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定义连续葡萄糖监测时间范围在一个大,基于社区的队列没有糖尿病
Nicole L Spartano1,2, Naznin Sultana3, Honghuang Lin4
1Boston University's and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA 01702, USA.
The Journal of clinical endocrinology and metabolism
|September 11, 2024
概括
持续葡萄糖监测 (CGM) 为没有糖尿病的人提供了对葡萄糖范围的新见解. 这项研究为正常血糖,糖尿病前期和糖尿病人群建立了生理CGM范围,有助于临床解释.
科学领域:
- 内分泌学和新陈代谢学
- 生物医学工程 生物医学工程
- 临床诊断 临床诊断 临床诊断
背景情况:
- 连续血糖监测器 (CGM) 越来越多地销售给非糖尿病人群.
- 在没有糖尿病的个体中,CGM值缺乏确定的参考范围,这构成了临床挑战.
研究的目的:
- 为了确定连续血糖监测器 (CGM) 时间在范围值中的生理范围.
- 为临床医生解释CGM数据的个人提供参考,包括那些没有糖尿病的人.
主要方法:
- 来自弗雷明汉心脏研究的数据的横截面分析.
- 包括1175名社区成年人患有正常血糖,糖尿病前期或糖尿病.
- 使用Dexcom G6 Pro CGM (盲装模式) 至少7天来收集血糖指标.
主要成果:
- 在正常血糖的成年人中,87.0%的时间都在70-140mg/dL范围内.
- 正常血糖的个体平均每天超过15分钟超过180mg/dL.
- 糖尿病前患者和糖尿病患者分别在77.1%和46.2%的时间内处于70-140毫克/分升范围.
结论:
- 这项研究为1000多名没有糖尿病的人提供了关键的生理CGM范围.
- 这些发现对临床医生至关重要,因为CGM可访问性扩展到非糖尿病人群.
- 建立的范围有助于解释CGM数据,用于不同的血糖状态.
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