来自虚拟诊所的结果,用于使用先进的混合闭环系统跟踪患者
Ana María Gómez Medina1, Diana Cristina Henao Carrillo1, Julio David Silva León1
1Endocrinology Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.
Journal of diabetes science and technology
|November 9, 2023
概括
先进的混合闭环 (AHCL) 系统可以安全地改善1型糖尿病患者的射程时间. 虚拟糖尿病诊所的随访增强了坚持和血糖控制,特别是在更高的社会经济和教育群体.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 数字健康数字健康
背景情况:
- 关于先进混合闭环系统 (AHCL) 中期战略的数据有限.
- 这项研究评估了AHCL系统在1型糖尿病 (T1D) 患者的有效性和安全性,持续了六个月.
研究的目的:
- 描述AHCL系统在T1D患者中的有效性和安全性.
- 评估在虚拟糖尿病诊所 (VDC) 中六个月的随访期间的结果.
主要方法:
- 使用Mini Med 780G AHCL系统对成年T1D患者进行前性队列研究.
- 进行虚拟培训和随访,在基线,三个和六个月收集数据.
- 结果包括临床数据和代谢控制,特别是范围内的百分比时间 (%TIR).
主要成果:
- 包括64名T1D患者 (平均年龄42岁).
- %TIR显著增加,并在整个六个月的随访期间保持不出现低血糖.
- 更高的社会经济阶层和教育水平与更好的%TIR和传感器依从性相关.
- VDC后续改善了对传感器使用和SmartGuard保留的坚持.
结论:
- 对AHCL使用者的中期VDC随访安全地实现了血糖控制目标 (%TIR).
- 虚拟后续可以提高对传感器使用的坚持和持续的SmartGuard利用.
- 社会经济地位和教育水平影响AHCL系统用户的血糖结果和坚持.
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