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自动胰岛素输注的早期阶段

Early Stages of Automated Insulin Delivery.

作者信息

Zisser Howard, Hovorka Roman, Basu Ananda, Battelino Tadej, Boughton Charlotte K, Breton Marc D, Buckingham Bruce A, Brown Sue A, Cherñavvsky Daniel R, Dassau Eyal, DeBoer Mark D, Doyle Francis J, Ekhlaspour Laya, Fabris Chiara, Forlenza Gregory P, Haidar Ahmad, Klonoff David C, Kovatchev Boris, Kowalski Aaron J, Levy Carol J, Kudva Yogish C, Maahs David M, Phillip Moshe, Renard Eric, Russell Steven J, Shah Viral N, Steil Garry M, Wadwa R Paul, Weinzimer Stuart A

机构信息

Independent Researcher, Santa Barbara, CA, USA.

University of Cambridge, Cambridge, UK.

出版信息

J Diabetes Sci Technol. 2025 Jul;19(4):908-923. doi: 10.1177/19322968251335685. Epub 2025 Jul 1.

DOI:10.1177/19322968251335685
PMID:40590463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12213537/
Abstract

The development of automated insulin delivery systems has seen tremendous improvements from individual components to interoperable system combinations of devices and new drugs besides insulin. The components have become progressively smaller, more accurate, and more user friendly. This article summarizes the history of the artificial pancreas from the earliest concepts to fully functional systems to research into further improvements in the future. The authors include many of the developers of this technology who received research support from the National Institute of Diabetes and Digestive and Kidney Diseases at various stages to develop these systems.

摘要

从单个组件到设备与除胰岛素之外的新药的可互操作系统组合,自动胰岛素输送系统取得了巨大进步。这些组件变得越来越小、越来越精确且对用户越来越友好。本文总结了人工胰腺从最早的概念到功能完备的系统,再到未来进一步改进研究的历史。作者包括这项技术的许多开发者,他们在各个阶段获得了美国国立糖尿病、消化和肾脏疾病研究所的研究支持,以开发这些系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/88e0d1f3b227/10.1177_19322968251335685-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/10b3ee72f73b/10.1177_19322968251335685-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/43cb92cc7931/10.1177_19322968251335685-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/9a598e87f632/10.1177_19322968251335685-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/e86c27120dcf/10.1177_19322968251335685-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/1b92e70e8b27/10.1177_19322968251335685-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/5ef5afdf075b/10.1177_19322968251335685-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/88e0d1f3b227/10.1177_19322968251335685-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/10b3ee72f73b/10.1177_19322968251335685-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/43cb92cc7931/10.1177_19322968251335685-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/9a598e87f632/10.1177_19322968251335685-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/e86c27120dcf/10.1177_19322968251335685-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/1b92e70e8b27/10.1177_19322968251335685-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/5ef5afdf075b/10.1177_19322968251335685-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e2/12213537/88e0d1f3b227/10.1177_19322968251335685-fig7.jpg

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本文引用的文献

1
Disparities in Diabetes Technology Uptake in Youth and Young Adults With Type 1 Diabetes: A Global Perspective.1型糖尿病青少年和青年在糖尿病技术使用方面的差异:全球视角
J Endocr Soc. 2024 Nov 28;9(1):bvae210. doi: 10.1210/jendso/bvae210. eCollection 2024 Nov 26.
2
International Society for Pediatric and Adolescent Diabetes Clinical Practice Consensus Guidelines 2024: Diabetes Technologies - Insulin Delivery.国际儿童和青少年糖尿病学会2024年临床实践共识指南:糖尿病技术 - 胰岛素输注
Horm Res Paediatr. 2024;97(6):636-662. doi: 10.1159/000543034. Epub 2024 Dec 10.
3
14. Children and Adolescents: Standards of Care in Diabetes-2025.
14. 儿童和青少年:2025年糖尿病照护标准
Diabetes Care. 2025 Jan 1;48(Supplement_1):S283-S305. doi: 10.2337/dc25-S014.
4
Toward Automation: The Road Traveled and Road Ahead for Integrating Automated Insulin Delivery into Inpatient Care.走向自动化:将自动胰岛素输送整合到住院治疗中的历程与未来之路。
Diabetes Technol Ther. 2025 Mar;27(3):217-242. doi: 10.1089/dia.2024.0343. Epub 2024 Dec 2.
5
Evaluation of an Automated Priming Bolus for Improving Prandial Glucose Control in Full Closed Loop Delivery.评估自动预充推注在全闭环给药中改善餐后血糖控制的效果。
Diabetes Technol Ther. 2025 Feb;27(2):93-100. doi: 10.1089/dia.2024.0315. Epub 2024 Nov 6.
6
GLP-1 Receptor Agonist and SGLT2 Inhibitor Prescribing in People With Type 1 Diabetes.1型糖尿病患者中胰高血糖素样肽-1受体激动剂和钠-葡萄糖协同转运蛋白2抑制剂的处方情况
JAMA. 2024 Nov 19;332(19):1667-1669. doi: 10.1001/jama.2024.18581.
7
GLP-1 Receptor Agonists in Overweight and Obese Individuals With Type 1 Diabetes Using an Automated Insulin Delivery Device: A Real-World Study.使用自动胰岛素输注装置的1型糖尿病超重和肥胖个体中GLP-1受体激动剂的真实世界研究
J Diabetes Sci Technol. 2025 Mar;19(2):286-291. doi: 10.1177/19322968241289438. Epub 2024 Oct 17.
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J Diabetes Sci Technol. 2024 Aug 24:19322968241274786. doi: 10.1177/19322968241274786.
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Diabetes Care. 2024 Oct 1;47(10):1778-1786. doi: 10.2337/dc24-0623.
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Simple meal announcements and pramlintide delivery versus carbohydrate counting in type 1 diabetes with automated fast-acting insulin aspart delivery: a randomised crossover trial in Montreal, Canada.简化餐食告知与普兰林肽给药,与加拿大蒙特利尔的 1 型糖尿病患者应用自动化速效门冬胰岛素的碳水化合物计数法:一项随机交叉试验
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