Delay in blood glucose monitoring during an insulin infusion protocol is associated with increased risk of hypoglycemia in intensive care units

2009 ◽  
Vol 4 (6) ◽  
pp. E5-E7 ◽  
Author(s):  
Rajesh Garg ◽  
Amy Jarry ◽  
Merri Pendergrass
Keyword(s):  
Intensive Care ◽  
Blood Glucose ◽  
Intensive Care Units ◽  
Insulin Infusion ◽  
Glucose Monitoring ◽  
Blood Glucose Monitoring ◽  
Increased Risk ◽  
Insulin Infusion Protocol ◽  
Infusion Protocol

scholarly journals Role of continuous subcutaneous glucose monitoring in intensive care

2013 ◽  
Vol 154 (27) ◽  
pp. 1043-1048 ◽  
Author(s):  
Gábor Marics ◽  
Levente Koncz ◽  
Anna Körner ◽  
Borbála Mikos ◽  
Péter Tóth-Heyn
Keyword(s):  
Intensive Care ◽  
Glycaemic Control ◽  
Intensive Care Units ◽  
Continuous Glucose Monitoring ◽  
Pediatric Population ◽  
Glucose Monitoring ◽  
Tissue Perfusion ◽  
Close Monitoring ◽  
Beneficial Effects ◽  
Increased Risk

Critical care associated with stress hyperglycaemia has gained a new view in the last decade since the demonstration of the beneficial effects of strong glycaemic control on the mortality in intensive care units. Strong glycaemic control may, however, induce hypoglycaemia, resulting in increased mortality, too. Pediatric population has an increased risk of hypoglycaemia because of the developing central nervous system. In this view there is a strong need for close monitoring of glucose levels in intensive care units. The subcutaneous continuous glucose monitoring developed for diabetes care is an alternative for this purpose instead of regular blood glucose measurements. It is important to know the limitations of subcutaneous continuous glucose monitoring in intensive care. Decreased tissue perfusion may disturb the results of subcutaneous continuous glucose monitoring, because the measurement occurs in interstitial fluid. The routine use of subcutaneous continuous glucose monitoring in intensive care units is not recommended yet until sufficient data on the reliability of the system are available. The Medtronic subcutaneous continuous glucose monitoring system is evaluated in the review partly based on the authors own results. Orv. Hetil., 2013, 154, 1043–1048.

Abstract #230: Optimal Blood Glucose Monitoring Interval in ICU Patients on Insulin Infusion

2016 ◽  
Vol 22 ◽  
pp. 45-46
Author(s):  
Nurul Haque ◽  
Sai Katta ◽  
Jennifer Lee ◽  
Christopher Nemeth ◽  
Abdulkadir Omer ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Insulin Infusion ◽  
Glucose Monitoring ◽  
Blood Glucose Monitoring ◽  
Icu Patients
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