Perioperative Characteristics of the Accuracy of Subcutaneous Continuous Glucose Monitoring: Pilot Study in Neurosurgery and Cardiac Surgery

Sugiyama, Yuki; Wakabayashi, Ryo; Urasawa, Masatoshi; Maruyama, Yuki; Shimizu, Sumio; Kawamata, Mikito

doi:10.1089/dia.2018.0140

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…Patients were prospectively recruited from in-patients who planned to receive surgical therapy at our department from May to September in 2020. All patients included should fulfill the following criteria: (I) aged from 18…”

Section: Patients and Study Designmentioning

confidence: 99%

“…CGM has been widely used to improve glycemic control in outpatients with diabetes mellitus (12)(13)(14). It also has been introduced for inpatients in the intensive care unit (ICU), or those receiving cardiac or neurosurgeries (15)(16)(17)(18). The characteristics of CGM above making it especially suitable for monitoring and evaluating the perioperative glycemic status after pancreatic surgery: all glucose values recorded every 15 minutes can help us to know the pattern of glycemic fluctuation after surgery, and the real-time monitoring is able to recognize potential hyper-or hypoglycemic attacks and avoid serious complications.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating perioperative glycemic status after different types of pancreatic surgeries via continuous glucose monitoring system: a pilot study

et al. 2021

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Background: Perioperative glycemic status after pancreatic surgery has never been described. However, it's essential for optimal perioperative glucose management and understanding the pathogenesis of new-onset diabetes mellitus (NODM) after pancreatectomy. Continuous glucose monitoring (CGM) system provides us a helpful tool for closely monitoring and studying perioperative glucose change. This study tried to describe and compare perioperative glucose level and glycemic variability between different types of pancreatic surgeries via CGM device.Methods: This study was designed as a prospective observational study. Eighteen patients were enrolled and were grouped by different types of surgery received: control group (CTRL), pancreaticoduodenectomy (PD), distal pancreatectomy (DP), and total pancreatectomy (TP). CGM devices were implanted and initiated right after the surgery. Mean glucose value (MGV), coefficient of variation (CV), mean of daily difference (MODD), continuous overall net glycemic action (CONGA), and time above range (TAR)/time below range (TBR) was compared between groups to assess glucose level and glycemic variability.Results: TP showed the highest MGV and CV among all groups (P<0.001), while CTRL showed the lowest (P<0.001). PD and DP had similar MGV and CV lower than TP but higher than CTRL (P<0.001).TP had the highest MODD and CONGA, CTRL had the lowest, but no significant differences were found between groups. TP had the highest TAR (24.29%) and the lowest TBR (1.28%), while the control group showed the opposite. The differences in TAR/TBR between groups were all significant (P<0.05).Conclusions: TP had the highest mean glucose level and the greatest glycemic variability. PD and DP had similar results: a higher mean glucose level than control but lower than TP. For glycemic variability, PD and DP seemed to have a near-normal result resembling the control group. CGM is useful for glucose monitoring in the perioperative management of pancreatic surgery.

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Section: Patients and Study Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluating perioperative glycemic status after different types of pancreatic surgeries via continuous glucose monitoring system: a pilot study

et al. 2021

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Type 1 and other types of diabetes mellitus in the perioperative period. What the anaesthetist should know

Wilpe¹,

Hulst²,

Siegelaar³

et al. 2023

Journal of Clinical Anesthesia

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The Devil Is in the Details: Use, Limitations, and Implementation of Continuous Glucose Monitoring in the Inpatient Setting

Longo

Joshi

2022

Diabetes Spectrum

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Until recently, continuous glucose monitoring (CGM) systems were reserved for use in the outpatient setting or for investigational purposes in hospitalized patients. However, during the coronavirus disease 2019 pandemic, use of CGM in the inpatient setting has grown rapidly. This review outlines important details related to the accuracy, limitations, and implementation of, as well as necessary staff education for, inpatient CGM use and offers a glimpse into the future of CGM in the inpatient setting.

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Perioperative Characteristics of the Accuracy of Subcutaneous Continuous Glucose Monitoring: Pilot Study in Neurosurgery and Cardiac Surgery

Abstract: Although the accuracy of the SCGM system was clinically acceptable in the perioperative period, sensor accuracy was affected by CPB and showed lower glucose levels.

Cited by 4 publications

References 35 publications

Evaluating perioperative glycemic status after different types of pancreatic surgeries via continuous glucose monitoring system: a pilot study

Evaluating perioperative glycemic status after different types of pancreatic surgeries via continuous glucose monitoring system: a pilot study

Type 1 and other types of diabetes mellitus in the perioperative period. What the anaesthetist should know

The Devil Is in the Details: Use, Limitations, and Implementation of Continuous Glucose Monitoring in the Inpatient Setting

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