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Prospective detection of hyperglycemia in critically ill children using continuous glucose monitoring.
Pediatr Crit Care Med. 2008 Mar; 9(2):153-8.PC

Abstract

OBJECTIVE

To 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.

DESIGN

Prospective observational study.

SETTING

Ten-bed pediatric intensive care unit in an academic referral medical center in western Massachusetts.

PATIENTS

A convenience sample of 20 nondiabetic children, aged 1-18, anticipated to require intensive care >2 days.

INTERVENTIONS

Placement 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 RESULTS

Elevated 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.

CONCLUSIONS

Significant hyperglycemia is present in pediatric intensive care patients and may be underestimated by intermittent laboratory monitoring.

Authors+Show Affiliations

Baystate Children's Hospital. holley.allen@bhs.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18477928

Citation

Allen, Holley F., et al. "Prospective Detection of Hyperglycemia in Critically Ill Children Using Continuous Glucose Monitoring." Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, vol. 9, no. 2, 2008, pp. 153-8.
Allen HF, Rake A, Roy M, et al. Prospective detection of hyperglycemia in critically ill children using continuous glucose monitoring. Pediatr Crit Care Med. 2008;9(2):153-8.
Allen, H. F., Rake, A., Roy, M., Brenner, D., & McKiernan, C. A. (2008). Prospective detection of hyperglycemia in critically ill children using continuous glucose monitoring. Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 9(2), 153-8. https://doi.org/10.1097/PCC.0b013e3181668b33
Allen HF, et al. Prospective Detection of Hyperglycemia in Critically Ill Children Using Continuous Glucose Monitoring. Pediatr Crit Care Med. 2008;9(2):153-8. PubMed PMID: 18477928.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective detection of hyperglycemia in critically ill children using continuous glucose monitoring. AU - Allen,Holley F, AU - Rake,Alyssa, AU - Roy,Marybeth, AU - Brenner,Dennis, AU - McKiernan,Christine A, PY - 2008/5/15/pubmed PY - 2008/7/9/medline PY - 2008/5/15/entrez SP - 153 EP - 8 JF - Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies JO - Pediatr Crit Care Med VL - 9 IS - 2 N2 - OBJECTIVE: To 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. DESIGN: Prospective observational study. SETTING: Ten-bed pediatric intensive care unit in an academic referral medical center in western Massachusetts. PATIENTS: A convenience sample of 20 nondiabetic children, aged 1-18, anticipated to require intensive care >2 days. INTERVENTIONS: Placement 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 RESULTS: Elevated 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. CONCLUSIONS: Significant hyperglycemia is present in pediatric intensive care patients and may be underestimated by intermittent laboratory monitoring. SN - 1529-7535 UR - https://www.unboundmedicine.com/medline/citation/18477928/Prospective_detection_of_hyperglycemia_in_critically_ill_children_using_continuous_glucose_monitoring_ L2 - https://doi.org/10.1097/PCC.0b013e3181668b33 DB - PRIME DP - Unbound Medicine ER -