ManagedCareCGM

This site is intended for managed care professionals in the U.S.

This site is intended for managed care professionals in the U.S.

Professionals in Canada should visit CanadaCGM.com

Continuous Glucose Monitoring

Education for Managed Care, Pharmacy, and Payer Professionals

Glucose as the Fifth Vital Sign: A Randomized Controlled Trial of Continuous Glucose Monitoring in a Non-ICU Hospital Setting

Source:

Key Takeaway: The current standard for hospital glucose management is point-of-care (POC) testing; however, blinded continuous glucose monitoring (CGM) has retrospectively shown POC testing to miss ~ 33% of hyperglycemic and up to 90% of hypoglycemic events.  This RCT of 110 adults with type 2 diabetes compared real-time CGM (RT-CGM) using Dexcom G6 with POC in a non-ICU hospital setting.  RT-CGM data were wirelessly transmitted from the bedside.  Hospital telemetry monitored RT-CGM data and notified bedside nursing of glucose alerts and trends.  Standardized protocols were used for interventions.  The RT-CGM group demonstrated significantly lower mean glucose and percentage of time in hyperglycemia >250 mg/dL and higher median time in range 70–250 mg/dL compared with usual care.  Percentage of time in hypoglycemia was very low.  Researchers concluded RT-CGM can be used safely and successfully in a non-ICU hospital setting to improve glucose management.