Ehrmann Dominic, Priesterroth Lilli, Schmitt Andreas, Kulzer Bernhard, Hermanns Norbert
Research Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.
Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.
Diabetes Spectr. 2021 May;34(2):149-155. doi: 10.2337/ds20-0096. Epub 2021 May 25.
Time in glucose ranges is increasingly relevant for research and clinical practice. Whereas the clinical validity of these metrics has been demonstrated with regard to long-term complications, their associations with patient-reported outcomes such as well-being, diabetes distress, and fear of hypoglycemia remain an open research question. This article reviews existing evidence on links between times in glycemic ranges and patient-reported outcomes. It also describes a novel research approach of using ecological momentary assessment to analyze on a more granular level in real time possible associations of these parameters of glycemic control and patient-reported outcomes. Such an approach could further our understanding of how glucose and patient-reported outcomes may be interconnected.
处于血糖范围内的时间对于研究和临床实践越来越重要。虽然这些指标在长期并发症方面的临床有效性已得到证实，但它们与患者报告的结果（如幸福感、糖尿病困扰和低血糖恐惧）之间的关联仍是一个有待研究的问题。本文综述了关于血糖范围内的时间与患者报告的结果之间联系的现有证据。它还描述了一种新颖的研究方法，即使用生态瞬时评估来更细致地实时分析血糖控制这些参数与患者报告的结果之间可能存在的关联。这种方法可以加深我们对血糖与患者报告的结果之间如何相互关联的理解。
