Analysis on value of using real time dynamic blood sugar monitoring during insulin pump treatment process in ICU patients / 重庆医学

ABSTRACT

Objective To investigate and analyze the value of using real time dynamic blood sugar monitoring during insulin pump treatment process in ICU patients.Methods Sixty-two ICU cases needing insulin intervention due to own blood glucose abnormality in this hospital from February 2015 to February 2016 were selected and divided into the control group and observation group,31 cases in each group.The control group used the fingertip method for measuring blood glucose and simultaneously used the continuous intravenous insulin injection by micropump;the observation group used real time dynamic blood sugar monitoring system to measure blood glucose level.Results The two groups completed the related study without excluded case or fallen out case.The observation group was better than the control group in the aspects of the time reaching target blood sugar level,total treatment time,insulin dosage and hypoglycemia occurrence rate,the difference was statistically significant (P ＜ 0.05).MBG,MAGE,MODD,SDBG and time percent of glucose drift (TBG≥7.8 mmol/L and TBG≤3.9 mmol/L) on 3 d in the observation group were significantly decreased compared with those on 1 d.The two monitoring methods showed significantly positive correlation (r =0.97,P=0.006).Conclusion ICU patients using the real time dynamic blood sugar monitoring system can obviously decrease blood sugar level,and is safe and effective.