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最佳连续血糖监测采样时长以评估长期血糖控制

Optimal Sampling Duration for Continuous Glucose Monitoring to Determine Long-Term Glycemic Control.

机构信息

1 Jaeb Center for Health Research , Tampa, Florida.

2 International Diabetes Center Park Nicollett , Minneapolis, Minnesota.

出版信息

Diabetes Technol Ther. 2018 Apr;20(4):314-316. doi: 10.1089/dia.2017.0455. Epub 2018 Mar 22.

DOI:10.1089/dia.2017.0455
PMID:29565197
Abstract

OBJECTIVE

To determine the minimum sample of continuous glucose monitoring (CGM) data needed to accurately reflect 3 months of glycemic control.

RESEARCH DESIGN AND METHODS

Three months of CGM data were collected on 257 individuals (age 10-78 years) with type 1 diabetes in two studies (one using the Abbott FreeStyle Libre Pro™ and the other using the Dexcom™ G4). Correlations were calculated between the full 3 months and incremental sampling periods of CGM data.

RESULTS

Correlation to the full 3 months of data improved with an increasing number of days of data collection, plateauing by about 14 days, with an R value of 0.84-0.86 for mean glucose, time at 70-180 mg/dL, and time >180 mg/dL, with lower values for time <70 mg/dL (0.76) and coefficient of variation (0.70).

CONCLUSIONS

Fourteen days of CGM data provide a good estimation of glucose metrics for a 3-month period.

摘要

目的

确定连续血糖监测 (CGM) 数据的最小样本量,以准确反映 3 个月的血糖控制情况。

研究设计和方法

在两项研究中,共采集了 257 名 10-78 岁 1 型糖尿病患者的连续 3 个月 CGM 数据(一项研究使用 Abbott FreeStyle Libre ProTM,另一项研究使用 Dexcom G4TM)。计算了 CGM 数据的完整 3 个月和增量采样时间段之间的相关性。

结果

与完整 3 个月数据的相关性随着数据采集天数的增加而提高,大约 14 天后趋于平稳,平均血糖、70-180mg/dL 时间和 >180mg/dL 时间的 R 值为 0.84-0.86,而 <70mg/dL 时间(0.76)和变异系数(0.70)的 R 值较低。

结论

14 天的 CGM 数据可较好地估计 3 个月的血糖指标。

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