Division of Endocrinology, Metabolism and Molecular Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Postgrad Med. 2022 Nov;134(8):743-751. doi: 10.1080/00325481.2022.2110507. Epub 2022 Aug 18.
Continuous glucose monitoring (CGM) use has expanded rapidly in recent years among people with both type 1 and type 2 diabetes. In concert with the globally increasing prevalence of type 2 diabetes, the majority of whom receive diabetes care from internists or family physicians rather than specialists, it is becoming increasingly incumbent upon physicians within internal medicine and family practice to interpret and utilize CGM data in real-world clinical practice. It is therefore of paramount importance that internists and family physicians have access to the tools which will enable them to (1) interpret CGM data, and (2) utilize CGM data to guide therapeutic modifications for their patients with type 2 diabetes. Given the limited amount of time available to internists and family physicians to address multiple complex topics in a typical office visit, a pragmatic, simple, and systematic approach to CGM interpretation is crucial. This article aims to provide internists and family physicians with a simplified and systematic approach to CGM interpretation that can be easily and efficiently implemented in a brief office visit.
近年来,无论是 1 型糖尿病患者还是 2 型糖尿病患者,连续血糖监测(CGM)的使用都迅速普及。随着全球 2 型糖尿病患病率的不断上升,其中大多数患者在内科医生或家庭医生处接受糖尿病治疗,而不是专科医生,因此内科医生和家庭医生在实际临床实践中解读和利用 CGM 数据的责任越来越大。因此,内科医生和家庭医生能够(1)解读 CGM 数据,以及(2)利用 CGM 数据指导 2 型糖尿病患者的治疗调整至关重要。考虑到内科医生和家庭医生在一次典型的就诊中可用于解决多个复杂问题的时间有限,因此采用实用、简单和系统的 CGM 解读方法至关重要。本文旨在为内科医生和家庭医生提供一种简化和系统的 CGM 解读方法,以便在简短的就诊中能够轻松高效地实施。