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糖化血红蛋白:血糖管理指标、达标时间以及临床实践中连续血糖监测报告的标准化。

HbA: The Glucose Management Indicator, Time in Range, and Standardization of Continuous Glucose Monitoring Reports in Clinical Practice.

机构信息

International Diabetes Center & Health Partners, 3800 Park Nicollet Boulevard, Minneapolis, MN 55416, USA.

International Diabetes Center, Park Nicollet Clinic Pediatric Endocrinology, 3800 Park Nicollet Boulevard, Minneapolis, MN 55416, USA.

出版信息

Endocrinol Metab Clin North Am. 2020 Mar;49(1):95-107. doi: 10.1016/j.ecl.2019.10.010. Epub 2019 Dec 23.

Abstract

Continuous glucose monitoring (CGM) use is growing rapidly among people with diabetes and beginning to be standard of care for managing glucose levels in insulin therapy. With this increased use, there is a need to standardize CGM data. CGM standardization has been set forth by expert panels. The Glucose Management Indicator is a concept using the CGM-derived mean glucose to provide a value that can be understood similarly to hemoglobin A. The times an individual spends in various glucose ranges is emerging as an important set of metrics. Metrics derived from patient CGM data are changing the way diabetes is managed.

摘要

连续血糖监测(CGM)在糖尿病患者中的使用正在迅速增长,并且开始成为胰岛素治疗中管理血糖水平的标准。随着这种使用的增加,需要标准化 CGM 数据。CGM 标准化已经由专家小组提出。血糖管理指标是一个使用 CGM 衍生的平均血糖来提供一个可以类似于血红蛋白 A 的概念值。个体在不同血糖范围内的时间正在成为一组重要的指标。从患者 CGM 数据中得出的指标正在改变糖尿病的管理方式。

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