Name of the Procedure:

Common Name: Glucose Receiver Monitoring
Medical/Technical Term: Dedicated Receiver for Therapeutic Glucose Continuous Monitor System (K0554)

Summary

This procedure involves using a dedicated receiver to monitor glucose levels continuously as part of a therapeutic glucose continuous monitoring system. The receiver collects and displays glucose readings in real-time, helping patients manage their blood sugar levels more effectively.

Purpose

The receiver monitors glucose levels in patients with diabetes or other conditions requiring meticulous glucose management. The goal is to maintain glucose levels within a target range, reduce the risk of hyperglycemia and hypoglycemia, and improve overall diabetic management.

Indications

• Patients with Type 1 or Type 2 Diabetes
• Individuals with frequent hypo- or hyperglycemic episodes
• Cases where continuous glucose monitoring (CGM) is prescribed
• Patients requiring tight glucose control

Preparation

• Patients should ensure the CGM sensor is correctly placed and calibrated.
• Follow specific guidelines provided by healthcare professionals regarding any medication adjustments.
• No specific fasting or diagnostic tests required solely for using the receiver, but CGM system setup may involve initial calibration.

Procedure Description

1. Sensor Placement: A small sensor is inserted under the skin to measure glucose levels in interstitial fluid.
2. Transmitter Attachment: The transmitter attaches to the sensor to send glucose data wirelessly.
3. Receiver Setup: The receiver is turned on and paired with the transmitter.
4. Data Monitoring: Glucose readings are continuously sent to the receiver. The patient can view their current glucose level, trends, and receive alerts for high and low glucose.

Tools/Equipment: Glucose sensor, transmitter, dedicated receiver.
Anesthesia/Sedation: Not applicable.

Duration

The setup and initialization of the system may take 1-2 hours. The monitoring itself is continuous, as long as the receiver and sensing components are in place and functioning.

Setting

Typically performed in outpatient settings, including hospitals, diabetes clinics, and even home settings for well-trained patients.

Personnel

• Endocrinologist or Diabetes Specialist
• Diabetes Educator
• Trained Technician or Nurse (for setup)

Risks and Complications

• Skin irritation or infection at the sensor insertion site.
• Data transmission issues causing gaps in glucose monitoring.
• Anxiety or over-reliance on device readings.

Benefits

• Continuous real-time monitoring of glucose levels.
• Reduction in the frequency and severity of hypo and hyperglycemic episodes.
• Improved overall glycemic control and HbA1c levels.

Recovery

• No significant recovery time is required.
• Patients should follow guidelines for CGM system maintenance.
• Regular follow-up with healthcare providers to adjust diabetes management plans as necessary.

Alternatives

• Traditional blood glucose monitoring (fingerstick tests).
• Flash glucose monitoring systems.
• Insulin pumps with glucose sensors.

Pros and Cons:

• Traditional Monitoring: Lower cost but less data.
• Flash Systems: Lower frequency of data update, but no constant data stream.

Patient Experience

Patients can experience more stable glucose levels with fewer drastic highs and lows. Continuous data can reduce anxiety related to glucose management. Initial discomfort and learning curve with the insertion and use of the system may be expected.

Pain management and comfort measures are minimal, involving proper sensor placement and maintenance to reduce skin irritation.