Continuous Glucose Monitoring in
Interstitial Fluid – Initial Experience
Chlup R.1, 2, Mlčák P.1, 2, Boudová E.3, Fialová J.1, Bartek J.4
1Ústav fyziologie LF Univerzity Palackého v Olomouci2II. interní klinika FN a LF Univerzity Palackého v Olomouci 3III. interní klinika FN a LF Univerzity Palackého v Olomouci 4Ústav lékařské chemie a biochemie LF Univerzity Palackého v Olomouci |
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Summary:
The paper deals with information on the Continuous Glucose Monitoring System (CGMS) and its use in clinical
practice. Basic components of the CGMS (sensor, connecting cable, monitor, communication station, computer
and software) and directions for the sensor introduction (patient education, check-up of individual components
of the CGMS, insertion of the sensor into the subcutaneous tissue, connecting the monitor, sensor initialization
and calibration) and monitoring glucose in interstitial fluid (ISF-glucose) are described. The evaluation of
optimal accuracy criteria based on clinical research of the CGMS are (1) a correlation between the sensor and
meter readings of at least 0.79, and (2) a mean absolute difference of no more than 28 %. Three case-reports
demonstrate the authors experience dealing with 1. the results of continuous monitoring of ISF-glucose in
a healthy volunteer; 2. development of the dawn phenomenon in a person with type 2 diabetes mellitus documented
by an increase of ISF-glucose concentration from 12.5. to 15.1 mmol/l and 3. assessment of the effectiveness
of basal rate and prandial insulin doses in a person with type 1 diabetes mellitus treated by means of an
insulin pump MiniMed 507.
Key words:
continuous glucose monitoring, selfmonitoring, interstitial fluid, diabetes mellitus, dawn phenomenon.
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