TY - JOUR
T1 - Continuous glucose monitoring in the ICU: clinical considerations and consensus
AU - Krinsley, James S.
AU - Chase, J. Geoffrey
AU - Gunst, Jan
AU - Martensson, Johan
AU - Schultz, Marcus J.
AU - Taccone, Fabio S.
AU - Wernerman, Jan
AU - Bohe, Julien
AU - de Block, Christophe
AU - Desaive, Thomas
AU - Kalfon, Pierre
AU - Preiser, Jean-Charles
PY - 2017
Y1 - 2017
N2 - 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
AB - 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
U2 - https://doi.org/10.1186/s13054-017-1784-0
DO - https://doi.org/10.1186/s13054-017-1784-0
M3 - Review article
C2 - 28756769
SN - 1364-8535
VL - 21
JO - Critical care (London, England)
JF - Critical care (London, England)
IS - 1
M1 - 197
ER -