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논문 기본 정보

자료유형
학술저널
저자정보
Trisha Shang (Diabetes Technology Society USA) David C. Klonoff (Mills-Peninsula Medical Center USA) M. Citlalli Perez-Guzman (Emory University USA) Jennifer Y. Zhang (Diabetes Technology Society USA) Donna Jornsay (Mills-Peninsula Medical Center USA)
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.36 No.2
발행연도
2021.1
수록면
240 - 255 (16page)

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Continuous glucose monitors (CGMs) have suddenly become part of routine care in many hospitals. The coronavirus disease 2019(COVID-19) pandemic has necessitated the use of new technologies and new processes to care for hospitalized patients, includingdiabetes patients. The use of CGMs to automatically and remotely supplement or replace assisted monitoring of blood glucose bybedside nurses can decrease: the amount of necessary nursing exposure to COVID-19 patients with diabetes; the amount of time required for obtaining blood glucose measurements, and the amount of personal protective equipment necessary for interacting withpatients during the blood glucose testing. The United States Food and Drug Administration (FDA) is now exercising enforcementdiscretion and not objecting to certain factory-calibrated CGMs being used in a hospital setting, both to facilitate patient care and toobtain performance data that can be used for future regulatory submissions. CGMs can be used in the hospital to decrease the frequency of fingerstick point of care capillary blood glucose testing, decrease hyperglycemic episodes, and decrease hypoglycemicepisodes. Most of the research on CGMs in the hospital has focused on their accuracy and only recently outcomes data has been reported. A hospital CGM program requires cooperation of physicians, bedside nurses, diabetes educators, and hospital administratorsto appropriately select and manage patients. Processes for collecting, reviewing, storing, and responding to CGM data must be established for such a program to be successful. CGM technology is advancing and we expect that CGMs will be increasingly used in thehospital for patients with diabetes.

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