Details

Autor(en) / Beteiligte

• Ryan, Margaret T
• Savarese, Vincent W
• Hipszer, Brian
• Dizdarevic, Ismar
• Joseph, Mark
• Shively, Nathan
• Joseph, Jeffrey I

Titel

Continuous glucose monitor shows potential for early hypoglycemia detection in hospitalized patients

Ist Teil von

• Diabetes technology & therapeutics, 2009-11, Vol.11 (11), p.745-747

Ort / Verlag

United States

Erscheinungsjahr

2009

Quelle

MEDLINE

Beschreibungen/Notizen

• This study shows the potential of continuous glucose monitoring (CGM) for the detection of hypoglycemia in hospitalized patients. A Medtronic Diabetes (Northridge, CA) CGMS iPro continuous glucose recorder was inserted into the subcutaneous tissue of a hospitalized orthopedic surgery patient with type 1 diabetes the day after a moderate hypoglycemia event. The interstitial fluid glucose concentration was recorded every 5 min. Both the patient and the hospital staff were blinded to the CGM data. Bedside capillary blood glucose measurements were performed per hospital protocol. The CGM recorded a repeat severe episode of hypoglycemia the next day. The hospital-defined threshold for hypoglycemia (70 mg/dL) was crossed 4.5 h prior to the patient being found unconscious by the nursing staff. Data from the CGMS iPro Recorder illustrate the potential benefit of using a real-time CGM in the hospital to detect hypoglycemia in a more timely fashion compared to infrequent point-of-care glucose meter measurements.