临床药剂师在医疗服务不足的人群中开发持续葡萄糖监测服务

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Updated: Jun 25, 2025

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Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

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Sara Lingow^1,2, Kacie Kinnikin¹, Justinne Guyton^1,2

¹St. Louis College of Pharmacy at the University of Health Sciences and Pharmacy, St. Louis, Missouri, USA.

Innovations in pharmacy

|May 23, 2024

概括

专业持续血糖监测 (ProCGM) 帮助在服务不足地区近一半的2型糖尿病患者达到更好的A1c水平. 药剂师的干预改善了葡萄糖模式的理解和药物管理.

科学领域:

内分泌学在内分泌学.
药理学药理学是指药理学的学科.
公共卫生公共卫生

背景情况:

持续血糖监测 (CGM) 提供了宝贵的糖尿病管理见解.
专业CGM (ProCGM) 在个人CGM无法使用时作为替代方案,对医疗服务不足的人群 (MUP) 至关重要.
临床药剂师在实施和管理CGM服务方面发挥着关键作用.

研究的目的:

评估ProCGM对2型糖尿病患者的影响,在MUP范围内持续高A1c水平.
评估临床药剂师领导的ProCGM解释和教育的有效性.

主要方法:

对22名接受胰岛素治疗的A1c>9%的患者进行了干预前后分析.
参与者使用了ProCGM,并与临床药剂师至少进行了一次咨询.
主要结果:在干预后1-6个月内达到A1c<9%;次要结果:A1c的变化.

主要成果:

45%的患者实现了A1c<9%.
平均A1c从11.0%降低到9.8%整体 (p=0.055),对于那些使用ProCGM≥10天 (p=0.012) 的人来说,显著下降为-1.7%.
91%的人改变了药物,45%的人达到目标A1c,95%的人觉得干预后对葡萄糖模式有更好的了解.

结论:

当与临床药剂师支持相结合时,ProCGM显示了对未控制的2型糖尿病的MUP患者的血糖益处.
长期使用ProCGM (≥10天) 与显著的A1c降低相关.
ProCGM数据使患者能够理解葡萄糖的波动,并有助于调整药物.

关键词:

连续监测葡萄糖的监测器.在糖尿病中,糖尿病是血糖性糖尿病.医疗服务不足的地区患者安全患者安全药剂师药剂师药剂师药剂师

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