Continuous glucose monitoring in the ICU: clinical considerations and consensus

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dc.contributor.authorKrinsley JS
dc.contributor.authorChase, Geoff
dc.contributor.authorGunst J
dc.contributor.authorMartensson J
dc.contributor.authorSchultz MJ
dc.contributor.authorTaccone FS
dc.contributor.authorWernerman J
dc.contributor.authorBohe J
dc.contributor.authorDe Block C
dc.contributor.authorDesaive T
dc.contributor.authorKalfon P
dc.contributor.authorPreiser JC
dc.date.accessioned2018-05-03T21:36:04Z
dc.date.available2018-05-03T21:36:04Z
dc.date.issued2017en
dc.date.updated2017-10-25T02:01:50Z
dc.description.abstract© 2017 The Author(s). Glucose management in intensive care unit (ICU) patients has been a matter of debate for almost two decades. Compared to intermittent monitoring systems, continuous glucose monitoring (CGM) can offer benefit in the prevention of severe hyperglycemia and hypoglycemia by enabling insulin infusions to be adjusted more rapidly and potentially more accurately because trends in glucose concentrations can be more readily identified. Increasingly, it is apparent that a single glucose target/range may not be optimal for all patients at all times and, as with many other aspects of critical care patient management, a personalized approach to glucose control may be more appropriate. Here we consider some of the evidence supporting different glucose targets in various groups of patients, focusing on those with and without diabetes and neurological ICU patients. We also discuss some of the reasons why, despite evidence of benefit, CGM devices are still not widely employed in the ICU and propose areas of research needed to help move CGM from the research arena to routine clinical use.en
dc.identifier.citationKrinsley JS, Chase JG, Gunst J, Martensson J, Schultz MJ, Taccone FS, Wernerman J, Bohe J, De Block C, Desaive T, Kalfon P, Preiser JC (2017). Continuous glucose monitoring in the ICU: clinical considerations and consensus. Critical Care. 21(1). 197-.en
dc.identifier.doihttps://doi.org/10.1186/s13054-017-1784-0
dc.identifier.issn1364-8535
dc.identifier.issn1466-609X
dc.identifier.urihttp://hdl.handle.net/10092/15297
dc.languageEnglish
dc.language.isoen
dc.subjectGlucoseen
dc.subjectInsulinen
dc.subjectDiabetesen
dc.subjectMonitoringen
dc.subjectNeurointensive careen
dc.subject.anzsrcFields of Research::40 - Engineering::4003 - Biomedical engineering::400308 - Medical devicesen
dc.subject.anzsrcFields of Research::32 - Biomedical and clinical sciences::3202 - Clinical sciences::320212 - Intensive careen
dc.subject.anzsrcFields of Research::32 - Biomedical and clinical sciences::3202 - Clinical sciences::320208 - Endocrinologyen
dc.titleContinuous glucose monitoring in the ICU: clinical considerations and consensusen
dc.typeJournal Articleen
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