1. Continuous Glucose Monitoring in the Hospital
- Author
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Trisha Shang, M. Citlalli Perez-Guzman, David C. Klonoff, Jennifer Y Zhang, and Donna Jornsay
- Subjects
Blood Glucose ,medicine.medical_specialty ,Technology ,Coronavirus disease 2019 (COVID-19) ,Fingerstick ,Endocrinology, Diabetes and Metabolism ,Monitoring, Ambulatory ,030209 endocrinology & metabolism ,Review Article ,Hypoglycemia ,Diseases of the endocrine glands. Clinical endocrinology ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Diabetes mellitus ,Blood Glucose Self-Monitoring ,Medicine ,Humans ,Blood Glucose Measurement ,Personal protective equipment ,Point of care ,Intensive care units ,business.industry ,COVID-19 ,RC648-665 ,medicine.disease ,Hospitals ,Glucose ,030220 oncology & carcinogenesis ,Emergency medicine ,business - Abstract
Continuous glucose monitors (CGMs) have suddenly become part of routine care in many hospitals. The coronavirus disease 2019 (COVID-19) pandemic has necessitated the use of new technologies and new processes to care for hospitalized patients, including diabetes patients. The use of CGMs to automatically and remotely supplement or replace assisted monitoring of blood glucose by bedside nurses can decrease: the amount of necessary nursing exposure to COVID-19 patients with diabetes; the amount of time required for obtaining blood glucose measurements, and the amount of personal protective equipment necessary for interacting with patients during the blood glucose testing. The United States Food and Drug Administration (FDA) is now exercising enforcement discretion and not objecting to certain factory-calibrated CGMs being used in a hospital setting, both to facilitate patient care and to obtain performance data that can be used for future regulatory submissions. CGMs can be used in the hospital to decrease the frequency of fingerstick point of care capillary blood glucose testing, decrease hyperglycemic episodes, and decrease hypoglycemic episodes. Most of the research on CGMs in the hospital has focused on their accuracy and only recently outcomes data has been reported. A hospital CGM program requires cooperation of physicians, bedside nurses, diabetes educators, and hospital administrators to appropriately select and manage patients. Processes for collecting, reviewing, storing, and responding to CGM data must be established for such a program to be successful. CGM technology is advancing and we expect that CGMs will be increasingly used in the hospital for patients with diabetes.
- Published
- 2021