腎臓置換治療 (透析) を受けている人に対する糖尿病技術:現在の傾向と将来の方向性
Hellena Hailu Habte-Asres1,2, Joseph Ngmenesegre Suglo1, Khuram Chaudhry3
1Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Journal of diabetes science and technology
|September 2, 2025
まとめ
継続的なグルコースモニタリング (CGM) や自動インスリン投与 (AID) のような糖尿病技術は,透析患者の治療結果を改善する見通しを示しています. この集団での使用を最適化するためにさらなる研究とアクセスが必要です.
科学分野:
- 腎臓科
- 内分泌学
- 生物医学工学
背景:
- 透析患者の糖尿病管理は 独特の課題を提示しています
- この集団における糖尿病技術の使用に関する既存の文献は断片化されています.
研究 の 目的:
- 透析患者の糖尿病技術に関する既存の文献をマッピングする.
- これらの技術の利用,正確性,有効性に焦点を当ててください.
主な方法:
- ジョアンナ・ブリッグス研究所による スコーピング・レビュー
- Medline,Embase,CINAHLのデータベースを 系統的に検索した.
主要な成果:
- 継続的なグルコースモニタリング (CGM) と自動インスリン投与 (AID) に関する64件の研究が含まれています.
- CGMの精度は8.1%から29%のMARD値を示し,クラークのエラーグリッドゾーンA/Bでは97%以上の値を示した.
- 自動腹腔透析 (APD) 患者は,継続的な外来腹腔透析 (CAPD) 患者よりも低血糖値でした.
- ドラグルチドはグルコース変数 (CV) を8. 3% (P=0. 003) 減少させた.
- Time in Range (TIR) は,透析の日 (80. 2%,P=0. 02) でより低かった.
- AID試験では,TIRの改善が最大37. 6%とグルコースの減少が1.5 mmol/ L (P=. 003) と報告されました.
結論:
- CGMとAIDは,透析患者における糖尿病管理の改善の可能性を示しています.
- 臨床的有用性は明らかですが より広範なアクセスとさらなる研究が不可欠です
- このリスクの高い集団における 糖尿病技術の使用の最適化が必要である.
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