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Medical Forum / Diseases and Disorders / Diabetes / March 2006

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Conversion of clinical data to SI Units

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W.M.McKee - 11 Mar 2006 14:13 GMT
Hello everyone,

It strikes me that many of us may be sometimes perplexed and confused
by the international  differences in the units used in reporting test
data, especially for measurement of such things as blood glucose
levels. If it may be of assistance, here is a site maintanined at  the
University of North Carolina that sets forth factors to be used in
converting a broad spectrum of U.S. clinical data to SI (standard
international) units.

http://www.unc.edu/~rowlett/units/scales/clinical_data.html

As most of you probably know, most chemistry results in the U.S. are
reported in units of mg/dl, or mg/100mL. SI units report
concentrations in terms of molarity (M/L, mM/L, or muM/L)... sorry, no
greek fonts on this computer  that will come through... ;-) The site
to which I have referred you makes the conversion much less tedious
for anyone desiring to calulate equivalence in terms of SI units, by
providing a factor which can be multiplied by the data reported in the
conventional U.S. system.... Thus, to convert a U.S. measure of BG in
terms of mg/dl, you would multiply by  the factor of 0.0555 to get
mmol/L.

I hope this is helpful to some of you who may have always wondered
about the differences in the international systems in use that
sometimes become apparent from some of the posts that appear here on
asd.

Actually, it was Alan who started me thinking about this today, when I
saw his post to Amy about what has appeared on asd.uk. That started me
thinking about these differences in what I see in that group, where I
sometimes lurk,  and on here.

Thanks for the bone, Alan... It was great chewing!   ;-)

Will, T2
wmmckee@cox.net - 11 Mar 2006 15:47 GMT
> Actually, it was Alan who started me thinking about this today, when I
> saw his post to Amy about what has appeared on asd.uk. That started me
> thinking about these differences in what I see in that group, where I
> sometimes lurk,  and on here.
>
> Thanks for the bone, Alan... It was great chewing!   ;-)

Alan, I was so very sorry to read about the unfortunate outcome for your
friend/relative.... It just goes to show that we really need to sit up and
pay attention to the compelling nature of diabetes, and what we need to do
to take charge of our own health needs, while there is still time.

Will, T2
Alan S - 11 Mar 2006 22:50 GMT
>Hello everyone,
>
[quoted text clipped - 32 lines]
>
>Will, T2

Thanks Will

I've been using this one for some time:
http://www.globalrph.com/conv_si.htm#top

It does the same thing. I cut-and-pasted it into excel and
created the reverse conversion table as well (=1/cell ref)
which is often useful.

I usually use the /.0555 for BGs when excel or a calculator
is at my fingertips. However, I do the x18 in my head while
reading posts by doubling, multiply by ten and deduct 10%.
e.g:

8.7 mmol/L=> 174 doubledx10 => 174-17 => 157 =>155 rounded.

I'll look at the link in more detail - there may be some
conversions that don't appear on both.

Of course, we wouldn't need it if certain countries caught
up with the rest of the civilised world:-)

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
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Everything in Moderation - Except Laughter.

W.M.McKee - 11 Mar 2006 23:19 GMT
>>Hello everyone,

>>...snip>>>

>>I hope this is helpful to some of you who may have always wondered
>>about the differences in the international systems in use that
[quoted text clipped - 34 lines]
>Cheers, Alan, T2, Australia.
>d&e, metformin 2x500mg

Thanks, Alan, and your shot about the "rest of the civilized world"
was well received on this end! Actually, despite all the bluster and
hype, I have long thought Americans are somewhat benighted in their
attitudes.... We really do lag behind much of the "civilised world" in
so many areas, it seems. If you take away the top 5% of the
intellectual contributors of our august society, we would as a nation
sink into the slag heap of history, or is it the quick sand, which may
be where we are headed, anyway.... Just one very tired man's opinion.

Hope you are heading into a wonderful Sunday afternoon... :-)

Will, T2
J.C. Hartmann - 11 Mar 2006 23:51 GMT
> Of course, we wouldn't need it if certain countries caught
> up with the rest of the civilised world:-)

By Jingo, Alan, before you get too smug about your perceived superiority
in measurement method :-) , consider the following:

http://www.diabetesexplained.com/country-units.html

Jim
Alan S - 12 Mar 2006 01:26 GMT
>> Of course, we wouldn't need it if certain countries caught
>> up with the rest of the civilised world:-)
[quoted text clipped - 5 lines]
>
>Jim

Hi Jim

Smug? Moi??? One of the unfortunate side effects of living
in paradise - but I'll try hard to conquer it :-))

Fascinating page - never seen it before. It's interesting to
notice the preponderance in regions or cultures - like mg/dl
in the Americas or Islamic/Jewish nations and mmol/L in the
nations with a past strong British or Napoleonic influence.
With exceptions to the latter, but only Bosnia and some
Caribbean states to the former.

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
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Everything in Moderation - Except Laughter.

 
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