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

Ivana Jankovic, Marina Basina
Author Information
  1. Ivana Jankovic: Division of Endocrinology, Stanford University School of Medicine, Stanford, CA, USA. ORCID
  2. Marina Basina: Division of Endocrinology, Stanford University School of Medicine, Stanford, CA, USA.

Abstract

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.

Keywords

References

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Grants

  1. T32 DK007217/NIDDK NIH HHS

MeSH Term

Blood Glucose
COVID-19
Critical Illness
Diabetes Mellitus
Humans
Hyperglycemia
Inpatients
Monitoring, Physiologic

Chemicals

Blood Glucose

Word Cloud

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