Implementation Strategies for Inpatient Continuous Glucose Monitoring-based Diabetes Management: A Systematic Review
Authors' conclusion
We observed considerable variation in the detail and clarity provided by the reviewed protocols. This highlights the need for standardized operational protocols for CGM-based insulin titration and related implementation strategies to implement CGM effectively in non-ICU settings.
Study context
- Population
- Protocols for continuous glucose monitoring (CGM)-based insulin titration and related implementation strategies in non-ICU inpatient settings9 protocols
- Outcome
- Inpatient CGM-based insulin titration protocols and implementation strategies
Methodological detailsPubMed and Embase searched October 15, 2024, without publication date restriction
- PubMed and Embase searched October 15, 2024, without publication date restriction
Pooled result
As reported in the abstract
- References screened
- 7625
- Protocols identified
- 9
- Protocols recommending weight-based basal-bolus insulin regimen
- 6
- Protocols using a hybrid approach (CGM and finger prick glucose testing)
- All
- Protocols with diabetes-trained staff overseeing CGM-based titration and glucose management
- 5
- Hyperglycemic alarm thresholds
- >13.9 to >22.2 mmol/L
- Hypoglycemia alarm thresholds
- <3.9 to <5.0 mmol/L
Original publication
Implementation Strategies for Inpatient Continuous Glucose Monitoring-based Diabetes Management: A Systematic Review. J Clin Endocrinol Metab. Published 7 February 2025. doi:10.
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