住院环境中用于管理高血糖的糖尿病技术
Diabetes Technology in the Inpatient Setting for Management of Hyperglycemia.
作者信息
Davis Georgia M, Galindo Rodolfo J, Migdal Alexandra L, Umpierrez Guillermo E
机构信息
Department of Medicine, Emory University, 69 Jesse Hill Jr Drive Southeast, Glenn Memorial Building, Suite 200, Atlanta, GA 30303, USA.
Department of Medicine, Emory University, 69 Jesse Hill Jr Drive Southeast, Glenn Memorial Building, Suite 200, Atlanta, GA 30303, USA.
出版信息
Endocrinol Metab Clin North Am. 2020 Mar;49(1):79-93. doi: 10.1016/j.ecl.2019.11.002.
Abstract
In past decades, a rapid evolution of diabetes technology led to increased popularity and use of continuous glucose monitoring (CGM) and continuous subcutaneous insulin infusion (CSII) in the ambulatory setting for diabetes management, and recently, the artificial pancreas became available. Efforts to translate this technology to the hospital setting have shown accuracy and reliability of CGM, safety of CSII in appropriate populations, improvement of inpatient glycemic control with computerized glycemic management systems, and feasibility of inpatient CGM-CSII closed-loop systems. Several ongoing studies are focusing on continued translation of this technology to improve glycemic control and outcomes in hospitalized patients.
摘要
在过去几十年中，糖尿病技术迅速发展，使得动态血糖监测（CGM）和持续皮下胰岛素输注（CSII）在门诊糖尿病管理中的应用越来越广泛且受到欢迎。最近，人工胰腺也已问世。将这些技术应用于医院环境的努力已证明，CGM具有准确性和可靠性，CSII在合适人群中具有安全性，计算机化血糖管理系统可改善住院患者的血糖控制，并且住院CGM-CSII闭环系统具有可行性。目前正在进行的几项研究聚焦于继续将该技术应用于改善住院患者的血糖控制及治疗效果。
相似文献
1
Diabetes Technology in the Inpatient Setting for Management of Hyperglycemia.住院环境中用于管理高血糖的糖尿病技术
Endocrinol Metab Clin North Am. 2020 Mar;49(1):79-93. doi: 10.1016/j.ecl.2019.11.002.
2
Technology in Diabetes: The Future Is Today.糖尿病领域的技术：未来已来。
Endocrinol Metab Clin North Am. 2020 Mar;49(1):xv-xvi. doi: 10.1016/j.ecl.2019.11.003. Epub 2019 Dec 4.
3
Diabetes Technology Use in Adults with Type 1 and Type 2 Diabetes.糖尿病患者的 1 型和 2 型糖尿病的技术使用情况。
Endocrinol Metab Clin North Am. 2020 Mar;49(1):37-55. doi: 10.1016/j.ecl.2019.10.006. Epub 2019 Dec 10.
4
Do-It-Yourself Artificial Pancreas System and the OpenAPS Movement.DIY 人工胰腺系统和 OpenAPS 运动。
Endocrinol Metab Clin North Am. 2020 Mar;49(1):203-213. doi: 10.1016/j.ecl.2019.10.005. Epub 2019 Dec 9.
5
Diabetes Technology and Exercise.糖尿病技术与运动。
Endocrinol Metab Clin North Am. 2020 Mar;49(1):109-125. doi: 10.1016/j.ecl.2019.10.011. Epub 2019 Dec 9.
6
Diabetes Technology: Monitoring, Analytics, and Optimal Control.糖尿病技术：监测、分析和优化控制。
Cold Spring Harb Perspect Med. 2019 Jun 3;9(6):a034389. doi: 10.1101/cshperspect.a034389.
7
Automated Insulin Delivery in Adults.成人自动化胰岛素输注。
Endocrinol Metab Clin North Am. 2020 Mar;49(1):167-178. doi: 10.1016/j.ecl.2019.10.007. Epub 2019 Dec 16.
8
Continuous Glucose Monitoring, Future Products, and Update on Worldwide Artificial Pancreas Projects.持续葡萄糖监测、未来产品及全球人工胰腺项目进展
Diabetes Technol Ther. 2016 Feb;18 Suppl 2(Suppl 2):S253-63. doi: 10.1089/dia.2015.0345.
9
Evolution of Diabetes Technology.糖尿病技术的发展历程。
Endocrinol Metab Clin North Am. 2020 Mar;49(1):1-18. doi: 10.1016/j.ecl.2019.10.009. Epub 2019 Dec 4.
10
Continuous Glucose Monitoring: A Review of Recent Studies Demonstrating Improved Glycemic Outcomes.持续血糖监测：近期研究综述显示血糖结果得到改善
Diabetes Technol Ther. 2017 Jun;19(S3):S25-S37. doi: 10.1089/dia.2017.0035.
引用本文的文献
1
Agreement Between Fingerstick Blood Glucose and Continuous Glucose Monitor Measures Among Long-Term Care Facility Residents.长期护理机构居民指尖血糖与连续血糖监测指标之间的一致性
J Am Geriatr Soc. 2025 Aug 2. doi: 10.1111/jgs.70024.
2
Screening and management of hospital hyperglycemia in non-critical patients: a position statement from the Brazilian Diabetes Society (SBD).非重症患者医院高血糖的筛查与管理：巴西糖尿病协会（SBD）的立场声明
Diabetol Metab Syndr. 2025 Feb 12;17(1):54. doi: 10.1186/s13098-025-01585-z.
3
Glycemic Management of Patients with Hospital Hyperglycemia: A Retrospective Cohort Study on Adults Admitted in the Non-ICU Wards.医院高血糖患者的血糖管理：一项针对非重症监护病房收治的成人患者的回顾性队列研究
Diabetes Metab Syndr Obes. 2025 Jan 7;18:61-73. doi: 10.2147/DMSO.S501132. eCollection 2025.
