Yeoh Ester, Choudhary Pratik
King's College Hospital, London, UK.
King's College London, London, UK
J Diabetes Sci Technol. 2015 Jul;9(4):911-6. doi: 10.1177/1932296815574547. Epub 2015 Apr 16.
Hypoglycemia is a major barrier toward achieving glycemic targets and is associated with significant morbidity (both psychological and physical) and mortality. This article reviews technological strategies, from simple to more advanced technologies, which may help prevent or mitigate exposure to hypoglycemia. More efficient insulin delivery systems, bolus advisor calculators, data downloads providing information on glucose trends, continuous glucose monitoring with alarms warning of hypoglycemia, predictive algorithms, and finally closed loop insulin delivery systems are reviewed. The building blocks to correct use and interpretation of this range of available technology require patient education and appropriate patient selection.
低血糖是实现血糖目标的主要障碍，与显著的发病率（包括心理和身体方面）及死亡率相关。本文回顾了从简单到更先进的技术策略，这些策略可能有助于预防或减轻低血糖风险。文中对更高效的胰岛素输送系统、大剂量胰岛素计算器、提供血糖趋势信息的数据下载、具有低血糖警报功能的持续血糖监测、预测算法，以及最终的闭环胰岛素输送系统进行了综述。正确使用和解读这一系列现有技术的基础要求是患者教育和恰当的患者选择。
