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持续的葡萄糖监测在患有1型糖尿病的年轻人中的磨损
Seema Meighan1, Terri H Lipman1, Brigit VanGraafeiland2
1Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
The science of diabetes self-management and care
|January 9, 2025
概括
在患有1型糖尿病的年轻人中,持续血糖监测 (CGM) 的消耗是常见的,特别是在前六个月内. 解决粘附性,可穿戴性和保险问题可以改善持续使用.
科学领域:
- 内分泌学 在内分泌学.
- 儿科 儿科 儿科
- 医疗器械技术 医疗器械技术
背景情况:
- 年轻人1型糖尿病 (T1DM) 的管理依赖于持续的葡萄糖监测 (CGM) 来改善血糖控制.
- 消耗CGM,或停止,在这个人群中实现最佳健康结果的重大挑战.
研究的目的:
- 确定T1DM青少年和年轻成年人中CGM消耗的主要原因和典型时间.
- 为了确定与CGM停药相关的人口和临床因素.
主要方法:
- 对2663名T1DM年轻人 (<22岁) 进行了回顾性图表审查,他们在一个中心接受治疗.
- 数据从CGM基于云的软件和2021年11月至2022年10月期间的电子医疗记录中提取.
主要成果:
- 在5.9% (n=311) 的年轻人中,发生了CGM消耗,中位停药时间为开始后4个月21天.
- 在年长的年轻人中,那些T1DM持续时间较长,A1C较高的人中,以及非西班牙裔黑人 (NHB) 和拉丁裔人中,停止更为普遍.
- 消耗的主要原因包括设备粘附问题 (18.4%),不适 (10.8%),保险问题 (9.5%),疼痛 (8.3%) 和对设备准确性的不信任 (8.2%).
结论:
- 在CGM开始后的前六个月内进行早期干预对于持续使用至关重要.
- 教育应侧重于粘附性和可穿戴性的实际解决方案,以及对供应采购的明确指导.
- 解决保险障碍至关重要,特别是对于NHB和拉丁裔青年来说,以促进公平的CGM接入和遵守.
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