{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T11:37:44Z","timestamp":1770550664483,"version":"3.49.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dysglycemia is common in critically ill neonatal foals. Continuous glucose monitoring systems (CGMS) are potentially useful in these cases, but factors such as poor peripheral perfusion could interfere with results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis\/Objectives<\/jats:title>\n                    <jats:p>Evaluate the correlation, agreement, and accuracy of CGMS compared to point-of-care glucometry (POCG) and laboratory analysis (LAB) in critically ill neonatal foals and assess the impact of hypotension on CGMS measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>Fifteen critically ill, client-owned neonatal foals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a prospective method comparison study utilizing clinical cases, glucose concentration was measured serially using CGMS and POCG (every 6\u00a0h), and LAB (every 24\u00a0h) for pairwise comparison. Blood pressure was measured every 12\u00a0h.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Average bias (95% limits of agreement) between CGMS and LAB, POCG and LAB, and CGMS and POCG were 48\u00a0mg\/dL (\u221227 to 111), 10\u00a0mg\/dL (\u221223 to 45), and 38\u00a0mg\/dL (\u221221 to 98), respectively. Spearman\u2019s correlation was significant between CGMS and LAB (r\u00a0=\u00a00.65), POCG and LAB (r\u00a0=\u00a00.77), and CGMS and POCG (r\u00a0=\u00a00.75). The CGMS accuracy was low with only 15.5% of CGMS concentrations within 15% of LAB concentrations, compared with 88.3% for POCG. Hypotension did not affect CGMS measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and clinical importance<\/jats:title>\n                    <jats:p>The CGMS provided glucose measurements above both LAB and POCG concentrations. Given its low correlation and accuracy, CGMS cannot replace LAB or POCG as the sole glucose measurement method in critically ill foals. However, it is a useful adjunct for tracking trends and providing alerts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jvimsj\/aalaf059","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T09:03:25Z","timestamp":1768986205000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of a subcutaneous continuous glucose monitoring system in critically ill neonatal foals"],"prefix":"10.1093","volume":"40","author":[{"given":"Flavie","family":"Payette","sequence":"first","affiliation":[{"name":"Department of Clinical Studies, New Bolton Center, University of Pennsylvania, School of Veterinary Medicine , 382 W Street Road, Kennett Square, PA 19348 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Leduc","sequence":"additional","affiliation":[{"name":"Clinical Sciences Department, Facult\u00e9 de M\u00e9decine V\u00e9t\u00e9rinaire, Universit\u00e9 de Montr\u00e9al , Montreal, Quebec ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darko","family":"Stefanovski","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, New Bolton Center, University of Pennsylvania, School of Veterinary Medicine , 382 W Street Road, Kennett Square, PA 19348 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, New Bolton Center, University of Pennsylvania, School of Veterinary Medicine , 382 W Street Road, Kennett Square, PA 19348 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"van Eps","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, New Bolton Center, University of Pennsylvania, School of Veterinary Medicine , 382 W Street Road, Kennett Square, PA 19348 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