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MiniMed 780G自动化胰岛素输送系统适应日常生活的重大变化:斋月期间真实世界用户的教训
Mohammed E Al-Sofiani1,2, Goran Petrovski3,4, Abdulrahman Al Shaikh5
1Department of Internal Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Diabetes, obesity & metabolism
|December 27, 2023
概括
在斋月期间,MiniMed 780G自动化胰岛素输送系统有效地管理1型糖尿病. 这种系统证明了安全性和快速适应性,并保持了用户遵守快速的血糖控制.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 医疗器械 医疗器械
背景情况:
- 1型糖尿病的管理需要持续的葡萄糖监测和胰岛素输送.
- 斋月期间的生活方式的改变,如改变饮食模式和禁食,对血糖控制构成挑战.
- 自动胰岛素输送 (AID) 系统为在生活方式变化期间保持血糖目标提供了潜在的解决方案.
研究的目的:
- 评估MiniMed 780G AID系统在斋月期间1型糖尿病患者的有效性和安全性.
- 评估系统适应斋月固有的重大生活方式修改的能力.
主要方法:
- 对墨西哥湾地区MiniMed 780G用户的现实数据进行了回顾性分析.
- 纳入标准:在2022年斋月和之前/之后的几个月中,连续监测葡萄糖 (CGM) 数据≥10天.
- 每月汇总CGM终点,并根据白天时间 (白天/夜间) 分析;算法适应速度也被评估.
主要成果:
- 449名使用者保持了良好的血糖控制 (平均葡萄糖152.6 mg/dL,时间范围为70.7%).
- 尽管与非斋月月份有很小的差异,但血糖控制仍然具有临床意义.
- 白天没有降血糖的风险增加;时间范围在白天最高 (80.0%),而高血糖在晚上更高 (37.3%).
结论:
- 在斋月期间,MiniMed 780G系统对1型糖尿病患者来说是有效和安全的.
- 该系统迅速适应与斋月相关的重大生活方式变化.
- 现实世界的数据支持使用AID系统在间歇性禁食期间保持血糖控制.
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