Continuous Glucose Monitoring during Critical Care

Continuous EEG Monitoring in Critical Care

Algorithms for care in adults using continuous glucose monitoring.

There are two goals in effective diabetes therapy: 1) to safely achieve an A1C level that is as close to normal as possible; and 2) to reduce glycemic variability. Clearly, A1C is an important and widely recognized measure of diabetes control. However, a growing body of evidence strongly suggests that glucose variability, independent of A1C, may also play a significant role in the risk for comp...

Analysis: continuous glucose monitoring in the intensive care unit.

Control of glycemia in hospitalized patients is important; hypoglycemia is associated with increased mortality, and hyperglycemia is associated with adverse outcomes. For these reasons, though no such device is currently available, continuous glucose monitoring (CGM) is an attractive option, especially in the critical care setting. Schierenbeck and coauthors, in this issue of Journal of Diabete...

Effectiveness of Continuous Glucose Monitoring in a Clinical Care Environment

OBJECTIVE To determine whether continuous glucose monitoring (CGM) is effective in the management of type 1 diabetes when implemented in a manner that more closely approximates clinical practice. RESEARCH DESIGN AND METHODS After completion of a 6-month randomized controlled trial (RCT) evaluating CGM in children, adolescents, and adults with type 1 diabetes, CGM was initiated in the trial's ...

Analysis: Continuous glucose monitoring during intensive insulin therapy.

Results of the Normoglycemia in Intensive Care Evaluation and Survival Using Glucose Algorithm Regulation (NICE-SUGAR) trial, intensive insulin therapy (IIT), and use of a continuous glucose sensor in intensive care units (ICU) were analyzed. The NICE-SUGAR trial was unable to determine if optimal intensive insulin therapy decreases mortality. Continuous glucose monitoring (CGM) technology has ...