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基层医疗中有效使用持续葡萄糖监测的路线图。

Roadmap to the Effective Use of Continuous Glucose Monitoring in Primary Care.

作者信息

Martens Thomas W

机构信息

International Diabetes Center and Park Nicollet Department of Internal Medicine, St. Louis Park, MN.

出版信息

Diabetes Spectr. 2023 Fall;36(4):306-314. doi: 10.2337/dsi23-0001. Epub 2023 Nov 15.

Abstract

Diabetes technology has undergone a remarkable evolution in the past decade, with dramatic improvements in accuracy and ease of use. Continuous glucose monitor (CGM) technology, in particular, has evolved, and coevolved with widely available consumer smartphone technology, to provide a unique opportunity to both improve management and decrease the burden of management for populations across nearly the entire spectrum of people living with diabetes. Capitalizing on that opportunity, however, will require both adoption of and adaptations to the use of CGM technology in the broader world of primary care. This article focuses on mechanisms to expand pathways to optimized glycemic management, thereby creating a robust roadway capable of improving care across broad populations managed in primary care settings. Recent expansions in access to devices combined with improved mechanisms for data access at the time of primary care visits and improved training and evolving systems of support within primary care, hold potential to improve glycemic management in diabetes across the health care spectrum.

摘要

在过去十年中,糖尿病技术取得了显著进展,在准确性和易用性方面有了巨大提升。尤其是持续葡萄糖监测(CGM)技术不断发展,并与广泛普及的消费级智能手机技术协同发展,为几乎所有糖尿病患者群体改善管理和减轻管理负担提供了独特契机。然而,要利用这一契机,需要在更广泛的初级保健领域采用并适应CGM技术的使用。本文重点探讨拓展优化血糖管理途径的机制,从而打造一条能够改善初级保健环境中广大患者护理水平的坚实道路。近期设备获取途径的扩展,加上初级保健就诊时数据获取机制的改善、培训的加强以及初级保健内部不断发展的支持体系,有望在整个医疗保健领域改善糖尿病患者的血糖管理。

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