Antonio Rossi, Giada Rossi, Laura Montefusco, Vincenzo Cimino, Ida Pastore, Alessandra Gandolfi, Loredana Bucciarelli, Cristian Loretelli, Denisa Boci, Francesca D'Addio, Maria Elena Lunati, Paolo Fiorina
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引用次数: 0
摘要
目的：随着新型连续血糖监测（CGM）设备的不断发展，糖尿病的血糖监测正在发生变化。这项观察性前瞻性研究的目的是评估一种新型间歇性扫描CGM系统Glunovo Flash在1型糖尿病患者队列中的临床表现。方法：在米兰ASST-FBF-Sacco内分泌科随访的T1D患者共45例。所有患者均为习惯性CGM使用者，要求同时佩戴Glunovo Flash系统和习惯性CGM装置14天。对CGM血糖指标进行比较。同时收集患者对新器械的意见。结果：35例患者完成了2周的研究期（7例习惯性实时CGM使用者，28例习惯性间歇扫描CGM使用者）。相对于间歇扫描的CGM比较器，新型传感器的平均在程时间显著提高。考虑到其他血糖指标，没有发现差异。Glunovo Flash记录的Time In Range与间歇扫描CGM比较仪、Time Above Range、Glucose Management Indicator、Time Below Range和Coefficient of Variation之间存在正相关。Glunovo Flash记录的血糖指标与实时CGM比较仪之间没有相关性。患者报告了使用新传感器的积极体验，但有些元素似乎有所改善。结论：用于糖尿病患者的CGM设备Glunovo Flash与其他间歇扫描CGM系统具有相似的性能。
A new glucose monitoring system for the intermittent monitoring of interstitial glucose values in patients with diabetes mellitus.
Objectives: Glucose monitoring in diabetes is changing overtime with a constant development of new devices for continuous glucose monitoring (CGM). Aim of this observational, prospective study was to evaluate the clinical performance of a novel intermittently scanned CGM system, the Glunovo Flash in a cohort of patients with type 1 diabetes.
Methods: A total of 45 patients with T1D followed at the Endocrinology Unit of the ASST-FBF-Sacco (Milan) were enrolled. All patients were habitual CGM users and were asked to wear simultaneously the Glunovo Flash system and their habitual CGM device for 14 days. A comparison of CGM glucose metrics was performed. Patients' opinions on the new device were also collected.
Results: Thirty-five patients completed the study period of two weeks (7 habitual real time CGM users, 28 habitual intermittently scanned CGM users). Mean Time In Range resulted significantly higher with the novel studied sensor respect to intermittently scanned CGM comparator. No differences were found considering other glucose metrics. A positive correlation was found between the Time In Range recorded by Glunovo Flash and intermittently scanned CGM comparators as well as for Time Above Range, Glucose Management Indicator, Time Below Range and Coefficient of Variation. No correlations were found between glucose metrics recorded by Glunovo Flash and real time CGM comparators. Patients reported a positive experience of use with the new sensor but some elements appeared improvable.
Conclusions: The CGM device Glunovo Flash for patients with diabetes shows similar performance to other intermittently scanned CGM systems.
期刊介绍：
Journal of Diabetes & Metabolic Disorders is a peer reviewed journal which publishes original clinical and translational articles and reviews in the field of endocrinology and provides a forum of debate of the highest quality on these issues. Topics of interest include, but are not limited to, diabetes, lipid disorders, metabolic disorders, osteoporosis, interdisciplinary practices in endocrinology, cardiovascular and metabolic risk, aging research, obesity, traditional medicine, pychosomatic research, behavioral medicine, ethics and evidence-based practices.As of Jan 2018 the journal is published by Springer as a hybrid journal with no article processing charges. All articles published before 2018 are available free of charge on springerlink.Unofficial 2017 2-year Impact Factor: 1.816.
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