Abstract：
Suboptimal glycaemic management in hospitals has been associated with adverse clinical outcomes and increased financial costs to healthcare systems. Despite the availability of guidelines for inpatient glycaemic management, implementation remains challenging because of the increasing workload of clinical staff and rising prevalence of diabetes. The development of novel and innovative technologies that support the clinical workflow and address the unmet need for effective and safe inpatient diabetes care delivery is still needed. There is robust evidence that the use of diabetes technology such as continuous glucose monitoring and closed-loop insulin delivery can improve glycaemic management in outpatient settings; however, relatively little is known of its potential benefits and application in inpatient diabetes management. Emerging data from clinical studies show that diabetes technologies such as integrated clinical decision support systems can potentially mediate safer and more efficient inpatient diabetes care, while continuous glucose sensors and closed-loop systems show early promise in improving inpatient glycaemic management. This review aims to provide an overview of current evidence related to diabetes technology use in non-critical care adult inpatient settings. We highlight existing barriers that may hinder or delay implementation, as well as strategies and opportunities to facilitate the clinical readiness of inpatient diabetes technology in the future.
摘要：
医院的血糖管理欠佳与不良的临床结果和医疗保健系统的财务成本增加有关。尽管有住院患者血糖管理指南，由于临床工作人员工作量的增加和糖尿病患病率的上升,实施仍然具有挑战性.仍然需要开发支持临床工作流程并解决有效和安全的住院糖尿病护理交付的未满足需求的新颖和创新技术。有强有力的证据表明，使用糖尿病技术，如连续血糖监测和闭环胰岛素输送可以改善门诊环境中的血糖管理；然而，对其在住院糖尿病管理中的潜在益处和应用知之甚少.来自临床研究的新数据表明，糖尿病技术，如综合临床决策支持系统，可以潜在地调解更安全、更有效的住院糖尿病护理。而连续葡萄糖传感器和闭环系统在改善住院患者血糖管理方面显示出早期的希望。这篇综述旨在概述目前在非重症监护成人住院患者中使用糖尿病技术的相关证据。我们强调可能阻碍或延迟实施的现有障碍，以及促进未来住院糖尿病技术临床准备的策略和机会。
