报告时间的限制在百分比以下的范围以百分比表示
1Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Diabetes technology & therapeutics
|July 31, 2023
概括
持续血糖监测 (CGM) 的时间低于范围 (TBR) 的指标可能会由于圆形化导致误导. 这项研究强调了整数百分比的TBR问题,以改善糖尿病护理和预测低血糖症.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 医疗信息学 医疗信息学
背景情况:
- 持续血糖监测 (CGM) 为糖尿病管理提供了关键指标,如范围内的时间 (TIR) 和范围以下的时间 (TBR).
- 这些指标与糖化血红蛋白 (A1c) 一起,对于优化患者护理至关重要,并且得到了患者和提供者的良好接受.
- 低于范围的时间 (TBR) 量化了低于特定值的葡萄糖水平 (例如,<70 mg/dL,<54 mg/dL) 的百分比.
研究的目的:
- 识别和讨论与表达时间低于范围 (TBR) 作为整数百分比相关的限制.
- 为了突出可能的误解,由于TBR值在门诊血糖概况和自动化胰岛素输送系统报告中的圆形化.
- 激发关于改善TBR报告以提高糖尿病管理和低血糖预测的临床影响的讨论.
主要方法:
- 分析从持续血糖监测 (CGM) 数据报告时间低于范围 (TBR) 的当前做法.
- 对门诊血糖概况报告和自动化胰岛素输送系统输出的审查.
- 识别与数字圆和TBR的整数百分比表示相关的问题.
主要成果:
- 将时间低于范围 (TBR) 表示为整数百分比,可以掩盖血糖控制中的临床显著变化.
- 结圆TBR值可能导致低血糖风险的评估不准确.
- 目前的报告方法可能无法充分分层那些面临严重低血糖事件风险的人.
结论:
- 为了准确的糖尿病管理,需要重新评估报告时间低于范围 (TBR) 的方法.
- 标准化和准确的TBR报告对于有效的临床决策至关重要.
- 改进的报告可以帮助医疗保健提供者,患者,监管机构和支付人更好地分层和预测严重低血糖症.
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