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患者对采用Control-IQ技术的Tandem t:slim X2先进混合闭环胰岛素输送系统的满意度及临床体验

Patient Satisfaction and Clinical Experience With the Tandem t:slim X2 With Control-IQ Technology Advanced Hybrid Closed-Loop Insulin Delivery System.

作者信息

Meade Lisa T, Marino Adriane B, Barrier Madison A, Wilson Madison H

机构信息

Wingate University School of Pharmacy, Wingate, NC.

Piedmont Healthcare Department of Endocrinology, Statesville, NC.

出版信息

Diabetes Spectr. 2024 Jul 5;37(4):379-384. doi: 10.2337/ds23-0057. eCollection 2024 Fall.

Abstract

OBJECTIVE

The purpose of this study was to assess patient satisfaction and clinical experience with the t:slim X2 with Control-IQ Technology automated insulin delivery system.

METHODS

This descriptive study used a retrospective electronic health record review of all individuals trained on the Control-IQ system between December 2019 and April 2022 in one adult endocrinology practice. A total of 99 patients using the Control-IQ system for at least 3 months completed the glucose monitoring satisfaction survey (GMSS). The primary outcome was overall satisfaction with the system as measured by the GMSS. Secondary outcomes included changes in A1C from baseline at 3, 6, and 12 months; the association between GMSS scores and A1C levels; and the use of the system's sleep activity feature to achieve lower A1C levels.

RESULTS

The overall satisfaction score for patients using the system was 4.0 ± 0.6 (possible score range 1-5). A1C decreased by 0.6% 3 months, 0.7% at 6 months, and 0.8% at 12 months. Participants with A1C levels ≤7% did not experience greater satisfaction compared to those with higher A1C levels.

CONCLUSION

Participants using the Control-IQ system reported a high rate of overall satisfaction and experienced significant reductions from baseline A1C at 3, 6, and 12 months.

摘要

目的

本研究旨在评估患者对采用Control-IQ技术的t:slim X2自动胰岛素输送系统的满意度和临床体验。

方法

本描述性研究对2019年12月至2022年4月期间在一家成人内分泌科诊所接受Control-IQ系统培训的所有个体进行了回顾性电子健康记录审查。共有99名使用Control-IQ系统至少3个月的患者完成了血糖监测满意度调查(GMSS)。主要结局是通过GMSS衡量的对该系统的总体满意度。次要结局包括3个月、6个月和12个月时糖化血红蛋白(A1C)相对于基线的变化;GMSS评分与A1C水平之间的关联;以及使用该系统的睡眠活动功能以实现更低的A1C水平。

结果

使用该系统的患者总体满意度评分为4.0±0.6(可能的评分范围为1 - 5)。A1C在3个月时下降了0.6%,6个月时下降了0.7%,12个月时下降了0.8%。与A1C水平较高的参与者相比,A1C水平≤7%的参与者并未体验到更高的满意度。

结论

使用Control-IQ系统的参与者报告总体满意度较高,且在3个月、6个月和12个月时A1C相对于基线有显著降低。

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