Elian Viviana, Popovici Violeta, Ozon Emma-Adriana, Musuc Adina Magdalena, Fița Ancuța Cătălina, Rusu Emilia, Radulian Gabriela, Lupuliasa Dumitru
Department of Diabetes, Nutrition and Metabolic Diseases, "Carol Davila" University of Medicine and Pharmacy, 8 Eroii Sanitari Blvd., 050471 Bucharest, Romania.
Department of Diabetes, Nutrition and Metabolic Diseases, "Prof. Dr. N. C. Paulescu" National Institute of Diabetes, Nutrition and Metabolic Diseases, 030167 Bucharest, Romania.
Life (Basel). 2023 Jul 30;13(8):1663. doi: 10.3390/life13081663.
Type 1 diabetes mellitus is a chronic autoimmune disease that affects millions of people and generates high healthcare costs due to frequent complications when inappropriately managed. Our paper aimed to review the latest technologies used in T1DM management for better glycemic control and their impact on daily life for people with diabetes. Continuous glucose monitoring systems provide a better understanding of daily glycemic variations for children and adults and can be easily used. These systems diminish diabetes distress and improve diabetes control by decreasing hypoglycemia. Continuous subcutaneous insulin infusions have proven their benefits in selected patients. There is a tendency to use more complex systems, such as hybrid closed-loop systems that can modulate insulin infusion based on glycemic readings and artificial intelligence-based algorithms. It can help people manage the burdens associated with T1DM management, such as fear of hypoglycemia, exercising, and long-term complications. The future is promising and aims to develop more complex ways of automated control of glycemic levels to diminish the distress of individuals living with diabetes.
1型糖尿病是一种慢性自身免疫性疾病,影响着数百万人,若管理不当,频繁出现的并发症会产生高昂的医疗费用。我们的论文旨在综述1型糖尿病管理中用于更好地控制血糖的最新技术及其对糖尿病患者日常生活的影响。连续血糖监测系统能让儿童和成人更好地了解日常血糖变化,且使用方便。这些系统通过减少低血糖来减轻糖尿病困扰并改善糖尿病控制。持续皮下胰岛素输注已在部分患者中证明了其益处。目前有使用更复杂系统的趋势,比如能根据血糖读数和基于人工智能的算法来调节胰岛素输注的混合闭环系统。它可以帮助人们应对与1型糖尿病管理相关的负担,如低血糖恐惧、运动以及长期并发症。未来前景广阔,旨在开发更复杂的自动控制血糖水平的方法,以减轻糖尿病患者的困扰。