McGill Janet B, Ahmann Andrew
1 Washington University in St. Louis , St Louis, Missouri.
2 Oregon Health & Science University , Portland, Oregon.
Diabetes Technol Ther. 2017 Jun;19(S3):S3-S12. doi: 10.1089/dia.2017.0090.
Continuous glucose monitoring (CGM) is developing into an increasingly useful tool for glucose monitoring and therapeutic guidance in the treatment of diabetes. Multiple daily doses of insulin (MDI) is the most common method for intensive insulin treatment of type 1 diabetes and is also becoming more common in the treatment of type 2 diabetes as an increasing population with type 2 diabetes experiences progressive beta cell loss. The clinical evidence demonstrating the benefit of CGM in the outcomes of patients treated with MDI is becoming clearer, particularly with the recent completion of several randomized clinical trials addressing both type 1 and 2 diabetes. This evidence is reviewed.
连续血糖监测(CGM)正逐渐发展成为一种在糖尿病治疗中用于血糖监测和治疗指导的日益有用的工具。多次皮下注射胰岛素(MDI)是1型糖尿病强化胰岛素治疗最常用的方法,随着2型糖尿病患者群体中β细胞渐进性丧失的情况日益增多,这种方法在2型糖尿病治疗中也越来越普遍。证明CGM对接受MDI治疗患者的预后有益的临床证据正变得越来越清晰,尤其是随着最近几项针对1型和2型糖尿病的随机临床试验的完成。本文对这一证据进行综述。