Spanakis Elias K, Levitt David L, Siddiqui Tariq, Singh Lakshmi G, Pinault Lillian, Sorkin John, Umpierrez Guillermo E, Fink Jeffrey C
1 Division of Endocrinology, Diabetes, and Nutrition, University of Maryland School of Medicine, Baltimore, MD, USA.
2 Division of Endocrinology, Baltimore Veterans Administration Medical Center, Baltimore, MD, USA.
J Diabetes Sci Technol. 2018 Jan;12(1):20-25. doi: 10.1177/1932296817748964. Epub 2017 Dec 13.
Few studies have examined the use of continuous glucose monitoring (CGM) devices in the general wards. The aim of this pilot study was to examine whether CGM readings can be successfully transmitted from the bedside to a central monitoring device in the nursing station, and whether a glucose telemetry system can prevent hypoglycemic events.
We present pilot data on 5 consecutive insulin treated general medicine patients with type 2 diabetes (T2DM) whose glucose values were observed with CGM (DEXCOM) and the results were transmitted to a central nursing station monitoring system using DEXCOM Follow and Share 2 software. CGM alarms were set-up at glucose <85 mg/dl.
Duration of CGM observation was 4.0 ± 1.6 days (mean ± SD). During CGM, the overall time spent within blood glucose (BG) target of 70-179 mg/dl was 64.68 ± 15% (mean ± SD), on hypoglycemia (<70 mg/dl) was 0.30% ± 0.39, and time spent on hyperglycemia (≥180 mg/dl) was 35.02% ± 15.5. Two patients had 3 actions of prevention of potential hypoglycemia (CGM BG <70 mg/dl for >20 minutes) captured by alarm. No patients had CGM glucose value <54 mg/dl.
This pilot study indicates that the use of CGM values in hospitalized patients can be successfully transmitted to a monitoring device in the nursing station, improving patient surveillance in insulin treated patients with diabetes.
很少有研究探讨在普通病房中使用持续葡萄糖监测（CGM）设备的情况。这项初步研究的目的是检查CGM读数能否成功从床边传输至护理站的中央监测设备，以及葡萄糖遥测系统能否预防低血糖事件。
我们展示了5例连续接受胰岛素治疗的2型糖尿病（T2DM）普通内科患者的初步数据，这些患者的血糖值通过CGM（德康）进行监测，并使用德康Follow和Share 2软件将结果传输至中央护理站监测系统。CGM警报设置为血糖<85 mg/dl。
CGM观察持续时间为4.0±1.6天（平均值±标准差）。在CGM监测期间，血糖（BG）目标值在70 - 179 mg/dl范围内的总时间为64.68±15%（平均值±标准差），低血糖（<70 mg/dl）时间为0.30%±0.39，高血糖（≥180 mg/dl）时间为35.02%±15.5。两名患者有3次预防潜在低血糖（CGM血糖<70 mg/dl持续>20分钟）的行为被警报捕获。没有患者的CGM血糖值<54 mg/dl。
这项初步研究表明，住院患者的CGM值能够成功传输至护理站的监测设备，改善了糖尿病胰岛素治疗患者的监测情况。
