Implementation of Continuous Glucose Monitoring in the Hospital: Emergent Considerations for Remote Glucose Monitoring During the COVID-19 Pandemic

Continuous glucose monitoring (CGM) has become a widely used tool in the ambulatory setting for monitoring glucose levels, as well as detecting uncontrolled hyperglycemia, hypoglycemia, and glycemic variability. The accuracy of some CGM systems has recently improved to the point of manufacture with...

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Bibliographic Details
Published in:Journal of diabetes science and technology 2020-07, Vol.14 (4), p.822-832
Main Authors: Galindo, Rodolfo J., Aleppo, Grazia, Klonoff, David C., Spanakis, Elias K., Agarwal, Shivani, Vellanki, Priya, Olson, Darin E., Umpierrez, Guillermo E., Davis, Georgia M., Pasquel, Francisco J.
Format: Article
Language:English
Subjects:
Betacoronavirus
Blood Glucose - analysis
Blood Glucose Self-Monitoring - methods
Calibration
Communicable Disease Control
Coronavirus Infections - epidemiology
COVID-19
Diabetes Complications - therapy
Diabetes Mellitus - blood
Diabetes Mellitus - therapy
Electronic Health Records
Hospitalization
Hospitals
Humans
Hyperglycemia - blood
Hyperglycemia - complications
Hyperglycemia - diagnosis
Inpatients
Insulin Infusion Systems
Monitoring, Ambulatory
Pandemics
Pneumonia, Viral - epidemiology
SARS-CoV-2
United States
United States Food and Drug Administration
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Summary:Continuous glucose monitoring (CGM) has become a widely used tool in the ambulatory setting for monitoring glucose levels, as well as detecting uncontrolled hyperglycemia, hypoglycemia, and glycemic variability. The accuracy of some CGM systems has recently improved to the point of manufacture with factory calibration and Food and Drug Administration clearance for nonadjunctive use to dose insulin. In this commentary, we analyze the answers to six questions about what is needed to bring CGM into the hospital as a reliable, safe, and effective tool. The evidence to date indicates that CGM offers promise as an effective tool for monitoring hospitalized patients. During the current coronavirus disease 2019 crisis, we hope to provide guidance to healthcare professionals, who are seeking to reduce exposure to SARS-Cov-2, as well as preserve invaluable personal protective equipment. In this commentary, we address who, what, where, when, why, and how CGM can be adopted for inpatient use.
ISSN:1932-2968
1932-2968
1932-3107
DOI:10.1177/1932296820932903