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对于糖尿病患者和末期脏病患者,产前状态和类固醇使用者来说,可穿戴的糖尿病技术
Shubham Agarwal1, Andrew P Demidowich2, Diana Soliman3
1Division of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Journal of diabetes science and technology
|September 3, 2025
概括
持续血糖监测 (CGM) 和自动胰岛素输送 (AID) 系统可以改善住院糖尿病患者的治疗,尤其是患有脏疾病,怀孕或使用类固醇患者. 这些技术可以增强血糖控制并减少住院患者的低血糖.
科学领域:
- 内分泌学
- 医疗技术
- 糖尿病管理
背景情况:
- 常规胰岛素对住院高血糖的治疗具有挑战性,通常导致血糖的波动.
- 传统的血糖监测错过了白天和夜间的血糖变化,影响了控制.
- 持续血糖监测 (CGM) 和自动注射胰岛素 (AID) 系统提供了潜在的解决方案.
研究的目的:
- 对住院糖尿病患者的CGM和AID系统的有效性进行审查.
- 评估它们对特定人群的血糖控制的影响:末期脏疾病 (ESKD),怀孕和类固醇使用.
主要方法:
- 对住院糖尿病治疗中CGM和AID系统的现有研究的审查.
- 分析血糖结果,包括时间范围 (TIR),HbA1c和低血糖事件.
- 专注于特殊群体:ESKD,怀孕和葡萄皮质激素使用.
主要成果:
- 在ESKD患者中,CGM显示可靠的测量和改善的血糖控制,增加TIR和降低低血糖.
- AID系统可以提高ESKD的结果,增加TIR并降低血糖变化.
- 在怀孕期间改善孕产妇和新生儿血糖控制,降低HbA1c和低血糖.
- 在类固醇诱导的高血糖症中,CGM可以识别食后高血糖症,改善控制,但没有显著的低血糖症.
结论:
- 在住院患者中,CGM和AID系统具有改善血糖结果的潜力.
- 这些技术对患有ESKD的患者,怀孕期间的患者和服用葡萄糖皮质激素的患者尤其有益.
- 在特定的住院患者群体中,CGM和AID为糖尿病治疗提供了有前途的替代方案.
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