AI Article Synopsis
- The study demonstrates that continuous glucose monitoring (CGM) can effectively detect hypoglycemia in hospitalized patients, potentially improving patient safety.
- A CGM device was used on a hospitalized patient with type 1 diabetes to collect glucose data every 5 minutes, while the staff was unaware of the readings.
- The results showed that CGM identified a severe hypoglycemic event 4.5 hours before the patient was found unresponsive, highlighting the advantages of real-time monitoring over traditional blood glucose testing methods.
Article Abstract
Objective: This study shows the potential of continuous glucose monitoring (CGM) for the detection of hypoglycemia in hospitalized patients.
Research Design And Methods: 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.
Results: 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.
Conclusion: 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.
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| http://dx.doi.org/10.1089/dia.2009.0071 | DOI Listing |
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