{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T07:28:13Z","timestamp":1793518093570,"version":"4.5.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Dexcom. Inc","award":["CGM equipment was provided by Dexcom free of charg"],"award-info":[{"award-number":["CGM equipment was provided by Dexcom free of charg"]}]},{"name":"Regional agreement on medical and clinical research (ALF) between Stockholm County Council and Karolinska Institutet.","id":[{"id":"https:\/\/ror.org\/056d84691","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Continuous glucose monitoring (CGM) has the potential to improve glucose control in critically ill patients, provided that its trend accuracy is reliable. We evaluated the trend accuracy of a subcutaneous CGM system (Dexcom G6) compared with intermittent arterial blood gas (ABG) measurements in intensive care unit (ICU) patients receiving insulin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We enrolled 40 adult ICU patients receiving insulin and organ-supportive therapies. We assessed trend accuracy using the Rate Error Grid Analysis (R-EGA) and the Diabetes Technology Society Trend Accuracy Matrix (DTS-TAM), overall, across different ABG levels, and over time from CGM initiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 2701 paired CGM-ABG trends were analyzed, with a median (IQR) time difference between readings of 83 (65-125) minutes. Overall, 99.7% of trends were classified in R-EGA Zone A and 0.3% in Zone B. On DTS-TAM analysis, 98.6% of trends fell in the No Risk category, while 1.7% were in the adjacent Mild-to-Moderate Risk categories. Trends were more frequently categorized as Mild-to-Moderate Risk when ABG values were &lt;100 mg\/dL (5.56 mmol\/L) (3.6%) compared with 100 to 180 mg\/dL (5.56 to 10 mmol\/L) (1.3%) or &gt;180 mg\/dL (10 mmol\/L) (1.6%). During the first 24 hours of CGM use, 2.9% of trends fell into the Mild-to-Moderate Risk categories, compared with 0.9% beyond 24 hours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In critically ill patients receiving insulin, CGM demonstrated high overall trend accuracy relative to ABG. Trend accuracy was reduced at lower glucose ranges and during the initial 24 hours of CGM use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19322968251358830","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T09:58:44Z","timestamp":1753351124000},"page":"1828-1834","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Accuracy of Glucose Trends by Subcutaneous Continuous Monitoring vs Intermittent Arterial Measurements in Critically Ill Patients"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4436-620X","authenticated-orcid":false,"given":"Ola","family":"Friman","sequence":"first","affiliation":[{"name":"Section of Anaesthesia and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Lind","sequence":"additional","affiliation":[{"name":"Department of Medicine, NU-Hospital Group, Uddevalla, Sweden"},{"name":"Department of Molecular and Clinical Medicine, University of Gothenburg, Gothenburg, Sweden"},{"name":"Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragnar","family":"Thobaben","sequence":"additional","affiliation":[{"name":"Section of Anaesthesia and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden"},{"name":"Division of Information Science and Engineering, KTH Royal Institute of Technology, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Zetterqvist","sequence":"additional","affiliation":[{"name":"Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Perner","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark"},{"name":"Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olav","family":"Rooijackers","sequence":"additional","affiliation":[{"name":"Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden"},{"name":"Division for Anesthesiology and Intensive Care, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Oldner","sequence":"additional","affiliation":[{"name":"Section of Anaesthesia and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"M\u00e5rtensson","sequence":"additional","affiliation":[{"name":"Section of Anaesthesia and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.19976"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-021-05568-3"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2017.0363"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006173"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/19322968231169522"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2024.0035"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eprac.2022.12.012"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2024.0074"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1932296819883260"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.8.1922"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/19322968241275701"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-2856"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-016-0171-3"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/19322968231190941"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2018.0150"}],"container-title":["Journal of Diabetes Science and Technology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19322968251358830","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19322968251358830","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19322968251358830","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T07:01:33Z","timestamp":1793516493000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19322968251358830"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,24]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/19322968251358830"],"URL":"https:\/\/doi.org\/10.1177\/19322968251358830","relation":{},"ISSN":["1932-2968","1932-2968"],"issn-type":[{"value":"1932-2968","type":"print"},{"value":"1932-2968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,24]]}}}