Supervisor: Rikke Agnete Petersen.<\/span><\/p>\nAbstract<\/span><\/strong><\/p>\nPurpose
\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>\nMethod
\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>\nResults
\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>\nConclusion
\n<\/span><\/strong>CGM is a valuable supplement to POC for older inpatients with type 2 diabetes and requires clear protocols, alarm\u2011based response procedures, and interdisciplinary support for optimal implementation.<\/span><\/p>\nImplications for practice
\n<\/span><\/strong>The implementation of continuous glucose monitoring (CGM) in hospital practice requires clinical, organisational, and economic considerations. Comprehensive economic evaluations are needed to link clinical effectiveness to the overall costs of introducing the technology, including guideline development, staff training, equipment procurement, and IT system adaptation.<\/span><\/p>\nAt the national level, the National Treatment Guidelines (NBV) for hospitalised patients with diabetes should be updated by the Danish Endocrine Society to clearly describe criteria for patient selection and monitoring using CGM. At the regional and local levels, these national guidelines must be translated into concrete protocols, workflows, procurement agreements, and educational activities to ensure that CGM is sustainably integrated into everyday clinical practice.<\/span><\/p>\n <\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
Birthe Riis-Bentzen, Sygeplejerske, brrum.dk@gmail.com K\u00f8benhavns Professionsh\u00f8jskole, Sygeplejerskeuddannelsen. BA-projekt afleveret 06.03.2026. Vejleder: Rikke Agnete Petersen. DOWNLOAD RESUM\u00c9 DOWNLOAD BA-PROJEKTET Resum\u00e9 Form\u00e5l 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