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老年人受益于持续使用葡萄糖监测器的虚拟支持,但需要更长时间的访问

Ruth S Weinstock¹, Dan Raghinaru², Robin L Gal²

¹SUNY Upstate Medical University, Syracuse, NY, USA.

Journal of diabetes science and technology

|November 2, 2024

概括

患有糖尿病的老年人从持续血糖监测 (CGM) 培训中受益,实现更好的血糖控制. 然而,老年人需要更多的培训时间,突出了针对年龄的糖尿病教育策略的需要.

科学领域:

糖尿病管理和技术采用.
老年医学和内分泌学.
健康教育和行为科学.

背景情况:

老年人可能会面临持续血糖监测 (CGM) 技术采用方面的挑战,需要量身定制的支持.
虚拟糖尿病专科诊所研究了使用CGM的老年人与年轻人的血糖结果和支持需求.

研究的目的:

评估血糖结果,并确定使用CGM的老年人与年轻人相比,对老年人的支持需求.
评估远程CGM教育对不同年龄组的血糖控制的影响.

主要方法:

一项前性虚拟研究,涉及使用CGM的1型或2型糖尿病成年人.
参与者从经认证的糖尿病护理和教育专家那里获得了远程CGM教育.
在不同年龄组分析了血糖指标,HbA1c和访问时间:<40,40-64岁和≥65岁.

主要成果:

在所有年龄组中,持续血糖监测 (CGM) 的遵守率很高 (≥95%).
在所有年龄组中,从基线到6个月观察到时间范围 (70-180毫克/分升) 的显著改善,在40-64岁的年龄组中,与40岁以下的年龄组相比,改善更大.
虽然HbA1c在不同组中有所改善,但在不同年龄组之间没有发现显著差异. 对于65岁以上的人来说,培训时间更长.

结论:

远程CGM训练可以改善所有年龄段糖尿病成年人的血糖控制.
年长的成年人 (≥65岁) 与年轻的成年人相比,需要更长的培训时间来使用CGM.
个性化,年龄特定的培训方法对于优化老年人群中CGM使用和糖尿病管理至关重要.

关键词:

年龄较大的成年人.远程医疗服务是远程医疗服务.远程医疗远程医疗第1类糖尿病 1型糖尿病

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