Irace Concetta, Coluzzi Sara, Di Cianni Graziano, Forte Elisa, Landi Francesco, Rizzo Maria Rosaria, Sesti Giorgio, Succurro Elena, Consoli Agostino
Department of Health Science, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Endocrinology and Metabolism Unit, ASL, Pescara, Italy.
Nutr Metab Cardiovasc Dis. 2023 Nov;33(11):2107-2118. doi: 10.1016/j.numecd.2023.06.021. Epub 2023 Jul 6.
Although consistent data support the outpatient use of continuous glucose monitoring (CGM) to improve glycemic control and reduce hypoglycemic burden, and clinical outcomes, there are limited data regarding its use in the hospital setting, particularly in the non-intensive care unit (non-ICU) setting. The emerging use of CGM in the non-critical care setting may be useful in increasing the efficiency of hospital care and reducing the length of stay for patients with diabetes while improving glycemic control.
The purpose of this Expert Opinion paper was to evaluate the state of the art and provide a practical model of how CGM can be implemented in the hospital.
A patient's CGM journey from admission to the ward to the application of the sensor, from patient education on the device during hospitalization until discharge of the patient to maintain remote control.
This practical approach for the implementation and management of CGM in patients with diabetes admitted to non-ICUs could guide hospitals in their diabetes management initiatives using CGM, helping to identify patients most likely to benefit and suggesting how this technology can be implemented to maximize clinical benefits.
尽管有一致的数据支持门诊使用持续葡萄糖监测（CGM）来改善血糖控制、减轻低血糖负担及改善临床结局，但关于其在医院环境中的应用，尤其是在非重症监护病房（非ICU）环境中的应用数据有限。CGM在非重症监护环境中的新兴应用可能有助于提高医院护理效率，缩短糖尿病患者的住院时间，同时改善血糖控制。
本专家意见论文的目的是评估当前的技术水平，并提供一个关于如何在医院实施CGM的实用模型。
患者从入院到病房，再到传感器的应用，从住院期间对该设备的患者教育到患者出院以维持远程控制的CGM历程。
这种在非ICU住院的糖尿病患者中实施和管理CGM的实用方法，可以指导医院在糖尿病管理举措中使用CGM，帮助识别最可能受益的患者，并建议如何实施该技术以最大化临床效益。
