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用于糖尿病犬远程血糖评估的葡萄糖监测智能跟踪系统:一种新方法。

Glucose monitoring intelligent tracking system for remote glycemic assessment in diabetic dogs: a novel approach.

作者信息

Xi Jiri, Yang Heer, Zhang Qiang, Yang Sicheng, Ping Fan, Fang Xiucai

机构信息

Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, People's Republic of China.

AccuraLink Technologies Ltd., Beijing, 100123, People's Republic of China.

出版信息

BMC Vet Res. 2025 May 17;21(1):354. doi: 10.1186/s12917-025-04809-6.


DOI:10.1186/s12917-025-04809-6
PMID:40382616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12084943/
Abstract

Optimizing glucose control is one of the primary goals of diabetes management. This study assessed the feasibility and accuracy of a remote real-time continuous glucose monitoring system (RT-CGMS) integrated with intelligent tracking in diabetic dogs. Seven Beagle dogs were monitored using interstitial sensors across different configurations: adhesive only, adhesive with protective garments, and garments combined with an innovative glucose monitoring approach for remote transmission. Sensor wear time was slightly longer with garments (8.2 ± 6.7 vs. 5.8 ± 3.1 days; P > 0.05). Valid data acquisition was significantly higher in the remote-monitoring group [95 (84, 96)] compared to Group 1 [67 (47, 78)] and Group 2 [76 (64, 80), P < 0.001 for both]. A strong correlation was found between RT-CGMS and PBGM measurements (r = 0.904). Calibration improved accuracy at glucose levels ≥ 5.5 mmol/L, reducing MARD from 28.5 to 14.5% and increasing Bland-Altman agreement from 48 to 67%. However, MAD slightly increased in the < 5.5 mmol/L range (2.2 to 2.7 mmol/L). Frequent hyperglycemia, high variability, and glucose excursions were observed. In conclusion, RT-CGMS with intelligent tracking improved data continuity and accuracy in diabetic dogs. Future research should focus on improving the system's sensitivity under hypoglycemic conditions and exploring its broader applications, including its role in enhancing in-hospital glucose management, utilizing big data to facilitate online diagnostics and offline follow-up care, providing guidance for daily glucose stabilization, enabling personalized veterinary services, and offering subscription-based health reports for pet owners.

摘要

优化血糖控制是糖尿病管理的主要目标之一。本研究评估了一种集成智能追踪功能的远程实时连续血糖监测系统(RT-CGMS)在糖尿病犬中的可行性和准确性。使用间质传感器对7只比格犬进行了不同配置的监测:仅使用粘贴式传感器、粘贴式传感器搭配防护服,以及防护服结合创新的葡萄糖监测方法进行远程传输。使用防护服时传感器佩戴时间略长(8.2±6.7天对5.8±3.1天;P>0.05)。与第1组[67(47,78)]和第2组[76(64,80)]相比,远程监测组[95(84,96)]的有效数据采集显著更高(两组P均<0.001)。RT-CGMS与便携式血糖仪测量值之间存在强相关性(r=0.904)。校准提高了血糖水平≥5.5 mmol/L时的准确性,平均绝对相对偏差(MARD)从28.5%降至14.5%,布兰德-奥特曼一致性从48%提高到67%。然而,在<5.5 mmol/L范围内平均绝对差(MAD)略有增加(从2.2 mmol/L增至2.7 mmol/L)。观察到频繁出现高血糖、高变异性和血糖波动。总之,具有智能追踪功能的RT-CGMS提高了糖尿病犬的数据连续性和准确性。未来的研究应专注于提高系统在低血糖条件下的敏感性,并探索其更广泛的应用,包括其在加强医院内血糖管理中的作用、利用大数据促进在线诊断和离线后续护理、为日常血糖稳定提供指导、实现个性化兽医服务,以及为宠物主人提供基于订阅的健康报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/36efe00a996a/12917_2025_4809_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/9d6c12ca082c/12917_2025_4809_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/7fd7c5d8cb2f/12917_2025_4809_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/4da3f9a31283/12917_2025_4809_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/5976c19d204f/12917_2025_4809_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/36efe00a996a/12917_2025_4809_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/9d6c12ca082c/12917_2025_4809_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/7fd7c5d8cb2f/12917_2025_4809_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/4da3f9a31283/12917_2025_4809_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/5976c19d204f/12917_2025_4809_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65cd/12084943/36efe00a996a/12917_2025_4809_Fig5_HTML.jpg

相似文献

[1]
Glucose monitoring intelligent tracking system for remote glycemic assessment in diabetic dogs: a novel approach.

BMC Vet Res. 2025-5-17

[2]
Effect of sensor location in dogs on performance of an interstitial glucose monitor.

Am J Vet Res. 2016-8

[3]
Accuracy of a continuous glucose monitoring system in dogs and cats with diabetic ketoacidosis.

J Vet Emerg Crit Care (San Antonio). 2010-6

[4]
Evaluation of a novel real-time continuous glucose-monitoring system for use in cats.

J Vet Intern Med. 2010

[5]
The clinical utility of two human portable blood glucose meters in canine and feline practice.

Vet Clin Pathol. 2014-3

[6]
Evaluation of a continuous glucose monitoring system for use in dogs, cats, and horses.

J Am Vet Med Assoc. 2003-10-1

[7]
Comparison of glucose fluctuations between day- and night-time measured using a continuous glucose monitoring system in diabetic dogs.

J Vet Med Sci. 2013-1-31

[8]
Home-based subcutaneous continuous glucose monitoring in 10 diabetic dogs.

Vet Rec. 2011-7-27

[9]
Evaluation of four portable blood glucose meters in diabetic and non-diabetic dogs and cats.

Vet Q. 2015-10-7

[10]
Complications associated with a flash glucose monitoring system in diabetic dogs.

Can J Vet Res. 2023-10

本文引用的文献

[1]
Review of Noninvasive Continuous Glucose Monitoring in Diabetics.

ACS Sens. 2023-10-27

[2]
Complications associated with a flash glucose monitoring system in diabetic dogs.

Can J Vet Res. 2023-10

[3]
Novel decorated aluminium(iii) phthalocyanine complex with the application of MWCNTs on electrodes: electrochemical non-enzymatic oxidation and reduction of glucose and hydrogen peroxide.

RSC Adv. 2023-7-11

[4]
Interstitial glucose monitoring has acceptable clinical accuracy in juvenile dogs.

J Am Vet Med Assoc. 2023-10-1

[5]
Induction of Type I Diabetes Mellitus in Beagle Dogs Using Alloxan and Streptozotocin.

Curr Protoc. 2022-11

[6]
Repeated Low-Dose Streptozotocin and Alloxan Induced Long-Term and Stable Type 1 Diabetes Model in Beagle Dogs.

Biomed Res Int. 2022

[7]
Comparison of the stability of Mucor-derived flavin adenine dinucleotide-dependent glucose dehydrogenase and glucose oxidase.

J Biosci Bioeng. 2022-10

[8]
N-acetyl-L-cysteine ameliorates hepatocyte pyroptosis of dog type 1 diabetes mellitus via suppression of NLRP3/NF-κB pathway.

Life Sci. 2022-10-1

[9]
Evaluation of a flash glucose monitoring system in nondiabetic dogs with rapidly changing blood glucose concentrations.

J Vet Intern Med. 2021-11

[10]
Advances in Biosensors for Continuous Glucose Monitoring Towards Wearables.

Front Bioeng Biotechnol. 2021-8-19

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