Personal Glucose meters
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What is your hospital policy regarding patients using personal glucose meters? We currently do not allow patient's to use their own glucometers for the determination of insulin dosing.
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Same as your hospital, Kyle. I've been curious also on the continuous glucose monitoring as well. I have not found an inpatient hospital policy as yet.
Same here, patient glucose results from their personal meters can not be used for treatment decisions.
I am also curious about how others are dealing with the continuous glucose monitoring systems.
Our policy for our Nova StatStrip includes not allowing home glucometers to be used as basis for treatment or comparison hence I have only come across a few patients that actually perform QC's on their home devices (I'm a DM Educator) once they receive them. The companies no longer provide the QC solutions as part of the home kits and it is not intuitive for patients to perform this. Sometimes the kits have been used for years without QC's being performed.
We have inpatients remove all insulin pumps and CGMs until they are preparing for DC to minimize risks relating to disturbances of metabolic conditions and/or mechanical malfunction.
Same here- for any treatment decisions, no personal glucose meters allowed here or at my previous place of employment, only ones that have been correlated with the main lab instruments. POCT was not involved in CGM Systems.
We do not allow them either. However, when we have time I'm working on a proposal that would allow patients to run the tests congruently for some of the very reasons mentioned.
If a patient has not QC'ed their instrument in years and the results are significantly discordant it may be a contributing factor which led to the hospitalization. We would not be doing any favors just allowing them to continue to use a bad instrument. A small correlation should be easy to arrange and provide more awareness for the patient not to just take everything for granted.