Diabetes technology

Accuracy of a Continuous Glucose Monitor During Pediatric Type 1 Diabetes Inpatient Admissions

Diabetes Technol TherPublished Retrospective cohort study

Authors' conclusion

Findings from our pediatric population were similar to accuracy reported in hospitalized adults, indicating the potential role for CGM use during pediatric hospitalizations.

Study context

Population
Youth with T1D during hospitalization (median age 12.0 years, 68.7% non-Hispanic white, 54.2% male), 100 admissions1,120 point-of-care (POC) and 288 laboratory-matched pairs
Participants
83 participants
Exposure
Dexcom G6 CGM vs matched POC and laboratory glucose values
Outcome
CGM accuracy: MARD, Clarke Error Grids, % of CGM values within 15%/20%/30% (glucose >100 mg/dL) and 15/20/30 mg/dL (≤100 mg/dL)
Methodological detailsretrospective review, Glucose values >400 and <40 mg/dL excluded due to sensor reporting capabilities
  • Retrospective review
  • Glucose values >400 and <40 mg/dL excluded due to sensor reporting capabilities

Main finding

As reported in the abstract

CGM accuracy
Mean absolute relative difference (MARD) vs POC, overall
11.8%
MARD vs POC, medical floor
13.5%
MARD vs POC, ICU
7.9%
MARD vs all laboratory values
6.5%
Matched pairs within Clarke Error Grid A and B zones
98%

Observational data: associations, not effects.

Original publication

Accuracy of a Continuous Glucose Monitor During Pediatric Type 1 Diabetes Inpatient Admissions. Diabetes Technol Ther. Published 19 January 2024. doi:10.1089/dia.2023.0375

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