Insulin Delivery Hardware: Pumps and Pens.

Insulin Delivery Hardware: Pumps and Pens.
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胰岛素输送硬件:泵和笔。

DOI:
10.1089/dia.2021.2503
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发表时间:
2021
影响因子:
5.4
通讯作者:
Leelarathna,Lalantha
Leelarathna,Lalantha
中科院分区:
医学3区
文献类型:
--
作者:
Lal,RayhanA;Leelarathna,Lalantha

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今年,这篇文章的范围已经扩大到包括胰岛素泵外的胰岛素输送形式,包括“智能”胰岛素笔。这些设备可以下载并与葡萄糖数据相结合,以可视化胰岛素注射模式。在Adolfsson等人的非随机研究中,使用连接笔可以提高在目标范围内的时间,减少漏餐量。需要进一步的随机研究来评估智能连接笔设备的功效和效用。开发一种用于栓系胰岛素泵的延长磨损输液器的竞赛已经开始!美敦力(Medtronic)、毛细管生物医学(毛细血管生物医学)和康泰克(Convatec)都在努力推动佩戴超过3天的产品。这些努力揭示了更多与输液器失效有关的因素。Waldenmaier及其同事报告了标准钢和特氟龙输液器7天的存活率。艾斯勒和他的同事认为,角度插管比90度插管具有更好的特性。最后,Tschaikner和他的同事们报告说,在输液器的管腔中运行一根商业连续血糖监测(CGM)导线,在距套管尖端6mm处进行了出色的操作。这项工作表明,一种一体化的CGM和延长磨损输液器是可行的。
This year, the scope of this article has been expanded to include forms of insulin delivery outside of insulin pumps, including ‘‘smart’’insulin pens. These devices can be downloaded and combined with glucose data to visualize insulin injection patterns. In the nonrandomized study by Adolfsson et al., use of a connected pen led to improved time in the target range and reduced missed meal boluses. Further randomized studies are required to assess the efficacy and utility of smart connected pen devices.The race is on to develop an extended wear infusion set for tethered insulin pumps! Medtronic, Capillary Biomedical, and Convatec are all working on pushing beyond 3 days wear. These efforts are revealing more about the factors involved in infusion set failure. Waldenmaier and colleagues report the survival of standard steel and Teflon infusion sets at 7 days. Eisler and colleagues suggest that an angled cannula provides superior characteristics over a 90-degree cannula. Finally, Tschaikner and colleagues report running a commercial continuous glucose monitoring (CGM) wire through the lumen of an infusion set with excellent operation 6mm beyond the cannula tip. This work reveals that an all-in-one CGM and extended-wear infusion set is feasible.
DOI: 10.1016/s0021-9258(17)42556-7
发表时间: 1984-12
期刊: The Journal of biological chemistry
影响因子: --
作者:
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通讯作者: P. Albert;A. Tashjian
DOI: 10.1016/s0006-3495(88)83045-5
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影响因子: 3.4
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DOI: --
发表时间: 1985-03
期刊: The Journal of biological chemistry
影响因子: --
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DOI: 10.1113/jphysiol.1982.sp014067
发表时间: 1982-01-01
影响因子: 5.5
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洋地黄皂苷通透的肾上腺髓质嗜铬细胞引起钙分泌。
DOI: --
发表时间: 1983
期刊: The Journal of biological chemistry
影响因子: --
作者:
Wilson,SP;Kirshner,N
通讯作者: Kirshner,N