Proposed Use of Continuous Glucose Monitoring for Care of Critically Ill COVID-19 Patients

被引:2
|
作者
Jankovic, Ivana [1 ]
Basina, Marina [1 ]
机构
[1] Stanford Univ, Sch Med, Div Endocrinol, Stanford, CA 94305 USA
来源
关键词
critical care; COVID-19; diabetes; insulin drip; HYPERGLYCEMIA; MANAGEMENT; OUTCOMES;
D O I
10.1177/1932296820965203
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronavirus disease 2019 (COVID-19) has disproportionately affected patients with diabetes. Mounting evidence has shown that adequate inpatient glycemic control may decrease the risk of mortality. In critically ill patients, insulin drips are the most effective means of controlling blood glucose. However, resource limitations such as the availability of protective equipment and nursing time have discouraged the use of insulin drips during COVID-19. In this commentary, we review existing evidence on the importance of glycemic control in COVID-19 patients with diabetes and propose a protocol for utilizing continuous glucose monitors (CGMs) to improve glycemic control by decreasing the need for bedside management in critically ill COVID-19 patients.
引用
收藏
页码:174 / 176
页数:3
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