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动态血糖监测在糖尿病合并血液透析患者中的应用研究进展

Research Progress on the Application of CGM in Patients with Diabetes and Hemodialysis.

作者信息

Huang Ping, He Jing, Ren Liansheng, Yang Rong, Feng Dan, Li Ling, Liu Shuhuan, Wang Yunmin, Zeng Yi, Zhang Wei, Zhu Dan

机构信息

363 Hospital, 108 Daosangshu Street, Wuhou District, Chengdu, 610000, People's Republic of China.

Center for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, Harbin, 150081, People's Republic of China; National Health Commission & Education Bureau of Heilongjiang Province, Key Laboratory of Etiology and Epidemiology, Harbin Medical University (23618504), Harbin, 150081, People's Republic of China; Center for Chronic Disease Prevention and Control, Harbin Medical University, Harbin, People's Republic of China.

出版信息

Int J Med Sci. 2024 Nov 11;21(15):3083-3090. doi: 10.7150/ijms.102727. eCollection 2024.

Abstract

Diabetes mellitus is the main cause of end-stage renal disease (ESKD), and most patients need hemodialysis (HD) treatment after they progress to uremia. Patients with diabetes and HD have obvious blood glucose fluctuation, hyperglycemia and hypoglycemia may both related to the higher mortality. Therefore, maintaining blood glucose stability is the main treatment strategy to improve the prognosis of patients. It is challenging to evaluate the blood glucose control of patients with diabetes and HD. The traditional blood glucose detection methods have certain limitations, they may be affected by many factors in HD patients. The application of continuous glucose monitoring (CGM) system is gradually recognized, CGM can monitor blood glucose real-time, timely, and predictive capabilities, there are fewer factors that are affected blood glucose in HD patients.

摘要

糖尿病是终末期肾病(ESKD)的主要病因,大多数患者进展至尿毒症后需要进行血液透析(HD)治疗。糖尿病合并血液透析的患者血糖波动明显,高血糖和低血糖均可能与较高的死亡率相关。因此,维持血糖稳定是改善患者预后的主要治疗策略。评估糖尿病合并血液透析患者的血糖控制情况具有挑战性。传统的血糖检测方法有一定局限性,可能受到血液透析患者多种因素的影响。连续血糖监测(CGM)系统的应用逐渐得到认可,CGM能够实时、及时地监测血糖,且具有预测功能,受血液透析患者血糖影响的因素较少。

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