A 42 year old female diabetic poorly compliant
to therapy presented with left facial pain and classic osmotic symptoms of
hyperglycemia. Clinical findings revealed dehydration and the
features of a lower motor neuron lesion of the left facial nerve.
Blood glucose
measured by bedside glucose reflectance device ( TRUEresult®) was 460 mg/dlcompared with a value of 1280 mg/dl obtained on an identically timed specimen
but measured by spectrophotometry. Plasma was noted to be markedly lipemic and
plasma triglyceride level was 9460 mg/dl. Glycemic control was achieved over
several days with intensive insulin therapy. As plasma became less lipemic, the
disparity between bedside and laboratory-derived values diminished steadily,
eventually becoming identical. Read More>>>>>>>
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