我们不需要再等待任何闭环系统:改变景观

IF 0.4 Q4 ENDOCRINOLOGY & METABOLISM British Journal of Diabetes Pub Date : 2022-12-22 DOI:10.15277/bjd.2022.374
C. Boughton, R. Hovorka
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引用次数: 0

摘要

混合闭环系统正在改变T1DM的临床管理。混合闭环系统的大型随机对照试验已经证明了其安全性和有效性,与对照治疗相比,血糖控制有显著改善,目前英国有几种商业批准的混合闭环系统。还有越来越多的证据表明,混合闭环系统对用户、父母/照顾者和其他家庭成员的生活质量都有好处。我们回顾了支持英国目前可用的混合闭环系统以及即将推出的新系统的临床证据。我们讨论了混合闭环治疗相关心理社会益处的新证据。我们还应对未来围绕医疗保健专业人员提供闭环技术的准备情况以及确保在英国各地公平使用的挑战。
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#We don't have to wait any more Closed-loop systems: transforming the landscape
Hybrid closed-loop systems are transforming the clinical management of T1DM. Large randomised controlled trials of hybrid closed-loop systems have demonstrated safety and efficacy, with significant improvements in glycaemic control compared to control therapy, and there are now several commercially approved hybrid closed-loop systems available in the UK. There is also a growing body of evidence demonstrating the quality of life benefits associated with hybrid closed-loop systems, both for users and also for parents/caregivers and other family members. We review the clinical evidence supporting currently available hybrid closed-loop systems in the UK and also new systems on the horizon. We discuss the emerging evidence for associated psychosocial benefits of hybrid closed-loop therapy. We also address future challenges around healthcare professional readiness to deliver closed-loop technology and ensuring equitable access across the UK.
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来源期刊
British Journal of Diabetes
British Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
自引率
16.70%
发文量
15
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