Diabetes technology

Accuracy of a Continuous Glucose Monitor in the Intensive Care Unit: A Proposed Accuracy Standard and Calibration Protocol for Inpatient Use

Diabetes Technol TherPublished Diagnostic accuracy study

Authors' conclusion

Our protocol achieved the lowest MARD and safest CEG profile in the critical care setting and well exceeds the critical care expert recommendations.

Study context

Population
Adults on an insulin infusion in a medical-surgical ICU; mean age 57.29 (SD 2.39) years, 13 with prior diabetes, 14 admitted for a surgical diagnosis
Participants
28 adults1,064 matched pairs
Comparison
Dexcom G6 with calibration protocol vs without calibration, against arterial point-of-care glucose
  • Calibratedn = 9
  • Uncalibratedn = 19reference
Outcome
MARD vs arterial point-of-care glucose
Methodological detailsmedical-surgical ICU, calibration protocol in subsequent participants
  • Medical-surgical ICU
  • Calibration protocol in subsequent participants

Performance

As reported in the abstract

P < 0.001

Safety

Values within Clarke Error Grid zones A and B

Original publication

Accuracy of a Continuous Glucose Monitor in the Intensive Care Unit: A Proposed Accuracy Standard and Calibration Protocol for Inpatient Use. Diabetes Technol Ther. Published 24 June 2024. doi:10.1089/dia.2024.0074

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