Implementation of Continuous Glucose Monitoring in Critical Care: A Scoping Review

Abstract

Purpose of ReviewThe aim of this review is to identify the implementation approaches, strategies, and outcomes for continuous glucose monitoring (CGM) in the intensive care unit (ICU). Medline and Web of Science databases were searched to report relevant literature published between September 12, 2016 and September 12, 2021. Implementation outcomes and strategies, defined by the Expert Recommendations for Implementing Change (ERIC) project, were extracted. Recent Findings Of the 324 titles reviewed, 16 articles were included in the review. While no studies were identified as implementation research, 14 of 16 identified implementation strategies that aligned with ERIC definitions. Included studies described a multi-disciplinary approach. Clinical outcomes included Mean Absolute Relative Difference (MARD), ranging from 7.5 to 15.3%, and 33-71% reduction in frequency of point-of-care (POC) blood glucose monitoring (BGM) using hybrid protocols. Summary This scoping review provides valuable insight into the process of CGM implementation in the ICU. Continued research should include implementation outcomes to inform widespread utilization.

Association between the stress hyperglycemia ratio and all-cause mortality in critically ill patients with Acute Ischemic Stroke: a retrospective cohort study

“…Nutritional management, emphasizing enteral over parenteral nutrition, plays a crucial role in mitigating hyperglycemia by carefully controlling carbohydrate intake to meet but not exceed energy requirements 32 . Additionally, continuous glucose monitoring is emerging as a tool to enhance real-time glucose management, although its e cacy in the ICU setting continues to be evaluated 33 .…”