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.
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 firstname.lastname@example.org.