Article (Scientific journals)
Glucose Control in the ICU: A Continuing Story.
Preiser, Jean-Charles; Chase, J. Geoffrey; Hovorka, Roman et al.
2016In Journal of Diabetes Science and Technology
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Keywords :
continuous glucose control; diabetes; intensive care; time in band
Abstract :
[en] In the present era of near-continuous glucose monitoring (CGM) and automated therapeutic closed-loop systems, measures of accuracy and of quality of glucose control need to be standardized for licensing authorities and to enable comparisons across studies and devices. Adequately powered, good quality, randomized, controlled studies are needed to assess the impact of different CGM devices on the quality of glucose control, workload, and costs. The additional effects of continuing glucose control on the general floor after the ICU stay also need to be investigated. Current algorithms need to be adapted and validated for CGM, including effects on glucose variability and workload. Improved collaboration within the industry needs to be encouraged because no single company produces all the necessary components for an automated closed-loop system. Combining glucose measurement with measurement of other variables in 1 sensor may help make this approach more financially viable.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Preiser, Jean-Charles
Chase, J. Geoffrey
Hovorka, Roman
Joseph, Jeffrey I.
Krinsley, James S.
De Block, Christophe
Desaive, Thomas  ;  Université de Liège > Département d'astrophys., géophysique et océanographie (AGO) > Thermodynamique des phénomènes irréversibles
Foubert, Luc
Kalfon, Pierre
Pielmeier, Ulrike
Van Herpe, Tom
Wernerman, Jan
Language :
English
Title :
Glucose Control in the ICU: A Continuing Story.
Publication date :
2016
Journal title :
Journal of Diabetes Science and Technology
ISSN :
1932-3107
eISSN :
1932-2968
Publisher :
Diabetes Technology Society, United States - California
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
(c) 2016 Diabetes Technology Society.
Available on ORBi :
since 19 May 2016

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