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糖尿病学 4.0:数字化带来的新见解和可能性的范围综述。

Diabetology 4.0: Scoping Review of Novel Insights and Possibilities Offered by Digitalization.

机构信息

Medicine with Specialization in Internal Medicine and General Medicine, Hochschule Fulda - University of Applied Sciences, Fulda, Germany.

出版信息

J Med Internet Res. 2021 Mar 24;23(3):e23475. doi: 10.2196/23475.

DOI:10.2196/23475
PMID:33759789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8074865/
Abstract

BACKGROUND

The increasing prevalence of diabetes mellitus and associated morbidity worldwide justifies the need to create new approaches and strategies for diabetes therapy. Therefore, the ongoing digitalization offers novel opportunities in this field.

OBJECTIVE

The aim of this study is to provide an updated overview of available technologies, possibilities, and novel insights into diabetes therapy 4.0.

METHODS

A scoping review was carried out, and a literature search was performed using electronic databases (MEDLINE [PubMed], Cochrane Library, Embase, CINAHL, and Web of Science). The results were categorized according to the type of technology presented.

RESULTS

Different types of technology (eg, glucose monitoring systems, insulin pens, insulin pumps, closed-loop systems, mobile health apps, telemedicine, and electronic medical records) may help to improve diabetes treatment. These improvements primarily affect glycemic control. However, they may also help in increasing the autonomy and quality of life of people who are diagnosed with diabetes mellitus.

CONCLUSIONS

Diabetes technologies have developed rapidly over the last few years and offer novel insights into diabetes therapy and a chance to improve and individualize diabetes treatment. Challenges that need to be addressed in the following years relate to data security, interoperability, and the development of standards.

摘要

背景

糖尿病的患病率在全球范围内不断上升,相关发病率也不断增加,这证明有必要为糖尿病治疗创造新方法和策略。因此,目前的数字化在该领域提供了新的机会。

目的

本研究旨在提供糖尿病治疗 4.0 相关现有技术、可能性和新见解的最新概述。

方法

我们进行了范围性综述,并使用电子数据库(MEDLINE [PubMed]、Cochrane 图书馆、Embase、CINAHL 和 Web of Science)进行文献检索。结果根据所呈现的技术类型进行分类。

结果

不同类型的技术(例如,血糖监测系统、胰岛素笔、胰岛素泵、闭环系统、移动医疗应用程序、远程医疗和电子病历)可帮助改善糖尿病治疗。这些改进主要影响血糖控制,但也有助于提高被诊断患有糖尿病的患者的自主性和生活质量。

结论

过去几年中,糖尿病技术发展迅速,为糖尿病治疗提供了新的见解,并为改善和个性化糖尿病治疗提供了机会。未来几年需要解决的数据安全、互操作性和标准制定方面的挑战。

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本文引用的文献

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Diabetes Technol Ther. 2020 Oct;22(10):709-718. doi: 10.1089/dia.2019.0411. Epub 2020 Mar 11.
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Diabetes digital app technology: benefits, challenges, and recommendations. A consensus report by the European Association for the Study of Diabetes (EASD) and the American Diabetes Association (ADA) Diabetes Technology Working Group.糖尿病数字 APP 技术:效益、挑战和建议。欧洲糖尿病研究协会(EASD)和美国糖尿病协会(ADA)糖尿病技术工作组的共识报告。
Diabetologia. 2020 Feb;63(2):229-241. doi: 10.1007/s00125-019-05034-1.
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Long-term real-life glycaemic outcomes with a hybrid closed-loop system compared with sensor-augmented pump therapy in patients with type 1 diabetes.闭环系统与传感器增强型胰岛素泵治疗 1 型糖尿病患者的长期真实生活血糖控制效果比较。
Diabetes Obes Metab. 2020 Apr;22(4):583-589. doi: 10.1111/dom.13933. Epub 2020 Jan 3.
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USA Vs Europe: Who Is Leading the Diabetes Tech Race?美国与欧洲:谁在引领糖尿病技术竞赛?
Curr Diab Rep. 2019 Nov 16;19(11):128. doi: 10.1007/s11892-019-1237-z.
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Insulin Pumps: Review of Technological Advancement in Diabetes Management.胰岛素泵:糖尿病管理中技术进步的综述。
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Six-Month Randomized, Multicenter Trial of Closed-Loop Control in Type 1 Diabetes.1 型糖尿病闭环控制的 6 个月随机、多中心试验。
N Engl J Med. 2019 Oct 31;381(18):1707-1717. doi: 10.1056/NEJMoa1907863. Epub 2019 Oct 16.
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Diabetes Care. 2019 Dec;42(12):2190-2196. doi: 10.2337/dc19-0855. Epub 2019 Sep 23.
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Diabetes Spectr. 2019 Aug;32(3):231-236. doi: 10.2337/ds18-0101.