糖尿病技术应用的实际方面:连续血糖监测仪、胰岛素泵和自动化胰岛素输送系统

IF 4.2 Q1 ENDOCRINOLOGY & METABOLISM
Brynn E. Marks , Kristen M. Williams , Jordan S. Sherwood , Melissa S. Putman
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引用次数: 10

摘要

在过去的十年里,治疗糖尿病的技术取得了巨大的进步。连续血糖监测仪(CGM)、胰岛素泵和自动胰岛素输送(AID)系统旨在改善血糖控制,同时减轻糖尿病管理的负担。虽然糖尿病技术已被证明可以降低1型糖尿病患者的低血糖和高血糖,并改善与健康相关的生活质量,但这些设备对囊性纤维化相关糖尿病(CFRD)患者的影响尚不清楚。CFRD有其独特的方面,包括不同的潜在病理生理和独特的生活卫生保健经历和合并症,这些可能影响糖尿病技术在该人群中的使用、疗效和吸收。小型研究表明,CGM是准确的,可能有助于指导CFRD患者的胰岛素治疗。胰岛素泵的使用与CFRD成人瘦体重和血红蛋白A1c的改善有关。最近的一项试点研究强调了艾滋病系统在这一人群中的前景。本文概述了临床医生在护理CF和CFRD患者时必须注意的糖尿病技术使用和设备限制的实际方面。成本和有限的保险范围仍然是在CFRD患者中广泛实施糖尿病技术的重大障碍。未来的研究将探索改善患者和CF提供者关于这些设备的教育的策略,并研究显示这些技术对健康和患者报告的结果的有效性,这可能会导致CFRD社区中保险覆盖率的提高,以及这些技术的吸收和持续使用率的提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems

Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems

Practical aspects of diabetes technology use: Continuous glucose monitors, insulin pumps, and automated insulin delivery systems

There have been tremendous advances in diabetes technology in the last decade. Continuous glucose monitors (CGM), insulin pumps, and automated insulin delivery (AID) systems aim to improve glycemic control while simultaneously decreasing the burden of diabetes management. Although diabetes technologies have been shown to decrease both hypoglycemia and hyperglycemia and to improve health-related quality of life in individuals with type 1 diabetes, the impact of these devices in individuals with cystic fibrosis-related diabetes (CFRD) is less clear. There are unique aspects of CFRD, including the different underlying pathophysiology and unique lived health care experience and comorbidities, that likely affect the use, efficacy, and uptake of diabetes technology in this population. Small studies suggest that CGM is accurate and may be helpful in guiding insulin therapy for individuals with CFRD. Insulin pump use has been linked to improvements in lean body mass and hemoglobin A1c among adults with CFRD. A recent pilot study highlighted the promise of AID systems in this population. This article provides an overview of practical aspects of diabetes technology use and device limitations that clinicians must be aware of in caring for individuals with CF and CFRD. Cost and limited insurance coverage remain significant barriers to wider implementation of diabetes technology use among patients with CFRD. Future studies exploring strategies to improve patient and CF provider education about these devices and studies showing the effectiveness of these technologies on health and patient-reported outcomes may lead to improved insurance coverage and increased rates of uptake and sustained use of these technologies in the CFRD community.

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来源期刊
CiteScore
6.10
自引率
0.00%
发文量
24
审稿时长
16 weeks
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