Future of Time-in-Range Goals in the Era of Advanced Hybrid Closed-Loop Automated Insulin Delivery Systems

被引:11
|
作者
Akturk, Halis K. [1 ]
Battelino, Tadej [2 ,3 ]
Castaneda, Javier [4 ]
Arrieta, Arcelia [4 ]
van den Heuvel, Tim [4 ]
Cohen, Ohad [4 ]
机构
[1] Univ Colorado, Barbara Davis Ctr Diabet, Aurora, CO USA
[2] Univ Ljubljana, Univ Med Ctr Ljubljana, Ljubljana, Slovenia
[3] Univ Ljubljana, Fac Med, Ljubljana, Slovenia
[4] Medtron Int Trading Sarl, Route Molliau 31, CH-1131 Tolochenaz, Switzerland
关键词
Automated insulin delivery; Time in tight range; Insulin therapy; Closed-loop; Insulin pump; MiniMed (TM); Glucose control; INTERNATIONAL CONSENSUS; DIABETIC-RETINOPATHY; METRICS; COMPLICATIONS; ASSOCIATION; INITIATION;
D O I
10.1089/dia.2023.0432
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The concept of maintaining blood glucose levels within the 70-180 mg/dL range, known as time-in-range, has raised questions regarding its representation of true physiological euglycemia. Some have speculated that focusing on the time spent within the 70-140 mg/dL range, introduced as time in tight range (TITR) through the International Consensus statement, could serve as a more precise metric for assessing normoglycemia in individuals with type 1 diabetes. This article delves into the current status of TITR as an emerging marker and explores how advanced hybrid closed-loop systems may offer a promising avenue for achieving this higher level of glycemic control.
引用
收藏
页码:102 / 106
页数:5
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