Continuous Glucose MonitoringCGM Denver, Colorado连续血糖监测CGM丹佛科罗拉多.pptVIP

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Continuous Glucose MonitoringCGM Denver, Colorado连续血糖监测CGM丹佛科罗拉多.ppt

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INTRODUCTION TO CONTINUOUS GLUCOSE MONITORS H. Peter Chase, MD Professor of Pediatrics Barbara Davis Center Aurora, CO Keystone Conference Wednesday, July 16, 2008 CGM Introduction Class The slides from our course for families interested in starting CGM are available for use in your centers. They are on our website: . The slides can then be accessed by any of the following methods: 1. Click on the “CGM Slideset” tab 2. In the “Online Books and Teaching Slides” page: /misc/diabetes/books.html 3. In the Clinical Resources section (last entry): /misc/diabetes/school.html What is a CGM? (Continuous Glucose Monitor) A device that provides “real-time” glucose readings and data about trends in glucose levels Reads the glucose levels under the skin every 1-5 minutes (10-15 minute delay) Provides alarms for high and low glucose levels and trend information The 3rd era in diabetes management Who Should Use a CGM?* The person and the family must both want a CGM A youth must be willing to wear the sensor (and carry the receiver) Using good diabetes care (4 BGs/day) Good support system Adequate body “real estate” Cost of CGM (RNs to elaborate) How common are glucose levels 60mg/dl during the night in children with T1D? French (i) and Australian (ii) data showed approximately 50% of children with low BG (60mg/dl) during the night (on NPH bid) DirecNet data (one night in hospital with blood sugars every 30 min.) A) 2001-2002: 39 of 91 (43%) low BG (44% of children on insulin pumps/56% on NPH) B) 2004: 14 of 50 (28%) with low BG (all on insulin pumps or Lantus) Three Parts to All CGMs:* Sensor Transmitter Receiver/Monitor What does “Calibration” mean and why do I need to do it? Calibration is a process that gives a fingerstick BG value to the CGM system so the values will align with each other Number of Calibrations vary by device Best times to calibrate are when the BG values are stable: before meals and before bed Do not calibrate when arrows are present