diabetes mellitus sugar disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -ICU patients of 18 years and older -Expected length of stay longer than 24 hours -Indication for glucose regulation with insuline. (see appendix study protocol)
Exclusion criteria
Exclusion criteria: - Participation in another WMO study - No informed consent - Contra indication for the use of the AccuChek: (peritoneal dialysis, Hematocrit 0,65 , paracetamol intoxication) - Abdominal abnormalities that inhibit sensor insertion - Participation of the same study in an earlier ICU admittance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Number of hypoglycemia or low glucose levels per 24 hour period - Amount of time in which the patient blood glucose levels are in the blood glucose target range. Definitions: - Hypoglycemia: glucose level 9 mol/l - Severe hyperglycemia: glucss > 25 mmol/l | — |
Secondary
| Measure | Time frame |
|---|---|
| - Amount of time in which the patient blood glucose levels are above or beneath the blood glucose target range. - Variability of the glucose regulation measured with the blood gas analyser. (use of arterial bloodsamples) Expressed as mean Absolute Glucose change per hour (MAG). - Length of stay on the ICU - Mortality - False positive alarms of the Freestyle Navigator - Number of not detected hypoglycemia by the AccuChek. - Number of obtained bloodsamples per day per patient | — |
Countries
Netherlands