Continuous Glucose Monitor Accuracy for Diabetes Management in Hospitalized Children
Authors' conclusion
CGMs demonstrated acceptable accuracy in hospitalized children with diabetes. CGM data should be integrated into hospital electronic records to optimize management.
Study context
- Population
- Children aged 2–18 years with diabetes admitted to an academic children's hospital, March 2018 to September 2023, with CGM data
- Participants
- 202 children277 admissions
- Outcome
- CGM accuracy and clinical reliability: MARD and Clarke error grid (CEG) analyses vs POC glucose
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
CGM accuracy vs POC glucose (paired measurements, n = 2,904)
- Mean absolute relative difference (MARD)
- 15.9%
- Values in zones A and B of Clarke error grid (CEG)
- 96.6%
- Paired values within 15%/15 mg/dL range
- ≈62%
- Paired values within 20%/20
- 74%
- Paired values within 30%/30
- 88%
Observational data: associations, not effects.
Further findings
Effect of serum pH, sodium and blood urea nitrogen (BUN) on CGM values or absolute relative difference
- Serum pH, sodium and BUN had no impact on CGM values or absolute relative difference (linear regression)
Original publication
Continuous Glucose Monitor Accuracy for Diabetes Management in Hospitalized Children. Diabetes Care. Published 2 December 2024. doi:10. 2337/ dc24-1562
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