1 型糖尿病成人患者的连续血糖监测警报:用户特征以及低血糖和高血糖警报阈值对血糖控制的影响。

IF 5.7 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Diabetes technology & therapeutics Pub Date : 2024-05-01 Epub Date: 2024-03-08 DOI:10.1089/dia.2023.0460
Tomás González-Vidal, Diego Rivas-Otero, Pablo Agüeria-Cabal, Guillermo Ramos-Ruiz, Elías Delgado, Edelmiro Menéndez-Torre
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引用次数: 0

摘要

背景:很少有研究评估连续血糖监测系统报警阈值对糖尿病患者的影响。本研究旨在调查低血糖和高血糖报警阈值对 1 型糖尿病成人患者血糖控制的影响,以及频繁使用这些报警的患者的特征:这项观察性横断面研究纳入了来自一个中心的 873 名 FreeStyle Libre 2 系统用户(501 名男性,中位年龄 48 岁,范围 18-90 岁)1 型糖尿病患者。我们调查了人口统计学和代谢因素对警报器使用的影响,以及低血糖和高血糖警报器及其阈值对血糖控制的影响:结果:警报器使用者的年龄大于非使用者(中位年龄分别为 49 岁和 43 岁;p 结论:连续血糖监测警报器有助于控制血糖:连续血糖监测报警器有助于更好地控制血糖。然而,低血糖和高血糖报警器各有利弊。1 型糖尿病患者应在医生的指导下,探索哪种报警阈值最能帮助他们实现各自的血糖目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Continuous Glucose Monitoring Alarms in Adults with Type 1 Diabetes: User Characteristics and the Impact of Hypoglycemia and Hyperglycemia Alarm Thresholds on Glycemic Control.

Background: Few studies have evaluated the implications of the alarm thresholds of continuous glucose monitoring (CGM) systems for individuals with diabetes. The present study aimed to investigate the influence of hypoglycemia and hyperglycemia alarm thresholds on glycemic control in adults with type 1 diabetes (T1DM) and the characteristics of patients who use these alarms more frequently. Methods: This observational cross-sectional study included 873 users of the FreeStyle Libre 2 system (501 men, median age 48 years, range 18-90 years) with T1DM from a single center. We investigated the role of demographic and metabolic factors on the use of alarms and the impact of hypoglycemia and hyperglycemia alarms and their thresholds on glycemic control. Results: Alarm users were older than nonusers (median age 49 vs. 43 years, respectively; P < 0.001). The hypoglycemia alarms were set by 76.1% of women and by 69.1% of men (P = 0.022). The hypoglycemia alarms reduced hypoglycemia features and glucose variability, although at the expense of shorter time in range. The higher the hypoglycemia alarm threshold, the greater these effects. The hyperglycemia alarms were effective in reducing hyperglycemia and lowering the glucose management indicator, although at the expense of a greater tendency to hypoglycemia. The lower the hyperglycemia alarm threshold, the greater these effects. Conclusions: CGM alarms contribute to better glycemic control. However, hypoglycemia and hyperglycemia alarms have advantages and disadvantages. Adults with T1DM should explore, under medical supervision, which alarm thresholds will best help them achieve their individual glycemic goals.

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来源期刊
Diabetes technology & therapeutics
Diabetes technology & therapeutics 医学-内分泌学与代谢
CiteScore
10.60
自引率
14.80%
发文量
145
审稿时长
3-8 weeks
期刊介绍: Diabetes Technology & Therapeutics is the only peer-reviewed journal providing healthcare professionals with information on new devices, drugs, drug delivery systems, and software for managing patients with diabetes. This leading international journal delivers practical information and comprehensive coverage of cutting-edge technologies and therapeutics in the field, and each issue highlights new pharmacological and device developments to optimize patient care.
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