Clinical Need for Continuous Glucose Monitoring in the Hospital

Automation and standardization of the glucose measurement process have the potential to greatly improve glycemic control, clinical outcome, and safety while reducing cost. The resources required to monitor glycemia in hospitalized patients have thus far limited the implementation of intensive glucose management to patients in critical care units. Numerous available and up-and-coming technologies are targeted for the hospital patient population. Advantages and limitations of these devices are discussed herewith in.

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Glycemic Control in the Burn Intensive Care Unit: Focus on the Role of Anemia in Glucose Measurement

Journal of Diabetes Science and Technology ◽

10.1177/193229680900300612 ◽

2009 ◽

Vol 3 (6) ◽

pp. 1319-1329 ◽

Cited By ~ 13

Author(s):

Elizabeth A. Mann ◽

Alejandra G. Mora ◽

Heather F. Pidcoke ◽

Steven E. Wolf ◽

Charles E. Wade

Keyword(s):

Glycemic Control ◽

Glucose Monitoring ◽

Glycemic Variability ◽

Glucose Measurement ◽

Research Facility ◽

Hypermetabolic State ◽

Poor Outcomes ◽

Glucose Management ◽

Center Research

Glycemic control with intensive insulin therapy (IIT) has received widespread adoption secondary to findings of improved clinical outcomes and survival in the burn population. Severe burn as a model for trauma is characterized by a hypermetabolic state, hyperglycemia, and insulin resistance. In this article, we review the findings of a burn center research facility in terms of understanding glucose management. The conferred benefits from IIT, our findings of poor outcomes associated with glycemic variability, advantages from preserved diurnal variation of glucose and insulin, and impacts of glucometer error and hematocrit correction factor are discussed. We conclude with direction for further study and the need for a reliable continuous glucose monitoring system. Such efforts will further the endeavor for achieving adequate glycemic control in order to assess the efficacy of target ranges and use of IIT.

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Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring

Case Reports in Anesthesiology ◽

10.1155/2018/6248467 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Yuki Sugiyama ◽

Chiaki Kiuchi ◽

Maiko Suzuki ◽

Yuki Maruyama ◽

Ryo Wakabayashi ◽

...

Keyword(s):

Blood Glucose ◽

Real Time ◽

Continuous Glucose Monitoring ◽

Glucose Monitoring ◽

Blood Glucose Measurement ◽

Glucose Measurement ◽

Glucose Loading ◽

Before And After ◽

Interstitial Glucose ◽

Glucose Management

Insulinoma is a rare neuroendocrine tumor that causes hypoglycemia due to unregulated insulin secretion. Blood glucose management during insulinoma resection is therefore challenging. We present a case in which real-time subcutaneous continuous glucose monitoring (SCGM) in combination with intermittent blood glucose measurement was used for glycemic control during surgery for insulinoma resection. The SCGM system showed the trends and peak of interstitial glucose in response to glucose loading and the change of interstitial glucose before and after insulinoma resection. These data were helpful for adjusting the glucose infusion; therefore, we think that an SCGM system as a supportive device for glucose monitoring may be useful for glucose management during surgery.

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Ask - Adapt - Collaborate: An Approach to Individualizing Acute Care for People with Dementia

Gerontology & Geriatric Medicine ◽

10.24966/ggm-8662/100108 ◽

2021 ◽

Vol 7 (5) ◽

pp. 1-4

Author(s):

Kathleen Drago ◽

Keyword(s):

Critical Care ◽

Cognitive Function ◽

Behavioral Health ◽

Acute Care ◽

Patient Population ◽

Hospital Patient ◽

Critical Care Units ◽

People With Dementia

People with dementia comprise a growing share of the hospital patient population, often receiving care in medical, surgical and critical care units as opposed to behavioral health settings. Dementia confers a greater reliance on familiar people, stimuli and surroundings to support physical and cognitive function.

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