Suppr超能文献

在真实环境中使用间歇性扫描连续血糖监测的 1 型糖尿病患者中速效门冬胰岛素对血糖控制的影响:GoBolus 研究。

Impact of Fast-Acting Insulin Aspart on Glycemic Control in Patients with Type 1 Diabetes Using Intermittent-Scanning Continuous Glucose Monitoring Within a Real-World Setting: The GoBolus Study.

机构信息

Diabetes Center for Children and Adolescents, Children's Hospital on the Bult, Hanover Medical School, Hanover, Germany.

Novo Nordisk Pharma GmbH, Mainz, Germany.

出版信息

Diabetes Technol Ther. 2021 Mar;23(3):203-212. doi: 10.1089/dia.2020.0360. Epub 2020 Oct 21.

Abstract

The GoBolus study investigated the real-world effectiveness of faster aspart in patients with type 1 diabetes (T1D) using intermittent-scanning continuous glucose monitoring (iscCGM) systems. This 24-week, multicenter, single-arm, noninterventional study investigated adults with T1D (HbA, 7.5%-9.5%) receiving multiple daily injections (MDI) of insulin and using iscCGM within local healthcare settings for ≥6 months before switching to faster aspart at study start (week 0; baseline). Primary endpoint was HbA change from baseline to week 24. Exploratory endpoint was change in iscCGM metrics from baseline to week 24. Overall, 243 patients were included (55.6% male), with mean age/diabetes duration, 49.9/18.8 years; mean HbA, 8.1%. By week 24, HbA had decreased by 0.19% (-2.1 mmol/mol,  < 0.0001) with no mean change in insulin doses or basal/bolus insulin ratios. For patients with sufficient available iscCGM data ( = 92): "time in range" (TIR; 3.9-10.0 mmol/L) increased from 46.9% to 50.1% ( = 0.01), corresponding to an increase of 46.1 min/day; time in hyperglycemia decreased from 49.1% to 46.1% (>10.0 mmol/L,  = 0.026) and 20.4% to 17.9% (>13.9 mmol/L,  = 0.013), corresponding to 43.5 ( = 0.024) and 35.6 ( = 0.015) fewer minutes per day on average spent in these ranges, respectively; no change for time in hypoglycemia (<3.9 and <3.0 mmol/L). Mean interstitial and postprandial glucose improved from 10.4 to 10.1 mmol/L ( = 0.035) and 11.9 to 11.0 mmol/L ( = 0.002), respectively. Real-world switching to faster aspart in adults with T1D on MDI improved HbA, increased TIR, and decreased time in hyperglycemia without affecting time in hypoglycemia. The GoBolus study: NCT03450863.

摘要

GoBolus 研究使用间歇性扫描连续血糖监测(iscCGM)系统,调查了 1 型糖尿病(T1D)患者中更快门冬胰岛素的真实世界疗效。这是一项为期 24 周、多中心、单臂、非干预性研究,共纳入 243 例接受多次每日注射(MDI)胰岛素治疗且在研究开始时(第 0 周;基线)切换至更快门冬胰岛素前,使用 iscCGM 至少 6 个月的 T1D 成年患者。主要终点为从基线到第 24 周的 HbA 变化。探索性终点为从基线到第 24 周 iscCGM 指标的变化。总体而言,243 例患者入组(55.6%为男性),平均年龄/糖尿病病程为 49.9/18.8 岁;平均 HbA 为 8.1%。至第 24 周时,HbA 下降了 0.19%(-2.1mmol/mol, < 0.0001),胰岛素剂量或基础/餐时胰岛素比例无明显变化。对于有足够可用 iscCGM 数据的患者( = 92):“血糖控制达标时间”(TIR;3.9-10.0mmol/L)从 46.9%增加至 50.1%( = 0.01),对应于每天增加 46.1 分钟;高血糖时间从 49.1%降至 46.1%(>10.0mmol/L, = 0.026)和 20.4%降至 17.9%(>13.9mmol/L, = 0.013),分别对应于平均每天减少 43.5( = 0.024)和 35.6( = 0.015)分钟;低血糖时间无变化(<3.9 和 <3.0mmol/L)。平均间质和餐后血糖分别从 10.4 降至 10.1mmol/L( = 0.035)和 11.9 降至 11.0mmol/L( = 0.002)。在接受 MDI 治疗的 T1D 成年患者中,真实世界中切换至更快门冬胰岛素可改善 HbA,增加 TIR,并减少高血糖时间,而不影响低血糖时间。GoBolus 研究:NCT03450863。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c63/7906866/fd5b3d8f1f36/dia.2020.0360_figure1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验