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