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Continuous glucose monitoring: A review for behavioral researchers

机译:连续血糖监测:行为研究者的回顾

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Objective: Continuous glucose monitoring (CGM) systems collect and store glucose data in an ongoing fashion for several days at a time. The main advantage of CGM is that it can help identify fluctuations and trends that would otherwise go unnoticed with other glucose measures. Here, we provide a review of CGM for behavioral researchers. Methods: We begin with a brief review of diabetes and glucose measurement and then describe what CGM is and reference the commercial CGM systems currently available. We discuss the challenges involved in using CGM in behavioral research. We then present a broad overview of CGM in behavioral research, including data from ours and others' research programs. Finally, we cover some practical issues to be considered when using CGM, suggest reporting guidelines for the behavioral researcher, and offer suggestions for future research. Results: Only a handful of behavioral researchers are using CGM, although its use is increasing. The main ways that CGM is being used in behavioral research is to investigate basic biobehavioral processes, to assess the effects of behavioral interventions on diabetes control, and to use CGM itself as a behavior modification and teaching tool in diabetes self-management interventions. Conclusions: Continuous glucose monitoring holds promise to help behavioral researchers unravel the complex relationships among glucose and intrapersonal, interpersonal, and contextual factors. However, the uptake of CGM for this purpose is limited, and the possibilities for its use are largely unmet. We encourage behavioral researchers to implement CGM in their protocols and to do so in a way that maximizes its explanatory power.
机译:目标:连续血糖监测(CGM)系统一次连续几天收集和存储葡萄糖数据。 CGM的主要优点是可以帮助识别波动和趋势,而其他葡萄糖测量方法不会注意到这些波动和趋势。在这里,我们为行为研究人员提供了CGM的评论。方法:我们首先简要回顾一下糖尿病和血糖测量,然后描述什么是CGM,并参考目前可用的商业CGM系统。我们讨论了在行为研究中使用CGM所涉及的挑战。然后,我们对行为研究中的CGM进行了广泛的概述,包括来自我们和其他研究计划的数据。最后,我们介绍了使用CGM时要考虑的一些实际问题,为行为研究人员提供了报告指南,并为以后的研究提供了建议。结果:尽管CGM的使用正在增加,但只有少数行为研究人员正在使用CGM。在行为研究中使用CGM的主要方法是研究基本的生物行为过程,评估行为干预对糖尿病控制的影响,以及将CGM本身用作糖尿病自我管理干预中的行为修饰和教学工具。结论:持续的血糖监测有望帮助行为研究者阐明血糖与人际,人际和背景因素之间的复杂关系。但是,为此目的而使用CGM受到限制,并且使用CGM的可能性尚未得到充分满足。我们鼓励行为研究人员在其协议中实施CGM,并以使其解释力最大化的方式进行。

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