The largest component (43%) related to inpatient care.1 A 5-country EU study estimated that in 2010, the total direct costs of care for people with diabetes were highest in Germany (in part due to the greater diabetes population) at €43.2 billion, followed by the UK (€20.2 billion), France (€12.9 billion), Italy (€7.9 billion) and Spain (€5.4 billion). In the United States, the annual estimated cost of treating diabetes in 2012 was $245 billion, a 41% increase from 2007. Point-of-care Blood Glucose Testing For Diabetes Care In Hospitalized Patients We think it is more appropriate, and more scientifically valid, to focus on the specific limitations cited by the manufacturers and the literature, as specific situations in which the meters should not be used for cap Herbek, MD, wrote, First, we believe that the term critically ill is too vague and should be avoided. The draft guidance, available at, has drawn dozens of commentsmostly negativefrom physician organizations and other stakeholders concerned about its potential impact. To collect performance data in such populations, each study should include at least 50 patient samples from the surgical ICU and 50 patient samples from the medical ICU. If you intend to make claims for use of your meter in populations that are particularly vulnerable to potential interferences, you should include patients in surgical and medical intensive care units, the guidance said. After years of building concerns about the use of blood glucose monitoring systems among critically ill patients, in January 2014 the FDA issued draft guidance on point-of-care glucose meters that calls on device makers to submit data on how the meters perform in different patient populations. Most pressing is the challenge emanating from the nations capital. In either kind of case, experts say, pathologists and laboratory professionals must form strong relationships with clinicians and build structural foundations to help them meet these and other demands. Or they may arise when a child with diabetes objects to frequent venipuncture. Pressing questions in POC glucose testing April 2015Sometimes major changes to a health care organizations point-of-care testing system come from powerful regulatory agencies in Washington, DC. Pressing Questions In Poc Glucose Testing Has anyone else had to do this? To me this seems rather invasive, to randomly approach people busy doing their jobs and request that they reveal their blood sugar to some random staff memberjust wanted to get some thoughts on how normal this is is, whether they can legally enforce this, and whether you can politely decline. I have never seen this before at any place I have worked. Why must I reveal an aspect of my personal health just to prove I can do the skill, on top of the California mandated competency? I overheard a nurse saying, but I just completed the competency at the skills lab, and he said, this is different, an additional validation. I was too busy that day so I didnt get approached but it felt a little uncomfortable. Then the other day, the person in charge of phlebotomy training is on our floor walking up to each nurse and asking them to do an additional competency, where we are to take our own blood sugar for him. I work at a medical center in CA and we just completed the module for glucose competency where we demonstrate doing the high/low controls and working the accucheck machine etc. Glucose Competency: testing your own blood sugar? I have a question regarding glucose competency and health privacy. Glucose Competency: Testing Your Own Blood Sugar?
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