SCCM Resource Library-Continuous Versus Noncontinuous Glucose Monitoring

Video Transcription

Video Summary

The video transcript discusses various aspects of glucose monitoring in the critical care setting. The speakers touch on topics such as the challenges of glycemic control, the use of continuous glucose monitoring (CGM) versus point-of-care meters, medication and other factors that affect glucose monitoring, and the impact of workload on nursing when implementing glycemic control protocols.<br /><br />The speakers mention that CGM can provide valuable information about glucose levels and trends, but it is still being investigated for use in hospitalized patients. Point-of-care meters are commonly used in critical care, but they may have limitations in accuracy, especially in the critically ill.<br /><br />Medication interference is an important consideration, as some medications can cause false readings in glucose monitoring. For example, high-dose vitamin C can interfere with point-of-care meters, leading to falsely elevated glucose readings. CGM systems may also be susceptible to interferences from medications.<br /><br />Steroids, commonly used in critical care, can increase insulin resistance and worsen glycemic control. The choice of insulin regimen and dosing strategies for steroid-induced hyperglycemia should be tailored to the patient's specific medication profile and needs.<br /><br />The video also highlights the potential impact of "lurking dextrose" in the ICU, where small volumes of dextrose from medications and diluents contribute to overall glucose levels and variability.<br /><br />Overall, the speakers emphasize the need for careful consideration of medication profiles, technology limitations, and patient-specific factors when monitoring and managing glucose levels in the critical care setting.

Asset Subtitle

Endocrine, Procedures, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Compare and contrast current technologies for glucose monitoring in the ICU
Examine the nursing burden of glucose monitoring and how it affects management and control of glucose
Identify medications and other factors that influence glucose management and control

Technology in Glucose Monitoring
Michael S. D. Agus

Nursing Burden of Bedside Monitoring and Titration
Ruth Lebet

Tricks and Traps: Other Factors That Affect Your Glucose
Rachelle Firestone

Meta Tag

Content Type Presentation

Knowledge Area Endocrine

Knowledge Area Procedures

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Diabetes

Tag Insulin

Tag Point of Care

Year 2021

Keywords

glucose monitoring

critical care

glycemic control

continuous glucose monitoring

point-of-care meters

medication interference

workload impact

insulin resistance

lurking dextrose

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