Year: 2025
Type: article
Study design: Systematic Review
Abstract: Aims: To evaluate whether the implementation of Continuous glucose monitoring (CGM) in hospitals improves patient outcomes postoperatively.Background: As diabetes affects 4.6 million people in the UK with up to 50% will need a surgical procedure at one point in their lives.Tight glycemic control is used post operatively which improves recovery but carries risk like hypoglycemia.Traditional monitoring methods (fingerstick, arterial/ venous sampling) have limitations in accuracy and frequency.CGM offers real time monitoring, reducing need for repeated blood sampling and enabling safer, more effective glycemic control.Method: Literature review using EBSCO Host, Medline, CINAHL, Google Scholar, Science Direct and Cochrane between 2015 and 2025 found 130 articles which were screened down to 3.And Critically appraised using CASP checklists Findings: Studies consistently showed CGM to be accurate (MARD 9.2%-13.2%),feasible and well received by staff and patients (93% satisfaction).CGM detected hypo/hyperglycemia earlier than traditional methods and improved glycemic stability.However, is limited by potential senor lags, device malfunction and accuracy in hemodynamically unstable patients.CGM is valuable adjunction but not a replacement for traditional methods.Implications for Practice: CGM enhances glucose monitoring, reduces patient discomfort and improves workflow.More large scale RCT's are needed but current evidence suggest integration alongside traditional testing.Staff training, patient education and cost-benefit analysis are needed for safe implementation.
Source: Nursing in Critical Care
DOI: 10.1111/nicc.70249
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W7122607647
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