Value of continuous glucose monitoring for minimizing severe hypoglycemia during tight glycemic control.

ABSTRACT:

Objective

Tight glycemic control can potentially reduce morbidity and mortality in the intensive care unit but increases the risk of hypoglycemia. The most effective means to avoid hypoglycemia is to obtain frequent blood glucose samples, but this increases the burden to nursing staff. The objective of this study was to assess the ability of a real-time continuous glucose monitor to reduce hypoglycemia (blood glucose <60 mg/dL [3.3 mmol/L]) during standard care or tight glycemic control effected with a proportional integral derivative insulin titration algorithm.

Design

Real-time continuous glucose monitor profiles obtained from an ongoing prospective randomized trial of tight glycemic control were retrospectively analyzed to determine whether the continuous glucose measure

SUBMITTER: Steil GM 

PROVIDER: S-EPMC3705721 | biostudies-literature | 2011 Nov

REPOSITORIES: biostudies-literature