Recommendations for Using Real-Time Continuous Glucose Monitoring (rtCGM) Data for Insulin Adjustments in Type 1 Diabetes.
Recommendations for Using Real-Time Continuous Glucose Monitoring (rtCGM) Data for Insulin Adjustments in Type 1 Diabetes.
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DOI：
10.1177/1932296816663747
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发表时间：
2017-01
影响因子：
5
通讯作者：
Edelman SV
中科院分区：
文献类型：
--
作者：
Pettus J;Edelman SV
在大型临床试验中，在CSII和mdi治疗的个体中，使用实时连续血糖监测（rtCGM）的临床益处已经得到了很好的证明。然而，缺乏关于患者在日常生活中使用rtCGM的建议。本文为临床医生和1型糖尿病（T1D）患者提供了有效使用rtCGM数据的指导，包括葡萄糖变化率（ROC）箭头，用于胰岛素剂量调整和其他治疗决策。本文提出的建议是基于我们作为内分泌学家的临床经验，我们使用rtCGM治疗T1D患者的个人经历，以及最近对成功使用rtCGM进行自我管理的T1D患者的调查结果。临床医生和糖尿病患者了解rtCGM的效用和局限性是很重要的。保持协作的临床医生-用户关系仍然是安全、成功使用rtCGM的重要因素。
The clinical benefits of real time continuous glucose monitoring (rtCGM) use have been well demonstrated in both CSII- and MDI-treated individuals in large clinical trials. However, recommendations for patient use of rtCGM in everyday life situations are lacking. This article provides guidance to clinicians and patients with type 1 diabetes (T1D) in effective use of rtCGM data, including glucose rate of change (ROC) arrows, for insulin dosing adjustments and other treatment decisions. The recommendations presented here are based on our own clinical experiences as endocrinologists, our personal experiences living with T1D using rtCGM, and findings from a recent survey of T1D patients who have successfully used rtCGM in their self-management. It is important that both clinicians and people with diabetes understand the utility and limitations of rtCGM. Maintaining a collaborative clinician-user relationship remains an important factor in safe, successful rtCGM use.