This will be a prospective, randomized, single-blinded controlled trial in which the investigators evaluate post-operative serum glucose control using conventional point-of-care glucose monitoring in the morning and before meals (standard of care) versus continuous glucose monitoring using the Medtronic Guardian™ Sensor 3 continuous glucose monitor. The investigators will compare the average daily glucose level in the post-operative period (through post-operative day five) between the two arms in patients with diabetic nephropathy immediately post-renal transplant. This will serve as a pilot study to in order to power a main study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
The Guardian™ Sensor glucose sensor is part of the Medtronic Continuous Glucose Monitoring (CGM) system. The system then uses these signals to provide sensor glucose values. Patients post-renal transplantation will have CGMs applied and values interpreted by nursing.
Patients post-renal transplant will have finger-stick glucose measurements checked prior to meals.
Insulin will be administered.
The Guardian™ Sensor glucose sensor is part of the Medtronic Continuous Glucose Monitoring (CGM) system. The system then uses these signals to provide sensor glucose values. Patients post-renal transplantation will have CGMs applied however values will not be interpreted.
North Shore University Hospital
Manhasset, New York, United States
Average Daily Glucose
The primary outcome of this study is average daily glucose level.
Time frame: Postoperative day 1 - 5
Number of Hyperglycemic Episodes
The number of episodes where glucose goes from \<180mg/dl to ≥ 180 mg/dl.
Time frame: Postoperative days 1-5
Number of Hypoglycemic Episodes
The number of episodes where glucose levels go from \> 80 mg/dl to ≤ 80 mg/dl
Time frame: Postoperative days 1-5
Total Insulin Use
The total number of insulin units used
Time frame: Postoperative days 1-5
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.