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J Diabetes Sci Technol. 2014 Sep;8(5):930-6. doi: 10.1177/1932296814546025. Epub 2014 Aug 13.

Continuous glucose monitoring in insulin-treated patients in non-ICU settings.

Author information

1
Department of Medicine, Universidad Javeriana, Bogota, Colombia.
2
Department of Medicine, Emory University, Atlanta, GA, USA geumpie@emory.edu.

Abstract

Inpatient hyperglycemia, in patients with and without a history of diabetes, is associated with increased risk of complications, mortality, and longer hospital stay in medicine and surgical patients. Bedside capillary point of care testing is widely recommended as the preferred method for glucose monitoring and for guiding glycemic management of individual patients; however, the accuracy of most handheld glucose meters is far from optimal. Recent studies in the hospital setting have reported that the use of continuous glucose monitoring (CGM) can provide real-time information about glucose concentration, direction, and rate of change over a period of several days. Because it provides glucose values every 5-10 minutes 24 hours a day, CGM may have an advantage over point of care testing with respect to reducing the incidence of severe hypoglycemia in acute care. Real-time CGM technology may facilitate glycemic control and to reduce hypoglycemia in insulin-treated patients. Recent guidelines, however, have recommended deferring the use of CGM in the adult hospital setting until further data on accuracy and safety become available. In this study, we review the advantages and disadvantages of the use of real-time CGM in the management of dysglycemia in the hospital setting.

KEYWORDS:

continuous glucose monitoring; glucose monitoring; inpatient hyperglycemia; point of care testing

PMID:
25125454
PMCID:
PMC4455384
DOI:
10.1177/1932296814546025
[Indexed for MEDLINE]
Free PMC Article

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