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NOVA'S HOSPITAL GLUCOSE MONITORING SYSTEM ADDS KETONE TEST

Blood Ketone Testing Should Be Performed
Whenever Glucose Exceeds 14 mmol/L (250 mg/dL)


The European Society for Paediatric Endocrinology, Diabetes UK, the Canadian Diabetes Association, Australian Diabetes Association, and American Diabetes Association, concur that glucose levels > 14 mmol/L (250 mg/dL) combined with elevated blood ketones indicate DKA, a potentially life threatening complication of hyperglycemia.
Indications For Ketone Testing in the Hospital
  • All cases of hyperglycemia (glucose > 14mmol/L or 250mg/dL) in combination with an acute clinical condition1
  • All cases of hyperglycemia when a diabetic patient is hospitalized1
  • During acute illness or stress or when blood glucose levels are consistently elevated (e.g. >17 mmol/L or 300 mg/dL)2
Blood Ketone Testing Enables Rapid Diagnosis of DKA
  • Ketone results in only 10 seconds allows fast treatment decisions
  • Allows immediate differentiation of simple hyperglycemia from life threatening ketotic states3,4
Blood Ketone Testing Improves Monitoring of Therapy for DKA
  • DKA patients monitored by ß-OHB left the ICU 6.5 hours earlier than patients monitored with urine ketones:
    - 29.8% cost savings for lab tests and- 70.2% reduction in clinical assessment5
  • DKA patients monitored by blood ketone reached an end-point for intravenous therapy after 17 hours versus 28 hours for patients monitored by urine ketone testing6
1 Guerci N et al. Advantage to using capillary blood B-hydroxybutyrate determination for the detection and treatment of diabetic ketosis. Diabetes & Metabolism, Vo 31, No 4, 2005
2 American Diabetes Association. Tests of Glycemia in Diabetes. Diabetes Care 2004; 27(suppl.1).
3 Sheikh-Ali M et al. Can Serum B-Hydroxybutyrate Be Used to Diagnose Diabetic Ketoacidosis? Diabetes Care, Volume 31, No 4, April 2008.
4 Charles R A et al. Point-of-care blood ketone testing: screening for diabetic ketoacidosis at the emergency department. Singapore Med J. 2007 Nov;48(11).
5 Vanelli M et al. The direct measurement of 3-beta-hydroxy butyrate enhances the management of diabetic ketoacidosis in children and reduces time and costs of treatment. Diabetes Nutr Metab, 2003 Oct-Dec;1(5-6)
6 Noyes KJ et al. Hydroxybutyrate near-patient testing to evaluate a new end-point for intravenous insulin therapy in the treatment of diabetic ketoacidosis in children. Pediatr Diabetes. 2007 Jun;8(3)

Nova StatStrip® Glucose Ketone Meters Provide Added Value

Glucose and Ketone Testing In One Meter
The same Nova meter used for hospital glucose testing also tests for ketones. A separate ketone meter is not needed, only a ketone strip.
Easy to Use
No meter preparation or calibration coding steps are required. Insert a ketone strip and StatStrip automatically recognizes the strip and converts the meter to ketone measuring mode
StatStrip Measures Blood Beta-hydroxybutyrate, the Preferred Method for Diagnosing and Monitoring Ketoacidosis
"Blood Ketone testing methods that quantify ß-OHB, the predominant ketone body, are available and are preferred over urine ketone testing for diagnosing and monitoring ketoacidosis."

American Diabetes Association. Tests of Glycemia in Diabetes. Diabetes Care 2004; 27(suppl.1) 2.
Glucose and Ketone Testing From Capillary Samples
Capillary samples are not only preferred over urine samples to detect DKA,they are also easier to obtain and allow for immediate reflex testing of ketones.
StatStrip Blood Ketone Results in Only 10 Seconds
StatStrip blood ketone results will quickly detect ketotic states for fast treatment decisions in DKA emergencies.
Multi-WellTM Technology Measures and Eliminates Interferences
StatStrip Multi-Well technology measures and eliminates inferences such as hematocrit, asorbic acid, acetaminophen and uric acid.

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