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关于自动化胰岛素输送系统的注册和现实研究
Halis Kaan Akturk1, Sue A Brown2, Roy W Beck3
1Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Journal of diabetes science and technology
|July 1, 2025
概括
自动胰岛素输送系统 (AID) 改善了1型糖尿病 (T1D) 患者的血糖控制和生活质量. 现实数据证实了FDA批准的AID系统在所有年龄组的安全性和有效性.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
- 生物医学工程 生物医学工程
背景情况:
- 强化胰岛素治疗 (IIT) 对1型糖尿病 (T1D) 的微和宏血管并发症显示出长期益处.
- IIT与严重低血糖和体重增加的风险增加有关.
- 自动化胰岛素输送系统 (AID) 现在是发达国家T1D管理的标准护理.
研究的目的:
- 审查T1D的FDA批准的AID系统的注册和现实研究.
- 评估AID系统在不同患者群体中的有效性和安全性.
主要方法:
- 在MEDLINE (PubMed) 数据库中的系统文献搜索.
- 包括持续时间最长和/或参与人数最多的研究.
- 对AID系统的注册和现实世界的数据进行审查.
主要成果:
- 在过去的十年中,AID系统改善了T1D患者的血糖指标 (HbA1c,TIR,TBR) 和生活质量.
- 登记和实践研究都表明,在所有年龄组中使用AID系统是安全有效的.
- 现实世界的研究证实了AID系统注册研究的发现.
结论:
- 经FDA批准的AID系统在T1D管理中是安全有效的.
- 现实生活数据验证了临床试验中观察到的血糖改善.
- 辅助治疗系统代表了T1D护理的重大进步,改善了患者的治疗结果和生活质量.
相关概念视频
Insulin Formulations: Types and Delivery
277
Insulin preparations are categorized by their duration of action into short-acting and long-acting types. Two strategies are used to modify insulin's absorption and pharmacokinetic profile: slowing the absorption post-subcutaneous injection, or altering human insulin's amino acid sequence or protein structure. These changes retain the insulin's ability to bind to the insulin receptor, but alter its behavior in solution or after injection.
Short-acting insulins are divided into...
Short-acting insulins are divided into...
277
Insulin: Dosing Regimen and Adverse Effects
268
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
268
Insulin: Biosynthesis, Chemistry, and Preparation
569
The endoplasmic reticulum (ER) of pancreatic β-cells synthesizes preproinsulin, which consists of a signal peptide, A and B chains, and a C-peptide. Preproinsulin is then cleaved and folded into proinsulin, which translocates to the Golgi apparatus for sorting and packaging into secretory granules. In these granules, enzymatic clipping generates insulin and C-peptide.
Damage or functional impairment of β-cells inhibits insulin production, leading to diabetes. Diabetes treatment...
Damage or functional impairment of β-cells inhibits insulin production, leading to diabetes. Diabetes treatment...
569

