title: Experience with real time continuous glucose monitoring in stabilising fluctuating glycaemia during intensive care of the preterm infant of a diabetic mother.
abstract: OBJECTIVE
  The newborns of diabetic mothers suffer from perinatal complications more frequently than the newborns of healthy women.
  
  
  METHODS
  We used for 7 days a real time continuous glucose monitoring system (RT-CGMS) to monitor glucose homeostasis and manage glucose administration in a premature newborn of a diabetic mother.
  
  
  RESULTS
  The boy was born at 35 + 5 gestational weeks with typical signs of diabetic fetopathy. RT-CGMS revealed 2 late hypoglycaemia episodes on the 2nd and 4th days. The sensor readings correlated well with glycaemia measured in the laboratory (r = 0.908, p = 0.005). To support conclusions of this case report, we attached the data of five other preterm newborns of diabetic mothers who were later successfully treated according to the RT-CGMS data as well.
  
  
  CONCLUSIONS
  This approach allows timely response to glycaemia instability and is applicable even in preterm infants.
authors.affiliation: Department of Paediatrics .
authors.forename: Katerina
authors.initials: K
authors.lastname: Stechova
authors.forename: Milos
authors.initials: M
authors.lastname: Cerny
authors.forename: Radim
authors.initials: R
authors.lastname: Brabec
authors.forename: Tereza
authors.initials: T
authors.lastname: Ulmannova
authors.forename: Dagmar
authors.initials: D
authors.lastname: Bartaskova
authors.forename: Ivana
authors.initials: I
authors.lastname: Spalova
authors.forename: Petr
authors.initials: P
authors.lastname: Zoban
mesh_terms: D000328:Adult; D001786:Blood Glucose; D003922:Diabetes Mellitus, Type 1; D005260:Female; D006801:Humans; D007234:Infant, Premature / Q000097:blood*; D015931:Intensive Care, Neonatal / Q000379:methods*; D008297:Male; D008991:Monitoring, Physiologic; D011247:Pregnancy; D011254:Pregnancy in Diabetics
chemical_list: D001786:Blood Glucose
keywords: Diabetes mellitus; fetopathy; glucose administration; glycaemia measurement; hypoglycaemia; newborn of a diabetic mother