持续血糖监测在韩国1型糖尿病人群中的应用现状-明显的年龄相关差异:全国队列研究

IF 6.8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Ji Yoon Kim, Seohyun Kim, Jae Hyeon Kim
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引用次数: 0

摘要

背景:本研究旨在确定韩国1型糖尿病(T1DM)患者连续血糖监测(CGM)的使用状况,并调查是否存在与年龄相关的差异。方法:从韩国国民健康保险队列(2019-2022)中确定接受强化胰岛素治疗的T1DM患者。结果:56,908例T1DM患者中,有10,822例(19.0%)至少使用过一次CGM, 6,073例(10.7%)持续使用CGM。只有241人(0.4%)使用SAP或AID系统。CGM使用者比非使用者年轻。结论:尽管国家对CGM器械进行了报销,但CGM的处方率仍然很低,尤其是在老年人中。考虑到CGM开始后HbA1c和CV的改善,需要更多的努力来提高CGM的利用率并减少与年龄相关的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current Status of Continuous Glucose Monitoring Use in South Korean Type 1 Diabetes Mellitus Population-Pronounced Age-Related Disparities: Nationwide Cohort Study.

Background: This study aims to identify the status of continuous glucose monitoring (CGM) use among individuals with type 1 diabetes mellitus (T1DM) in South Korea and to investigate whether age-related disparities exist.

Methods: Individuals with T1DM receiving intensive insulin therapy were identified from the Korean National Health Insurance Cohort (2019-2022). Characteristics of CGM users and non-users were compared, and the prescription rates of CGM and sensor- augmented pump (SAP) or automated insulin delivery (AID) systems according to age groups (<19, 19-39, 40-59, and ≥60 years) were analyzed using chi-square tests. Glycosylated hemoglobin (HbA1c) levels and coefficients of variation (CV) among CGM users were also examined.

Results: Among the 56,908 individuals with T1DM, 10,822 (19.0%) used CGM at least once, and 6,073 (10.7%) used CGM continuously. Only 241 (0.4%) individuals utilized either SAP or AID systems. CGM users were younger than non-users. The continuous prescription rate of CGM was highest among individuals aged <19 years (37.0%), followed by those aged 19-39 years (15.8%), 40-59 years (10.7%), and ≥60 years (3.9%) (P<0.001 for between-group differences). Among CGM users, HbA1c levels decreased from 8.7%±2.4% at baseline to 7.2%±1.2% at 24 months, and CV decreased from 36.6%±11.9% at 3 months to 34.1%±12.7% at 24 months.

Conclusion: Despite national reimbursement for CGM devices, the prescription rates of CGM remain low, particularly among older adults. Given the improvements in HbA1c and CV following CGM initiation, more efforts are needed to increase CGM utilization and reduce age-related disparities.

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来源期刊
Diabetes & Metabolism Journal
Diabetes & Metabolism Journal Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
10.40
自引率
6.80%
发文量
92
审稿时长
52 weeks
期刊介绍: The aims of the Diabetes & Metabolism Journal are to contribute to the cure of and education about diabetes mellitus, and the advancement of diabetology through the sharing of scientific information on the latest developments in diabetology among members of the Korean Diabetes Association and other international societies. The Journal publishes articles on basic and clinical studies, focusing on areas such as metabolism, epidemiology, pathogenesis, complications, and treatments relevant to diabetes mellitus. It also publishes articles covering obesity and cardiovascular disease. Articles on translational research and timely issues including ubiquitous care or new technology in the management of diabetes and metabolic disorders are welcome. In addition, genome research, meta-analysis, and randomized controlled studies are welcome for publication. The editorial board invites articles from international research or clinical study groups. Publication is determined by the editors and peer reviewers, who are experts in their specific fields of diabetology.
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