Management of Continuous Glucose Monitors in Radiation Oncology Patients.

IF 3.4 3区 医学 Q2 ONCOLOGY Practical Radiation Oncology Pub Date : 2024-08-12 DOI:10.1016/j.prro.2024.06.016
Johnathan Zeng, Tara Kosak, Samir Malkani, Julie C Hudson, Neil E Martin, Roy B Tishler, Itai M Pashtan
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Abstract

Continuous glucose monitors (CGMs) are an increasingly prevalent electronic medical device used by patients with diabetes, offering several advantages over "finger sticks." There is a resulting rise in patients with CGMs seen in radiation oncology clinics. Manufacturers specify that CGMs should not be exposed to radiation (both diagnostic and therapeutic) due to the risk of device damage, creating challenges for patients and providers. We present a workflow for the management of CGMs in radiation oncology patients, beginning with systematic screening by providers and staff. We propose options for CGM management together with the device prescriber, including removal of the CGM or keeping it in place with periodic finger sticks to confirm the accuracy and offer guidance to radiation oncology providers and staff.

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放射肿瘤患者连续血糖监测仪的管理。
连续血糖监测仪(CGM)是糖尿病患者越来越普遍使用的一种电子医疗设备,与 "指血棒 "相比具有多种优势。因此,肿瘤放射科门诊中使用 CGM 的患者越来越多。制造商规定,由于设备损坏的风险,CGM 不应暴露于辐射(包括诊断性和治疗性辐射),这给患者和医疗服务提供者带来了挑战。我们介绍了放射肿瘤患者 CGM 管理的工作流程,首先由医疗服务提供者和工作人员进行系统筛查。我们提出了与设备处方者共同管理 CGM 的方案,包括移除 CGM 或将其保留在原处并定期进行指检以确认其准确性,并为放射肿瘤科医疗服务提供者和工作人员提供指导。
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来源期刊
Practical Radiation Oncology
Practical Radiation Oncology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.20
自引率
6.10%
发文量
177
审稿时长
34 days
期刊介绍: The overarching mission of Practical Radiation Oncology is to improve the quality of radiation oncology practice. PRO''s purpose is to document the state of current practice, providing background for those in training and continuing education for practitioners, through discussion and illustration of new techniques, evaluation of current practices, and publication of case reports. PRO strives to provide its readers content that emphasizes knowledge "with a purpose." The content of PRO includes: Original articles focusing on patient safety, quality measurement, or quality improvement initiatives Original articles focusing on imaging, contouring, target delineation, simulation, treatment planning, immobilization, organ motion, and other practical issues ASTRO guidelines, position papers, and consensus statements Essays that highlight enriching personal experiences in caring for cancer patients and their families.
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