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使用先进的混合闭环系统对1型糖尿病成人患者进行12个月的血糖严格控制改善情况

12-Month Time in Tight Range Improvement with Advanced Hybrid-Closed Loop System in Adults with Type 1 Diabetes.

作者信息

Nigi Laura, Simon Batzibal Maria De Los Angeles, Cataldo Dorica, Dotta Francesco

机构信息

Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena, Italy.

Diabetes and Metabolic Diseases Unit, Azienda Ospedaliera Universitaria Senese, Siena, Italy.

出版信息

Diabetes Ther. 2024 Dec;15(12):2557-2568. doi: 10.1007/s13300-024-01656-w. Epub 2024 Sep 30.

DOI:10.1007/s13300-024-01656-w
PMID:39347899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11561210/
Abstract

INTRODUCTION

Time in tight range (TITR) is an emerging and valuable metric for assessing normoglycemia. The latest advancement in automated insulin delivery (AID) systems, the advanced hybrid closed-loop (AHCL) systems, are particularly noteworthy for managing type 1 diabetes (T1D) and enhancing glycemic control.

METHODS

In a real-world clinical setting, we carried out a retrospective evaluation of TITR in 42 adult subjects with T1D using the AHCL Minimed™ 780G system over a 12-month period.

RESULTS

Within just 14 days of activating the automatic mode, the AHCL Minimed™ 780G system showed rapid improvement in TITR, and in the other continuous glucose monitoring (CGM) metrics. This improvement persisted over 12 months, achieving the proposed 45-50% range for effective glycemic control.

CONCLUSION

The AHCL Minimed™ 780G system significantly enhances TITR, demonstrating continuous improvement throughout a 12-month follow-up period.

摘要

引言

血糖处于严格范围内的时间(TITR)是评估血糖正常的一个新兴且有价值的指标。自动胰岛素输注(AID)系统的最新进展,即先进混合闭环(AHCL)系统,在管理1型糖尿病(T1D)和改善血糖控制方面尤其值得关注。

方法

在真实临床环境中,我们对42名成年T1D患者使用AHCL美敦力™780G系统进行了为期12个月的TITR回顾性评估。

结果

在激活自动模式后的短短14天内,AHCL美敦力™780G系统在TITR以及其他连续血糖监测(CGM)指标方面均显示出快速改善。这种改善在12个月内持续存在,达到了有效血糖控制所建议的45%至50%的范围。

结论

AHCL美敦力™780G系统显著提高了TITR,在12个月的随访期内持续改善。

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本文引用的文献

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Utility of time in tight range (TITR) in evaluating metabolic control in pediatric and adult patients with type 1 diabetes in treatment with advanced hybrid closed-loop systems.时间在紧密范围内(TITR)在评估使用先进混合闭环系统治疗的 1 型糖尿病儿科和成年患者代谢控制中的作用。
Endocrine. 2024 Nov;86(2):539-545. doi: 10.1007/s12020-024-03881-6. Epub 2024 May 30.
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Time in Tight Range for Patients With Type 1 Diabetes: The Time Is Now, or Is It Too Soon?1型糖尿病患者血糖严格控制的时机:是现在,还是为时过早?
Diabetes Care. 2024 May 1;47(5):782-784. doi: 10.2337/dci23-0092.
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Sustained Effectiveness of an Advanced Hybrid Closed-Loop System in a Cohort of Children and Adolescents With Type 1 Diabetes: A 1-Year Real-World Study.一种先进的混合闭环系统在儿童和青少年 1 型糖尿病患者中的持续有效性:一项为期 1 年的真实世界研究。
Diabetes Care. 2024 Jun 1;47(6):1084-1091. doi: 10.2337/dc23-2311.
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Early Real-World Performance of the MiniMed™ 780G Advanced Hybrid Closed-Loop System and Recommended Settings Use in the United States.美敦力 780G 迷你型自动胰岛素输注系统的早期真实世界性能及其在美国的推荐设置应用。
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