Effect of Continuous Glucose Monitoring System Alerts on Diabetes Management in the Hospital
Diabetes Mellitus
About this trial
This is an interventional treatment trial for Diabetes Mellitus
Eligibility Criteria
Inclusion Criteria: Males and females ≥ 18 years. Type 1 or type 2 diabetes who requires intensive insulin therapy during hospitalization. Willingness and ability to comply with the clinical investigation plan. Exclusion Criteria: significant hyperglycemia or diabetic ketoacidosis requiring continuous intravenous insulin infusion. Female subjects who are pregnant at time of enrollment into the study. Current users of real-time glucose monitoring sensors or flash-glucose monitoring. Participants were unable to tolerate tape adhesive around sensor placement area, or with medically documented allergy towards the adhesive (glue) of plasters, or with serious skin diseases (e.g. psoriasis vulgaris, bacterial skin diseases) around sensor placement area. Patients expected to require operation, admission to the ICU and MRI procedures during hospitalization. Mental condition rendering the subject unable to understand the nature, scope, and possible consequences of the study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
CGM system with glucose alerts on
CGM system with glucose alerts off
Patients will wear a real-time CGM (The Guardian Connect CGM System with Guardian sensor 3, Medtronic), which provide glucose readings every 5 minutes for up to 7 days. High/low predictive/threshold alerts will be enabled in this group, with low glucose alert set at 3.9 mmol/L and high glucose alert set at 16.7 mmol/L. In addition, patients will undergo POC testing at least 4 times per day (usually before meals and bedtime). Intensive insulin therapy will be titrated based on daily CGM and POC printouts.
Patients will wear a real-time CGM (The Guardian Connect CGM System with Guardian sensor 3, Medtronic), which provide glucose readings every 5 minutes for up to 7 days. High/low predictive/threshold alerts will be off in this group. In addition, patients will undergo POC testing at least 4 times per day (usually before meals and bedtime). Intensive insulin therapy will be titrated based on daily CGM and POC printouts.