{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T03:38:59Z","timestamp":1792467539214,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Perioperative glycaemic control is associated with reduced postoperative complications. However, regulatory restrictions on point\u2010of\u2010care device operation and operative positioning constraints, reducing accessibility for dermal puncture, may hinder intraoperative monitoring. Although continuous glucose monitors (CGM) support real\u2010time glucose monitoring, intraoperative patient positioning may increase compression low susceptibility, and electrosurgery interference may affect sensor\u2010receiver connectivity. Alternative CGM sensor placement may improve intraoperative sensor\u2010receiver connectivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective pilot study of adult surgical patients, CGM sensors were inserted in the lateral upper arm (deltoid) or lateral thigh (thigh) to limit patient position\u2010related sensor pressure. The primary endpoint evaluated proportional duration of CGM sensor\u2010receiver connectivity during surgery. Comparison of sensor\u2010receiver connectivity by placement site, relation to electrosurgery and the number of alerts from the CGM receiver were also reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010five subjects were randomized: 22 deltoid and 23 thigh CGM placement. Four subjects were excluded; 20 deltoid and 21 thigh CGM sensor placements were analysed. Sensor\u2010receiver connectivity was maintained during the surgical procedure in 40 (97.6%) irrespective of electrosurgery (21 thigh, 19 deltoid; difference 0, 95% CI: 0\u20130;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.329). Of 26 receiver alerts, 11 occurred during electrosurgery; 15 were unrelated to electrosurgery. There was no difference in receiver alerts between deltoid and thigh placement (chi square\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.17; difference 0.18; 95% CI: \u22120.07 to 0.42).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Finding consistent sensor\u2010receiver connectivity using alternative CGM sensor placement sites supports intraoperative CGM feasibility. If future studies demonstrate alternative CGM sensor placement sites retain accuracy, then broader intraoperative CGM application may be reasonable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      NCT06614127 |\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT06614127\">https:\/\/clinicaltrials.gov\/study\/NCT06614127<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.71442","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:48:47Z","timestamp":1792464527000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative Continuous Glucose Monitor Sensor\u2010Receiver Connectivity Is Maintained With Alternative Sensor Placement: A Pilot Study"],"prefix":"10.1111","author":[{"given":"Reece","family":"Stutzman","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren S.","family":"Pineda","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgardo E.","family":"Reynoso","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peichung","family":"Chou","sequence":"additional","affiliation":[{"name":"California University of Science and Medicine  Colton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan E.","family":"Lauer","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"II","given":"Richard L.","family":"Applegate","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7317-5395","authenticated-orcid":false,"given":"Melissa D.","family":"McCabe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Loma Linda University Medical Center  Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"issue":"2","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"e95","DOI":"10.1002\/bjs.10424","article-title":"Meta\u2010Analysis of Lower Perioperative Blood Glucose Target Levels for Reduction of Surgical\u2010Site Infection","volume":"104","author":"Vries F. 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