Rutkowska Katarzyna, Łoś-Stegienta Agnieszka, Bagiński Michał, Zięba Ewa, Baran Adrianna, Żurawska-Kliś Monika, Kosiński Marcin, Cypryk Katarzyna
Department of Internal Diseases and Diabetology, Medical University of Lodz, 92-213 Lodz, Poland.
Faculty of Medicine, Medical University of Lodz, 90-419 Lodz, Poland.
Diagnostics (Basel). 2024 Aug 15;14(16):1777. doi: 10.3390/diagnostics14161777.
We aimed to evaluate glycaemic control in patients with type 1 diabetes during the first three months of use of the flash glucose monitoring (FGM) system.
We conducted a study of a cohort of 81 people with type 1 diabetes mellitus who used the FreeStyle Libre 2 (FSL2) sensor continuously for 3 months. Patients had not used a CGM before. The effectiveness of using the FSL2 system was assessed using AGP reports at two time points (3-4 weeks and 11-12 weeks of system use).
Eight weeks after using FSL2, compared with results from 3-4 weeks of use, there were no differences in the glucose management indicator, time spent in range, above range and below range, or glucose variability. In the first month of FGM use, patients scanned the sensor significantly more often than in the following two months ( = 0.021). No significant differences were found in the change of the evaluated parameters when comparing patients by duration of diabetes and treatment method.
Short-term use of FSL2 promotes a significant reduction in GMI in patients with more time spent in hyperglycaemia (especially > 250 mg/dL). In this short period of use, no other changes in glycaemic control parameters are observed.
我们旨在评估1型糖尿病患者在使用动态血糖监测(FGM)系统的前三个月期间的血糖控制情况。
我们对81名1型糖尿病患者进行了一项队列研究,这些患者连续3个月使用FreeStyle Libre 2(FSL2)传感器。患者此前未使用过持续葡萄糖监测(CGM)。在两个时间点(系统使用3 - 4周和11 - 12周)使用AGP报告评估FSL2系统的有效性。
使用FSL2八周后,与使用3 - 4周时的结果相比,血糖管理指标、血糖在目标范围内的时间、高于目标范围和低于目标范围的时间或血糖变异性均无差异。在FGM使用的第一个月,患者扫描传感器的频率明显高于接下来的两个月(P = 0.021)。按糖尿病病程和治疗方法对患者进行比较时,评估参数的变化未发现显著差异。
短期使用FSL2可使高血糖持续时间较长(尤其是血糖>250 mg/dL)的患者的血糖管理指标(GMI)显著降低。在这一短期使用期间,未观察到血糖控制参数的其他变化。