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游戏系统:一个有趣的连续葡萄糖监测器接口改善了儿童的血糖结果
Farhaneh Ahmadi1, Alonso Lucero1
1Eddii Inc, New York City, NY, USA.
Journal of diabetes science and technology
|January 12, 2024
概括
与连续血糖监测器 (CGM) 连接的游戏化应用程序改善了1型糖尿病 (T1D) 儿童的血糖控制. 这项技术提高了范围内的时间,减少了范围之外的时间,有助于糖尿病管理.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 数字卫生技术数字卫生技术
- 糖尿病管理 糖尿病管理
背景情况:
- 儿童1型糖尿病 (T1D) 中最佳血糖控制仍然是一个重大的临床挑战,即使使用持续血糖监测 (CGM) 设备.
- 实时反和引人入胜的干预措施对于改善T1D管理的坚持和结果至关重要.
研究的目的:
- 为了评估"eddii"的影响,一个与CGM集成的游戏化实时应用程序,对被诊断为T1D的儿童的血糖控制.
- 为了比较使用游戏化CGM应用程序与Dexcom G6系统一起使用的有效性,与单独使用Dexcom G6相比.
主要方法:
- 一个为期八周的,开放标签,随机对照试验 (RCT) 进行了92名儿童 (5-12岁) 的T1D使用Dexcom G6 CGM.
- 在干预期前四周和干预期期间评估了时间范围内的 (TIR) 和时间超出范围的 (TAR).
- 使用差异差异 (D-I-D) 模型分析了游戏化应用程序对血糖控制指标的影响.
主要成果:
- 使用游戏化CGM应用程序的儿童在TIR中表现出统计学上显著的改善,与对照组相比增加了5.38% (P = .001).
- 游戏化应用程序组也显示了时间超越范围 (TAR) 的显著减少,相对于对照,时间超越范围 (TAR) 减少了5.80% (P = .019).
结论:
- 游戏化实时应用程序与CGM技术的整合显著提高了T1D儿科患者的血糖控制.
- 游戏化的数字健康工具代表了改善TIR和减少TIR的有希望的策略,从而支持更好的儿童糖尿病管理.
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