The value of real-time continuous glucose monitoring in premature infants of diabetic mothers.
To determine the feasibility of using a real-time continuous glucose monitoring system (RTGMS) in intensive care units, our study focus on preterm infants with diabetic mothers owing to their high risk of blood sugar abnormalities. Thirty preterm babies (M = 15 and F = 15; ≤ 36 week gestation age) w...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2017-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5643124?pdf=render |
| _version_ | 1811331731318374400 |
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| author | Hean-Pat Saw Nai-Wei Yao Cheng-Di Chiu Jia-Yuh Chen |
| author_facet | Hean-Pat Saw Nai-Wei Yao Cheng-Di Chiu Jia-Yuh Chen |
| author_sort | Hean-Pat Saw |
| collection | DOAJ |
| description | To determine the feasibility of using a real-time continuous glucose monitoring system (RTGMS) in intensive care units, our study focus on preterm infants with diabetic mothers owing to their high risk of blood sugar abnormalities. Thirty preterm babies (M = 15 and F = 15; ≤ 36 week gestation age) were studied from within 72 hours of delivery. These babies were admitted to the newborn intensive care and were further categorized into groups based on whether their mothers with or without diabetic mellitus. Blood sugar levels were monitored by both RTGMS and the traditional intermittent arterial line (A-Line) glucose method. Continuous glucose monitoring were well tolerated in 30 infants. There were good consistency between RTGMS and A-Line glucose concentration measurements. Of the preterm infants, 33.33% experienced abnormal glucose levels (hypoglycemia or hyperglycemia) between the checkpoint intervals of the intermittent A-Line blood sugar measurements. RTGM showed advantages with regards to reduced pain, greater comfort, the provision of real-time information, high sensitivity (94.59%) and specificity (97.87%) in discovering abnormalities of blood sugar, which are especially valuable for premature infants of diabetic mothers. RTGMS is comparable to A-line measurement for identifying fluctuations in blood glucose in premature infants. RTGMS detects more episodes of abnormal glucose concentration than intermittent A-line blood glucose measurement. High risk infants, especially premature infants with diabetic mothers, should receive more intensive blood sugar level checks by using continuous RTGMS. |
| first_indexed | 2024-04-13T16:26:08Z |
| format | Article |
| id | doaj.art-c3ab046597984aaaa47e14bcd6032928 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T16:26:08Z |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-c3ab046597984aaaa47e14bcd60329282022-12-22T02:39:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-011210e018648610.1371/journal.pone.0186486The value of real-time continuous glucose monitoring in premature infants of diabetic mothers.Hean-Pat SawNai-Wei YaoCheng-Di ChiuJia-Yuh ChenTo determine the feasibility of using a real-time continuous glucose monitoring system (RTGMS) in intensive care units, our study focus on preterm infants with diabetic mothers owing to their high risk of blood sugar abnormalities. Thirty preterm babies (M = 15 and F = 15; ≤ 36 week gestation age) were studied from within 72 hours of delivery. These babies were admitted to the newborn intensive care and were further categorized into groups based on whether their mothers with or without diabetic mellitus. Blood sugar levels were monitored by both RTGMS and the traditional intermittent arterial line (A-Line) glucose method. Continuous glucose monitoring were well tolerated in 30 infants. There were good consistency between RTGMS and A-Line glucose concentration measurements. Of the preterm infants, 33.33% experienced abnormal glucose levels (hypoglycemia or hyperglycemia) between the checkpoint intervals of the intermittent A-Line blood sugar measurements. RTGM showed advantages with regards to reduced pain, greater comfort, the provision of real-time information, high sensitivity (94.59%) and specificity (97.87%) in discovering abnormalities of blood sugar, which are especially valuable for premature infants of diabetic mothers. RTGMS is comparable to A-line measurement for identifying fluctuations in blood glucose in premature infants. RTGMS detects more episodes of abnormal glucose concentration than intermittent A-line blood glucose measurement. High risk infants, especially premature infants with diabetic mothers, should receive more intensive blood sugar level checks by using continuous RTGMS.http://europepmc.org/articles/PMC5643124?pdf=render |
| spellingShingle | Hean-Pat Saw Nai-Wei Yao Cheng-Di Chiu Jia-Yuh Chen The value of real-time continuous glucose monitoring in premature infants of diabetic mothers. PLoS ONE |
| title | The value of real-time continuous glucose monitoring in premature infants of diabetic mothers. |
| title_full | The value of real-time continuous glucose monitoring in premature infants of diabetic mothers. |
| title_fullStr | The value of real-time continuous glucose monitoring in premature infants of diabetic mothers. |
| title_full_unstemmed | The value of real-time continuous glucose monitoring in premature infants of diabetic mothers. |
| title_short | The value of real-time continuous glucose monitoring in premature infants of diabetic mothers. |
| title_sort | value of real time continuous glucose monitoring in premature infants of diabetic mothers |
| url | http://europepmc.org/articles/PMC5643124?pdf=render |
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