Analysis
Analysis
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DOI：
10.1177/1932296815583508
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发表时间：
2015-04
影响因子：
5
通讯作者：
C. A. V. van Beers;J. DeVries
中科院分区：
文献类型：
--
作者：
C. A. V. van Beers;J. DeVries
在本期《糖尿病科学与技术杂志》上，中村和巴洛报道了Dexcom G4白金动态葡萄糖监测系统的准确性和有效性。作者证明了该实时连续葡萄糖监测（RT-CGM）系统的良好整体性能，尽管下一代RT-CGM系统G4 AP的准确性数据已经可用。此外，现在MARD似乎转向个位数，问题是我们需要多低的准确性。研究结果还显示，低血糖时间减少，尽管临床相关性值得怀疑。到目前为止，很少有试验证明严重低血糖的减少。没有阈值暂停或闭环的常规RT-CGM可能不足以预防严重低血糖。
In this issue of Journal of Diabetes Science and Technology, Nakamura and Balo report on accuracy and efficacy of the Dexcom G4 Platinum Continuous Glucose Monitoring System. The authors demonstrate good overall performance of this real-time continuous glucose monitoring (RT-CGM) system, although accuracy data of the next generation RT-CGM system, the G4AP, is already available. Also, now that MARDs seem to move to single-digit numbers, the question comes up how low we need to go with accuracy. Results of the study also showed a reduction in time spent in hypoglycemia, although the clinical relevance should be questioned. To date, few trials have demonstrated a reduction of severe hypoglycemia. Conventional RT-CGM, without threshold suspension or closing the loop, might be insufficient in preventing severe hypoglycemia.