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利用数字工具和持续葡萄糖监测改善印度的糖尿病护理。

Using digital tools to improve diabetes care in India with continuous glucose monitoring.

作者信息

Kesavadev Jothydev, Saboo Banshi, Chawla Manoj S, Unnikrishnan Ambika Gopalakrishnan, Dunn Timothy C, Tiwaskar Mangesh Harihar

机构信息

Jothydev's Diabetes Research Centre, Konkalam Road, Mudavanmugal, Trivandrum, Kerala 695032, India.

Dia Care-Diabetes Care and Hormone Clinic, Ahmedabad, India.

出版信息

Ther Adv Endocrinol Metab. 2025 Sep 12;16:20420188251372290. doi: 10.1177/20420188251372290. eCollection 2025.

Abstract

Continuous glucose monitoring (CGM) has revolutionized diabetes management globally, offering real-time insights into blood glucose levels and trends. In India, where diabetes prevalence is significant, the adoption of digital health tools (DHTs) for CGM has seen remarkable growth. However, successful integration and adoption of these DHTs require collaboration between healthcare professionals and individuals with diabetes. Ensuring the compatibility, accuracy, and reliability of CGM systems is imperative for optimizing diabetes management outcomes in India. Several challenges persist in adopting DHTs for CGM in the country. The adoption of ambulatory glucose profiles and CGM using DHTs has been transformative in diabetes clinics. This paper culminates with expert recommendations on integrating DHTs into diabetes clinics, focusing on training, communication, and technology utilization. The introduction of the Freestyle Libre into diabetes clinics demonstrates the system's influence and the advantages seen by both patients and healthcare professionals. With real-time data, improved patient interaction, real-world data for evidence-based practices, and the ability to support patients' and healthcare professionals' informed decision-making, these tools have the potential to completely transform the management of diabetes. The goal is to enhance diabetes care through digital health solutions, considering the unique healthcare landscape of India.

摘要

持续葡萄糖监测(CGM)在全球范围内彻底改变了糖尿病管理方式,能够实时洞察血糖水平及变化趋势。在糖尿病患病率颇高的印度,用于CGM的数字健康工具(DHT)的采用量显著增长。然而,这些DHT的成功整合与采用需要医疗保健专业人员与糖尿病患者之间的协作。确保CGM系统的兼容性、准确性和可靠性对于优化印度的糖尿病管理成果至关重要。该国在采用用于CGM的DHT方面仍存在若干挑战。在糖尿病诊所中,采用动态血糖图谱和使用DHT进行CGM已带来变革。本文最后给出了关于将DHT整合到糖尿病诊所的专家建议,重点关注培训、沟通和技术应用。将Freestyle Libre引入糖尿病诊所展示了该系统的影响力以及患者和医疗保健专业人员所看到的优势。借助实时数据、改善患者互动、获取用于循证实践的真实世界数据以及支持患者和医疗保健专业人员做出明智决策的能力,这些工具有可能彻底改变糖尿病的管理方式。目标是通过数字健康解决方案加强糖尿病护理,同时考虑到印度独特的医疗保健格局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe5/12432326/0c023f75ef0a/10.1177_20420188251372290-fig1.jpg

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