Literature Review on Continuous Glucose Monitoring in Type 2 Diabetes Management

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· This paper IS NOT A RESEARCH

· You are expected to develop a Literature review about the topic -PICO selected

· PLEASE, be brief, concise and clear. Use the following headings:

1. Introduction: Background of the topic. Significance -Why did you select this topic?

2. Discussion: I ask that you DO NOT DISCUSS ANY RESULTS because you are not performing a research. Here you discuss about what you find in literature regarding the PICO, how the problem is approach, and the practice implications.

3. Conclusion: You will make a brief summary of your paper.

Maximum 2 pages. Please refer to the discussion rubric. APA style required.

Arlinis Cabrera Garces

Miami Regional University

MSN5300. Advanced Nursing Inquiry and Evidence-Based Practice

Professor: Patricio Bidart, DNP, FNP-C

May 17, 2025

 

PICO Worksheet

Original Revised

 

Define your Question using PICO
P	Adults aged 30–65 years with a confirmed diagnosis of Type 2 Diabetes Mellitus for at least one year, currently receiving outpatient care in primary healthcare settings. Diabetes Mellitus is one of the most frequently occurring chronic diseases in the practice of Family Nurse Practitioners. Addressing this health problem contributes to reducing the different complications associated with this pathology that interfere with the quality of life and also increase the morbidity and mortality in the community.
I	Implementation of real-time continuous glucose monitoring (CGM) devices as part of routine diabetes management for a minimum duration of 6 months	M e t h o d o l o g y	Quantitative research; Randomized Controlled Trial (RCT) to assess differences in HbA1c outcomes and adherence rates between CGM and SMBG users
C	Use of standard self-monitoring of blood glucose (SMBG) via finger-stick testing performed at home as recommended by ADA guidelines
O	Reduction in HbA1c levels by ≥0.5% over 6 months, improvement in glycemic variability, and increased patient adherence to monitoring protocols
State your Question resulting from PICO: In adults aged 30–65 with Type 2 Diabetes Mellitus, does real-time continuous glucose monitoring for 6 months, compared to traditional finger-stick self-monitoring, result in a ≥0.5% reduction in HbA1c and improved adherence to glucose monitoring?

 

 

 

Rev. May 2020 MSN5300 KmR

Key Words

· Type 2 Diabetes Mellitus

· Continuous Glucose Monitoring

· Self-monitoring of Blood Glucose

· HbA1c reduction

· Glycemic control

· Adherence

· Randomized Controlled Trial

 

 

 

Other Criteria

 

· Age: 30–65 years

· English language

· Published within the last 10 years (2015–2025)

· Peer-reviewed journals

· Outpatient/primary care settings

 

 

 

 

Data bases

 

· CINAHL

· PubMed

· Cochrane Library

· MEDLINE

· Scopus

 

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Step-by-Step Guide for Writing Your Literature Review

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Step 1: Review Your PICO Question
Make sure you clearly understand your PICO components:

• P: Adults 30–65 with Type 2 Diabetes in outpatient care.

• I: Real-time CGM for 6 months.

• C: Traditional SMBG via finger-stick.

• O: ≥0.5% HbA1c reduction and better adherence.

This question will shape your entire literature review.

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Step 2: Conduct a Literature Search

• Use keywords like “Type 2 Diabetes Mellitus”, “Continuous Glucose Monitoring”, “HbA1c reduction”, “Adherence”, and “Randomized Controlled Trial”.

• Apply filters: English, last 10 years (2015–2025), peer-reviewed, primary/outpatient care.

• Use databases: PubMed, CINAHL, Cochrane Library, MEDLINE, and Scopus.

• Save and organize 4–6 strong, relevant studies that support discussion points for your PICO.

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Step 3: Write Your Introduction

• Provide a brief background on Type 2 Diabetes and why it’s a major concern in primary care.

• State why you chose this topic: Consider its significance to patients’ quality of life and the potential of CGM to improve disease management.

Example:
Type 2 Diabetes is a leading chronic illness managed in primary care. Real-time CGM offers an innovative tool that may improve disease control and adherence, which makes this topic clinically relevant and timely.

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Step 4: Develop the Discussion

• Do not present original results — this is a literature review, not a research paper.

• Summarize findings from your selected studies:

  • How CGM and SMBG compare in terms of patient experience, adherence, and glycemic control.

  • How CGM is being used in outpatient settings.

  • Clinical guidelines or practice implications from sources like ADA or AACE.

• Discuss trends in research or gaps that still exist.

• Use APA in-text citations appropriately for each source mentioned.

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Step 5: Write a Concise Conclusion

• Recap the main insights from the literature.

• Briefly mention:

  • What the literature suggests about CGM over SMBG.

  • Why this topic matters for advanced nursing practice.

  • The potential for future application or further research.

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Step 6: Format in APA Style

• Double-space, 12pt Times New Roman, 1-inch margins.

• Include an APA title page and references page (not included in the 2-page limit).

• Use proper headings: Introduction, Discussion, Conclusion.

• Follow APA 7th edition guidelines for citations and references.

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Step 7: Proofread and Review Rubric

• Check grammar, spelling, and clarity.

• Make sure you’ve followed all assignment instructions.

• Compare your draft to the discussion rubric to ensure you meet all grading criteria.

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