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1型糖尿病儿童的持续葡萄糖监测与自我血糖监测——两者都有优缺点吗?

Continuous Glucose Monitoring Versus Self-monitoring of Blood Glucose in Children with Type 1 Diabetes- Are there Pros and Cons for Both?

作者信息

Patton Susana R, Clements Mark A

机构信息

University of Kansas Medical Center, Kansas City, KS 66160.

出版信息

US Endocrinol. 2012 Summer;8(1):27-29.

PMID:24312136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3848052/
Abstract

Glucose monitoring is essential for modern diabetes treatment and the achievement of near-normal glycemic control. Monitoring provides the data necessary for patients to make daily management decisions related to food intake, insulin dose, and physical exercise and can enable patients to avoid potentially dangerous episodes of hypo- and hyperglycemia. Additionally, monitoring can provide health care providers with the information needed to identify glycemic patterns, educate patients, and adjust insulin. Presently, youth with type 1 diabetes can self-monitor blood glucose via home blood glucose meters or monitor glucose concentrations nearly continuously using a continuous glucose monitor. There are advantages and disadvantages to the use of either of these technologies. This review describes the two technologies and the research supporting their use in the management of youth with type 1 diabetes in order to weigh their relative costs and benefits.

摘要

血糖监测对于现代糖尿病治疗以及实现接近正常的血糖控制至关重要。监测为患者提供了做出与食物摄入、胰岛素剂量和体育锻炼相关的日常管理决策所需的数据,并能使患者避免低血糖和高血糖的潜在危险情况。此外,监测可为医疗保健提供者提供识别血糖模式、教育患者和调整胰岛素所需的信息。目前,1型糖尿病青少年可以通过家用血糖仪自我监测血糖,或使用连续血糖监测仪几乎持续监测血糖浓度。使用这两种技术都有优缺点。本综述描述了这两种技术以及支持它们用于1型糖尿病青少年管理的研究,以便权衡它们的相对成本和益处。

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本文引用的文献

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Individualizing care for the many: the evolving role of professional continuous glucose monitoring systems in clinical practice.为众人提供个体化护理:专业连续血糖监测系统在临床实践中的不断演变的角色。
Diabetes Educ. 2010 Mar-Apr;36 Suppl 1:4S-19S; quiz 20S-21S. doi: 10.1177/0145721710362798.
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Frequency of SMBG correlates with HbA1c and acute complications in children and adolescents with type 1 diabetes.SMBG 的频率与 1 型糖尿病患儿和青少年的 HbA1c 和急性并发症相关。
Pediatr Diabetes. 2011 Feb;12(1):11-7. doi: 10.1111/j.1399-5448.2010.00650.x.
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Continuous glucose monitoring in youth with type 1 diabetes.1型糖尿病青少年的持续血糖监测
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Self-monitoring of blood glucose, cutaneous finger injury, and sensory loss in diabetic patients.
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