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"Lesson Of The Week"
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Falsely elevated capillary glucose and ketone levels and use of skin lightening creams
by
Choukem, Siméon-Pierre
,
Garnier, Jean-Pierre
,
Bouché, Clara H
in
3-Hydroxybutyric Acid - analysis
,
3-Hydroxybutyric Acid - blood
,
Adult
2015
Hyperglycaemia associated with ketosis reflects severe insulin deficiency that mandates immediate insulin therapy. Point-of-care devices to measure capillary glucose have become essential in diabetes management.1 Management of hyperglycaemic crisis has also been improved by the measurement of ß-hydroxybutyrate in a fingerprick blood specimen. The method is quick, accurate, and reliable,2 3 4 and recommended to medical care providers and patients.2 5 6 Here we report two cases of misleadingly high capillary glucose and ketone measurements that could have been prevented by careful hand washing. We also identify the chemical compound, hydroquinone, that interferes with capillary results.
Journal Article
Reduced level of consciousness from baclofen in people with low kidney function
2009,2010
Journal Article
Opioid induced hypogonadism
2010
Hypogonadism in both sexes is a common result of ongoing treatment with opioid analgesics and can be treated with suitable hormone replacement therapy
Journal Article