Institut für Diabetes-Technologie, Forschungs- und Entwicklungsgesellschaft mbH, Lise-Meitner-Straße, Ulm, Germany.
Dermatology and Allergology, Feldafing, Germany.
J Diabetes Sci Technol. 2021 Jul;15(4):801-806. doi: 10.1177/1932296820911105. Epub 2020 Mar 22.
Skin reactions due to medical devices for diabetes management have become a common problem in diabetes technology. There is a varying degree in how detailed skin reactions are described in scientific literature and diabetes practice, and no uniform structured documentation is given. Whereas most articles only describe findings, some others already document final diagnoses, such as contact dermatitis. Furthermore, inconsistent wordings for comparable issues were used.
A more detailed and standardized documentation, possibly facilitated by a generally accepted guideline for structured descriptions, of skin reactions could be helpful to enable better differentiations between the described skin reactions. Therefore, a report form to assess skin reactions due to medical devices in diabetes therapy was developed and will be presented in this article.
The one-page report form is divided into four categories and a separate instruction paper. Beside general information the form includes the location, size, severity and duration of skin appearances, the grading of itching, and suspected diagnoses.
A consistent use of the form in daily practice and clinical trials could facilitate a fast and standardized documentation and help to evaluate the occurrence and severity of different skin reactions due to medical devices in diabetes management.
由于糖尿病管理的医疗器械而引起的皮肤反应已成为糖尿病技术中的一个常见问题。在科学文献和糖尿病实践中,皮肤反应的描述详细程度存在差异,且没有统一的结构化文档。虽然大多数文章仅描述了发现结果,但有些文章已经记录了最终诊断,例如接触性皮炎。此外,对于类似问题的措辞也不一致。
更详细和标准化的文档记录,可能通过普遍接受的结构化描述指南来实现,有助于更好地区分所描述的皮肤反应。因此,本文开发了一种用于评估糖尿病治疗中医疗器械引起的皮肤反应的报告表,并将对其进行介绍。
一页的报告表分为四个类别和一份单独的说明纸。除了一般信息外,该表还包括皮肤出现的位置、大小、严重程度和持续时间、瘙痒程度分级以及疑似诊断。
在日常实践和临床试验中一致使用该表格,可以方便快速地进行标准化文档记录,并有助于评估糖尿病管理中医疗器械引起的不同皮肤反应的发生和严重程度。