Real-World Life Analysis of a Continuous Glucose Monitoring and Smart Insulin Pen System in Type 1 Diabetes: A Cohort Study
Diabetology,
Год журнала:
2025,
Номер
6(1), С. 7 - 7
Опубликована: Янв. 16, 2025
Background:
Diabetes
affects
over
460
million
people
worldwide
and
represents
a
growing
public
health
challenge
driven
largely
by
dietary
lifestyle
factors.
While
Type
2
diabetes
(T2D)
is
more
prevalent,
1
(T1D)
presents
unique
therapeutic
challenges,
particularly
in
younger
individuals.
Advances
management,
such
as
continuous
glucose
monitoring
(CGM),
insulin
pumps
(IP),
and,
recently,
smart
multiple
dose
injection
(MDI)
pens,
have
significantly
enhanced
glycemic
control
improved
patients’
quality
of
life.
Aim:
This
study
aims
to
evaluate
the
baseline
characteristics
patients
switching
from
MDI
therapy
Medtronic
Smart
system
[composed
pen
(InPenTM)
connected
CGM
SimpleraTM
sensor]
assess
its
impact
on
outcomes
different
time
periods
(14,
30,
90
days).
Methods:
A
retrospective
observational
was
conducted
among
adults
with
T1D
who
initiated
therapy.
Participants
were
enrolled
voluntarily
at
Nutrition
Clinic
Ast
Fermo,
Marche
Region,
Italy.
Glycemic
parameters
monitored
using
data
analyzed
descriptive
statistics,
including
mean,
standard
deviation
(SD),
interquartile
range
(IQR).
Comparisons
across
performed
Wilcoxon
signed-rank
test,
statistical
significance
set
p
<
0.05.
Results:
included
21
participants
mean
age
51.5
years,
BMI
24.7,
duration
21.9
years.
The
transition
traditional
resulted
significant
improvements
key
parameters:
Sensor
Glucose
(SG)
decreased
171.0
mg/dL
153.5
(p
=
0.035),
Time
In
Range
(TIR)
increased
58.0%
64.4%
0.005),
above
(TAR;
>180
mg/dL)
39.0%
34.2%
0.015).
No
differences
observed
below
(TBR).
Conclusions:
lowering
levels
increasing
TIR.
These
findings
highlight
efficacy
improving
hyperglycemia
management
while
maintaining
stable
risk
hypoglycemia.
Язык: Английский
The Affective Semiosis of the Hypoglycemic Symptom in Type 1 Diabetes Mellitus
Integrative Psychological and Behavioral Science,
Год журнала:
2025,
Номер
59(1)
Опубликована: Янв. 1, 2025
Язык: Английский
Impact of the Patient–Doctor Relationship on Treatment Outcomes in Children with Type 1 Diabetes: A Meta-Analysis and Systematic Review
Children,
Год журнала:
2024,
Номер
11(9), С. 1041 - 1041
Опубликована: Авг. 26, 2024
(1)
Background:
Despite
the
recognized
importance
of
patient–doctor
relationship
(PDR)
for
pediatric
diabetes
management,
literature
presents
diverse
and
emerging
findings
regarding
its
impact
on
treatment
outcomes
children
with
type
1
(T1D).
(2)
Methods:
Using
a
meta-analytic
approach,
comprehensive
search
relevant
studies
was
conducted
across
major
databases,
from
earliest
study
to
June
2024.
Inclusion
criteria
were
PDR
T1D
in
underaged
individuals,
providing
quantitative
results.
(3)
Results:
Fifteen
reports
included,
showing
small
but
significant
overall
effect
size
(r
=
0.165,
p
<
0.05)
outcomes.
Moderator
analyses
revealed
associations
elements
PDR,
duration
diagnosis,
outcome
assessment
methods,
information
reporters,
being
Caucasian.
Demographic
variables
like
gender,
age,
not
Caucasian,
caregiver’s
marital
status
did
significantly
association.
Specific
such
as
clinician’s
objectives,
communication,
partnership,
respect,
supportive
care,
showed
positive
sizes,
while
telecommunication
not.
(4)
Conclusions:
A
strong
is
essential
managing
children,
particularly
early
years
diagnosis.
Future
should
use
designs
include
demographics
better
understand
PDR’s
connection
Язык: Английский