4
Review Article - Diabetes Technology in the Hospital: An Update.综述文章 - 医院中的糖尿病技术：更新。
Curr Diab Rep. 2024 Aug;24(8):173-182. doi: 10.1007/s11892-024-01545-3. Epub 2024 Jun 6.
5
Summary of clinical investigation plan for The DIATEC trial: in-hospital diabetes management by a diabetes team and continuous glucose monitoring or point of care glucose testing - a randomised controlled trial.DIATEC 试验临床研究计划总结：糖尿病团队进行院内糖尿病管理和连续血糖监测或即时血糖检测 - 一项随机对照试验。
BMC Endocr Disord. 2024 May 6;24(1):60. doi: 10.1186/s12902-024-01595-4.
6
Assessment of Glycemic Control by Continuous Glucose Monitoring, Hemoglobin A1c, Fructosamine, and Glycated Albumin in Patients With End-Stage Kidney Disease and Burnt-Out Diabetes.终末期肾病和糖尿病晚期患者通过持续血糖监测、糖化血红蛋白、果糖胺和糖化白蛋白评估血糖控制情况
Diabetes Care. 2024 Feb 1;47(2):267-271. doi: 10.2337/dc23-1276.
7
Interaction between haptoglobin genotype and glycemic variability on diabetic macroangiopathy: a population-based cross-sectional study.载脂蛋白基因型与血糖变异性对糖尿病大血管病变的交互作用：基于人群的横断面研究。
Endocrine. 2023 Nov;82(2):311-318. doi: 10.1007/s12020-023-03484-7. Epub 2023 Aug 24.
8
Continuous glucose monitoring for inpatient diabetes management: an update on current evidence and practice.住院糖尿病管理中的持续血糖监测：当前证据与实践的最新进展
Endocr Connect. 2023 Sep 25;12(10). doi: 10.1530/EC-23-0180. Print 2023 Oct 1.
9
American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.美国临床内分泌学会临床实践指南：制定糖尿病综合护理计划-2022 更新版。
Endocr Pract. 2022 Oct;28(10):923-1049. doi: 10.1016/j.eprac.2022.08.002. Epub 2022 Aug 11.
10
Hospital Diabetes Meeting 2022.2022 年医院糖尿病会议。
J Diabetes Sci Technol. 2022 Sep;16(5):1309-1337. doi: 10.1177/19322968221110878. Epub 2022 Jul 29.
本文引用的文献
1
Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range.临床连续血糖监测数据解读目标：时间范围国际共识推荐意见。
Diabetes Care. 2019 Aug;42(8):1593-1603. doi: 10.2337/dci19-0028. Epub 2019 Jun 8.
2
Fully closed-loop insulin delivery improves glucose control of inpatients with type 2 diabetes receiving hemodialysis.全闭环胰岛素输注改善接受血液透析的 2 型糖尿病住院患者的血糖控制。
Kidney Int. 2019 Sep;96(3):593-596. doi: 10.1016/j.kint.2019.03.006. Epub 2019 Mar 20.
3
Fully closed-loop insulin delivery in inpatients receiving nutritional support: a two-centre, open-label, randomised controlled trial.接受营养支持的住院患者的全闭环胰岛素输注：一项两中心、开放标签、随机对照试验。
Lancet Diabetes Endocrinol. 2019 May;7(5):368-377. doi: 10.1016/S2213-8587(19)30061-0. Epub 2019 Mar 29.
4
15. Diabetes Care in the Hospital: .医院中的糖尿病护理： 。
Diabetes Care. 2019 Jan;42(Suppl 1):S173-S181. doi: 10.2337/dc19-S015.
5
Adaptability of Closed Loop During Labor, Delivery, and Postpartum: A Secondary Analysis of Data from Two Randomized Crossover Trials in Type 1 Diabetes Pregnancy.分娩和产后期间闭环的适应性：1 型糖尿病妊娠两项随机交叉试验数据的二次分析。
Diabetes Technol Ther. 2018 Jul;20(7):501-505. doi: 10.1089/dia.2018.0060.
6
Closed-Loop Insulin Delivery for Glycemic Control in Noncritical Care.闭环胰岛素输注用于非重症监护患者的血糖控制。
N Engl J Med. 2018 Aug 9;379(6):547-556. doi: 10.1056/NEJMoa1805233. Epub 2018 Jun 25.
7
Diabetes Technology Update: Use of Insulin Pumps and Continuous Glucose Monitoring in the Hospital.糖尿病技术更新：医院中胰岛素泵和连续血糖监测的使用。
Diabetes Care. 2018 Aug;41(8):1579-1589. doi: 10.2337/dci18-0002. Epub 2018 Jun 23.
8
Evaluating the Implementation of the EndoTool Glycemic Control Software System.评估EndoTool血糖控制软件系统的实施情况。
Diabetes Spectr. 2018 Feb;31(1):26-30. doi: 10.2337/ds16-0061.
9
Insulin Pump and Continuous Glucose Monitor Initiation in Hospitalized Patients with Type 2 Diabetes Mellitus.胰岛素泵和连续血糖监测在 2 型糖尿病住院患者中的应用。
Diabetes Technol Ther. 2018 Jan;20(1):32-38. doi: 10.1089/dia.2017.0250. Epub 2018 Jan 2.
10
Comparison of Computer-Guided Versus Standard Insulin Infusion Regimens in Patients With Diabetic Ketoacidosis.糖尿病酮症酸中毒患者中计算机引导与标准胰岛素输注方案的比较
J Diabetes Sci Technol. 2018 Jan;12(1):39-46. doi: 10.1177/1932296817750899.
Zotero 插件