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糖尿病技术:改善 1 型糖尿病青少年的护理、改善患者报告的结局并预防并发症。

Diabetes technology: improving care, improving patient-reported outcomes and preventing complications in young people with Type 1 diabetes.

机构信息

Division of Pediatric Endocrinology, Stanford University, Stanford, CA, USA.

出版信息

Diabet Med. 2018 Apr;35(4):419-429. doi: 10.1111/dme.13588. Epub 2018 Feb 16.

Abstract

With the evolution of diabetes technology, those living with Type 1 diabetes are given a wider arsenal of tools with which to achieve glycaemic control and improve patient-reported outcomes. Furthermore, the use of these technologies may help reduce the risk of acute complications, such as severe hypoglycaemia and diabetic ketoacidosis, as well as long-term macro- and microvascular complications. In addition, diabetes technology can have a beneficial impact on psychosocial health by reducing the burden of diabetes. Unfortunately, diabetes goals are often unmet and people with Type 1 diabetes too frequently experience acute and long-term complications of this condition, in addition to often having less than ideal psychosocial outcomes. Increasing realization of the importance of patient-reported outcomes is leading to diabetes care delivery becoming more patient-centred. Diabetes technology in the form of medical devices, digital health and big data analytics have the potential to improve clinical care and psychosocial support, resulting in lower rates of acute and chronic complications, decreased burden of diabetes care, and improved quality of life.

摘要

随着糖尿病技术的发展,1 型糖尿病患者有了更多的工具来实现血糖控制并改善患者报告的结果。此外,这些技术的使用还有助于降低急性并发症(如严重低血糖和糖尿病酮症酸中毒)以及长期大血管和微血管并发症的风险。此外,糖尿病技术还可以通过减轻糖尿病负担对心理健康产生有益影响。不幸的是,糖尿病目标往往无法实现,1 型糖尿病患者经常经历这种疾病的急性和长期并发症,而且他们的心理健康结果往往不理想。越来越多的人认识到患者报告的结果的重要性,这导致糖尿病护理的提供更加以患者为中心。医疗设备、数字健康和大数据分析形式的糖尿病技术有可能改善临床护理和心理社会支持,从而降低急性和慢性并发症的发生率,减轻糖尿病护理负担,提高生活质量。

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