Your browser doesn't support javascript.
Feasibility of Real-Time Continuous Glucose Monitoring Telemetry System in an Inpatient Diabetes Unit: A Pilot Study.
Dillmann, Clémentine; Amoura, Lamia; Fall Mostaine, Fatéma; Coste, Adrien; Bounyar, Leila; Kessler, Laurence.
  • Dillmann C; Department of Diabetology, University Hospital of Strasbourg, France.
  • Amoura L; Department of Diabetology, University Hospital of Strasbourg, France.
  • Fall Mostaine F; Department of Diabetology, University Hospital of Strasbourg, France.
  • Coste A; Department of Diabetology, University Hospital of Strasbourg, France.
  • Bounyar L; Department of Diabetology, University Hospital of Strasbourg, France.
  • Kessler L; Department of Diabetology, University Hospital of Strasbourg, France.
J Diabetes Sci Technol ; 16(4): 955-961, 2022 07.
Article in English | MEDLINE | ID: covidwho-2194856
ABSTRACT

BACKGROUND:

Hospitalization of persons with diabetes in an inpatient diabetes unit is challenging, notably for patients having different profiles. We aimed to evaluate the feasibility and the benefit of a continuous glucose monitoring (CGM) telemetry system to control glucose excursions in hospitalized patients with diabetes, according to their diabetes type and the reasons for their hospitalization.

METHOD:

A prospective pilot study was conducted in 53 insulin-requiring diabetes patients hospitalized in the general ward. Glucose was monitored using Guardian Connect (GC, Medtronic) to adopt insulin therapy. The time in range (TIR, target 70-180 mg/dL), the time below range (TBR), and the time above range (TAR) were recorded by GC between the start of hospitalization (SH) and end of hospitalization (EH), and analyzed according to the diabetes type (type 1 diabetes n = 28, type 2 diabetes n = 25) and the reasons for hospitalization (acute complications n = 35, therapeutic education n = 18). Patient and caregiver satisfaction was also assessed.

RESULTS:

In patients with type 2 diabetes and those hospitalized for acute complications, TIR significantly increased between the SH and EH, from 75.7% (95%CI 48.5-84.6) to 82.2% (95%CI 63.2-91.8) P = 0.043 and from 58.3% (95%CI 46.3-69.7) to 66.4% (95%CI 55.6-75.5) P = 0.031, respectively, and TAR significantly decreased, with no change in TBR. In patients with diabetes hospitalized for therapeutic education, TBR significantly decreased from 3.4% (95%CI 0-9.4) to 0% (95%CI 0-3.8) P = 0.037. Finally, 94% of patients and caregivers deemed the GC system useful.

CONCLUSIONS:

CGM telemetry system use is feasible and well accepted in patients hospitalized in diabetes care unit and could be useful to improve therapeutic education and metabolic control, especially for specific homogenous populations with diabetes.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Glucose Self-Monitoring / Diabetes Mellitus, Type 2 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Variants Limits: Humans Language: English Journal: J Diabetes Sci Technol Journal subject: Endocrinology Year: 2022 Document Type: Article Affiliation country: 1932296821994586

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Glucose Self-Monitoring / Diabetes Mellitus, Type 2 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Variants Limits: Humans Language: English Journal: J Diabetes Sci Technol Journal subject: Endocrinology Year: 2022 Document Type: Article Affiliation country: 1932296821994586