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Updated: Jul 4, 2025
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Improving IV Insulin Administration in a Community Hospital
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Association between perioperative glucose profiles assessed by the continuous glucose monitoring (CGM) system and
Jie Shi1, Xulin Wang1, Hongqiang Zhang1
1Department of Endocrinology, Institute of Endocrine and Metabolic Diseases, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, Clinical Research Hospital of Chinese Academy of Sciences (Hefei), University of Science and Technology of China, Hefei, Anhui, China.
BMJ Open
|February 5, 2024
Summary
This study investigates how glucose levels change during surgery for ST-segment elevation myocardial infarction (STEMI) patients. Continuous glucose monitoring will reveal if these glucose dynamics impact patient recovery and long-term outcomes.
Area of Science:
- Cardiology
- Endocrinology
- Medical Technology
Background:
- ST-segment elevation myocardial infarction (STEMI) is a critical cardiovascular event.
- Dysglycaemia is a known risk factor for STEMI prognosis.
- Limited research exists on perioperative glucose dynamics and STEMI outcomes.
Purpose of the Study:
- To investigate the association between perioperative glucose dynamics and STEMI patient outcomes.
- To utilize continuous glucose monitoring (CGM) for real-time glucose fluctuation insights.
- To address the gap in understanding glucose variability's impact on STEMI prognosis.
Main Methods:
- Multicentre, prospective, 3-year follow-up cohort study.
- Recruitment of 550 STEMI patients undergoing percutaneous coronary intervention (May 2023-May 2024).
- Continuous glucose monitoring (CGM) during the perioperative phase; assessment of clinical parameters, cardiac biomarkers, angiographic findings, and major adverse cardiovascular events.
Main Results:
- Data collection ongoing; results to be disseminated upon study completion.
Conclusions:
- The study aims to provide novel insights into the relationship between perioperative glucose control and STEMI outcomes.
- Findings are expected to inform clinical practice and improve patient management strategies.
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