Reliability of Continuous Glucose Monitoring in the Management of Paediatric Dumping
Syndrome: A Mini Systematic Review and Our NICU Case Report
Desirée Balconara1*, Salvatore Michele Carnazzo1, Giusi Maria Caltabiano1, Giovanni Cacciaguerra1, Raffaele Falsaperla2, Martino Ruggieri2 and Tiziana Timpanaro2
1Postgraduate Training Program in Pediatrics, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
2Department of Clinical and Experimental Medicine, University Hospital “Policlinico-San Marco”, Catania, Italy
*Corresponding Author: Desirée Balconara, Postgraduate Training Program in Pediatrics, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
June 08, 2022; Published: August 10, 2022
Background: The role of continuous glucose monitoring (CGM) is widely recognized in the management of the diabetic patient, but is not routinely used to detect pediatric dumping syndrome, especially in infants admitted to NICU.
Aim: The purpose of this study is review systematically the available literature and point out the usefulness of continuous glucose monitoring in pediatric patients for the early interception of dumping syndrome, follow up and orienting therapeutic strategies, proposing the advantage in terms of reliability and tolerability compared to the heel glucose prick with glucometer and suggesting its application in NICU context.
Method: The search is carried on PubMed and Google Scholar database by screening all types of studies, with the keywords “continuous glucose monitoring", "CGM”, “pediatric dumping syndrome” and these exclusion criteria “ diabetes mellitus” “adult dumping syndrome”. We examinate all publications obtained from the search strategy and assessed the full text of studies potentially relevant for inclusion. Our search identified 9 eligible articles. Moreover, we report our case about a newborn affected by a congenital myasthenic syndrome presenting dumping syndrome.
Results: All the studies cited show the reliability of CGM in detecting glycemic fluctuations, compared to single and intermittent glucose samplings. Glycemic trends helped to adopt the best therapeutic strategy on a case-by-case basis.
Conclusions: Our paper strengthens the evidence on the usefulness of CGM in pediatric dumping syndrome, considering the outcomes reached in all 17 patients studied, in term of safety, reliability, non-invasiveness. Furthermore it suggests the potential future diffusion of this technology that is still little used routinely in NICU departments.
Keywords: Continuous Glucose Monitoring; CGM; Pediatric Dumping Syndrome
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