Reducing Inpatient Hypoglycemia in the General Wards Using Real-time Continuous Glucose Monitoring: The Glucose Telemetry System, a Randomized Clinical Trial
| Autor: | Isabel Marcano, Medha Satyarengga, Guillermo E. Umpierrez, John D. Sorkin, William H. Scott, Lakshmi G. Singh, Lillian Pinault, Elias K. Spanakis, Zhaoyong Feng |
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| Rok vydání: | 2020 |
| Předmět: |
Advanced and Specialized Nursing
Research design medicine.medical_specialty endocrine system diseases Continuous glucose monitoring business.industry Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Type 2 diabetes Hypoglycemia Interim analysis medicine.disease law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Emerging Technologies: Data Systems and Devices Diabetes mellitus Telemetry Emergency medicine Internal Medicine medicine 030212 general & internal medicine business |
| Zdroj: | Diabetes Care |
| ISSN: | 1935-5548 0149-5992 |
| Popis: | OBJECTIVEUse of real-time continuous glucose monitoring (RT-CGM) systems in the inpatient setting is considered investigational. The objective of this study was to evaluate whether RT-CGM, using the glucose telemetry system (GTS), can prevent hypoglycemia in the general wards.RESEARCH DESIGN AND METHODSIn a randomized clinical trial, insulin-treated patients with type 2 diabetes at high risk for hypoglycemia were recruited. Participants were randomized to RT-CGM/GTS or point-of-care (POC) blood glucose testing. The primary outcome was difference in inpatient hypoglycemia.RESULTSSeventy-two participants were included in this interim analysis, 36 in the RT-CGM/GTS group and 36 in the POC group. The RT-CGM/GTS group experienced fewer hypoglycemic events (180–250 mg/dL and >250 mg/dL were found between the groups. The RT-CGM/GTS group had no prolonged hypoglycemia compared with 0.20 episodes CONCLUSIONSRT-CGM/GTS can decrease hypoglycemia among hospitalized high-risk insulin-treated patients with type 2 diabetes. |
| Databáze: | OpenAIRE |
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