What they say
To safely target normoglycaemia in ICU, patients, intensivists and ICU nurses alike, anxiously await accurate continuous blood glucose sensors.
A post hoc cost analysis of the original Van den Berghe prospective study showed the excess cost of intensive care unit hospitalization in the conventional vs. intensive treatment group was 2638 Euros per patient.
These devices (continuous or near continuous glucose monitors) offer the promise of a reduction in severe hypoglycemia, glycemic variability and the nursing work burden, and will probably become a cornerstone of SEGC.
A commentary raising concerns about the risk of increased hypoglycemia when tight glycemic targets are implemented with existing glucome measurement techology.
We need better methods to monitor blood glucose levels at the bedside.
Letter discussing research showing link between glucose variability and mortality and calling for better CGM systems that will "facilitate the maintenance of optimal, steady blood glucose levels at all times in all our ICU patients."
Most importantly, we need to improve the monitoring of blood glucose, from what is the primitive standard of once every 1-2 hrs. We must transition to continuous or near-continuous blood glucometry through a technology breakthrough.
Editorial arguing for more frequent and better blood glucose monitoring to allow implementation of Tight Glycemic Control without increasing risk of hypoglycemia.
Although most nurses endorse tight glycemic control, the work associated with it is burdensome and costly. Because up to 2 hours might be required for tight glycemic control for a single patient in a 24-hour period, the costs in time and money are high. Easier clinical methods for monitoring blood glucose levels are needed.
Time-in-motion study showing high burden on nursing staff of implementing TGC with intermittent manual testing.
…better technology that would allow accurate glucose monitoring with minimal effort is required.