Xi Jiri, Yang Heer, Zhang Qiang, Yang Sicheng, Ping Fan, Fang Xiucai
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.
BMC Vet Res. 2025 May 17;21(1):354. doi: 10.1186/s12917-025-04809-6.
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.
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。
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