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Case Report
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| Fallaciously elevated glucose level by handheld glucometer in a patient with chronic kidney disease and hypoglycemic encephalopathy | ||||||
| Praveen Pratap Jadhav1, Meera Praveen Jadhav2 | ||||||
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1MD, Consulting Physician-Omkar Heart Insitute, Nasik, MH, India.
2MS, Chief Medical Officer, Surgeon-Omkar Heart Institute, Nasik, MH, India. | ||||||
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| How to cite this article: |
| Jadhav PP, Jadhav MP. Fallaciously elevated glucose level by handheld glucometer in a patient with chronic kidney disease and hypoglycemic encephalopathy. International Journal of Case Reports and Images 2013;4(9):485–488. |
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Abstract
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Introduction:
The handheld glucometers are commonly used for glucose estimation in acutely ill patients, especially in those with neurological deficit. However, in a few conditions like chronic renal failure, it can give fallacious readings. This has serious implications in management of these patients, which can lead to misdiagnosis of the underlying hypoglycemia.
Case Report: Here we present a case of a patient with hypoglycemia who had a fallacious normal glucose level when checked by a handheld glucometer (i.e., elevated on glucometer). The underlying pathology giving rise to this fallacy was presence of chronic kidney disease with high uric acid and low hematocrit. Conclusion: Treating physicians should be aware of such possibilities and take suitable steps for appropriate diagnosis of potentially life-threatening hypoglycemia. | |
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Keywords:
Hypoglycemia, Glucometer, Chronic kidney disease, Uric acid
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Author Contributions
Praveen Pratap Jadhav – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Meera Praveen Jadhav – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Praveen Pratap Jadhav et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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