Last week I visited a former patient of mine who was in the hospital, for a bike-related accident. He wasn’t coming down a hill at 45mph or trying to jump over a stump with a mountain bike. He was simply riding his townie cruiser on a bike trail when he came around a curve and ran across the long thin line of a retractable leash. The line got caught in his front wheel and caused him to go down, and he fractured his hip. As we were in his room discussing the freakiness of the accident, I couldn’t help noticing all the monitoring devices he was hooked up to. They were monitoring his heart rate, his breathing, his blood pressure, and even had an ekg running.
It dawned on me that, even though he has type 1 diabetes, they had no monitoring device to check his glucose. He was getting finger stick every 2-3 hours, and insulin was administered as needed. My first thought was he should be on a CGM, but when I inquired about it, no one had any idea what I was talking about. To see if I was overreacting, I reached out to one of our Advisory Board members, Stanley Schwartz, and he shared a set of Homerun Slides that look at the pros and cons of CGM use in the hospital.