-
Pediatr Crit Care Me · Mar 2008
Prospective detection of hyperglycemia in critically ill children using continuous glucose monitoring.
- Holley F Allen, Alyssa Rake, Marybeth Roy, Dennis Brenner, and Christine A McKiernan.
- Baystate Children's Hospital. holley.allen@bhs.org
- Pediatr Crit Care Me. 2008 Mar 1;9(2):153-8.
ObjectiveTo evaluate the extent of hyperglycemia in nondiabetic children admitted to a pediatric intensive care unit using an interstitial continuous glucose monitor, and to compare the ability of this interstitial continuous glucose monitoring system to detect hyperglycemia with that of intermittent laboratory monitoring.DesignProspective observational study.SettingTen-bed pediatric intensive care unit in an academic referral medical center in western Massachusetts.PatientsA convenience sample of 20 nondiabetic children, aged 1-18, anticipated to require intensive care >2 days.InterventionsPlacement of a subcutaneous continuous glucose monitor for 72 hrs with a subsequent second sensor placed if the patient and family agreed. Glucose levels were compared with laboratory glucose values.Measurements And Main ResultsElevated glucose levels were revealed by 16,337 sensor glucose readings over a mean of 68 +/- 5.2 hrs per patient. Forty-three percent of readings were >125 mg/dL (6.9 mmol/L), 27.2% were >140 mg/dL (7.8 mmol/L), and 4.0% were >200 mg/dL (11.1 mmol/L). Laboratory glucose measurements demonstrated hyperglycemia less frequently and missed significant periods of hyperglycemia.ConclusionsSignificant hyperglycemia is present in pediatric intensive care patients and may be underestimated by intermittent laboratory monitoring.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.