Remote Continuous Glucose Monitoring With a Computerized Insulin Infusion Protocol for Critically Ill Patients in a COVID-19 Medical ICU: Proof of Concept.
Diabetes Care
; 44(4): 1055-1058, 2021 04.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1076409
ABSTRACT
OBJECTIVE:
The use of remote real-time continuous glucose monitoring (CGM) in the hospital has rapidly emerged to preserve personal protective equipment and reduce potential exposures during coronavirus disease 2019 (COVID-19). RESEARCH DESIGN ANDMETHODS:
We linked a hybrid CGM and point-of-care (POC) glucose testing protocol to a computerized decision support system for continuous insulin infusion and integrated a validation system for sensor glucose values into the electronic health record. We report our proof-of-concept experience in a COVID-19 intensive care unit.RESULTS:
All nine patients required mechanical ventilation and corticosteroids. During the protocol, 75.7% of sensor values were within 20% of the reference POC glucose with an associated average reduction in POC of 63%. Mean time in range (70-180 mg/dL) was 71.4 ± 13.9%. Sensor accuracy was impacted by mechanical interferences in four patients.CONCLUSIONS:
A hybrid protocol integrating real-time CGM and POC is helpful for managing critically ill patients with COVID-19 requiring insulin infusion.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Glucemia
/
Sistemas de Infusión de Insulina
/
Enfermedad Crítica
/
Complicaciones de la Diabetes
/
Tecnología de Sensores Remotos
/
COVID-19
/
Tratamiento Farmacológico de COVID-19
/
Insulina
Tipo de estudio:
Estudio pronóstico
Tópicos:
Covid persistente
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Middle aged
Idioma:
Inglés
Revista:
Diabetes Care
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Dc20-2085
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