Reach Gérard
Department of Endocrinology, Diabetes and Metabolic Diseases, Avicenne Hospital Assistance Publique-Hôpitaux de Paris, France.
Diabetes Technol Ther. 2008 Apr;10(2):69-80. doi: 10.1089/dia.2007.0261.
This paper presents a critical review of continuous glucose monitoring studies that address accuracy, utility in assessing glucose variability, detection of hypoglycemia for improved metabolic control or reduced glucose variability, impact on quality of life, reduced fear of hypoglycemia, and applicability in helping patients to overcome their reluctance to intensify insulin therapy. This analysis can be used to delineate the evidence that is still missing when considering continuous glucose monitoring as an established tool in clinical practice and for reimbursement of the system and services.
本文对连续血糖监测研究进行了批判性综述,这些研究涉及准确性、评估血糖变异性的效用、检测低血糖以改善代谢控制或降低血糖变异性、对生活质量的影响、减轻对低血糖的恐惧以及在帮助患者克服强化胰岛素治疗的抵触情绪方面的适用性。该分析可用于勾勒出在将连续血糖监测视为临床实践中的既定工具以及该系统和服务的报销时仍缺失的证据。