scholarly journals Impact of real-time continuous glucose monitoring on glucose variability in critically ill patients

Critical Care ◽  
2010 ◽  
Vol 14 (Suppl 1) ◽  
pp. P577
Author(s):  
R Brunner ◽  
R Kitzberger ◽  
W Miehsler ◽  
V Fuhrmann ◽  
C Madl ◽  
...  
Keyword(s):  
Real Time ◽  
Critically Ill ◽  
Continuous Glucose Monitoring ◽  
Critically Ill Patients ◽  
Glucose Monitoring ◽  
Glucose Variability

Remote Continuous Glucose Monitoring With a Computerized Insulin Infusion Protocol for Critically Ill Patients in a COVID-19 Medical ICU: Proof of Concept

2021 ◽  
Author(s):  
Georgia M. Davis ◽  
Eileen Faulds ◽  
Tara Walker ◽  
Debbie Vigliotti ◽  
Marina Rabinovich ◽  
...  
Keyword(s):  
Real Time ◽  
Critically Ill ◽  
Continuous Glucose Monitoring ◽  
Critically Ill Patients ◽  
Insulin Infusion ◽  
Point Of Care ◽  
Glucose Monitoring ◽  
Proof Of Concept ◽  
Computerized Decision Support ◽  
Glucose Testing

<b>Objective: </b>The use of remote real-time continuous glucose monitoring (CGM) in the hospital has rapidly emerged to preserve personal protective equipment (PPE) and reduce potential exposures during COVID-19. <p><b>Design and Methods:</b> We linked a hybrid CGM and point-of-care (POC) glucose testing protocol to a computerized decision support system for continuous insulin infusion (CII) and integrated a validation system for sensor glucose values into the electronic health record. We report our proof-of-concept experience in a COVID-19 ICU.<b></b></p> <p><b>Results: </b>All nine patients required mechanical ventilation and corticosteroids. Seventy six percent of sensor values were within 20% of the reference POC glucose with an associated average reduction in POC of 63%. Mean time in range (70-180 mg/dL) was 71.4 ± 13.9%. Sensor accuracy was impacted by mechanical interferences in four patients.</p> <p><b>Conclusions: </b>A hybrid protocol integrating real-time CGM and POC is helpful for managing critically ill patients with COVID-19 requiring insulin infusion. </p>

74-LB: Sudden Changes in Interstitial Glucose Sensing by Remote Real-Time Continuous Glucose Monitoring as a Marker of Hypoperfusion in Critically-Ill Patients with COVID-19

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 74-LB
Author(s):  
JOI HESTER ◽  
GEORGIA M. DAVIS ◽  
FRANCISCO J. PASQUEL ◽  
MARINA RABINOVICH ◽  
NORMA POINDEXTER ◽  
...  
Keyword(s):  
Real Time ◽  
Critically Ill ◽  
Continuous Glucose Monitoring ◽  
Critically Ill Patients ◽  
Glucose Monitoring ◽  
Glucose Sensing ◽  
Interstitial Glucose

scholarly journals Real-Time Continuous Glucose Monitoring in Critically Ill Patients: A prospective randomized trial

Diabetes Care ◽  
2009 ◽  
Vol 33 (3) ◽  
pp. 467-472 ◽  
Author(s):  
U. Holzinger ◽  
J. Warszawska ◽  
R. Kitzberger ◽  
M. Wewalka ◽  
W. Miehsler ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Real Time ◽  
Critically Ill ◽  
Continuous Glucose Monitoring ◽  
Critically Ill Patients ◽  
Glucose Monitoring ◽  
Prospective Randomized Trial

scholarly journals Remote Continuous Glucose Monitoring With a Computerized Insulin Infusion Protocol for Critically Ill Patients in a COVID-19 Medical ICU: Proof of Concept

2021 ◽  
Author(s):  
Georgia M. Davis ◽  
Eileen Faulds ◽  
Tara Walker ◽  
Debbie Vigliotti ◽  
Marina Rabinovich ◽  
...  
Keyword(s):  
Real Time ◽  
Critically Ill ◽  
Continuous Glucose Monitoring ◽  
Critically Ill Patients ◽  
Insulin Infusion ◽  
Point Of Care ◽  
Glucose Monitoring ◽  
Proof Of Concept ◽  
Computerized Decision Support ◽  
Glucose Testing

<b>Objective: </b>The use of remote real-time continuous glucose monitoring (CGM) in the hospital has rapidly emerged to preserve personal protective equipment (PPE) and reduce potential exposures during COVID-19. <p><b>Design and Methods:</b> We linked a hybrid CGM and point-of-care (POC) glucose testing protocol to a computerized decision support system for continuous insulin infusion (CII) and integrated a validation system for sensor glucose values into the electronic health record. We report our proof-of-concept experience in a COVID-19 ICU.<b></b></p> <p><b>Results: </b>All nine patients required mechanical ventilation and corticosteroids. Seventy six percent of sensor values were within 20% of the reference POC glucose with an associated average reduction in POC of 63%. Mean time in range (70-180 mg/dL) was 71.4 ± 13.9%. Sensor accuracy was impacted by mechanical interferences in four patients.</p> <p><b>Conclusions: </b>A hybrid protocol integrating real-time CGM and POC is helpful for managing critically ill patients with COVID-19 requiring insulin infusion. </p>

scholarly journals Remote Continuous Glucose Monitoring With a Computerized Insulin Infusion Protocol for Critically Ill Patients in a COVID-19 Medical ICU: Proof of Concept

2021 ◽  
Author(s):  
Georgia M. Davis ◽  
Eileen Faulds ◽  
Tara Walker ◽  
Debbie Vigliotti ◽  
Marina Rabinovich ◽  
...  
Keyword(s):  
Real Time ◽  
Critically Ill ◽  
Continuous Glucose Monitoring ◽  
Critically Ill Patients ◽  
Insulin Infusion ◽  
Point Of Care ◽  
Glucose Monitoring ◽  
Proof Of Concept ◽  
Computerized Decision Support ◽  
Glucose Testing

<b>Objective: </b>The use of remote real-time continuous glucose monitoring (CGM) in the hospital has rapidly emerged to preserve personal protective equipment (PPE) and reduce potential exposures during COVID-19. <p><b>Design and Methods:</b> We linked a hybrid CGM and point-of-care (POC) glucose testing protocol to a computerized decision support system for continuous insulin infusion (CII) and integrated a validation system for sensor glucose values into the electronic health record. We report our proof-of-concept experience in a COVID-19 ICU.<b></b></p> <p><b>Results: </b>All nine patients required mechanical ventilation and corticosteroids. Seventy six percent of sensor values were within 20% of the reference POC glucose with an associated average reduction in POC of 63%. Mean time in range (70-180 mg/dL) was 71.4 ± 13.9%. Sensor accuracy was impacted by mechanical interferences in four patients.</p> <p><b>Conclusions: </b>A hybrid protocol integrating real-time CGM and POC is helpful for managing critically ill patients with COVID-19 requiring insulin infusion. </p>

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