Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Rigshospitalet, Denmark | OTHER |
| Steno Diabetes Center Copenhagen | OTHER |
| Zealand University Hospital | OTHER |
Not provided
Not provided
Not provided
The goal of this observational study is to investigate the accuracy of the continuous glucose monitoring (CGM) compared to standard point-of-care (POC) blood glucose measurements in patients with diabetes in patients who during their hospital admission can experience circulatory impairment.
The main questions it aims to answer are:
• Do CGM measurements have a decreased accuracy compared to standard blood glucose measurements in periods with circulatory impairment?
Participants will be asked to wear a blinded CGM device (Dexcom G7, Dexcom Inc.) during their stay in the hospital but will receive standard care of their diabetes. The CGM device will be worn for up to 10 days.
This is a prospective observational study on patients living with diabetes who a) undergo surgery at the Department of Vascular Surgery, Rigshospitalet, Denmark and the Surgical Department and Department of Orthopedic Surgery and Traumatology, Bispebjerg and Frederiksberg Hospital, Denmark, or b) are admitted to the intensive care unit (ICU) at Bispebjerg and Frederiksberg Hospital with circulatory impairment.
The study aim is to investigate the accuracy of the Dexcom G7 CGM in patients with diabetes undergoing surgery and in patients at the ICU with circulatory impairment. The glucose readings will be compared to standard practice with POC blood glucose measurements.
Included patients will be asked to wear the CGM device Dexcom G7 for up 10 days.
The study will include 60 patients
This study is part of an overall project that aims to investigate the use of CGM and continuous wireless monitoring of vital signs in patients with diabetes undergoing major surgery. Using this technology, postoperative complications including dysglycaemia can potentially be detected and treated earlier thus improving the perioperative care.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexcom G7 Continuous Glucose Monitoring (CGM) System (G7) | Device | A CGM device placed on the posterior aspect of the upper arm in which a sensor placed in the skin registers glucose values. Via Bluetooth, these readings are sent to a receiver near the patient every 5 minutes. The CGM system can alert when deviating glucose levels, but will for this observational study be blinding to patients and clinical staff. Thus, the patients' diabetic care will rely on standard practice. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Agreement between glucose | Agreement between glucose readings in mmol/L recorded by the CGM device Dexcom G7 and point-of-care blood glucose measurements (matched pairs within 5 minutes) in the perioperative setting | Perioperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Agreement between glucose readings when at low glucose levels | Agreement between glucose readings in mmol/L recorded by the CGM device Dexcom G7 and point-of-care blood glucose measurements at low glucose levels (<3.9 mmol/l in the POC blood glucose measurement) | Perioperatively |
| Agreement between glucose readings when at normal glucose levels |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse clinical outcomes | Occurrence and severity of adverse clinical outcomes until 30 days postoperatively according to a set of predefined diagnoses and/or definitions, assessed by physicians at the research unit | 30 days postoperative |
| Readmission |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
To the answer of our two research questions, we include both patients with diabetes undergoing surgery, and patients with diabetes admitted to the intensive care unit with circulatory impariment, as described in the criteria above.
We aim to exclude only patients with direct contraindications to the wear of the CGM.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Eske K Aasvang, MD, DmSci | Dept. of Anaesthesiology, Centre for Cancer and Organ Diseases, Rigshospitalet, Denmark | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anaesthesiology, Centre for Cancer and Organ Diseases, Rigshospitalet | Copenhagen | The Capital Region of Denmark | 2100 | Denmark |
We do not plan making individual patient data available to researchers outside the study group.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Agreement between glucose readings in mmol/L recorded by the CGM device Dexcom G7 and point-of-care blood glucose measurements at normal glucose levels (>3.9-10.0 mmol/l in the POC blood glucose measurement) |
| Perioperatively |
| Agreement between glucose readings when at high glucose levels | Agreement between glucose readings in mmol/L recorded by the CGM device Dexcom G7 and point-of-care blood glucose measurements at high glucose levels (>10.0 mmol/l in the POC blood glucose measurement) | Perioperatively |
Occurrence of readmission until 6 months postoperatively, assessed by physicians at the research unit
| 6 months postoperatively |
| Mortality | Occurrence of death until 6 months postoperatively, assessed by physicians at the research unit | 6 months postoperatively |
| Department of Anaesthesiology and Intensive Care, Bispebjerg Hospital | Copenhagen | The Capital Region of Denmark | 2400 | Denmark |
| Department of Orthopaedic Surgery and Traumatology, Bispebjerg and Frederiksberg Hospital | Copenhagen | The Capital Region of Denmark | 2400 | Denmark |
| Surgical department, Bispebjerg and Frederiksberg Hospital, | Copenhagen | The Capital Region of Denmark | 2400 | Denmark |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000095583 | Continuous Glucose Monitoring |
| D016503 | Drug Delivery Systems |
| ID | Term |
|---|---|
| D001774 | Blood Chemical Analysis |
| D019963 | Clinical Chemistry Tests |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D003940 | Diagnostic Techniques, Endocrine |
| D008991 | Monitoring, Physiologic |
| D008919 | Investigative Techniques |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
Not provided
Not provided