Marion J. Fokkert

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BACKGROUND Due to increasing numbers of people with diabetes taking part in extreme sports (e.g., high-altitude trekking), reliable handheld blood glucose meters (BGMs) are necessary. Accurate blood glucose measurement under extreme conditions is paramount for safe recreation at altitude. Prior studies reported bias in blood glucose measurements using(More)
BACKGROUND For chest pain patients without ST-segment elevation in the pre-hospital setting, current clinical guidelines merely offer in-hospital risk stratification and management, as opposed to chest pain patients with ST-segment elevation for whom there is a straightforward pre-hospital strategy for diagnosis, medication regimen and logistics. The FAMOUS(More)
OBJECTIVES New data have emerged from ambulatory and acute care settings about adverse patient events, including death, attributable to erroneous blood glucose meter measurements and leading to questions over their use in critically ill patients. The U.S. Food and Drug Administration published new, more stringent guidelines for glucose meter manufacturers(More)
BACKGROUND Measurement of adequate glucose concentrations is complicated by in vitro breakdown of glucose due to glycolysis. Unlike the commonly used NaF-EDTA and NaF-oxalate phlebotomy tubes, citrated NaF-EDTA tubes are reported to directly and thereby completely inhibit glycolysis. Recently, Greiner introduced the Vacuette® FC-Mix NaF-EDTA-citrate tube,(More)
BACKGROUND The first study of the FamouS Triage project investigates the feasibility of ruling out a myocardial infarction in pre-hospital chest pain patients without electrocardiographic ST-segment elevation by using the modified HEART score at the patient's home, incorporating only a single highly sensitive troponin T measurement. METHODS A venous blood(More)
There are several aspects concerning self-monitoring of blood glucose (SMBG) which can influence the outcome of the measurement. For example, there is no general agreement regarding the use of the first or second drop of blood for glucose monitoring. Our aim was to investigate the influence of wiping a drop of blood on glucose concentrations measured by(More)
Suzanna T. de Vries1*, Pieter de Mol2, Bert D. Dikkeschei3, Marion J. Fokkert3, Hans G. Krabbe3, Eelco JP. de Koning4, Rijk OB. Gans5 and Henk JG. Bilo5,6 1Department of Cardiology, Tjongerschans Hospital, Heerenveen, Netherlands 2Department of Internal Medicine, University Medical Centre St. Radboud, Nijmegen, Netherlands 3Department of Clinical Chemistry,(More)
OBJECTIVE Limited information is available regarding the metabolic effects of high altitude trekking in patients with type 2 diabetes. RESEARCH DESIGN AND METHODS Thirteen individuals with type 2 diabetes took part in a 12-day expedition to the summit of Mount Toubkal (altitude, 4,167 m), Morocco, after 6 months of exercise training. Energy expenditure,(More)
Self-monitoring of glucose is important for managing diabetes. Noninvasive glucose monitors are not yet available, but patients would benefit highly from such a device. We present results that may lead to a novel, point-of-care noninvasive system to measure blood glucose based on Raman spectroscopy. A hospitalized cohort of 111 subjects was measured using a(More)