Sugiyama Yuki, Kiuchi Chiaki, Suzuki Maiko, Maruyama Yuki, Wakabayashi Ryo, Ohno Yasunari, Takahata Shugo, Shibazaki Takumi, Kawamata Mikito
Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, Japan.
Division of Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, Japan.
Case Rep Anesthesiol. 2018 Jun 7;2018:6248467. doi: 10.1155/2018/6248467. eCollection 2018.
Insulinoma is a rare neuroendocrine tumor that causes hypoglycemia due to unregulated insulin secretion. Blood glucose management during insulinoma resection is therefore challenging. We present a case in which real-time subcutaneous continuous glucose monitoring (SCGM) in combination with intermittent blood glucose measurement was used for glycemic control during surgery for insulinoma resection. The SCGM system showed the trends and peak of interstitial glucose in response to glucose loading and the change of interstitial glucose before and after insulinoma resection. These data were helpful for adjusting the glucose infusion; therefore, we think that an SCGM system as a supportive device for glucose monitoring may be useful for glucose management during surgery.
胰岛素瘤是一种罕见的神经内分泌肿瘤，因其胰岛素分泌不受调节而导致低血糖。因此，胰岛素瘤切除术中的血糖管理具有挑战性。我们报告一例，在胰岛素瘤切除手术期间，将实时皮下连续血糖监测（SCGM）与间歇性血糖测量相结合用于血糖控制。SCGM系统显示了间质葡萄糖对葡萄糖负荷的反应趋势和峰值，以及胰岛素瘤切除前后间质葡萄糖的变化。这些数据有助于调整葡萄糖输注；因此，我们认为SCGM系统作为一种血糖监测的辅助设备，可能有助于手术期间的血糖管理。
