Paediatric Endocrinology Department, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.
Imperial College London Diabetes Centre, Abu Dhabi, United Arab Emirates.
Diabetes Res Clin Pract. 2021 Mar;173:108671. doi: 10.1016/j.diabres.2021.108671. Epub 2021 Jan 22.
Diabetes mellitus imposes a significant burden around the world generally and in the Middle East and North Africa specifically. Glucose monitoring is a cornerstone of diabetes management.
Glycated haemoglobin has always been the main metric for assessing glycaemic control, but its use is linked with multiple pitfalls. As an alternative, continuous glucose monitoring is becoming a standard of care in many countries. Intermittent scanning glucose monitoring (isCGM) has acquired a worldwide popularity and has been proven to improve glycaemic control, hypoglycaemia detection and prevention, and quality of life.
The most recent International Society of Paediatric and Adolescent Diabetes practice. guidelines recommended its use in young people with diabetes observing Ramadan to ensure safe fasting. At a meeting in Abu Dhabi in November 2019, the Arab Society for Paediatric. Endocrinology and Diabetes brought together a number of regional diabetes experts, patient. representatives and international expert advisors to review the evidence for isCGM and propose. guidelines for its use in the Middle East and North Africa region.
In this paper, the authors strongly recommend the use of isCGM for patients in MENA and present general recommendations and compressive specific guidance for physicians and patients, which they believe will also have wider resonance.
糖尿病在全球范围内普遍存在，在中东和北非地区尤其如此。血糖监测是糖尿病管理的基石。
糖化血红蛋白一直是评估血糖控制的主要指标，但它的使用存在多种缺陷。作为替代方案，连续血糖监测在许多国家已成为常规护理。间歇性扫描血糖监测（isCGM）已经在全球范围内普及，并已被证明可以改善血糖控制、低血糖检测和预防以及生活质量。
最近的国际儿科和青少年糖尿病协会实践指南建议在观察斋月的糖尿病青少年中使用它，以确保安全禁食。在 2019 年 11 月于阿布扎比举行的会议上，阿拉伯儿科学内分泌学和糖尿病学会召集了一些地区糖尿病专家、患者代表和国际专家顾问，审查了 isCGM 的证据，并提出了在中东和北非地区使用该方法的指南。
本文作者强烈建议在 MENA 地区使用 isCGM，并为医生和患者提供一般建议和具体指导，他们相信这也将产生更广泛的影响。
