Adult Critical Glucose Values

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Hello
We are currently reviewing our adult & neonate critical hypoglycemia glucose values, <40 mg/dL.  Want to see what other organizations are using as values.  We are addressing inconsistent policies across lab, pharmacy and nursing.
  • Is anyone using different values for glucometer results vs. main lab values?
  • Do you have alert values as well as critical values?  Example:  Critical on meter and in lab <40 mg/dL results have to be called to provider or RN within a particular time frame vs. a lab alert value of 54 mg/dL that just needs to be called to the floor and can be given to the secretary?? 
  • Does the POCT & Lab policies list recommended follow-up are do you refer to pharmacy & nursing policies?
Please add the name of your organization to any comments.
Thank you
Amanda

2 Replies

We use Nova and have both alert and critical values set.  I have attached a document.  Mercy Hospital St. Louis.  Our critical values match our Core Lab.
 We were cited recently for critical results documentation.  All unlicensed caregivers must report and document to a treating caregiver.
We do reference nursing policies, especially hyper and hypoglycemic protocol for glucose.  We don't reference any pharmacy policies.
CLIN5237 Blood Glucose Ranges on Nova Glucometer CPB 2025_06262025.pdf

Our facility does a critical of </= 50 mg/dL or >/=550 (both core lab and POC). If done as POC, there is a 30 minute time frame to give the provider the results. Core lab says call immediately (to an RN or provider) but I am not sure if there is an exact time frame or not. Follow-up is then dependent on Nursing policies. My only hang-up is that at our facility, the Nursery follows a slightly different critical protocol and doesn't do anything until </= 40 mg/dL. 

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Amanda Casavant
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