Maurizi Anna Rita, Pozzilli Paolo
Department of Endocrinology and Diabetes, University Campus Bio Medico, Rome, Italy.
Diabetes Metab Res Rev. 2013 Aug 24. doi: 10.1002/dmrr.2450.
Self-monitoring of blood glucose (SMBG) is recommended as a core component of diabetic patient's management but it can provide only intermittent snapshots of blood glucose levels missing often hyperglycaemic or hypoglycaemic excursions. Similarly HbA1c alone is unable to provide detailed diagnostic information and it has several limitations. In the modern diabetes monitoring, Continuous Glucose Monitoring (CGM) could be considered as a third pillar, since it provides information on day-to-day change of blood glucose levels and helps achieving treatment targets without increasing the risk of hypoglycaemia. Therefore the use of CGM may reduce glucose variability, improving glycaemic control and decreasing long-term diabetes complications. In fact the availability of continuous glucose data for patients with low and high glucose alerts may impact quality of life with short- and long-term effectiveness. Moreover CGM can be used as a powerful motivational device to change type 2 diabetic patients' lifestyle and to improve their quality of life. Although the studies on the economic feasibility to use CGM as an educational tool must be carried out, we suggest that it can be used as a powerful motivational device to change patients' lifestyle and to improve glycaemic control in type 2 diabetes (T2D). This article is protected by copyright. All rights reserved.
血糖自我监测（SMBG）被推荐为糖尿病患者管理的核心组成部分，但它只能提供血糖水平的间歇性快照，常常遗漏高血糖或低血糖波动情况。同样，仅糖化血红蛋白（HbA1c）无法提供详细的诊断信息，且存在若干局限性。在现代糖尿病监测中，连续血糖监测（CGM）可被视为第三大支柱，因为它能提供血糖水平每日变化的信息，并有助于实现治疗目标，同时不会增加低血糖风险。因此，使用CGM可降低血糖变异性，改善血糖控制并减少糖尿病长期并发症。事实上，为血糖水平低和高时发出警报的患者提供连续血糖数据，可能会在短期和长期产生效果，从而影响生活质量。此外，CGM可作为一种强大的激励手段，改变2型糖尿病患者的生活方式并提高其生活质量。尽管必须开展关于将CGM用作教育工具的经济可行性研究，但我们认为它可作为一种强大的激励手段，改变患者生活方式并改善2型糖尿病（T2D）的血糖控制。本文受版权保护。保留所有权利。
