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Diabetes mellitus non-glucose monitoring: point-of-care testing.
Ann Pharmacother. 2004 Jun; 38(6):1039-47.AP

Abstract

OBJECTIVE

To review and evaluate reimbursable point-of-care testing devices yielding immediate results, other than glucometers, that are available to evaluate and monitor diabetes and its complications and to describe how pharmacists may use these devices.

DATA SOURCES

A MEDLINE search (1966-March 2003) was performed using the following search terms: point-of-care systems, clinical diabetes monitoring, decision support systems, glycosylated hemoglobin, and microalbumin. Pertinent company and product Web sites and customer service departments were accessed for information about point-of-care devices and supplies.

STUDY SELECTION AND DATA EXTRACTION

All descriptive, evaluative, and comparative articles and product information were reviewed, and relevant information was included.

DATA SYNTHESIS

Diabetes mellitus is a complex, chronic metabolic disease that is a challenging management problem and requires routine monitoring for disease control and screening for complications. Point-of-care tests are available to monitor hemoglobin A(1c), glucose, fructosamine, ketones, lipid profiles, urinary microalbumin concentrations, and alanine aminotransferase concentrations. Many of these tests are Clinical Laboratory Improvement Amendments (CLIA)-waived and, therefore, practical for pharmacists to use in a variety of settings. Tests for measuring sensation are also discussed. Pharmacists should consider each of these tests in the establishment of a comprehensive diabetes care service.

CONCLUSIONS

The availability of many new point-of-care testing methods creates new opportunities for pharmacists to monitor drug therapy and screen for complications in patients with diabetes. Reimbursement is possible since many of these tests are CLIA-waived.

Authors+Show Affiliations

Armor BL
Department of Pharmacy, Clinical and Administrative Sciences, College of Pharmacy, University of Oklahoma Health Sciences Center, 1110 N. Stonewall, Oklahoma City, OK 73117-1223, USA. becky-armor@ouhsc.edu
Britton ML
No affiliation info available

MeSH

AlbuminuriaDiabetes MellitusHematologic TestsHumansLiver Function TestsMonitoring, PhysiologicPharmaceutical ServicesPoint-of-Care Systems

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15121998

Citation

Armor, Becky L., and Mark L. Britton. "Diabetes Mellitus Non-glucose Monitoring: Point-of-care Testing." The Annals of Pharmacotherapy, vol. 38, no. 6, 2004, pp. 1039-47.
Armor BL, Britton ML. Diabetes mellitus non-glucose monitoring: point-of-care testing. Ann Pharmacother. 2004;38(6):1039-47.
Armor, B. L., & Britton, M. L. (2004). Diabetes mellitus non-glucose monitoring: point-of-care testing. The Annals of Pharmacotherapy, 38(6), 1039-47.
Armor BL, Britton ML. Diabetes Mellitus Non-glucose Monitoring: Point-of-care Testing. Ann Pharmacother. 2004;38(6):1039-47. PubMed PMID: 15121998.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diabetes mellitus non-glucose monitoring: point-of-care testing. AU - Armor,Becky L, AU - Britton,Mark L, Y1 - 2004/04/30/ PY - 2004/5/4/pubmed PY - 2004/8/27/medline PY - 2004/5/4/entrez SP - 1039 EP - 47 JF - The Annals of pharmacotherapy JO - Ann Pharmacother VL - 38 IS - 6 N2 - OBJECTIVE: To review and evaluate reimbursable point-of-care testing devices yielding immediate results, other than glucometers, that are available to evaluate and monitor diabetes and its complications and to describe how pharmacists may use these devices. DATA SOURCES: A MEDLINE search (1966-March 2003) was performed using the following search terms: point-of-care systems, clinical diabetes monitoring, decision support systems, glycosylated hemoglobin, and microalbumin. Pertinent company and product Web sites and customer service departments were accessed for information about point-of-care devices and supplies. STUDY SELECTION AND DATA EXTRACTION: All descriptive, evaluative, and comparative articles and product information were reviewed, and relevant information was included. DATA SYNTHESIS: Diabetes mellitus is a complex, chronic metabolic disease that is a challenging management problem and requires routine monitoring for disease control and screening for complications. Point-of-care tests are available to monitor hemoglobin A(1c), glucose, fructosamine, ketones, lipid profiles, urinary microalbumin concentrations, and alanine aminotransferase concentrations. Many of these tests are Clinical Laboratory Improvement Amendments (CLIA)-waived and, therefore, practical for pharmacists to use in a variety of settings. Tests for measuring sensation are also discussed. Pharmacists should consider each of these tests in the establishment of a comprehensive diabetes care service. CONCLUSIONS: The availability of many new point-of-care testing methods creates new opportunities for pharmacists to monitor drug therapy and screen for complications in patients with diabetes. Reimbursement is possible since many of these tests are CLIA-waived. SN - 1060-0280 UR - https://www.unboundmedicine.com/medline/citation/15121998/Diabetes_mellitus_non_glucose_monitoring:_point_of_care_testing_ DB - PRIME DP - Unbound Medicine ER -