4.3.0.0 Con­tin­u­ous Glu­cose Mon­i­tor­ing

Real-‍time con­tin­u­ous glu­cose mon­i­tor­ing (CGM) pro­vides fre­quent mea­sure­ments of in­ter­sti­tial glu­cose lev­els, as well as di­rec­tion and mag­ni­tude of glu­cose trends, which may have an ad­van­tage over POC glu­cose test­ing in de­tect­ing and re­duc­ing the in­ci­dence of hy­po­glycemia in the hos­pi­tal set­ting (28,29). Sev­er­al in­pa­tient stud­ies have shown that CGM use did not im­prove glu­cose con­trol but de­tect­ed a greater num­ber of hy­po­glycemic events than POC test­ing (30,31). How­ev­er, a re­cent re­view has rec­om­mend­ed against using CGM in adults in a hos­pi­tal set­ting until more safe­ty and efficacy data be­come avail­able (30). For more in­for­ma­tion on CGM, see Sec­tion 7 “Di­a­betes Tech­nol­o­gy.”