TY - JOUR
T1 - Continuous glucose monitoring in preterm infants: evaluation by a modified Clarke error grid.
AU - Tiberi, Eloisa
AU - Cota, Francesco
AU - Barone, Giovanni
AU - Perri, Alessandro
AU - Romano, Valerio
AU - Iannotta, Rossella
AU - Romagnoli, Costantino
AU - Zecca, Enrico
PY - 2016
Y1 - 2016
N2 - BACKGROUND:\r\nContinuous glucose monitoring using subcutaneous sensors has been validated in adults and children with diabetes, and was found to be useful in the management of glucose control. We aimed to assess feasibility and reliability of a new continuous glucose monitoring system (CGMS) in a population of preterm neonates using a Clarke error grid (CEG) specifically modified for preterm infants.\r\nMETHODS:\r\nPreterm infants were recruited within 24 h from delivery. A subcutaneous sensor connected to a CGMS was inserted and maintained for 6 days. Data collected from CGMS were compared with data obtained using a glucometer. Management of the infants followed standard protocols and was not influenced by CGMS readings.\r\nRESULTS:\r\nTwenty patients (9 males) were included. Median (range) gestational age was 32 weeks (27-36) and median (range) birth weight was 1350 g (860-3360). Average CGMS recording time was 137 h, for a total of 449 paired glucose levels. CEG and modified CEG criteria for clinical significance were met.\r\nCONCLUSION:\r\nCGMS is a safe and clinically adequate method to estimate glucose levels in preterm infants. As the glucose level can be evaluated in real time, this CGMS could be useful to reduce the number of heel sticks, to observe glycaemic trends and to promptly detect episodes of both hypo- and hyper-glycaemia.
AB - BACKGROUND:\r\nContinuous glucose monitoring using subcutaneous sensors has been validated in adults and children with diabetes, and was found to be useful in the management of glucose control. We aimed to assess feasibility and reliability of a new continuous glucose monitoring system (CGMS) in a population of preterm neonates using a Clarke error grid (CEG) specifically modified for preterm infants.\r\nMETHODS:\r\nPreterm infants were recruited within 24 h from delivery. A subcutaneous sensor connected to a CGMS was inserted and maintained for 6 days. Data collected from CGMS were compared with data obtained using a glucometer. Management of the infants followed standard protocols and was not influenced by CGMS readings.\r\nRESULTS:\r\nTwenty patients (9 males) were included. Median (range) gestational age was 32 weeks (27-36) and median (range) birth weight was 1350 g (860-3360). Average CGMS recording time was 137 h, for a total of 449 paired glucose levels. CEG and modified CEG criteria for clinical significance were met.\r\nCONCLUSION:\r\nCGMS is a safe and clinically adequate method to estimate glucose levels in preterm infants. As the glucose level can be evaluated in real time, this CGMS could be useful to reduce the number of heel sticks, to observe glycaemic trends and to promptly detect episodes of both hypo- and hyper-glycaemia.
KW - glucose monitoring
KW - preterm infants
KW - glucose monitoring
KW - preterm infants
UR - https://publicatt.unicatt.it/handle/10807/95077
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84960427716&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84960427716&origin=inward
U2 - 10.1186/s13052-016-0236-9
DO - 10.1186/s13052-016-0236-9
M3 - Article
SN - 1720-8424
SP - 29
EP - 29
JO - THE ITALIAN JOURNAL OF PEDIATRICS
JF - THE ITALIAN JOURNAL OF PEDIATRICS
IS - Mar 9;42
ER -