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Related Concept Videos

Drug Accumulation During Multiple Dosing: Intermittent IV Infusions01:24

Drug Accumulation During Multiple Dosing: Intermittent IV Infusions

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Intermittent intravenous (IV) infusion is a method of drug administration where medications are delivered over short infusion periods followed by intervals of no drug delivery. This approach helps to prevent sustained high drug concentrations in the bloodstream, reducing the risk of adverse effects associated with prolonged exposure. Unlike continuous infusion, steady-state concentrations may not be achieved during a single dosing cycle but can be reached through repeated...
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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
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Insulin: Dosing Regimen and Adverse Effects01:16

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Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
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Hypoglycemia and Glucagon01:15

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Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
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Oral Hypoglycemic Agents: α-Glucosidase Inhibitors01:19

Oral Hypoglycemic Agents: α-Glucosidase Inhibitors

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α-glucosidase inhibitors, including acarbose (Precose), miglitol (Glyset), and voglibose (Voglib) (primarily available in Asia), are drugs that control blood sugar levels by delaying the digestion of starch and disaccharides. They achieve this by inhibiting α-glucosidase enzymes in the intestine, which slow the absorption of carbohydrates in the intestine, which in turn leads to a prolonged release of the glucoregulatory hormone GLP-1 from intestinal L-cells.
Acarbose and miglitol are...
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Related Experiment Video

Updated: Jan 11, 2026

Improving IV Insulin Administration in a Community Hospital
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Interference of Intravenous Acetaminophen with Continuous Glucose Monitoring System.

Misayo Matsuyama1, Satoru Meiri1, Hirotake Sawada2

  • 1Division of Pediatrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.

JMA Journal
|November 12, 2025
PubMed
Summary

Intravenous acetaminophen can cause falsely high continuous glucose monitoring (CGM) readings in patients using sensor-augmented pumps (SAPs) and automated insulin delivery (AID) systems. This interference may lead to dangerous hypoglycemia due to incorrect insulin dosing.

Area of Science:

  • Endocrinology
  • Diabetes Technology
  • Pharmacology
Keywords:
automated insulin deliverycontinuous glucose monitoringintravenous acetaminophensensor-augmented pump

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Background:

  • Continuous glucose monitoring (CGM) is vital for sensor-augmented pumps (SAPs) and automated insulin delivery (AID) systems in diabetes management.
  • Drug interference with CGM accuracy is a known issue, with acetaminophen's oral form documented to cause falsely high glucose readings.
  • Limited data exists on the impact of intravenous acetaminophen on CGM accuracy, especially in patients using advanced diabetes technologies.