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首页> 外文期刊>Journal of Diabetes Science and Technology >Practical Approach to Using Trend Arrows on Real-Time Continuous Glucose Monitoring System in Type 1 Diabetes Adolescents Living Camp Setting Treated With Multiple Daily Injection or Continuous Subcutaneous Insulin Infusion Insulin Therapy
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Practical Approach to Using Trend Arrows on Real-Time Continuous Glucose Monitoring System in Type 1 Diabetes Adolescents Living Camp Setting Treated With Multiple Daily Injection or Continuous Subcutaneous Insulin Infusion Insulin Therapy

机译：利用趋势箭头在1型糖尿病青少年中使用趋势箭头的实用方法，糖尿病青少年生活阵营营养营地区治疗多次注射或连续皮下胰岛素输注胰岛素治疗

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Background: The aim of the study was to determine the effect of an educational intervention on the use of trend arrows of a real-time continuous glucose monitoring (rt-CGM) to manage daily therapy decisions in a group of adolescents with type 1 diabetes attending a camp. The secondary aim was to evaluate the variations in total daily dose (TDD) of insulin requirement. Methods: Twenty patients (15-17?years) on multiple insulin injections ( n = 8) or continuous subcutaneous insulin infusion ( n = 12) attended a training session at the beginning of the camp to learn our algorithm for the management of therapy depending on trend arrows. TDD, time in range (TIR), time above range (TAR), and time below range (TBR) (in the 24?hours and in the three hours after breakfast) before the training session (run-in) and at the end of the camp (T1) were analyzed. Results: Data showed a reduction of TAR (run-in 42.6%, T1 32.05%, P = .036) and an increase in TIR (run-in 52.9%, T1 62.4%, P = .013). Reduction of TBR (run-in 42.5%, T1 37.5%, P = .05) and improvement in TIR (run-in 49.0%, T1 57.0%, P = .02) were also observed in the post-breakfast period. Data showed a significant reduction in the TDD (run-in 52.02 ± 17.44?U/die, T1 46.49 ± 12.39?U/die, P = .024). Conclusions: Statistically significant improvement of glycemic control and reduction of TTD were observed in all patients regardless of therapy type. The improvement between run-in and T1 demonstrates the importance of patients’ education on the correct use of rt-CGM with simple algorithms for the management of therapy.
机译：背景：该研究的目的是确定教育干预对使用实时连续葡萄糖监测（RT-CGM）的趋势箭头的使用，以管理一组青少年的日常治疗决策，其中1型糖尿病一个营地。二次目的是评估胰岛素要求的总日剂量（TDD）的变化。方法：二十名患者（15-17岁以下）多胰岛素注射（N = 8）或连续皮下胰岛素输注（n = 12）参加了营业开始时的培训课程，以学习我们的治疗管理算法关于趋势箭头。 TDD，时间范围（TIR），时间范围（焦油），时间（TBR）（TBR）（在24小时和早餐后三小时内），在培训期（run-in）和最后营地（T1）分析。结果：数据显示焦油的减少（润装42.6％，T1 32.05％，P = .036）和TIR的增加（连续52.9％，T1 62.4％，P = .013）。在后餐后期间还观察到TBR的减少（42.5％，T1 37.5％，p = .05）和改善TIR的改善（持续49.0％，T1 57.0％，p = .02）。数据显示TDD的显着减少（52.02±17.44？U / Die，T1 46.49±12.39 u / die，P = .024）。结论：无论治疗类型如何，所有患者都观察到统计学上显着提高血糖控制和降低TTD。 Run-In和T1之间的改进展示了患者教育对正确使用RT-CGM的重要性，用于治疗的简单算法。

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