Diabetes technology

Accuracy of a Continuous Glucose Monitor in the Intensive Care Unit

Diabetes Technol TherPublished Diagnostic accuracy study

Authors' conclusion

CGM glucose readings in the ICU may be reliable to use in certain critically ill patient populations. CGM may not be reliable in patients requiring high-dose vasopressors.

Study context

Population
Consented ICU patients with known hyperglycemia941 paired readings
Participants
16 patients
Comparison
Continuous glucose monitoring (CGM) glucose vs standard glucose measurements in routine care
Outcome
Accuracy of CGM glucose vs standard glucose measurements (Clarke Error Grid, MARD)
Methodological detailsnon-randomized, 9-month enrolment period
  • Non-randomized
  • 9-month enrolment period

Performance

As reported in the abstract

Accuracy of CGM vs routine care glucose measurements

Clarke Error Grid: readings in regions A or B

99.7%

Clarke Error Grid: readings in other regions

0.3%

Mean absolute relative difference (MARD) of all readings

12.25%

Secondary outcomes

Duration of CGM use

Median duration of CGM use, days (range 1-20)
5.5

Caregiver acceptance

No nursing concerns regarding the addition of CGM to the routine workflow

Safety

Adverse events attributable to CGM
0

Original publication

Accuracy of a Continuous Glucose Monitor in the Intensive Care Unit. Diabetes Technol Ther. Published 11 February 2026. doi:10.1177/15209156261423933

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