Lilly Innovation Center, Cambridge, Massachusetts, USA.
Behavioral Diabetes Institute, San Diego, California, USA.
Diabetes Technol Ther. 2021 Jul;23(7):522-526. doi: 10.1089/dia.2020.0631. Epub 2021 Mar 29.
The advent of connected insulin pens will generate an avalanche of digital insulin data, especially in the context of prandial- and multiple daily injection-insulin regimens. There is a need for the diabetes community to develop standards for such data, analogous to what has been achieved using the ambulatory glucose profile and associated metrics for glucose, permitting harmonization of data reporting for multiple devices and facilitating integration of glucose, insulin, food intake, and physical activity data. Several studies have estimated the timing of meals by analyses of glucose excursions but using diverse criteria. There is need for uniform criteria for multiple types of insulin boluses, including premeal, perimeal, delayed, missed, and correction boluses to facilitate research studies and patient care. This article contains a first preliminary proposal for standards regarding reporting of insulin dosing data. Clinical usage of these reports will require sensitive communication between health care providers and patients.
联网胰岛素笔的出现将产生大量的数字化胰岛素数据，尤其是在餐时和多次每日注射胰岛素方案的背景下。糖尿病领域需要制定此类数据的标准，类似于使用动态血糖图谱和相关的血糖指标所取得的成就，从而实现对多种设备的数据报告进行协调，并促进血糖、胰岛素、食物摄入和体力活动数据的整合。有几项研究通过分析血糖波动来估计用餐时间，但使用的标准各不相同。需要为多种类型的胰岛素推注制定统一的标准，包括餐前、餐时、延迟、遗漏和校正推注，以方便研究和患者护理。本文包含关于胰岛素剂量数据报告的标准的初步建议。这些报告的临床使用需要医疗保健提供者和患者之间进行敏感的沟通。
