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在ARA范围内飞行商用飞机的胰岛素治疗飞行员进行持续的葡萄糖监测.MED.330 糖尿病协议:初步可行性研究
Gillian L Garden1, Fariba Shojaee-Moradie1, Ewan J Hutchison2
1Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom.
Diabetes technology & therapeutics
|June 29, 2023
概括
持续血糖监测 (CGM) 是胰岛素治疗飞行员自监测血糖 (SMBG) 的可靠替代方案. 这项研究发现,CGM在商业航班中准确地跟踪葡萄糖水平.
科学领域:
- 航空医学 航空医学
- 内分泌学 在内分泌学.
- 医疗器械 医疗器械
背景情况:
- 用胰岛素治疗糖尿病的商业飞行员需要可靠的葡萄糖监测,以确保飞行安全.
- 目前的协议通常依赖于自我监测血糖 (SMBG),但持续的血糖监测 (CGM) 提供了潜在的优势.
研究的目的:
- 为了比较CGM与SMBG在飞行期间接受胰岛素治疗的飞行员的准确性和可靠性.
- 评估CGM适合于根据欧洲航空安全局 (EASA) 规定飞行的飞行员.
主要方法:
- 一项初步研究涉及八名患有胰岛素治疗糖尿病 (1型和3c型) 的男性飞行员.
- 在飞行前和飞行期间,同时记录使用Dexcom G6® CGM的间歇葡萄糖和使用SMBG的血糖.
- 统计分析874个配对的葡萄糖测量,以确定相关性和差异.
主要成果:
- 在CGM和SMBG读数之间观察到高相关性 (R=0.843,P<0.001).
- 平均葡萄糖度是可比的:SMBG的8.78 mmol/L (SD 0.67) 和CGM的8.71 mmol/L (SD 0.85).
- 这两种方法之间的平均绝对相对差异为9.39% (SD 3.12).
结论:
- 使用Dexcom G6®系统的持续血糖监测 (CGM) 是胰岛素治疗飞行员的SMBG可靠替代方案.
- CGM提供准确的葡萄糖监测数据,适合航空安全协议.
- 进一步的验证支持将CGM纳入糖尿病飞行员的飞行医疗法规.
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