{"id":25556,"date":"2026-07-13T11:12:10","date_gmt":"2026-07-13T09:12:10","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=25556"},"modified":"2026-07-13T11:12:10","modified_gmt":"2026-07-13T09:12:10","slug":"glykaemisk-kontrol-under-indlaeggelse","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/07\/13\/glykaemisk-kontrol-under-indlaeggelse\/","title":{"rendered":"Glyk\u00e6misk kontrol under indl\u00e6ggelse"},"content":{"rendered":"
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Birthe Riis-Bentzen, Sygeplejerske, <\/span>brrum.dk@gmail.com<\/a> K\u00f8benhavns Professionsh\u00f8jskole, Sygeplejerskeuddannelsen.<\/span> BA-projekt afleveret 06.03.2026. Vejleder: Rikke Agnete Petersen.<\/span><\/p>\n

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Resum\u00e9<\/span><\/strong><\/p>\n

Form\u00e5l
\n<\/span><\/strong>\u00c6ldre indlagte patienter med type 2-diabetes har ofte glyk\u00e6misk ustabilitet, hvilket forringer prognosen for udskrivelse og \u00f8ger mortaliteten. Retningslinjer anerkender b\u00e5de fingerprik (POC) og kontinuerlig glukosemonitorering (CGM) under indl\u00e6ggelse. Form\u00e5let med projektet var at unders\u00f8ge evidens, der kan st\u00f8tte sygeplejerskens kliniske beslutningstagning ved valg af glukosem\u00e5lemetode under indl\u00e6ggelse.\u00a0<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et systematisk litteraturstudie i PubMed og Cinahl blev udf\u00f8rt efter PICO, screening og CASP-kvalitetsvurdering. Tre RCT-studier blev inkluderet og syntetiseret narrativt. <\/span><\/p>\n

Resultat
\n<\/span><\/strong>CGM med alarmfunktion forbedrer den glyk\u00e6miske kontrol sammenlignet med point-of-care (POC) glukosem\u00e5ling, \u00f8ger den tid, hvor glukosen ligger i m\u00e5lomr\u00e5det 3,9\u201310 mmol\/L, og reducerer b\u00e5de hypo- og hyperglyk\u00e6mi. Samtidig kr\u00e6ver CGM daglig validering med POC-m\u00e5linger, og den st\u00f8rste effekt ses, n\u00e5r diabetesteam er involveret i justering af insulindosering via standardiserede algoritmer.<\/span><\/p>\n

Glycaemic management during hospitalisation<\/span><\/h3>\n

Clinical dissertation by Birthe Riis-Bentzen, RN.<\/span> brrum.dk@gmail.com<\/a>University College Copenhagen, Nursing Programme. Submitted 06.03.2026. <\/span>Supervisor: Rikke Agnete Petersen.<\/span><\/p>\n

Abstract<\/span><\/strong><\/p>\n

Purpose
\n<\/span><\/strong>Older hospitalised patients with type 2 diabetes often experience glycaemic instability, worsening prognosis and increasing mortality. Guidelines recognise both finger\u2011prick testing (POC) and continuous glucose monitoring (CGM) during hospitalisation. This review examines the evidence supporting nurses\u2019 decisions when selecting glucose monitoring methods.<\/span><\/p>\n

Method
\n<\/span><\/strong>A systematic literature review in PubMed and CINAHL followed PICO with screening and CASP quality appraisal. Three RCTs were included and narratively synthesised.<\/span><\/p>\n

Results
\n<\/span><\/strong>CGM with alarm functionality improves glycaemic control compared with point-of-care (POC) glucose testing, increases the time spent within the target range of 3.9\u201310 mmol\/L, and reduces both hypoglycaemia and hyperglycaemia. However, CGM requires daily validation using POC measurements, and the greatest benefit is observed when a specialised diabetes team adjusts insulin dosing using standardised algorithms.<\/span><\/p>\n<\/div>\n<\/div>\n

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