Early use of continuous glucose monitoring in children and adolescents after total pancreatectomy with islet autotransplantation

2020 ◽  
Author(s):  
Kendall R. McEachron ◽  
Neha Potlapalli ◽  
Arpana Rayannavar ◽  
Elissa M. Downs ◽  
Sarah J. Schwarzenberg ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Continuous Glucose Monitoring ◽  
Total Pancreatectomy ◽  
Glucose Monitoring ◽  
Early Use ◽  
Islet Autotransplantation

scholarly journals Accuracy of Continuous Glucose Monitoring in Patients After Total Pancreatectomy with Islet Autotransplantation

2016 ◽  
Vol 18 (8) ◽  
pp. 455-463 ◽  
Author(s):  
Gregory P. Forlenza ◽  
Brandon M. Nathan ◽  
Antoinette Moran ◽  
Ty B. Dunn ◽  
Gregory J. Beilman ◽  
...  
Keyword(s):  
Continuous Glucose Monitoring ◽  
Total Pancreatectomy ◽  
Glucose Monitoring ◽  
Islet Autotransplantation

scholarly journals Continuous Glucose Monitoring in the Intensive Care Unit Following Total Pancreatectomy with Islet Autotransplantation in Children: Establishing Accuracy of the Dexcom G6 Model

2021 ◽  
Vol 10 (9) ◽  
pp. 1893
Author(s):  
Natalie Segev ◽  
Lindsey N. Hornung ◽  
Siobhan E. Tellez ◽  
Joshua D. Courter ◽  
Sarah A. Lawson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Continuous Glucose Monitoring ◽  
Total Pancreatectomy ◽  
Glucose Monitoring ◽  
Absolute Difference ◽  
Grid Analysis ◽  
Clarke Error Grid ◽  
Islet Autotransplantation ◽  
Error Grid

Hyperglycemia is detrimental to postoperative islet cell survival in patients undergoing total pancreatectomy with islet autotransplantation (TPIAT). This makes continuous glucose monitoring (CGM) a useful management tool. We evaluated the accuracy of the Dexcom G6 CGM in pediatric intensive care unit patients following TPIAT. Twenty-five patients who underwent TPIAT had Dexcom G6 glucose values compared to paired serum glucose values. All paired glucose samples were obtained within 5 minutes of each other during the first seven days post TPIAT. Data were evaluated using mean absolute difference (MAD), mean absolute relative difference (MARD), %20/20, %15/15 accuracy, and Clarke Error Grid analysis. Exclusions included analysis during the CGM “warm-up” period and hydroxyurea administration (known drug interference). A total of 183 time-matched samples were reviewed during postoperative days 2–7. MAD was 14.7 mg/dL and MARD was 13.4%, with values of 15.2%, 14.0%, 12.1%, 11.4%, 13.2% and 14.1% at days 2, 3, 4, 5, 6 and 7, respectively. Dexcom G6 had a %20/20 accuracy of 78%, and a %15/15 accuracy of 64%. Clarke Error Grid analysis showed that 77% of time-matched values were clinically accurate, and 100% were clinically acceptable. The Dexcom G6 CGM may be an accurate tool producing clinically acceptable values to make reliable clinical decisions in the immediate post-TPIAT period.

scholarly journals Use of continuous glucose monitoring in children and adolescents *

2012 ◽  
Vol 13 (3) ◽  
pp. 215-228 ◽  
Author(s):  
Moshe Phillip ◽  
Thomas Danne ◽  
Shlomit Shalitin ◽  
Bruce Buckingham ◽  
Lori Laffel ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Continuous Glucose Monitoring ◽  
Glucose Monitoring
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