通过持续葡萄糖监测改变糖尿病护理:扩大资格标准的理由。

IF 1.2 4区 医学
Barbara R Hirsch
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引用次数: 0

摘要

随机试验和大型回顾性数据库研究表明,使用非胰岛素疗法治疗的患者与使用强化治疗方案治疗的患者一样,可以从连续血糖监测(CGM)中获得相同的血糖效益。然而,许多政策制定者和支付者不愿意为这些患者提供 CGM 保险。尽管美国糖尿病协会最近的指南迈出了重要的第一步,建议向所有接受基础胰岛素治疗且有能力使用 CGM 的成人提供 CGM,但临床医生仍应考虑所有糖尿病患者持续高血糖的急性和长期后果。本文介绍了使用 FreeStyle Libre 2 CGM 系统(雅培糖尿病护理,加利福尼亚州阿拉米达)如何改善两名接受非胰岛素疗法治疗的 2 型糖尿病患者的血糖结果并促进个性化糖尿病护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transforming diabetes care with continuous glucose monitoring: Rationale for expanded eligibility criteria.
Randomized trials and large retrospective database studies have shown that individuals treated with noninsulin therapies experience the same glycemic benefits from continuous glucose monitoring (CGM) use as those treated with more intensive treatment regimens. However, many policy makers and payers are reluctant to provide CGM coverage for these patients. Although the recent American Diabetes Association guidelines have taken an important first step in recommending that CGM should be offered to all adults treated with basal insulin who are capable of using it, clinicians should consider the acute and long-term consequences of persistent hyperglycemia in all of their patients with diabetes. This article describes how the use of the FreeStyle Libre 2 CGM System (Abbott Diabetes Care, Alameda, CA) improved glycemic outcomes and facilitates personalized diabetes care in two type 2 diabetes patients treated with noninsulin therapies.
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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