Details

Autor(en) / Beteiligte

• Andrea Gabriela Krochik
• Mariana Prieto
• Carolina Martínez Mateu
• Consuelo Barcala
• Rosario Gallagher
• Silvia Filippini
• Delfina Arambarri
• Leandro Mendoza
• Nicolás Rosales
• Hernán De Battista
• Ricardo Sánchez Peña
• Fabricio Garelli

Titel

Report of high insulin requirements in pediatric critically ill patients with COVID-19. Experience with continuous remote glucose monitoring

Ist Teil von

• Revista de la Sociedad Argentina de Diabetes, 2021-06, Vol.55 (2), p.70-74

Ort / Verlag

Sello Editorial Lugones

Erscheinungsjahr

2021

Link zum Volltext

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Critically ill patients with COVID-19 suffer from sustained hyperglycemia that is difficult to manage. Added to this is the challenge of minimizing exposure to contagion. In this article we analyze the metabolic evolution of two pediatric patients with COVID-19 admitted to the intensive care unit (ICU) for COVID-19 patients at the Hospital “Prof. Dr. Juan P. Garrahan ”from the Autonomous City of Buenos Aires, Argentina, who required treatment with intravenous insulin and whose blood glucose was remotely monitored with the InsuMate® platform developed at the National University of La Plata. The patients required insulin infusion rates in doses markedly higher than those of other critically ill patients, who were impressively related to the values of inflammation markers. The infusion could be adjusted with four daily glucose monitors and the metrics obtained with the glucose monitor. The use of the continuous remote glucose monitoring system made it possible to decrease the frequency of glycemic monitoring during treatment.