Critical Illness Clinical Trial
Official title:
Accuracy and Reliability of Continuous Glucose Monitoring in Critically Ill Patients With Shock Requiring Norepinephrine Therapy
The purpose of this study is to determine whether subcutaneous continuous glucose monitoring in critically ill patients is clinically feasible accurate and reliable.
Hyperglycemia is is associated with more complications and higher morbidity and mortality in
critically ill patients. Therefore, strict glycemic control with a target blood glucose
level between 80 and 110 mg/dl is recommended. Intensive insulin therapy requires continuous
intravenous insulin infusion according to an algorithm and frequent blood glucose
measurements. Implementation of intensive insulin therapy increases workload for both
physicians and especially for nurses.
Continuous glucose measurement would facilitate blood glucose control in critically ill
patients. Numerous studies have shown accuracy of the subcutaneous continuous glucose
monitoring derived glucose values compared to blood glucose measurements in diabetics.
Studies evaluating the subcutaneous continuous glucose monitoring in an inpatient-population
especially in an ICU-setting are rare. Therefore the aim of this study is the prospective
evaluation of continuous subcutaneous glucose monitoring in critically ill patients with
circulatory shock demanding norepinephrine therapy as compared to critically ill patients
without shock.
;
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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