Glucose Meter Benefits Outweigh Risks Panel Says
At the 3/30 meeting of the FDA Clinical Chemistry and Clinical Toxicology Devices Advisory Panel, members indicated that the benefits of using glucose meters for measuring blood glucose in capillary blood in patients receiving intensive medical intervention/therapy outweigh the risks. The comment came in response to FDA’s request for an opinion on the benefits and risks of measuring capillary blood using blood glucose meters in patients receiving intensive medical intervention or therapy and the considerations for CLIA waiver for this use.
Panel members said they recognized that there are many clinical conditions such as hypothermia, hypotension, shock, edema, etc., in which capillary blood testing may be problematic. Potential risk mitigation strategies discussed included increased training of medical personnel using point-of-care testing and quality control programs.
Panel members also said that a major issue was the quality of the capillary blood sample being assessed by the blood glucose meter rather than the meter itself. There was no consensus as to whether modifications of the current CLIA status of blood glucose meters in the hospital setting would address the issue. Panelists commented both in favor of and against maintaining a CLIA waiver for using glucose meters for measuring blood glucose in capillary blood in patients receiving intensive medical intervention/therapy.