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[Continuous glucose monitoring system, as a valuable tool in the care of children and adolescents with diabetes mellitus].
Orv Hetil. 2004 Jun 13; 145(24):1265-70.OH

Abstract

INTRODUCTION

Good metabolic control of diabetic patients is mainly based on the results of self measured blood glucose levels. Important excursions of blood glucose may, however, be hidden in the usual case of 4-5 daily determinations. The aim of this paper was to give detailed information about this new diagnostic tool and to report the first Hungarian pediatric experiences with continuous glucose monitoring.

METHOD

Continuous glucose monitoring system (Mini-Med) is able to monitor the changes of tissue glucose levels for up to 72 hours by measuring glucose concentration via a s.c. canula every 5 minutes. In its present form the results of continuous glucose monitoring cannot be observed real time by the patient, it provides useful information retrospectively mainly for the doctor.

RESULTS

The sensor detected unexpectedly high fluctuation of glucose levels in several patients. It was possible to distinguish between nighttime hypoglycaemia (Somogyi-effect) or dawn phenomenon-induced morning hyperglycaemiae by the use of continuous glucose monitoring. Fever may influence peripheral circulation representing a limitation in the use (or evaluation) of continuous tissue glucose monitoring. The authors found good correlation between continuous glucose monitoring and self blood glucose monitoring results. The best correlation was observed in the low blood glucose range.

CONCLUSIONS

The continuous glucose monitoring results provide useful information for the diabetologist in order to modify insulin treatment. Continuous glucose monitoring-based changes in insulin treatment are reported to result in better long term metabolic control. Continuous glucose monitoring in the near future will obviously play a primary role in insulin pump therapy where it will provide glucose result for the pump.

Authors+Show Affiliations

Semmelweis Egyetem, Altalános Orvostudományi Kar, I. Gyermekklinika, Budapest.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

hun

PubMed ID

15264753

Citation

Tóth-Heyn, Péter, et al. "[Continuous Glucose Monitoring System, as a Valuable Tool in the Care of Children and Adolescents With Diabetes Mellitus]." Orvosi Hetilap, vol. 145, no. 24, 2004, pp. 1265-70.
Tóth-Heyn P, Körner A, Madácsy L. [Continuous glucose monitoring system, as a valuable tool in the care of children and adolescents with diabetes mellitus]. Orv Hetil. 2004;145(24):1265-70.
Tóth-Heyn, P., Körner, A., & Madácsy, L. (2004). [Continuous glucose monitoring system, as a valuable tool in the care of children and adolescents with diabetes mellitus]. Orvosi Hetilap, 145(24), 1265-70.
Tóth-Heyn P, Körner A, Madácsy L. [Continuous Glucose Monitoring System, as a Valuable Tool in the Care of Children and Adolescents With Diabetes Mellitus]. Orv Hetil. 2004 Jun 13;145(24):1265-70. PubMed PMID: 15264753.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Continuous glucose monitoring system, as a valuable tool in the care of children and adolescents with diabetes mellitus]. AU - Tóth-Heyn,Péter, AU - Körner,Anna, AU - Madácsy,László, PY - 2004/7/22/pubmed PY - 2004/8/19/medline PY - 2004/7/22/entrez SP - 1265 EP - 70 JF - Orvosi hetilap JO - Orv Hetil VL - 145 IS - 24 N2 - INTRODUCTION: Good metabolic control of diabetic patients is mainly based on the results of self measured blood glucose levels. Important excursions of blood glucose may, however, be hidden in the usual case of 4-5 daily determinations. The aim of this paper was to give detailed information about this new diagnostic tool and to report the first Hungarian pediatric experiences with continuous glucose monitoring. METHOD: Continuous glucose monitoring system (Mini-Med) is able to monitor the changes of tissue glucose levels for up to 72 hours by measuring glucose concentration via a s.c. canula every 5 minutes. In its present form the results of continuous glucose monitoring cannot be observed real time by the patient, it provides useful information retrospectively mainly for the doctor. RESULTS: The sensor detected unexpectedly high fluctuation of glucose levels in several patients. It was possible to distinguish between nighttime hypoglycaemia (Somogyi-effect) or dawn phenomenon-induced morning hyperglycaemiae by the use of continuous glucose monitoring. Fever may influence peripheral circulation representing a limitation in the use (or evaluation) of continuous tissue glucose monitoring. The authors found good correlation between continuous glucose monitoring and self blood glucose monitoring results. The best correlation was observed in the low blood glucose range. CONCLUSIONS: The continuous glucose monitoring results provide useful information for the diabetologist in order to modify insulin treatment. Continuous glucose monitoring-based changes in insulin treatment are reported to result in better long term metabolic control. Continuous glucose monitoring in the near future will obviously play a primary role in insulin pump therapy where it will provide glucose result for the pump. SN - 0030-6002 UR - https://www.unboundmedicine.com/medline/citation/15264753/[Continuous_glucose_monitoring_system_as_a_valuable_tool_in_the_care_of_children_and_adolescents_with_diabetes_mellitus]_ L2 - http://www.diseaseinfosearch.org/result/2236 DB - PRIME DP - Unbound Medicine ER -