Kerr David
Center for Health Systems Research, Sutter Health, Santa Barbara, CA, USA.
Diabetes Metab Syndr Obes. 2025 Jul 29;18:2623-2628. doi: 10.2147/DMSO.S555697. eCollection 2025.
This article discusses innovations and advancements in diabetic ketoacidosis (DKA) and ketone monitoring technology from the 2025 American Diabetes Association (ADA) conference held from June 20-23, 2025, in Chicago, Illinois. The session, "Continuous Ketone Monitoring-Innovations and Clinical Applications" featured four expert presentations from Drs. Ketan Dhatariya, Lori Lafell, Jennifer Sherr, and Richard Bergenstal, each addressing the clinical implications of physiology and the impact of ketosis and DKA on people with diabetes; methods to detect ketones and current approaches to prevent DKA; ketone sensor performance criteria and current study data; and the potential clinical impact of continuous ketone monitoring. The discussion concludes by discussing a poster presented at the ADA which discussed ketone profiles in free-living people with type 1 diabetes using continuous ketone monitoring. The article closes by underscoring the desire by both clinicians and patients for continuous ketone monitoring to become mainstream sooner rather than later.
本文讨论了2025年6月20日至23日在伊利诺伊州芝加哥举行的美国糖尿病协会(ADA)会议上糖尿病酮症酸中毒(DKA)和酮监测技术的创新与进展。“连续酮监测——创新与临床应用”环节有来自凯坦·达塔里亚博士、洛里·拉费尔博士、詹妮弗·谢尔博士和理查德·伯根斯特尔博士的四场专家演讲,每场演讲都探讨了生理学的临床意义以及酮症和DKA对糖尿病患者的影响;检测酮的方法和预防DKA的当前方法;酮传感器性能标准和当前研究数据;以及连续酮监测的潜在临床影响。讨论最后探讨了在ADA会议上展示的一张海报,该海报使用连续酮监测讨论了1型糖尿病自由生活患者的酮谱。文章最后强调了临床医生和患者都希望连续酮监测能尽快成为主流。