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Tight Glycemic Control in the ICU

analyzer, the absorbance is measured, and the glucose level is displayed in 40 to 240 seconds, depending on concentration. Accurate results are claimed for the whole measurement range of 0-444 mg/dl. Quality control (QC) must be performed with the HemoCue control cuvette and commercially available glucose controls. The analyzer has both power adapter and batteries, built-in barcode scanner, infrared transmitter, and memory of 4000 Patient/STAT tests, 500 QC tests and 500 analyzer logs.

The LifeScan SureStepFlexx Professional Blood Glucose Management System is available with all DataLink connectivity options. A drop of blood is applied to the SureStep test strip, which contains a hydrophilic foam that reduces potential for contamination. Plasma from the sample flows through the pad to the reagent membrane, where glucose undergoes the glucose oxidase reaction. The test strip is inserted into the meter, and results appear in approximately 30 seconds. The measurement range is 0-500 mg/dl and is reported by one researcher to be highly accurate in the low ranges. There is an internal verification system and QC must be performed using SureStepPro glucose control solutions. The meter is battery powered, has an optional barcode scanner, and memory of 4000 user IDs and 1500 tests results.

The Roche Accu-Chek Inform System utilizes the DataCare POC information management system and Accu-Chek Comfort CurveTest Strips. The glucose test system is based on the glucose dehydrogenase method, and results appear in 26 seconds. Studies have shown that the Accu-Chek meter is accurate over a wide range of glucose concentrations. QC tests include a linearity kit, and glucose control solutions that come with the test strips. The meter has a rechargeable battery, barcode scanner, and memory of 4000 measurements.

- Helen Londe, MD
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