The Effectiveness of Continuous Subcutaneous Insulin Pumps with Continuous Glucose Monitoring in Outpatient Adolescents with Type 1 Diabetes: A Systematic Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/308313
Category:
Abstract
Type:
Presentation
Title:
The Effectiveness of Continuous Subcutaneous Insulin Pumps with Continuous Glucose Monitoring in Outpatient Adolescents with Type 1 Diabetes: A Systematic Review
Author(s):
Matsuda, Erin Gayle
Lead Author STTI Affiliation:
N/A
Author Details:
Erin Gayle Matsuda, DNP, RN, PNP-BC, nurseerin@me.com
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Review Question: Are metabolic outcomes improved in outpatient adolescents (aged 13 to 19 years) with type 1 diabetes on a Continuous Subcutaneous Insulin Infusion (CSII) when continuous glucose monitoring is used, compared to self-glucose monitoring alone?

Inclusion criteria:

Type of participants- adolescent patients, aged 13 to 19 years, in the outpatient setting with type 1 diabetes mellitus utilizing a continuous subcutaneous insulin pump

Type of intervention- studies evaluating continuous glucose monitoring compared to self-glucose monitoring alone, in adolescents utilizing a continuous subcutaneous insulin infusion

Type of studies- randomized control trials (RCTs), quasi-experimental studies were considered only in absence of RCTs

Type of outcomes- studies examining the following outcome measures: number of hypoglycemic episodes and hemoglobin A1C level

Search strategy: The search strategy included studies published between 2002 and 2012, in or translated into English.

Methodological quality: Papers selected for retrieval were assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardised critical appraisal instruments from the Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI). Any disagreement between the reviewers was resolved through discussion.

Data collection: Data was extracted from papers included in the review using the standardised data extraction tool from JBI-MAStARI. 

Data synthesis: Quantitative papers were pooled in statistical meta-analysis using JBI-MAStARI.

Results: There is no statistically significant difference in levels of hemoglobin A1C in adolescents on Continuous Subcutaneous Insulin Infusion (CSII) utilizing continuous glucose monitoring as compared to those utilizing self-glucose monitoring alone.

Conclusions: The utilization of CGM in conjunction with a CSII does not improve hemoglobin A1C levels when compared with self-glucose monitoring in adolescent patients with type 1 diabetes.  Limit data suggests outpatient adolescents with type 1 diabetes on a CSII utilizing a CGM is an area not well investigated or understood.

Keywords:
glucose monitoring; adolescent; type 1 diabetes
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Effectiveness of Continuous Subcutaneous Insulin Pumps with Continuous Glucose Monitoring in Outpatient Adolescents with Type 1 Diabetes: A Systematic Reviewen_GB
dc.contributor.authorMatsuda, Erin Gayleen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsErin Gayle Matsuda, DNP, RN, PNP-BC, nurseerin@me.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308313-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p>Review Question: Are metabolic outcomes improved in outpatient adolescents (aged 13 to 19 years) with type 1 diabetes on a Continuous Subcutaneous Insulin Infusion (CSII) when continuous glucose monitoring is used, compared to self-glucose monitoring alone? <p>Inclusion criteria: <p>Type of participants- adolescent patients, aged 13 to 19 years, in the outpatient setting with type 1 diabetes mellitus utilizing a continuous subcutaneous insulin pump <p>Type of intervention- studies evaluating continuous glucose monitoring compared to self-glucose monitoring alone, in adolescents utilizing a continuous subcutaneous insulin infusion <p>Type of studies- randomized control trials (RCTs), quasi-experimental studies were considered only in absence of RCTs <p>Type of outcomes- studies examining the following outcome measures: number of hypoglycemic episodes and hemoglobin A1C level <p>Search strategy: The search strategy included studies published between 2002 and 2012, in or translated into English. <p>Methodological quality: Papers selected for retrieval were assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardised critical appraisal instruments from the Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI). Any disagreement between the reviewers was resolved through discussion. <p>Data collection: Data was extracted from papers included in the review using the standardised data extraction tool from JBI-MAStARI.  <p>Data synthesis: Quantitative papers were pooled in statistical meta-analysis using JBI-MAStARI. <p>Results: There is no statistically significant difference in levels of hemoglobin A1C in adolescents on Continuous Subcutaneous Insulin Infusion (CSII) utilizing continuous glucose monitoring as compared to those utilizing self-glucose monitoring alone. <p>Conclusions: The utilization of CGM in conjunction with a CSII does not improve hemoglobin A1C levels when compared with self-glucose monitoring in adolescent patients with type 1 diabetes.  Limit data suggests outpatient adolescents with type 1 diabetes on a CSII utilizing a CGM is an area not well investigated or understood.en_GB
dc.subjectglucose monitoringen_GB
dc.subjectadolescenten_GB
dc.subjecttype 1 diabetesen_GB
dc.date.available2013-12-19T17:29:41Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:41Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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