MedPath

Relationship Between Blood Glucose Variability and Prognosis in Critically Ill Patients

Conditions
Diabetes
Registration Number
NCT03629704
Lead Sponsor
Nanjing First Hospital, Nanjing Medical University
Brief Summary

This study is to evaluate the glycemic variation using Continuous Glucose Monitoring System in patients in the intensive care unit, find out the occult hypoglycemia, and investigate the relationship between glycemic variation, especially the incidence of hypoglycemia and prognosis of patients. Meanwhile, the inflammatory factors were measured and the relationship between inflammatory factors and glycemic variation.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  1. Patients with history of diabetes;
  2. Patients without history of diabetes, but their random blood glucose≧7.8mmol/L or fast blood glucose≧5 mmol/L;
  3. The patients hospitalized in care unit (ICU or CCU) for more than 48 hours.
Exclusion Criteria
  1. Patient had history of mental illness;
  2. Patient was not suitable for using the CGMS;
  3. blood glucose > 22.2 mmol/L at admission.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
28 day prognosis0-28 days

Case-fatality at 28 days

Secondary Outcome Measures
NameTimeMethod
Incidence of hypoglycemia1-4 days

Incidence of hypoglycemia

Acute Physiology and Chronic Health Evaluation II score0-28 days

Acute Physiology and Chronic Health Evaluation II score

Global registry of acute coronary events risk score0-28 days

Global registry of acute coronary events risk score

Twenty-four-hour mean blood glucose1-4 days

Twenty-four-hour mean blood glucose assessed by CGM

Mean amplitude of glycemic excursion every 24 h1-4 days

Mean amplitude of glycemic excursion every 24 h assessed by CGM

© Copyright 2025. All Rights Reserved by MedPath