Assessing 24-hour blood glucose patterns in diabetic paitents treated by peritoneal dialysis

Autor: William D, Schwing, Penny, Erhard, Lynda N, Newman, Megan M, Nodge, Barbara J, Czechanski, Susan M, Orlin, Sarah M, Walden, Kim, Behm, Carolyn P, Cacho, Lavina A, Negrea, David S, Siu, Elizabeth O, Kern, Miriam F, Weiss
Rok vydání: 2004
Předmět:
Zdroj: Advances in peritoneal dialysis. Conference on Peritoneal Dialysis. 20
ISSN: 1197-8554
Popis: The minute-to-minute effect on blood glucose levels of high-dextrose peritoneal dialysate is not known. We arranged for 7 patients with diabetes, treated by peritoneal dialysis (PD), to wear a continuous glucose monitoring system (CGMS: Medtronic MiniMed, Northridge, CA, U.S.A.). A sensor was inserted subcutaneously into the skin of the patient's abdomen or back to measure glucose in the interstitial fluid. Readings were recorded every 5 minutes for up to 72 hours. The portion of the day during which the patient's blood glucose levels were greater than 180 mg/dL (calculated as a percentage of time) was recorded. Most of the patients participating in the study had elevated levels of glycohemoglobin and hemoglobin A1c, and, for a large percentage of the day, showed blood glucose tracings well above the recommended standards of control. Representative CGMS tracings from patients with type 1 and type 2 diabetes are shown.
Databáze: OpenAIRE