Driscoll Kimberly A, Johnson Suzanne Bennett, Wang Yuxia, Tang Yuanyuan, Gill Elizabeth C, Mitchell Adela, Wright Nancy, Deeb Larry C
Department of Medical Humanities and Social Sciences, Florida State University College of Medicine, Tallahassee, FL 32306, USA.
J Diabetes Sci Technol. 2013 Jul 1;7(4):898-903. doi: 10.1177/193229681300700412.
The objective was to determine if there were differences in blood glucose monitoring (BGM) data downloaded from insulin pumps of patients who use meters that wirelessly transmit data to their insulin pumps (i.e., wireless group) and those who do not (i.e., nonwireless group).
Blood glucose monitoring data were downloaded from the meters and insulin pumps of 47 children and adolescents with type 1 diabetes mellitus. Independent and paired t tests compared BGM data downloaded from meters and BGM data downloaded from insulin pumps.
There were significant differences in BGM data downloaded from the insulin pumps of patients using wireless meters compared to those using nonwireless meters. Wireless patients appeared to engage in more BGM, had more low and in-range BG readings and fewer very high BG readingss than nonwireless patients. However, a comparison of BGM data downloaded from meters and insulin pumps of nonwireless patients indicated that their insulin pump data significantly underestimated the number of BGM readings conducted, as well as the number of low and in-range readings, while overestimating the number of very high BGM readings.
Because patients who use nonwireless-compatible meters do not manually enter their low and in-range BGM readings into the insulin pump, BGM data downloaded only from pumps may provide an incomplete representation of BGM frequency or results. It is recommended that patients use meters that directly communicate with pumps or perform bolus calculations. Patients should be educated about the importance of manually entering all BGM readings if they do not use a wireless-compatible meter with their insulin pump.
目的是确定从胰岛素泵下载的血糖监测（BGM）数据在使用可将数据无线传输至胰岛素泵的血糖仪的患者（即无线组）和不使用此类血糖仪的患者（即非无线组）之间是否存在差异。
从47名1型糖尿病儿童和青少年的血糖仪及胰岛素泵中下载血糖监测数据。采用独立样本t检验和配对t检验比较从血糖仪下载的BGM数据与从胰岛素泵下载的BGM数据。
与使用非无线血糖仪的患者相比，使用无线血糖仪的患者从胰岛素泵下载的BGM数据存在显著差异。无线组患者似乎进行了更多的血糖监测，低血糖和血糖值在正常范围内的读数更多，血糖值非常高的读数比非无线组患者更少。然而，对非无线组患者从血糖仪和胰岛素泵下载的BGM数据进行比较表明，他们胰岛素泵的数据显著低估了进行的BGM读数数量以及低血糖和血糖值在正常范围内的读数数量，同时高估了血糖值非常高的BGM读数数量。
由于使用不兼容无线功能血糖仪的患者不会手动将低血糖和血糖值在正常范围内的BGM读数输入胰岛素泵，仅从泵下载的BGM数据可能无法完整呈现BGM频率或结果。建议患者使用可直接与泵通信或进行大剂量计算的血糖仪。如果患者在胰岛素泵上未使用兼容无线功能的血糖仪，应告知他们手动输入所有BGM读数的重要性。
