Continuous glucose monitoring – better glucose control?

A single center randomized trial from Italy in very-low-birth-weight infants compared the titration of the glucose infusion rate using continuous glucose monitoring versus periodic glucose measurement using bedside glucometers (with the continuous values hidden from clinicians). In both arms of the trial infants received a computer-guided glucose infusion rate. Compared to infants who were managed with bedside glucometer values, infants managed with continuous glucose monitoring were in the euglycemic range more often ((median, 84% vs 68%, P < .001) , and were hypoglycemic or hyperglycemic less often. They also had decreased variability of blood glucose.

Continuous glucose monitoring in very preterm infants. Galderisi et al, 2017.