Empowering Hospitalized Patients With Diabetes: Implementation of a Hospital-wide Continuous Glucose Monitoring (CGM) Policy With EHR-Integrated Validation for Dosing Insulin
Authors' conclusion
Implementation of a hospital-wide inpatient CGM policy supporting multiple CGM types with real-time accuracy monitoring and integration into the EHR is feasible. Initial feedback from nurses and patients was favorable, and further investigation toward broader use and sustainability is needed.
Study context
- Population
- Hospitalized patients with diabetes using personal CGMs in lieu of fingerstick blood glucose (FSBG) monitoring, Stanford Health Care, November 2022 to August 2023; 27% T1D, 24% on AID
- Participants
- 135 patients185 inpatient encounters
- Outcome
- CGM validation attempts (n = 1,506)
Methodological detailssingle-centre, hospital-wide policy, electronic health record (EHR)-integrated validation, user experience surveys
- Single-centre
- Hospital-wide policy
- EHR-integrated validation
- User experience surveys
Performance
As reported in the abstract
Met the %20/20 criterion for CGM-based insulin dosing
87.8%
Within Clarke zones A or B
99.3%
Further findings
Nurse user experience survey (27 nurses)
- Found glucose management under the protocol effective
- 74%
- Found it easy to use
- 67%
- Found it efficient
- 63%
- Preferred inpatient CGM to FSBG
- 80%
Patient user experience survey (46 patients)
- Liked the CGM protocol
- 63%
- Reported positive CGM interactions with nursing staff
- 63%
- Felt no significant interruptions to their diabetes management
- 63%
CGM types used
- Dexcom G6
- 44%
- FreeStyle Libre 2
- 43%
Original publication
Empowering Hospitalized Patients With Diabetes: Implementation of a Hospital-wide CGM Policy With EHR-Integrated Validation for Dosing Insulin. Diabetes Care. Published 14 August 2024. doi:10.
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