Technology for the Management of Type 1 Diabetes Mellitus in Saudi Arabia and MENA Region: A Systematic Review.

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM
Ayman Al Hayek, Mohamed A Al Dawish
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引用次数: 0

Abstract

Background: Diabetes technology in the form of digital health or medical devices holds a promise for improving the quality of life and glycemic outcomes. A comprehensive insight into diabetes technology and its impact in Saudi Arabia and the MENA region may improve type 1 diabetes mellitus (T1DM) management.

Objective: This study aimed to assess the impact of different DM-specific technologies: insulin pump therapy, continuous glucose monitoring (CGM), and automated insulin delivery system in terms of glycemic control and QoL among T1DM patients in Saudi Arabia and the MENA region.

Method: A systematic literature search was performed in PubMed and Scopus from 2005 until August 2023. The search was based on the PICO strategy, focusing on T1DM patients, diabetes technology, and QoL. The inclusion criteria were studies illustrating the effect of diabetes technologies on glycemic control or quality of life or both among T1DM patients. Systematic reviews, books, letters, or studies, including type 2 diabetes mellitus, were excluded.

Results: From 101 articles, eighteen studies were duplicated, and thirty-three studies were excluded after reading the title and abstract. Of the 50 articles analyzed, twenty-five articles did not meet the inclusion criteria. Therefore, 25 articles involving a total of 3088 participants were enrolled in the study. It was shown that a continuous glucose monitoring system and continuous subcutaneous insulin infusion improved the glycemic control and the QoL of T1DM patients.

Conclusion: There was a positive impact of insulin pumps, continuous glucose monitoring (CGM) systems, and telemedicine in achieving optimal glucose control and better QoL. Further studies are recommended to clarify the significant role of advanced diabetes technologies.

沙特阿拉伯和中东及北非地区 1 型糖尿病管理技术:系统回顾。
背景:数字健康或医疗设备形式的糖尿病技术有望改善生活质量和血糖结果。全面了解糖尿病技术及其在沙特阿拉伯和中东及北非地区的影响可改善 1 型糖尿病(T1DM)的管理:本研究旨在评估胰岛素泵疗法、连续血糖监测(CGM)和胰岛素自动给药系统等不同糖尿病专用技术对沙特阿拉伯和中东及北非地区 T1DM 患者血糖控制和 QoL 的影响:方法:在 PubMed 和 Scopus 上进行了系统的文献检索,检索时间为 2005 年至 2023 年 8 月。搜索基于 PICO 策略,重点关注 T1DM 患者、糖尿病技术和 QoL。纳入标准是说明糖尿病技术对 T1DM 患者血糖控制或生活质量或两者影响的研究。不包括系统综述、书籍、信件或包括 2 型糖尿病在内的研究:在 101 篇文章中,有 18 篇研究重复,有 33 篇研究在阅读了标题和摘要后被排除。在分析的 50 篇文章中,有 25 篇不符合纳入标准。因此,本研究共纳入了 25 篇文章,涉及 3088 名参与者。研究表明,持续血糖监测系统和持续皮下注射胰岛素改善了 T1DM 患者的血糖控制和 QoL:结论:胰岛素泵、连续血糖监测系统和远程医疗对实现最佳血糖控制和更好的 QoL 有积极影响。建议开展进一步研究,以明确先进糖尿病技术的重要作用。
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来源期刊
Current diabetes reviews
Current diabetes reviews ENDOCRINOLOGY & METABOLISM-
CiteScore
6.30
自引率
0.00%
发文量
158
期刊介绍: Current Diabetes Reviews publishes frontier reviews on all the latest advances on diabetes and its related areas e.g. pharmacology, pathogenesis, complications, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians who are involved in the field of diabetes.
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