Diabetes technology

Continuous Glucose Monitoring and Hypoglycaemia Risk During Paediatric Diabetic Ketoacidosis (DKA) Treatment in the Paediatric ICU (PICU) : A Retrospective Cohort Study

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Hypoglycaemia (glucose < 70 mg/dL)Result — go to the resultAdjusted odds ratio 0.059 95% CI 0.011–0.323

Authors' conclusion

Amongst paediatric patients with DKA treated in the PICU, CGM insertion was independently associated with reduced hypoglycaemia and a lower POC testing burden.

Study context

Population
Paediatric patients (< 20 years) admitted to the PICU with DKA between December 2013 and December 2025 receiving continuous IV insulin infusion
Participants
73 patients
Exposure
Continuous glucose monitoring (CGM) insertion vs no CGM during PICU stay
  • CGMn = 31
Outcome
Hypoglycaemia
Methodological detailssingle-centre
  • Single-centre

Main finding

Hypoglycaemia (glucose < 70 mg/dL)

Adjusted odds ratio

0.059

95% CI 0.011–0.323

P = 0.001

By group

CGMvs Control
aOR 0.059 (95% CI 0.011–0.323); P = 0.001

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

Hypoglycaemia (glucose < 60 mg/dL)

P = 0.008

Frequency of point-of-care (POC) glucose measurements

Significantly lower frequency of POC glucose measurements in CGM vs control

Original publication

Continuous Glucose Monitoring and Hypoglycaemia Risk During Paediatric DKA Treatment in the PICU : A Retrospective Cohort Study. Diabetes Obes Metab. Published 8 July 2026. doi:10.1111/dom.71078

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