Continuous Glucose Monitoring in Very Preterm Infants: A Randomized Controlled Trial
Continuous Glucose Monitoring in Very Preterm Infants: A Randomized Controlled Trial
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DOI：
10.1542/peds.2017-1162
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发表时间：
2017-10-01
期刊：
影响因子：
8
通讯作者：
Trevisanuto, Daniele
中科院分区：
文献类型：
--
作者：
Galderisi, Alfonso;Facchinetti, Andrea;Trevisanuto, Daniele
背景和目的：早产儿血糖控制受损与发病率、死亡率和不良的神经学结局相关。在不增加低血糖和死亡率的情况下，基于胰岛素滴定的策略在实现正常血糖方面一直不成功。我们试图评估持续血糖监测(CGM)指导的血糖给药在维持早产儿正常血糖方面是否比标准护理血糖监测更有效。方法：50例新生儿
BACKGROUND AND OBJECTIVES: Impaired glucose control in very preterm infants is associated with increased morbidity, mortality, and poor neurologic outcome. Strategies based on insulin titration have been unsuccessful in achieving euglycemia in absence of an increase in hypoglycemia and mortality. We sought to assess whether glucose administration guided by continuous glucose monitoring (CGM) is more effective than standard of care blood glucose monitoring in maintaining euglycemia in very preterm infants.METHODS: Fifty newborns