Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring

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 intermitt...

Full description

Saved in:
Bibliographic Details
Main Authors: Yuki Sugiyama, Chiaki Kiuchi, Maiko Suzuki, Yuki Maruyama, Ryo Wakabayashi, Yasunari Ohno, Shugo Takahata, Takumi Shibazaki, Mikito Kawamata
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2018/6248467
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565342905303040
author Yuki Sugiyama
Chiaki Kiuchi
Maiko Suzuki
Yuki Maruyama
Ryo Wakabayashi
Yasunari Ohno
Shugo Takahata
Takumi Shibazaki
Mikito Kawamata
author_facet Yuki Sugiyama
Chiaki Kiuchi
Maiko Suzuki
Yuki Maruyama
Ryo Wakabayashi
Yasunari Ohno
Shugo Takahata
Takumi Shibazaki
Mikito Kawamata
author_sort Yuki Sugiyama
collection DOAJ
description 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.
format Article
id doaj-art-f65a3603fa024aed99514f4f4a9a8e41
institution Kabale University
issn 2090-6382
2090-6390
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Anesthesiology
spelling doaj-art-f65a3603fa024aed99514f4f4a9a8e412025-02-03T01:08:06ZengWileyCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/62484676248467Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose MonitoringYuki Sugiyama0Chiaki Kiuchi1Maiko Suzuki2Yuki Maruyama3Ryo Wakabayashi4Yasunari Ohno5Shugo Takahata6Takumi Shibazaki7Mikito Kawamata8Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, JapanDepartment of Anesthesiology and Resuscitology, Shinshu University School of Medicine, JapanDepartment of Anesthesiology and Resuscitology, Shinshu University School of Medicine, JapanDepartment of Anesthesiology and Resuscitology, Shinshu University School of Medicine, JapanDepartment of Anesthesiology and Resuscitology, Shinshu University School of Medicine, JapanDivision of Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, JapanDivision of Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, JapanDepartment of Pediatrics, Shinshu University School of Medicine, JapanDepartment of Anesthesiology and Resuscitology, Shinshu University School of Medicine, JapanInsulinoma 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.http://dx.doi.org/10.1155/2018/6248467
spellingShingle Yuki Sugiyama
Chiaki Kiuchi
Maiko Suzuki
Yuki Maruyama
Ryo Wakabayashi
Yasunari Ohno
Shugo Takahata
Takumi Shibazaki
Mikito Kawamata
Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring
Case Reports in Anesthesiology
title Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring
title_full Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring
title_fullStr Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring
title_full_unstemmed Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring
title_short Glucose Management during Insulinoma Resection Using Real-Time Subcutaneous Continuous Glucose Monitoring
title_sort glucose management during insulinoma resection using real time subcutaneous continuous glucose monitoring
url http://dx.doi.org/10.1155/2018/6248467
work_keys_str_mv AT yukisugiyama glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring
AT chiakikiuchi glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring
AT maikosuzuki glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring
AT yukimaruyama glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring
AT ryowakabayashi glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring
AT yasunariohno glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring
AT shugotakahata glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring
AT takumishibazaki glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring
AT mikitokawamata glucosemanagementduringinsulinomaresectionusingrealtimesubcutaneouscontinuousglucosemonitoring