1型糖尿病中自动胰岛素输注系统的实践要点及运动安全益处
Practical Aspects and Exercise Safety Benefits of Automated Insulin Delivery Systems in Type 1 Diabetes.
作者信息
Zaharieva Dessi P, Morrison Dale, Paldus Barbora, Lal Rayhan A, Buckingham Bruce A, O'Neal David N
机构信息
Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Department of Medicine, The University of Melbourne, Melbourne, Australia.
出版信息
Diabetes Spectr. 2023 May;36(2):127-136. doi: 10.2337/dsi22-0018. Epub 2023 May 15.
Abstract
Regular exercise is essential to overall cardiovascular health and well-being in people with type 1 diabetes, but exercise can also lead to increased glycemic disturbances. Automated insulin delivery (AID) technology has been shown to modestly improve glycemic time in range (TIR) in adults with type 1 diabetes and significantly improve TIR in youth with type 1 diabetes. Available AID systems still require some user-initiated changes to the settings and, in some cases, significant pre-planning for exercise. Many exercise recommendations for type 1 diabetes were developed initially for people using multiple daily insulin injections or insulin pump therapy. This article highlights recommendations and practical strategies for using AID around exercise in type 1 diabetes.
摘要
规律运动对于1型糖尿病患者的整体心血管健康和幸福感至关重要，但运动也可能导致血糖紊乱加剧。自动胰岛素输送（AID）技术已被证明可适度改善1型糖尿病成年患者的血糖达标时间（TIR），并显著改善1型糖尿病青少年患者的TIR。现有的AID系统仍需要用户对设置进行一些主动更改，并且在某些情况下，需要为运动进行大量预先规划。许多针对1型糖尿病的运动建议最初是为使用每日多次胰岛素注射或胰岛素泵治疗的人群制定的。本文重点介绍了在1型糖尿病运动期间使用AID的建议和实用策略。
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