Miyatake Tsukasa, Yamamoto Satoshi, Tamura Mika, Fujimori Minami, Takahashi Yutaka, Sakuma Ichiro, Kato Noriyoshi, Sakurai Masayuki
Department of Cardiovascular Surgery, Hokko Memorial Hospital, Sapporo, Japan.
Kyobu Geka. 2019 Aug;72(8):599-603.
FreeStyle Libre (flash glucose monitoring) is useful to control the blood sugar levels of outpatients with diabetes. We used FreeStyle Libre for a patient with type 1 diabetes mellitus during the perioperative period of cardiac surgery except during and just after surgery. We adjusted the insulin amount according to the glucose level of the device before surgery and prevented prolonged hypoglycemia. After surgery, we could also adjust the blood sugar levels using the device until discharge. All data were within zones A and B of the Clarke error grid analysis when referred to as arterial blood sugar levels in the intensive care unit. In the general ward after surgery, 95% of the data referred to as venous blood sugar levels were within zones A and B. FreeStyle Libre was useful for adjusting the amount of insulin for a patient with type 1 diabetes mellitus during the perioperative period of cardiac surgery in the ward and also might be useful for decreasing the frequency of arterial blood collection in the intensive care unit.
FreeStyle Libre（动态血糖监测）有助于控制糖尿病门诊患者的血糖水平。我们在一名1型糖尿病患者心脏手术围术期（手术期间及刚结束后除外）使用了FreeStyle Libre。术前，我们根据该设备的血糖水平调整胰岛素用量，预防了低血糖的延长。术后，我们也能使用该设备调整血糖水平直至出院。在重症监护病房，若将所有数据作为动脉血糖水平参考时，均处于克拉克误差网格分析的A区和B区。术后在普通病房，95%作为静脉血糖水平参考的数据处于A区和B区。FreeStyle Libre有助于在病房对1型糖尿病患者心脏手术围术期的胰岛素用量进行调整，或许还有助于减少重症监护病房动脉采血的频次。
