En pacientes adultos hospitalizados con diabetes mellitus tipo 2 tratados con insulina, ¿la monitorización continua de glucosa disminuye los episodios de hiperglucemia e hipoglucemia frente a las glucemias capilares?

  1. Ana Domínguez Navarro 1
  2. Lucía Treceño Fernández 2
  1. 1 Universidad de Cádiz (Cádiz, España)
  2. 2 Hospital Universitario Puerta del Mar (Cádiz, España)
Journal:
Evidentia: Revista de enfermería basada en la evidencia

ISSN: 1697-638X

Year of publication: 2023

Volume: 20

Issue: 20

Type: Article

More publications in: Evidentia: Revista de enfermería basada en la evidencia

Abstract

Objective: Basal-bolus insulin therapy is the treatment of choice for hyperglycemia in hospitalized patients with type 2 diabetes mellitus. Pre-meal and bedtime glucose assessment by bedside capillary glucose testing is the standard method of glucose monitoring in these patients. However, it does not offer the advantages of continuous glucose monitoring, using devices such as the Freestyle Libre Pro Flash. Measuring interstitial glucose every 5-15 minutes and obtaining a complete 24-hour glycemic profile of hospitalized patients are some of the virtues of this device. Methodology: This paper follows the standardized format for critical commentary, where ten elements are used to structure and give content to the paper. Main results: Bedside capillary glucose testing detects a lower proportion of hypoglycemic episodes than continuous glucose monitoring. Main conclusion: Continuous glucose monitoring is recommended as a method for monitoring and controlling blood glucose in hospitalized patients with type 2 diabetes.