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Inpatient Continuous Glucose Monitoring and Glycemic Outcomes
David L Levitt1, Kristi D Silver1, Elias K Spanakis1,2
11 Division of Endocrinology, Diabetes, and Nutrition, University of Maryland School of Medicine, Baltimore, MD, USA.
Journal of Diabetes Science and Technology
|March 15, 2017
Summary
Continuous glucose monitoring (CGM) improves diabetes care by detecting glucose highs and lows. This review examines inpatient CGM
Area of Science:
- Endocrinology
- Diabetes Management
- Medical Devices
Background:
- Continuous glucose monitoring (CGM) is standard for outpatient diabetes management, offering real-time glucose data.
- Historically, inpatient CGM was not recommended due to unknown efficacy and safety.
- Recent studies assess inpatient CGM accuracy, but glycemic outcome data remain limited.
Purpose of the Study:
- To review inpatient continuous glucose monitoring (CGM) glycemic outcomes in both non-intensive care unit (non-ICU) and ICU settings.
- To highlight the need for more research on CGM in hospitalized patients, particularly those with type 1 diabetes mellitus.
Main Methods:
- Review of existing studies on inpatient CGM accuracy and reliability.
- Analysis of glycemic outcome data from non-ICU and ICU settings.
- Focus on studies involving hospitalized patients with diabetes.
Main Results:
- In non-ICU settings, retrospective data suggest CGM increases hypoglycemia detection.
- In the ICU, evidence is inconsistent regarding CGM's impact on glycemic outcomes.
- Limited research specifically addresses hospitalized patients with type 1 diabetes mellitus.
Conclusions:
- Inpatient CGM shows promise for improved hypoglycemia detection, especially in non-ICU settings.
- Further research is needed to establish the benefits of inpatient CGM on glycemic outcomes in both ICU and non-ICU environments.
- Hospitalized patients with type 1 diabetes mellitus represent a key population for future inpatient CGM research.
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