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Consensus Considerations and Good Practice Points for Use of Continuous Glucose Monitoring Systems in Hospital
Julie L V Shaw1, Raveendhara R Bannuru2, Lori Beach3
1Division of Biochemistry, Eastern Ontario Regional Laboratory Association and The Ottawa Hospital, and Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Diabetes Care
|October 25, 2024
Summary
Continuous glucose monitoring (CGM) systems are increasingly used in hospitals for diabetes management. This guidance addresses integrating CGM technology into clinical practice for improved patient care and safety.
Area of Science:
- Endocrinology
- Medical Technology
- Clinical Diagnostics
Background:
- Continuous glucose monitoring (CGM) systems measure interstitial fluid glucose levels, widely used for diabetes management in ambulatory settings.
- The COVID-19 pandemic prompted temporary regulatory approval for hospital use of CGM systems to minimize healthcare worker exposure and personal protective equipment use.
- Improved sensor accuracy has spurred interest in utilizing CGM for inpatient diabetes care.
Purpose of the Study:
- To provide updated consensus guidance on the application of CGM systems within hospital settings.
- To offer insights and expert opinions from laboratory medicine, endocrinology, and nursing professionals.
- To facilitate the integration of CGM technology into routine hospital practice for diabetes management.
Main Methods:
- Consensus guidance development based on expert opinions.
- Review of current literature and regulatory allowances for hospital CGM use.
- Multidisciplinary expert panel discussions involving laboratory medicine, endocrinology, and nursing.
Main Results:
- CGM systems offer a viable option for frequent glucose monitoring in hospitalized patients.
- Integration requires addressing practical aspects of sensor application, data interpretation, and workflow adjustments.
- Multidisciplinary collaboration is essential for successful implementation.
Conclusions:
- CGM systems are valuable tools for optimizing diabetes management in hospitals.
- Standardized protocols and professional training are necessary for effective hospital CGM implementation.
- This guidance aims to support healthcare professionals in adopting CGM for improved inpatient diabetes care.
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