Gritsch, Albin MD

doi: 10.1097/ACC.0b013e3182a4e51f
Case Reports: Case Report

Hypoglycemia is a frequent problem encountered with diabetics and hospitalized patients. Although point-of-care glucose meters have revolutionized management, there are circumstances wherein glucose meter readings are inaccurate. One such example of glucose meter error occurred in a patient with end-stage renal disease receiving peritoneal dialysis who underwent renal transplantation. After surgery, the patient’s laboratory testing reflected hypoglycemia, while point-of-care glucose meter testing indicated hyperglycemia. It is important to remember that the “gold standard” is the laboratory serum glucose test, and if a discrepancy from point-of-care results occurs, an investigation should be made to ascertain the reason.

From the Departments of *Anesthesiology and Urology, UCLA Medical Center, Los Angeles, CA.

Accepted for publication July 12, 2013.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Anahat Dhillon, MD, Department of Anesthesiology, UCLA Medical Center, 757 Westwood Plz Ste., 3304, Los Angeles, CA 90095. Address e-mail to adhillon@mednet.ucla.edu.

© 2013 International Anesthesia Research Society
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