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Improving IV Insulin Administration in a Community Hospital
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A Consensus Statement for Continuous Glucose Monitoring Metrics for Inpatient Clinical Trials.

Elias K Spanakis1, Curtiss B Cook2, Kristen Kulasa3

  • 1Baltimore VA Medical Center, University of Maryland School of Medicine, Baltimore, MD, USA.

Journal of Diabetes Science and Technology
|August 18, 2023
PubMed
Summary

Experts established consensus definitions for continuous glucose monitoring (CGM) research in hospitals. These metrics will standardize inpatient diabetes care and improve patient outcomes.

Keywords:
continuous glucose monitorglucoseglycemia risk indexhypoglycemiainsulinmetrics

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Area of Science:

  • Endocrinology
  • Medical Informatics
  • Diabetes Technology

Background:

  • Continuous glucose monitors (CGMs) are increasingly used in hospital settings.
  • Standardized metrics are needed to compare research on inpatient CGM use.
  • Existing research lacks consistent definitions for key performance indicators.

Purpose of the Study:

  • To develop consensus definitions for research metrics related to CGM use in hospitals.
  • To facilitate standardized outcome comparisons across studies on inpatient diabetes management.
  • To anticipate and guide future research on hospital-based CGM applications.

Main Methods:

  • An expert consensus panel organized by the Diabetes Technology Society.
  • Virtual meetings of small groups and the entire panel.
  • Voting on 51 proposed recommendations across 10 measurement dimensions.

Main Results:

  • Consensus definitions were developed for 10 dimensions of CGM use in hospitals.
  • These include metrics for hypoglycemia, hyperglycemia, time in range, and glycemic variability.
  • 51 recommendations were classified: 43 strong and 8 mild, highlighting areas for future research.

Conclusions:

  • Standardized definitions are crucial for advancing research on inpatient CGM use.
  • Further research is required to optimize CGM performance and application in hospital settings.
  • This consensus report provides a framework to improve outcomes for hospitalized patients with diabetes.