Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring. (7th June 2018)

• Record Type: Journal Article
• Authors: Sugiyama, Yuki; Kiuchi, Chiaki; Suzuki, Maiko; Maruyama, Yuki; Wakabayashi, Ryo; Ohno, Yasunari; Takahata, Shugo; Shibazaki, Takumi; Kawamata, Mikito
• Other Names: Gomez Renato Santiago Academic Editor.
• Is Part Of: Case reports in anesthesiology. Volume 2018(2018)
• Publication Date: 2018-06-07
• Subjects: Anesthesiology -- Periodicals; 617.9605
• DOI: 10.1155/2018/6248467
• Languages: English
• ISSNs: 2090-6382

Abstract

Abstract : Insulinoma is a rare neuroendocrine tumor that causes hypoglycemia due to unregulated insulin secretion. Blood glucose management during insulinoma resection is therefore challenging. We present a case in which real-time subcutaneous continuous glucose monitoring (SCGM) in combination with intermittent blood glucose measurement was used for glycemic control during surgery for insulinoma resection. The SCGM system showed the trends and peak of interstitial glucose in response to glucose loading and the change of interstitial glucose before and after insulinoma resection. These data were helpful for adjusting the glucose infusion; therefore, we think that an SCGM system as a supportive device for glucose monitoring may be useful for glucose management during surgery.