This is a recorded version of the AACC webinar Glucose Meter Accuracy and Glycemic Control: How Good is Good Enough? which was originally held May 8, 2012. In critically ill patients, carbohydrate metabolism can be adversely affected and result in insulin resistance, which then leads to hyperglycemia or increased blood glucose concentrations. Proponents of tight glycemic control (TGC) protocols believe that keeping these patients'
blood glucose in a normal range leads to better survival rates and reduces some of the downstream complications that critically ill patients often experience. Some data suggest, however, that TGC in the critically ill makes little or no difference in patient survival or patient outcomes. Dr. Karon explains current and proposed accuracy and error guidelines for hospital glucose monitors and what error simulation models suggest about accuracy needs for glucose monitors
in the ICU.