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Summary week 8 assignment.docx (1) NURS 5051/NURS 6051 Annotated Bibliography Walden University Transforming Nursing and Healthcare Through Technology NURS 5051/NURS 6051 Introduction Nursing Informatics is growing within the medical field. New technology i

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week 8 (1) NURS 5051/NURS 6051 Annotated Bibliography Walden University Transforming Nursing and Healthcare Through Technology NURS 5051/NURS 6051 Introduction Nursing Informatics is growing within the medical field. New technology is evolving every day to provide increased patient outcomes ...

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NURS 5051/NURS 6051

Annotated Bibliography

Walden University

Transforming Nursing and Healthcare Through Technology

NURS 5051/NURS 6051

Introduction

Nursing Informatics is growing within the medical field. New technology is evolving

every day to provide increased patient outcomes and collaboration of care. Continuous blood

glucose monitoring is one technology that has developed vastly. “26.9 million people of all ages

—or 8.2% of the US population—had diagnosed diabetes.” ( Prevalence of Diagnosed Diabetes

| Diabetes | CDC.(2021). Diabetes is a multisystemic disease, and noncompliance with glucose

monitoring can lead to comorbidities and even death. Continuous blood glucose monitoring is a

convenient way for individuals to monitor and control their diabetes. This Annotated

Bibliography will summarize studies conducted on constant blood glucose monitoring utilizing

quality indicators. “Quality indicators also included terms like credibility, reliability,

completeness, and accuracy.” (Skiba, D. (2017).

Annotated Bibliography

Aleppo, G., Ruedy, K. J., Riddlesworth, T. D., Kruger, D. F., Peters, A. L., Hirsch, I., ... &

Beck, R. W. (2017). REPLACE-BG: a randomized trial comparing continuous glucose

monitoring with and without routine blood glucose monitoring in adults with well-

controlled type 1 diabetes. Diabetes care, 40(4), 538-545.

Over the past decade, blood glucose monitoring has been made more convenient by using

continuous blood glucose monitoring systems. Before using continuous blood glucose

monitoring, a glucose reading required a sensor glucose concentration before insulin

, administration. This study utilizes the Dexcom 5G sensor vs. the original fingerstick

testing. Aleppo et al. 2017 survey to determine if continuous glucose monitoring (CGM)

without confirmatory blood glucose monitoring (BGM) is effective in adults with well-

controlled type 1 diabetes.

The study is conducted utilizing a multicenter randomized noninferiority clinical

trial at 14 endocrinology practices with subjects eighteen and older for greater than one

year and utilizing an insulin pump for at least three months. The study consisted of 276

participants and lasted for 2-10 weeks. The participants were required to get three

fingerstick blood glucose measurements three times a day and compare them to the

continuous blood glucose reading. Furthermore, they were required to do a fingerstick

measurement if the continuous monitor gave a fasting reading of 300 or higher.

According to Aleppo et al. 2017, the study concluded that CGM without regular use of

confirmatory BGM is as safe and effective as using CGM with a confirmatory BGM

measurement for insulin dosing.

The use of continuous blood glucose monitoring is excellent for patient

compliance as it is a convenient way to control insulin levels as it reduces the amount of

fingerstick. The study results are a colossal headway to controlling diabetes as these

patients can be reassured of the accuracy. However, the study utilized participants over

the age of eighteen. I think further studies need to be implemented to analyze the

effectiveness of patients with juvenile diabetes.

Christiansen, M., Greene, C., Pardo, S., Warchal-Windham, M. E., Harrison, B., Morin, R., &

Bailey, T. S. (2017). A New, Wireless-enabled Blood Glucose Monitoring System That

Links to a Smart Mobile Device: Accuracy and User Performance Evaluation. Journal of

Diabetes Science and Technology, 11(3), 567–573. https://doi-

org.ezp.waldenulibrary.org/10.1177/1932296817691301

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