Asia-Pacific Perspectives on the Role of Continuous Glucose Monitoring in Optimizing Diabetes Management.

IF 4.1 Q2 ENDOCRINOLOGY & METABOLISM
Stephen Twigg, Soo Lim, Seung-Hyun Yoo, Liming Chen, Yuqian Bao, Alice Kong, Ester Yeoh, Siew Pheng Chan, Jeremyjones Robles, Viswanathan Mohan, Neale Cohen, Margaret McGill, Linong Ji
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Abstract

Diabetes is prevalent, and it imposes a substantial public health burden globally and in the Asia-Pacific (APAC) region. The cornerstone for optimizing diabetes management and treatment outcomes is glucose monitoring, the techniques of which have evolved from self-monitoring of blood glucose (SMBG) to glycated hemoglobin (HbA1c), and to continuous glucose monitoring (CGM). Contextual differences with Western populations and limited regionally generated clinical evidence warrant regional standards of diabetes care, including glucose monitoring in APAC. Hence, the APAC Diabetes Care Advisory Board convened to gather insights into clinician-reported CGM utilization for optimized glucose monitoring and diabetes management in the region. We discuss the findings from a pre-meeting survey and an expert panel meeting regarding glucose monitoring patterns and influencing factors, patient profiles for CGM initiation and continuation, CGM benefits, and CGM optimization challenges and potential solutions in APAC. While CGM is becoming the new standard of care and a useful adjunct to HbA1c and SMBG globally, glucose monitoring type, timing, and frequency should be individualized according to local and patient-specific contexts. The results of this APAC survey guide methods for the formulation of future APAC-specific consensus guidelines for the application of CGM in people living with diabetes.

亚太地区对持续葡萄糖监测在优化糖尿病管理中的作用的看法。
糖尿病发病率高,给全球和亚太地区的公共卫生带来沉重负担。血糖监测是优化糖尿病管理和治疗效果的基石,其技术已从自我血糖监测(SMBG)发展到糖化血红蛋白(HbA1c),再发展到连续血糖监测(CGM)。由于亚太地区与西方国家人口的差异以及该地区产生的临床证据有限,因此需要制定地区性糖尿病护理标准,包括血糖监测标准。因此,亚太地区糖尿病护理咨询委员会召开会议,收集临床医生报告的 CGM 使用情况,以优化该地区的血糖监测和糖尿病管理。我们将讨论会前调查和专家小组会议的结果,内容涉及亚太地区的血糖监测模式和影响因素、开始和继续使用 CGM 的患者情况、CGM 的益处、CGM 优化挑战和潜在解决方案。在全球范围内,CGM 正在成为新的治疗标准,并成为 HbA1c 和 SMBG 的有效辅助手段,但血糖监测的类型、时间和频率应根据当地和患者的具体情况进行个体化。此次亚太地区调查的结果将为未来制定亚太地区糖尿病患者应用 CGM 的共识指南提供指导。
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来源期刊
Journal of Diabetes Science and Technology
Journal of Diabetes Science and Technology Medicine-Internal Medicine
CiteScore
7.50
自引率
12.00%
发文量
148
期刊介绍: The Journal of Diabetes Science and Technology (JDST) is a bi-monthly, peer-reviewed scientific journal published by the Diabetes Technology Society. JDST covers scientific and clinical aspects of diabetes technology including glucose monitoring, insulin and metabolic peptide delivery, the artificial pancreas, digital health, precision medicine, social media, cybersecurity, software for modeling, physiologic monitoring, technology for managing obesity, and diagnostic tests of glycation. The journal also covers the development and use of mobile applications and wireless communication, as well as bioengineered tools such as MEMS, new biomaterials, and nanotechnology to develop new sensors. Articles in JDST cover both basic research and clinical applications of technologies being developed to help people with diabetes.
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