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Real-Time Continuous Glucose Monitoring in the Hospital: A Real-World Experience

Background: Glycemic control in the hospital setting is imperative for improving outcomes among patients with diabetes. Bedside point-of-care (POC) glucose monitoring has remained the gold standard for decades, while only providing momentary glimpses into a patient’s glycemic control. Continuous glu...

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Published in:Journal of diabetes science and technology 2023-05, Vol.17 (3), p.656-666
Main Authors: Spierling Bagsic, Samantha R., Fortmann, Addie L., Belasco, Rebekah, Bastian, Alessandra, Lohnes, Suzanne, Ritko, Anna, Sandoval, Haley, Chichmarenko, Mariya, Soriano, Emily C., Talavera, Laura, Philis-Tsimikas, Athena
Format: Article
Language:English
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Summary:Background: Glycemic control in the hospital setting is imperative for improving outcomes among patients with diabetes. Bedside point-of-care (POC) glucose monitoring has remained the gold standard for decades, while only providing momentary glimpses into a patient’s glycemic control. Continuous glucose monitoring (CGM) has been shown to improve glycemic control in the ambulatory setting. However, a paucity of inpatient experience and data remains a barrier to US Food and Drug Administration (FDA) approval and expanded/non-research use in the hospital setting. Method: Amid the COVID-19 pandemic, the FDA exercised its enforcement discretion to not object to the use of CGM systems for the treatment of patients in hospital settings to support COVID-19 health care–related efforts to reduce viral exposure of health care workers. Following this announcement, Scripps Health, a large not-for-profit health care system in San Diego, California, implemented CGM as the new “standard of care” (CGM as SOC) for glucose monitoring and management in the hospital. Results: The present report serves to (1) detail the implementation procedures for employing this new SOC; (2) describe the patients receiving CGM as SOC, their glycemic control, and hospital outcomes; and (3) share lessons learned over two years and nearly 900 hospital encounters involving CGM. Conclusions: Here, we conclude that CGM is feasible in the hospital setting by using a dedicated diabetes care team and the CGM technology with remote monitoring.
ISSN:1932-2968
1932-2968
1932-3107
DOI:10.1177/19322968231165982