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糖尿病技术使用与1型糖尿病成年人血糖结果之间的关联 十年来
Kagan E Karakus1,2, Halis K Akturk1, G Todd Alonso1
1Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO.
Diabetes care
|July 17, 2023
概括
增加糖尿病技术的使用,包括连续血糖监测器 (CGM) 和自动胰岛素输送系统 (AID),在1型糖尿病成年人中显著降低了HbA1c水平. 这次采用支持国际准则提供先进的糖尿病管理工具.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 医疗技术 医疗技术 医学技术
背景情况:
- 1型糖尿病的管理需要持续监测和胰岛素调节.
- 糖尿病技术,如CGM和AID系统,为血糖控制提供了潜在的改善.
- 评估这些技术对HbA1c的实际影响对于临床实践至关重要.
研究的目的:
- 评估糖尿病技术采用与临床平均HbA1c变化之间的关联.
- 分析2014年至2021年1型糖尿病成年人HbA1c水平的趋势.
- 确定持续血糖监测 (CGM) 和自动胰岛素输送 (AID) 系统对血糖控制的影响.
主要方法:
- 从2014年到2021年,对电子病历进行了回顾性分析.
- 包括1型糖尿病的成年患者 (≥18岁).
- 混合效应模型用于分析根据年龄,性别和访问年份调整的HbA1c趋势,比较技术用户和非用户.
主要成果:
- 糖尿病技术的使用率从2014年的26.9%升至2021年的82.7%.
- 在研究期间,临床平均HbA1c从7.7%降至7.5% (P < 0.001).
- 达到HbA1c<7.0%的患者比例从32.3%增加到41.7% (P<0.001).
结论:
- 在1型糖尿病中广泛采用糖尿病技术与改善血糖控制有关.
- 这些发现支持国际建议,为1型糖尿病患者提供AID系统.
- 增加CGM和AID系统的使用与更好的HbA1c结果和更高的血糖目标实现率相关.
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