Yang Wei, Lu Juan, Si Si-Cong, Wang Wei-Hua, Li Jing, Ma Yi-Xin, Zhao Huan, Liu Jia
Department of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Department of General Practice, The Longzeyuan Community Health Service Center, Beijing 102208, China.
World J Diabetes. 2025 Apr 15;16(4):103002. doi: 10.4239/wjd.v16.i4.103002.
Diabetes is highly prevalent among the elderly worldwide, with the highest number of diabetes cases in China. Yet, the management of diabetes remains unsatisfactory. Recent advances in digital health technologies have facilitated the establishment of smart wards for diabetes patients. There is a lack of smart wards tailored specifically for older diabetes patients who encounter unique challenges in glycemic control and diabetes management, including an increased vulnerability to hypoglycemia, the presence of multiple chronic diseases, and cognitive decline. In this review, studies on digital health technologies for diabetes in China and beyond were summarized to elucidate how the adoption of digital health technologies, such as real-time continuous glucose monitoring, sensor-augmented pump technology, and their integration with 5 generation networks, big data cloud storage, and hospital information systems, can address issues specifically related to elderly diabetes patients in hospital wards. Furthermore, the challenges and future directions for establishing and implementing smart wards for elderly diabetes patients are discussed, and these challenges may also be applicable to other countries worldwide, not just in China. Taken together, the smart wards may enhance clinical outcomes, address specific issues, and eventually improve patient-centered hospital care for elderly patients with diabetes.
糖尿病在全球老年人中极为普遍，中国的糖尿病病例数最多。然而，糖尿病的管理仍不尽人意。数字健康技术的最新进展推动了糖尿病患者智能病房的建立。目前缺乏专门为老年糖尿病患者量身定制的智能病房，这类患者在血糖控制和糖尿病管理方面面临独特挑战，包括低血糖风险增加、多种慢性病并存以及认知能力下降。在这篇综述中，总结了国内外关于糖尿病数字健康技术的研究，以阐明采用数字健康技术，如实时连续血糖监测、传感器增强型泵技术，以及它们与5G网络、大数据云存储和医院信息系统的集成，如何解决医院病房中与老年糖尿病患者特别相关的问题。此外，还讨论了为老年糖尿病患者建立和实施智能病房的挑战及未来方向，这些挑战可能也适用于全球其他国家，而不仅仅是中国。综上所述，智能病房可能会改善临床结局，解决特定问题，并最终改善以患者为中心的老年糖尿病患者医院护理。
