Continuous tissue glucose monitoring correlates with measurement of intermittent capillary glucose in patients with distributive shock

Ballesteros, Daniel; Martínez, Óscar; Gómez-Casero, R. Blancas; Parra, C. Martín; Matamala, B. López; Estébanez, Belen; Chana, M.

doi:10.1016/j.medin.2014.09.004

Cited by 7 publications

(3 citation statements)

References 39 publications

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“…We used various search queries to identify appropriate studies, including: “inpatient continuous glucose monitoring,” “inpatient CGM,” “intensive care unit continuous glucose monitoring,” “intensive care unit CGM,” “ICU continuous glucose monitoring,” “ICU CGM,” “non-critical care continuous glucose monitoring,” “non-critical care CGM,” “non-ICU CGM,” and “hospital CGM.” This review excluded studies evaluating CGM accuracy and reliability, which have been reviewed previously. 23-31 While we reference isolated inpatient non-ICU CGM cases, we primarily included observational and randomized CGM glycemic outcome studies in this review (six ICU studies, three non-ICU studies), reflecting the scarcity of evidence on this topic, and the need for further studies.…”

Section: Search Methodsmentioning

confidence: 99%

“…As of 2011, the Endocrine Society recommended against inpatient CGM due to lack of published safety and efficacy data. 22 Since that time, numerous publications have evaluated inpatient CGM accuracy, reliability, and safety; 23-31 however, few studies have evaluated the glycemic outcomes of subcutaneous CGM, which are limited by the lack of Type 1 Diabetes Mellitus (T1DM) subjects and the use of different CGM systems. This article will review subcutaneous CGM glycemic outcomes in the adult ICU and non-ICU setting.…”

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confidence: 99%

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Inpatient Continuous Glucose Monitoring and Glycemic Outcomes

Levitt

Silver

Spanakis

2017

J Diabetes Sci Technol

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Continuous glucose monitoring (CGM) is commonly used in the outpatient setting to improve diabetes management. CGM can provide real-time glucose trends, detecting hyperglycemia and hypoglycemia before the onset of clinical symptoms. In 2011, at the time the Endocrine Society CGM guidelines were published, the society did not recommend inpatient CGM as its efficacy and safety were unknown. While many studies have subsequently evaluated inpatient CGM accuracy and reliability, glycemic outcome studies have not been widely published. In the non-ICU setting, investigational CGM studies have commonly blinded providers and patients to glucose data. Retrospective review of the glucose data reflects increased hypoglycemia detection with CGM. In the ICU setting, data are inconsistent whether CGM can improve glycemic outcomes. Studies have not focused on hospitalized patients with type 1 diabetes mellitus, the population most likely to benefit from inpatient CGM. This article reviews inpatient CGM glycemic outcomes in the non-ICU and ICU setting.

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Section: Search Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Inpatient Continuous Glucose Monitoring and Glycemic Outcomes

Levitt

Silver

Spanakis

2017

J Diabetes Sci Technol

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“…48,49 In the ICU setting, therapy with intravenous insulin infusion allows clinicians to maintain narrow glycemic targets. The panelists reviewed studies using CGMs in the ICU in adult populations (Table 3) 50-83 and pediatric populations (Table 4) 84 -88 .…”

Section: Potential Opportunitiesmentioning

confidence: 99%

Continuous Glucose Monitors and Automated Insulin Dosing Systems in the Hospital Consensus Guideline

Galindo

Umpiérrez

Rushakoff

et al. 2020

J Diabetes Sci Technol

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This article is the work product of the Continuous Glucose Monitor and Automated Insulin Dosing Systems in the Hospital Consensus Guideline Panel, which was organized by Diabetes Technology Society and met virtually on April 23, 2020. The guideline panel consisted of 24 international experts in the use of continuous glucose monitors (CGMs) and automated insulin dosing (AID) systems representing adult endocrinology, pediatric endocrinology, obstetrics and gynecology, advanced practice nursing, diabetes care and education, clinical chemistry, bioengineering, and product liability law. The panelists reviewed the medical literature pertaining to five topics: (1) continuation of home CGMs after hospitalization, (2) initiation of CGMs in the hospital, (3) continuation of AID systems in the hospital, (4) logistics and hands-on care of hospitalized patients using CGMs and AID systems, and (5) data management of CGMs and AID systems in the hospital. The panelists then developed three types of recommendations for each topic, including clinical practice (to use the technology optimally), research (to improve the safety and effectiveness of the technology), and hospital policies (to build an environment for facilitating use of these devices) for each of the five topics. The panelists voted on 78 proposed recommendations. Based on the panel vote, 77 recommendations were classified as either strong or mild. One recommendation failed to reach consensus. Additional research is needed on CGMs and AID systems in the hospital setting regarding device accuracy, practices for deployment, data management, and achievable outcomes. This guideline is intended to support these technologies for the management of hospitalized patients with diabetes.

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Towards continuous glucose monitoring in the ICU

Ruiz‐Santana¹,

Saavedra²

2015

Medicina Intensiva

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Continuous tissue glucose monitoring correlates with measurement of intermittent capillary glucose in patients with distributive shock

Cited by 7 publications

References 39 publications

Inpatient Continuous Glucose Monitoring and Glycemic Outcomes

Inpatient Continuous Glucose Monitoring and Glycemic Outcomes

Continuous Glucose Monitors and Automated Insulin Dosing Systems in the Hospital Consensus Guideline

Towards continuous glucose monitoring in the ICU

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