Topic 6 Discussion Question 1

When reviewing the literature and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers? I live in el Paso, Texas I work in a Managed Care organization. I look at Hierarchical Condition Category coding (HCC codes) and proper documentation for accurately diagnosing and reimbursement. More specific, I work for WellMed Medical Management. I am a clinical nurse coding consultant. I have been working my papers around diabetes, elderly with Type 1 diabetes and continuous glucose monitor Please flow with the papers uploaded. Section A-E. This is an on going paper PICOT Statement In elderly patients with type 1 diabetes mellitus (T1DM), how does continuous glucose monitoring (CGM), when compared to the traditional self-monitoring of blood glucose (SMBG) levels decrease hypoglycemic events, improve glycemic control, and reduce hospital readmissions or admissions in the long-term Topic 6 Discussion Question 1

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The previously reviewed literature was based on the PICOT Statement, “In elderly patients with type 1 diabetes mellitus (T1DM), how does continuous glucose monitoring (CGM), when compared to the traditional self-monitoring of blood glucose (SMBG) levels decrease hypoglycemic events, improve glycemic control, and reduce hospital readmissions or admissions in the long-term.” However, upon reviewing the literature that supports the proposed project, various gaps were identified in the findings. Those gaps and their impact on other researchers will be covered in this discussion. Topic 6 Discussion Question 1

A study conducted by Yeoh et al. (2018) indicates that the geriatric population with type 1 diabetes (TID) has increased significantly, thus predisposing older adults to hypoglycemia, especially when diabetes is long-lasting. However, the authors have not addressed the problem of older adults with TID adequately in their work. This gap influences other researchers to study the effect of lowering hypoglycemia in the management of TID. Additionally, Yeoh et al. (2018) influence future researchers to study how the continuous glucose monitoring (CGM) devices can lower the rate of hemoglobin A1c, which will, in turn, reduce the rate of hypoglycemia and severe hypoglycemic incidents.

Another gap identified is the limited use of technologies in the geriatric population in the study conducted by (Ruedy et al., 2017). Most scholars have not addressed how technology can help older adults with TID to improve their conditions. This issue can be attributed to the belief that the geriatric population lacks the knowhow to handle the advanced technologies. This gap influences other researchers to study CGM’s use in improving glycemic control and safety in older adults with T1D.

Gaps identified in the reviewed literature indicate areas that future researchers can study. Specifically, they can research the effect of lowering hypoglycemia in the management of TID. Future researchers can also focus on CGM’s use in improving glycemic control and safety in older adults with T1D. Topic 6 Discussion Question 1