A Comparison of Chromogen Test Strip (Chemstrip bG) and Serum Glucose Values in Newborns

The Frequency of Hypoglycemia in Full-Term Large and Small for Gestational Age Newborns

“…Test strips, when visually read or used with reflectance meters, have only limited accuracy in newborns. 19 - 20 A rapid test strip reading of less than 40 mg/dl in a newborn has a 90% sensitivity for detecting a serum glucose level of less than 35 mg/dl, 21 so it is possible that the frequency of hypoglycemia might be slightly higher than reported here. Ideally, rapid and accurate serum glucose measurements should be available for newborns at risk for hypoglycemia.…”

Hypoglycemia in Infants of Diabetic Mothers: Experience in a Rural Hospital

“…15 When reagent strips are used, sensitivity ranges from 82 to 88%, whereas specificity ranges from 70 to 81%. [16][17][18] Blood glucose determinations after the first 90 minutes of life in infants of diabetic mothers are probably unnecessary in the absence of symptoms. With the improved control of blood glucose levels in pregnant women, the need to monitor the infants of well-controlled diabetic mothers may need to be reassessed.…”

Blood Glucose Determinations in Large for Gestational Age Infants

“…20 Using reagent strips, the sensitivity ranges from 82 to 88%; specificity ranges from 70 to 81%. [21][22][23] The challenge is to hit a moving target (a cutoff for clinically important hypoglycemia, which may change with gestational age and time since birth) with an inaccurate arrow (bedside glucometer) to prevent vague nonspecific symptoms that occasionally can lead to persistent neurological deficits.…”