关键词: FreeStyle Libre blood glucose monitoring frequency continuous glucose monitoring glycemic measures

Mesh : Humans Croatia Blood Glucose Blood Glucose Self-Monitoring Diabetes Mellitus, Type 1 / drug therapy Glycemic Control Glucose Hypoglycemic Agents

来  源:   DOI:10.3390/medicina59111893   PDF(Pubmed)

Abstract:
Background and Objectives: The purpose of this study is to determine the optimal number of scans per day required for attaining good glycemic regulation. Materials and Methods: The association of scanning frequency and glucometrics was analyzed according to bins of scanning frequency and bins of time in range (TIR) in the Croatian population of type 1 diabetes (T1DM) patients. Results: Intermittently scanned continuous glucose monitoring (isCGM) Libre users in Croatia performed on average 13 ± 7.4 scans per day. According to bins of scanning frequency, bin 5 with 11.2 ± 02 daily scans was sufficient for achieving meaningful improvements in glycemic regulation, while decreasing severe hypoglycemia required an increasing number of scans up to bin 10 (31 ± 0.9), yet with no effect on TIR improvement. When data were analyzed according to bins of TIR, an average of 16.3 ± 10.5 scans daily was associated with a TIR of 94.09 ± 3.49% and a coefficient of variation (CV) of 22.97 ± 4.94%. Improvement was shown between each successive bin of TIR but, of notice, the number of scans performed per day was 16.3 ± 10.5 according to TIR-based analysis and 31.9 ± 13.5 in bin 10 according to scan frequency analysis. Conclusions: In conclusion, an optimal average number of scans per day is 16.3 in order to achieve glucose stability and to minimize the burden associated with over-scanning.
摘要:
背景和目的:这项研究的目的是确定获得良好的血糖调节所需的每天扫描的最佳次数。材料和方法:在克罗地亚1型糖尿病(T1DM)患者中,根据扫描频率和时间范围(TIR)分析了扫描频率与血糖仪的关联。结果:间歇性扫描连续血糖监测(isCGM)克罗地亚Libre用户平均每天扫描13±7.4次。根据扫描频率的垃圾箱,每天扫描11.2±02的bin5足以实现血糖调节的有意义的改善,虽然减少严重的低血糖需要增加扫描次数,直到第10位(31±0.9),但对TIR改善没有影响。当根据TIR箱分析数据时,平均每天16.3±10.5扫描与94.09±3.49%的TIR和22.97±4.94%的变异系数(CV)相关.在TIR的每个连续箱之间显示出改进,但是,通知,根据基于TIR的分析,每天进行的扫描次数为16.3±10.5,根据扫描频率分析,第10区为31.9±13.5.结论:总之,每天的最佳平均扫描次数为16.3次,以实现葡萄糖稳定性并最小化与过度扫描相关的负担。
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