Thompson Bithika M, Cook Curtiss B
Division of Endocrinology, Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ, 85259, USA.
Curr Diab Rep. 2017 Oct 23;17(12):121. doi: 10.1007/s11892-017-0964-2.
Glucometrics is the systematic analysis of inpatient glucose data and is of key interest as hospitals strive to improve inpatient glycemic control. Insulinometrics is the systematic analysis and reporting of inpatient insulin therapy. This paper reviews some of the questions to be resolved before a national benchmarking process can be developed that will allow institutions to track and compare inpatient glucose control performance against established guidelines.
There remains a lack of standardization on how glucometircs should be measured and reported. Before hospitals can commit resources to compiling and extracting data, consensus must be reached on such questions as which measures to report, definitions of glycemic targets, and how data should be obtained. Examples are provided on how insulin administration can be measured and reported. Hospitals should begin assessment of glucometrics and insulinometrics. However, consensus and standardization must first occur to allow for a national benchmarking process.
血糖计量学是对住院患者血糖数据的系统分析，随着医院努力改善住院患者血糖控制，它备受关注。胰岛素计量学是对住院患者胰岛素治疗的系统分析和报告。本文回顾了在制定全国性基准流程之前需要解决的一些问题，该流程将使各机构能够根据既定指南跟踪和比较住院患者的血糖控制表现。
在血糖计量学应如何测量和报告方面仍缺乏标准化。在医院投入资源收集和提取数据之前，必须就报告哪些指标、血糖目标的定义以及如何获取数据等问题达成共识。文中给出了胰岛素给药如何测量和报告的示例。医院应开始评估血糖计量学和胰岛素计量学。然而，必须首先达成共识并实现标准化，才能开展全国性基准流程。
