2019
DOI: 10.1155/2019/1757182
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The Degree of Hyperglycemia Excursion in Patients of Kidney Transplantation (KT) or Liver Transplantation (LT) Assessed by Continuous Glucose Monitoring (CGM): Pilot Study

Abstract: Objective This study used a continuous glucose monitoring system (CGMS) to investigate the glucose profiles and assess the degree of hyperglycemic excursion after kidney or liver transplantation during the early period after operation. Methods Patients to whom a CGMS was attached during a postoperative period of approximately one month after transplantation were included. The CGM data of 31 patients including 24 with kidney transplantation (KT) and seven with liver transplantation (LT) were analyzed. Results H… Show more

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Cited by 12 publications
(8 citation statements)
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“…Approximately 14% patients had impaired fasting glucose in the post-operative 1 week developed PTDM at 1 year, while only 3% patients with euglycemic in the post-operative 1 week had PTDM after 1 year[28]. Different from 24-h plasma glucose, FPG was less disturbed by diet and treatment, and the FPG SD values (1.29 mmol/L [IQR 0.93-1.73]) in the present study were smaller than the 24-h plasma glucose SD values (2.14 ± 0.70 mmol/L) in the previous study [17]. Meanwhile, the FPG SD in the uctuating period demonstrated the drastic uctuation from hormonal shock, and the maximum FPG in stable period demonstrated the balance between immunosuppressor and glycometabolism.…”
Section: Discussioncontrasting
confidence: 70%
See 1 more Smart Citation
“…Approximately 14% patients had impaired fasting glucose in the post-operative 1 week developed PTDM at 1 year, while only 3% patients with euglycemic in the post-operative 1 week had PTDM after 1 year[28]. Different from 24-h plasma glucose, FPG was less disturbed by diet and treatment, and the FPG SD values (1.29 mmol/L [IQR 0.93-1.73]) in the present study were smaller than the 24-h plasma glucose SD values (2.14 ± 0.70 mmol/L) in the previous study [17]. Meanwhile, the FPG SD in the uctuating period demonstrated the drastic uctuation from hormonal shock, and the maximum FPG in stable period demonstrated the balance between immunosuppressor and glycometabolism.…”
Section: Discussioncontrasting
confidence: 70%
“…The FPG ≥ 5.6 mmol/L in post-operative 1 week was the PTDM risk factor [15]. In comparison with non-PTDM patients, PTDM patients experienced drastic higher plasma glucose uctuation in post-operative 1 month [16,17]. Accordingly, this case control study was conducted to explore whether GA or FPG, both routinely monitored during patients' hospital stay, can be used to predict PTDM.…”
Section: Introductionmentioning
confidence: 99%
“…FGM is becoming an increasing popular tool for assessment of glucose levels. 11,17 In this pilot study, we have demonstrated that FGM was strongly preferred by the patients and nursing staff and that utilization of FGM can be cost effective, however there are systematic differences in FGM readings compared to standard CBGM, which need to be appreciated.…”
Section: Discussionmentioning
confidence: 88%
“…In the only published study on 24 kidney allograft recipients, Jin et al [ 35 ] investigated the glucose profiles and assessed the degree of hyperglycemic excursion during the early period after surgery. They found that hyperglycemia over 126 mg/dL (fasting) or 200 g/dL (postprandial) occurred in 42.1% (8/19) of kidney transplant recipients during this early period after transplantation, except for patients with preexisting diabetes (5 patients).…”
Section: Discussionmentioning
confidence: 99%