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Continuous Glucose Monitoring in the Cardiac ICU: Current Use and Future Directions

Received: 4 September 2017     Accepted: 24 October 2017     Published: 24 November 2017
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Abstract

Perioperative glucose control is highly important, particularly for patients undergoing cardiac surgery. Variable glucose levels before, during and after cardiac surgery lead to increased post-operative complications and patient mortality. [1] Current methods for intensive monitoring and treating hyperglycemia in the Intensive Care Unit (ICU) usually involve hourly glucose monitoring and continuous intravenous insulin infusions. With the advent of more accurate subcutaneous glucose monitoring systems, the role of improved glucose control with newer systems deserves consideration for widespread adoption.

Published in Clinical Medicine Research (Volume 6, Issue 6)
DOI 10.11648/j.cmr.20170606.12
Page(s) 173-176
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Continuous Glucose Monitoring, ICU, Cardiac Surgery

References
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[3] Furnary, A. P. et al. Continuous insulin infusion reduces mortality in patients with diabetes undergoing coronary artery bypass grafting. J. Thorac. Cardiovasc. Surg. 125, 1007–1021 (2003).
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[8] Keenan, D. B. et al. Accuracy of the Enlite 6-Day Glucose Sensor with Guardian and Veo Calibration Algorithms. doi:10.1089/dia.2011.0199.
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[17] Wallia, A. et al. Consensus Statement on Inpatient Use of Continuous Glucose Monitoring. J. Diabetes Sci. Technol. 193229681770615 (2017). doi:10.1177/1932296817706151.
[18] Basu, A., Veettil, S., Dyer, R., Peyser, T. & Basu, R. Direct Evidence of Acetaminophen Interference with Subcutaneous Glucose Sensing in Humans: A Pilot Study. Diabetes Technol. Ther. 18 Suppl 2, S243-7 (2016).
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Cite This Article
  • APA Style

    Laura A. Scrimgeour, Brittany A. Potz, Frank W. Sellke, M. Ruhul Abid. (2017). Continuous Glucose Monitoring in the Cardiac ICU: Current Use and Future Directions. Clinical Medicine Research, 6(6), 173-176. https://doi.org/10.11648/j.cmr.20170606.12

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    ACS Style

    Laura A. Scrimgeour; Brittany A. Potz; Frank W. Sellke; M. Ruhul Abid. Continuous Glucose Monitoring in the Cardiac ICU: Current Use and Future Directions. Clin. Med. Res. 2017, 6(6), 173-176. doi: 10.11648/j.cmr.20170606.12

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    AMA Style

    Laura A. Scrimgeour, Brittany A. Potz, Frank W. Sellke, M. Ruhul Abid. Continuous Glucose Monitoring in the Cardiac ICU: Current Use and Future Directions. Clin Med Res. 2017;6(6):173-176. doi: 10.11648/j.cmr.20170606.12

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  • @article{10.11648/j.cmr.20170606.12,
      author = {Laura A. Scrimgeour and Brittany A. Potz and Frank W. Sellke and M. Ruhul Abid},
      title = {Continuous Glucose Monitoring in the Cardiac ICU: Current Use and Future Directions},
      journal = {Clinical Medicine Research},
      volume = {6},
      number = {6},
      pages = {173-176},
      doi = {10.11648/j.cmr.20170606.12},
      url = {https://doi.org/10.11648/j.cmr.20170606.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20170606.12},
      abstract = {Perioperative glucose control is highly important, particularly for patients undergoing cardiac surgery. Variable glucose levels before, during and after cardiac surgery lead to increased post-operative complications and patient mortality. [1] Current methods for intensive monitoring and treating hyperglycemia in the Intensive Care Unit (ICU) usually involve hourly glucose monitoring and continuous intravenous insulin infusions. With the advent of more accurate subcutaneous glucose monitoring systems, the role of improved glucose control with newer systems deserves consideration for widespread adoption.},
     year = {2017}
    }
    

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    AB  - Perioperative glucose control is highly important, particularly for patients undergoing cardiac surgery. Variable glucose levels before, during and after cardiac surgery lead to increased post-operative complications and patient mortality. [1] Current methods for intensive monitoring and treating hyperglycemia in the Intensive Care Unit (ICU) usually involve hourly glucose monitoring and continuous intravenous insulin infusions. With the advent of more accurate subcutaneous glucose monitoring systems, the role of improved glucose control with newer systems deserves consideration for widespread adoption.
    VL  - 6
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    ER  - 

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Author Information
  • Division of Cardiothoracic Surgery, Department of Surgery, Cardiovascular Research Center, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI, USA

  • Division of Cardiothoracic Surgery, Department of Surgery, Cardiovascular Research Center, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI, USA

  • Division of Cardiothoracic Surgery, Department of Surgery, Cardiovascular Research Center, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI, USA

  • Division of Cardiothoracic Surgery, Department of Surgery, Cardiovascular Research Center, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI, USA

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