Rodacki M, Calliari L E, Ramalho A C, Vianna A G D, Franco D R, Melo K F S, Araujo L R, Krakauer M, Scharf M, Minicucci W, Ziegler R, Gabbay M
Department of Internal Medicine, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Pediatric Endocrinology Unit, Pediatric Department, Santa Casa de São Paulo School of Mediccal Sciences, São Paulo, Brazil.
Diabetol Metab Syndr. 2021 Jan 3;13(1):2. doi: 10.1186/s13098-020-00607-2.
This manuscript reports the Brazilian Diabetes Society Position Statement for insulin adjustments based on trend arrows observed in continuous glucose monitoring systems. The Brazilian Diabetes Society supports the utilization of trend arrows for insulin dose adjustments in patients with diabetes on basal-bolus insulin therapy, both with multiple daily insulin doses or insulin pumps without closed-loop features. For those on insulin pumps with predictive low-glucose suspend feature, we suggest that only upward trend arrows should be used for adjustments. In this paper, tables for insulin adjustment based on sensitivity factors are provided and strategies to optimize the use of trend arrows in clinical practice are discussed.
本手稿报告了巴西糖尿病学会关于基于连续血糖监测系统中观察到的趋势箭头进行胰岛素调整的立场声明。巴西糖尿病学会支持在接受基础-餐时胰岛素治疗的糖尿病患者中，利用趋势箭头调整胰岛素剂量，这些患者采用多次每日胰岛素注射或无闭环功能的胰岛素泵。对于使用具有预测性低血糖暂停功能的胰岛素泵的患者，我们建议仅使用向上的趋势箭头进行调整。本文提供了基于敏感性因素的胰岛素调整表格，并讨论了在临床实践中优化趋势箭头使用的策略。
