About: Glucose sensing module - is it time to integrate it into real-time periorative monitoring? An observational pilot study with subcutaneous sensors     Goto   Sponge   NotDistinct   Permalink

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Description
  • To explore the feasibility of subcutaneous continuous glucose monitoring (CGM) in perioperative settings and to evaluate the perioperative development of glycaemia in persons with diabetes mellitus or impaired glucose tolerance by means of CGM. Monitoring by means of Guardian* REAL-Time CGMS (Medtronic, Nortridge, USA) in 20 perioperative periods. Sensor was inserted on the day before surgery and continued for 3 days with some exceptions. Full implementation of the methods was successful in the intensive care unit setting only. No elektromagnetic interference and no side effects were found. The Wilcoxon signed-rank test revealed no significant difference between sensor and laboratory analyser values. Pearson's correlation coefficients of the values obtained by sensor and the Wellion Linus glucometer were 0.875 for the whole perioperative period, 0.866 fot the intraoperative period and 0.903 for the first perioperative day. A decline in sensor accuracy on the 6th day was registered in one case. 16 monitored cases (80%) did not meet the criteria for safe plasma glucose range. Hypoglycaemia was found in 4 (20%) cases. There was an association between grade of the perioperative dysglycaemia and need for reoperation within the next 3 months. The most frequent perioperative glycaemic patterns are demonstrated.
  • To explore the feasibility of subcutaneous continuous glucose monitoring (CGM) in perioperative settings and to evaluate the perioperative development of glycaemia in persons with diabetes mellitus or impaired glucose tolerance by means of CGM. Monitoring by means of Guardian* REAL-Time CGMS (Medtronic, Nortridge, USA) in 20 perioperative periods. Sensor was inserted on the day before surgery and continued for 3 days with some exceptions. Full implementation of the methods was successful in the intensive care unit setting only. No elektromagnetic interference and no side effects were found. The Wilcoxon signed-rank test revealed no significant difference between sensor and laboratory analyser values. Pearson's correlation coefficients of the values obtained by sensor and the Wellion Linus glucometer were 0.875 for the whole perioperative period, 0.866 fot the intraoperative period and 0.903 for the first perioperative day. A decline in sensor accuracy on the 6th day was registered in one case. 16 monitored cases (80%) did not meet the criteria for safe plasma glucose range. Hypoglycaemia was found in 4 (20%) cases. There was an association between grade of the perioperative dysglycaemia and need for reoperation within the next 3 months. The most frequent perioperative glycaemic patterns are demonstrated. (en)
Title
  • Glucose sensing module - is it time to integrate it into real-time periorative monitoring? An observational pilot study with subcutaneous sensors
  • Glucose sensing module - is it time to integrate it into real-time periorative monitoring? An observational pilot study with subcutaneous sensors (en)
skos:prefLabel
  • Glucose sensing module - is it time to integrate it into real-time periorative monitoring? An observational pilot study with subcutaneous sensors
  • Glucose sensing module - is it time to integrate it into real-time periorative monitoring? An observational pilot study with subcutaneous sensors (en)
skos:notation
  • RIV/61989592:15110/13:33146500!RIV14-MSM-15110___
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 76708
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/13:33146500
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • surgery; diabetes mellitus; subcutaneous glucose sensors; stress-induced dysglycaemia; continuous glucose monitoring; perioperative glycaemic control (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [2D317DFA8C59]
http://linked.open...i/riv/nazevZdroje
  • Biomedical Papers-Olomouc
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 157
http://linked.open...iv/tvurceVysledku
  • Zapletalová, Jana
  • Chlup, Rudolf
  • Elšíková, Eva
  • Poljaková, Iveta
  • Hasala, Petr
  • Kalabus, Stanislav
issn
  • 1213-8118
number of pages
http://localhost/t...ganizacniJednotka
  • 15110
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