Closed-loop

闭环
  • 文章类型: Journal Article
    糖尿病的显著和不断增长的全球患病率继续挑战糖尿病患者(PwD),医疗保健提供者和付款人。虽然维持接近正常的血糖水平已被证明可以预防或延缓糖尿病长期并发症的进展,相当比例的PwD未达到其血糖目标.在过去的六年里,我们已经看到了自动胰岛素输送(AID)技术的巨大进步。许多随机对照试验和现实世界研究表明,使用AID系统可以安全有效地帮助PwD实现其长期血糖目标,同时降低低血糖风险。因此,AID系统最近已成为糖尿病管理的组成部分。然而,在临床环境中使用AID系统的建议一直缺乏。这种指导性建议对于AID的成功和接受至关重要。所有使用PwD的临床医生都需要熟悉可用的系统,以消除糖尿病护理质量的差异。本报告为有兴趣利用AIDs的临床医生提供了急需的指导,并全面列出了在确定AID保险范围的资格标准时应考虑的证据。
    The significant and growing global prevalence of diabetes continues to challenge people with diabetes (PwD), healthcare providers, and payers. While maintaining near-normal glucose levels has been shown to prevent or delay the progression of the long-term complications of diabetes, a significant proportion of PwD are not attaining their glycemic goals. During the past 6 years, we have seen tremendous advances in automated insulin delivery (AID) technologies. Numerous randomized controlled trials and real-world studies have shown that the use of AID systems is safe and effective in helping PwD achieve their long-term glycemic goals while reducing hypoglycemia risk. Thus, AID systems have recently become an integral part of diabetes management. However, recommendations for using AID systems in clinical settings have been lacking. Such guided recommendations are critical for AID success and acceptance. All clinicians working with PwD need to become familiar with the available systems in order to eliminate disparities in diabetes quality of care. This report provides much-needed guidance for clinicians who are interested in utilizing AIDs and presents a comprehensive listing of the evidence payers should consider when determining eligibility criteria for AID insurance coverage.
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