Suppr超能文献

比较糖尿病患者生成的血糖日记记录与血糖仪记忆:系统评价。

Comparing patient-generated blood glucose diary records with meter memory in diabetes: a systematic review.

机构信息

Institute of Nursing Research, University of Ulster, Coleraine, UK.

出版信息

Diabet Med. 2013 Aug;30(8):901-13. doi: 10.1111/dme.12130.

Abstract

AIMS

To synthesize evidence relating to comparisons between patient-generated blood glucose records and meter memory in diabetes and to identify any predictors of agreement.

METHODS

A systematic literature search was performed to identify articles comparing meter and diary records in those unaware of this assessment.

RESULTS

Eleven observational studies, covering patients with Type 1, Type 2 and gestational diabetes were included spanning 1984-2009. Failure to record blood glucose measurements in the diary was the most extensive 'error', but addition of values, which were not measured, was a greater cause for concern. When present to a high degree, 'errors' lead to decreased variability in diary records compared with meter records. Allowing for a minimal amount of disagreement, just over 50% of adult diaries can be considered as 'accurate/reliable'. Disagreements were most extensive in teenagers and young adults, but the pregnant populations were only slightly better. Agreement was not related to sex, number of insulin injections or duration of monitoring. Those who were younger were more likely to have 'errors', while those who monitored more frequently had more 'accurate' diaries.

CONCLUSIONS

The lack of meter-diary agreement suggests that the real reason for monitoring is not understood by many patients, raising issues about motivation, perceived need to impress healthcare providers and denial of poor control. Considering that diaries are used to inform decisions about therapy when HbA1c is raised or in pregnancy, when HbA1c is not suitable, there is significant cause for concern in relation to their clinical utility.

摘要

目的

综合有关糖尿病患者血糖记录与血糖仪记忆之间比较的证据,并确定一致性的任何预测因素。

方法

系统地进行文献检索,以确定在未进行该评估的情况下比较血糖仪和日记记录的文章。

结果

纳入了 11 项观察性研究,涵盖了 1984 年至 2009 年间的 1 型、2 型和妊娠糖尿病患者。日记中未记录血糖测量值是最广泛的“错误”,但添加未测量的数值则更令人担忧。当“错误”程度较高时,与血糖仪记录相比,日记记录的可变性会降低。在允许一定程度的不一致的情况下,超过 50%的成年日记可以被认为是“准确/可靠”的。青少年和年轻人的分歧最为广泛,但孕妇的情况略好一些。一致性与性别、胰岛素注射次数或监测时间无关。年龄较小的人更容易出现“错误”,而监测频率较高的人则有更准确的日记。

结论

血糖仪与日记之间缺乏一致性表明,许多患者并不理解监测的真正原因,这引发了关于动机、给医疗保健提供者留下深刻印象的需求以及对控制不佳的否认等问题。考虑到当 HbA1c 升高或在妊娠期间不适合使用 HbA1c 时,日记用于告知关于治疗的决策,因此,其临床应用存在重大问题。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验