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首页> 外文期刊>Pediatric diabetes. >The rise of technology in diabetes care. Not all that is new is necessarily better
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The rise of technology in diabetes care. Not all that is new is necessarily better

机译：糖尿病护理技术的兴起。并非所有新事物都一定更好

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摘要

Health-care technologies have brought many benefits to the medical profession and to patients. The introduction of the continuous subcutaneous insulin infusion (CSII) pump and continuous glucose monitoring (CGM) devices offers patients with type 1 diabetes (T1D) the opportunity to optimize their blood glucose control and are increasingly being championed as a routine treatment approach for young people. However, the current evidence base does not convincingly support arguments for the generalized application of CSII and CGM into routine clinical practice. The 'patient-medical device interface' is clearly a complex paradigm, and central to its success is the degree of adherence, understanding, and engagement demonstrated by the patient with the technology. The introduction CSII/CGM technologies into the daily routine care of the patient imposes both psychological and 'time-effort' burdens that many patients and families with T1D will find demanding. The current application of these devices cannot therefore be considered a panacea for the self-management of T1D, and raises a number of challenging problems, including those of a practical, health-economic, and ethical nature that need to be fully resolved before it and other emerging technologies can be considered to have achieved this status.
机译：保健技术为医学界和患者带来了许多好处。连续皮下胰岛素输注（CSII）泵和连续葡萄糖监测（CGM）设备的推出为1型糖尿病（T1D）患者提供了优化血糖控制的机会，并日益受到年轻人的欢迎，成为年轻人的常规治疗方法。但是，当前的证据基础不能令人信服地支持将CSII和CGM普遍应用于常规临床实践的论点。 “患者-医疗设备接口”显然是一个复杂的范例，其成功的关键在于患者对技术的坚持，理解和参与程度。将CSII / CGM技术引入患者的日常护理中会给许多T1D患者和家庭带来巨大的心理负担和“时间负担”负担。因此，这些设备的当前应用不能被认为是T1D自我管理的灵丹妙药，并且提出了许多具有挑战性的问题，包括那些在实用，健康，经济和道德方面需要全面解决的问题。可以认为其他新兴技术已达到这一地位。

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