用于脏替代疗法 (透析) 治疗的糖尿病技术:当前趋势和未来方向
Hellena Hailu Habte-Asres1,2, Joseph Ngmenesegre Suglo1, Khuram Chaudhry3
1Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Journal of diabetes science and technology
|September 2, 2025
概括
糖尿病技术如持续血糖监测 (CGM) 和自动胰岛素输送 (AID) 显示出改善透析患者的结果的希望. 需要进一步的研究和获取, 以优化在这个群体中的使用.
科学领域:
- 肝脏病学
- 内分泌学
- 生物医学工程
背景情况:
- 透析患者的糖尿病管理面临独特的挑战.
- 关于糖尿病技术在该群体中使用的现有文献是零碎的.
研究的目的:
- 对透析患者糖尿病技术的现有文献进行映射.
- 关注这些技术的使用,准确性和有效性.
主要方法:
- 使用乔安娜·布里格斯研究所的方法进行范围审查.
- 在Medline,Embase和CINAHL数据库中进行系统搜索.
主要成果:
- 包括持续血糖监测 (CGM) 和自动胰岛素输送 (AID) 的 64 项研究.
- CGM准确度显示MARD值从8.1%到29%,在克拉克错误网区A/B读数>97%.
- 自动腹腔透析 (APD) 患者的葡萄糖水平低于持续门诊腹腔透析 (CAPD) 患者.
- 杜拉古类药物使葡萄糖变量系数 (CV) 降低了8. 3% (P=. 003).
- 在透析日 (80. 2%,P=. 02) 的时间较短.
- 在AID研究中,TIR改善率高达37. 6%,葡萄糖降低1. 5mmol/ L (P=. 003).
结论:
- 在透析患者中增强糖尿病管理的潜力.
- 临床效用是显而易见的,但更广泛的获取和进一步的研究至关重要.
- 在这种高风险人群中优化糖尿病技术使用是有必要的.
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