Implementation of Continuous Glucose Monitoring in the Hospital: Emergent Considerations for Remote Glucose Monitoring During the COVID-19 Pandemic.

Journal of Diabetes Science and Technology
Rodolfo J GalindoFrancisco J Pasquel

Abstract

Continuous glucose monitoring (CGM) has become a widely used tool in the ambulatory setting for monitoring glucose levels, as well as detecting uncontrolled hyperglycemia, hypoglycemia, and glycemic variability. The accuracy of some CGM systems has recently improved to the point of manufacture with factory calibration and Food and Drug Administration clearance for nonadjunctive use to dose insulin. In this commentary, we analyze the answers to six questions about what is needed to bring CGM into the hospital as a reliable, safe, and effective tool. The evidence to date indicates that CGM offers promise as an effective tool for monitoring hospitalized patients. During the current coronavirus disease 2019 crisis, we hope to provide guidance to healthcare professionals, who are seeking to reduce exposure to SARS-Cov-2, as well as preserve invaluable personal protective equipment. In this commentary, we address who, what, where, when, why, and how CGM can be adopted for inpatient use.

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Citations

Jul 22, 2020·BMJ Open Diabetes Research & Care·Unjali P GujralFrancisco J Pasquel
Oct 7, 2020·Chemical Society Reviews·Hazhir TeymourianJoseph Wang
Oct 22, 2020·Journal of Diabetes Science and Technology·Ivana Jankovic, Marina Basina
Sep 29, 2020·Journal of Diabetes Science and Technology·Rodolfo J GalindoDavid C Klonoff
Dec 15, 2020·Current Opinion in Endocrinology, Diabetes, and Obesity·Schafer Boeder, Kristen Kulasa
Dec 12, 2020·Journal of Nursing Management·Alireza Rajabipoor Meybodi, Masoumeh Mohammadi
Jan 16, 2021·Current Diabetes Reports·Tiffany YehFelicia A Mendelsohn Curanaj
Jan 22, 2021·Journal of Diabetes Science and Technology·Jennifer Y ZhangDavid C Klonoff
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Methods Mentioned

BETA
coronary artery bypass

Clinical Trials Mentioned

NCT03508934
NCT03877068
NCT04269655
NCT03764709
NCT04257344
NCT04033705
NCT03871660
NCT03107208
NCT03743025

Software Mentioned

Eirus
FreeStyle Libre Pro
FreeStyle Libre
FreeStyle Libre - Pro
FreeStyle

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