International Consensus on Use of Continuous Glucose Monitoring

被引：1748

作者：

Danne, Thomas ^{[1
]}

Nimri, Revital ^{[2
]}

Battelino, Tadej ^{[3
,4
]}

Bergenstal, Richard M. ^{[5
]}

Close, Kelly L. ^{[6
]}

DeVries, J. Hans ^{[7
]}

Garg, Satish ^{[8
,9
]}

Heinemann, Lutz ^{[10
]}

Hirsch, Irl ^{[11
]}

Amiel, Stephanie A. ^{[12
]}

Beck, Roy ^{[13
]}

Bosi, Emanuele ^{[14
]}

Buckingham, Bruce ^{[15
]}

Cobelli, Claudio ^{[16
]}

Dassau, Eyal ^{[17
]}

Doyle, Francis J., III ^{[17
]}

Heller, Simon ^{[18
]}

Hovorka, Roman ^{[19
,20
]}

Jia, Weiping ^{[21
]}

Jones, Tim ^{[22
,23
,24
]}

Kordonouri, Olga ^{[1
]}

Kovatchev, Boris ^{[25
]}

Kowalski, Aaron ^{[26
]}

Laffel, Lori ^{[27
,28
]}

Maahs, David ^{[15
]}

Murphy, Helen R. ^{[29
]}

Norgaard, Kirsten ^{[30
]}

Parkin, Christopher G. ^{[31
]}

Renard, Eric ^{[32
,33
,34
]}

Saboo, Banshi ^{[35
]}

Scharf, Mauro ^{[36
,37
]}

Tamborlane, William V. ^{[38
]}

Weinzimer, Stuart A. ^{[38
]}

Phillip, Moshe ^{[2
]}

机构：

[1] Childrens & Youth Hosp Bult, Diabet Ctr Children & Adolescents, Hannover, Germany

[2] Schneider Childrens Med Ctr Israel, Jesse & Sara Lea Shafer Inst Endocrinol & Diabet, Myrtle & Henry Hirsch Natl Ctr Childhood Diabet, Petah Tiqwa, Israel

[3] Univ Ljubljana, Med Ctr, Univ Childrens Hosp, Dept Pediat Endocrinol Diabet & Metab Dis, Ljubljana, Slovenia

[4] Univ Ljubljana, Fac Med, Ljubljana, Slovenia

[5] Int Diabet Ctr Pk Nicollet, Minneapolis, MN USA

[6] Close Concerns, San Francisco, CA USA

[7] Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands

[8] Univ Colorado Denver, Aurora, CO USA

[9] Barbara Davis Ctr Diabet, Aurora, CO USA

[10] Science & Co, Dusseldorf, Germany

[11] Univ Washington, Sch Med, Dept Med, Div Metab Endocrinol & Nutr, Seattle, WA 98195 USA

[12] Kings Coll London, Diabet Res Grp, London, England

[13] Jaeb Ctr Hlth Res, Tampa, FL USA

[14] Univ Vita Salute San Raffaele, Diabet Res Inst, Milan, Italy

[15] Stanford Univ, Med Ctr, Div Endocrinol & Diabet, Dept Pediat, Stanford, CA 94305 USA

[16] Univ Padua, Dept Informat Engn, Padua, Italy

[17] Harvard Univ, John A Paulson Sch Engn & Appl Sci, Cambridge, MA 02138 USA

[18] Univ Sheffield, Acad Unit Diabet Endocrinol & Metab, Sheffield, S Yorkshire, England

[19] Univ Cambridge, Wellcome Trust MRC Inst Metab Sci, Cambridge, England

[20] Univ Cambridge, Dept Paediat, Cambridge, England

[21] Shanghai Jiao Tong Univ, Peoples Hosp 6, Shanghai Diabet Inst,Shangai Diabet Inst, Department Endocrinol & Metab,Shanghai Key Lab Di, Shanghai, Peoples R China

[22] Univ Western Australia, Telethon Kids Inst, Perth, WA, Australia

[23] Univ Western Australia, Sch Paediat & Child Hlth, Perth, WA, Australia

[24] Princess Margaret Hosp Children, Dept Endocrinol & Diabet, Perth, WA, Australia

[25] Univ Virginia, Sch Med, Ctr Diabet Technol, Charlottesville, VA 22908 USA

[26] JDRF, New York, NY USA

[27] Harvard Med Sch, Joslin Diabet Ctr, Pediat Adolescent & Young Adult Sect, Boston, MA USA

[28] Harvard Med Sch, Joslin Diabet Ctr, Sect Clin Behav & Outcomes Res, Boston, MA USA

[29] Univ East Anglia, Norwich Med Sch, Norwich, Norfolk, England

[30] Copenhagen Univ Hosp Hvidovre, Dept Endocrinol, Hvidovre, Denmark

[31] CGParkin Commun, Boulder City, NV USA

[32] Montpellier Univ Hosp, Dept Endocrinol Diabet & Nutr, Montpellier, France

[33] Univ Montpellier, Inst Funct Genom, Montpellier, France

[34] INSERM, Clin Investigat Ctr, Montpellier, France

[35] DiaCare, Ahmadabad, Gujarat, India

[36] Hosp Nossa Senhora Gracas, Ctr Diabet Curitiba, Curitiba, Parana, Brazil

[37] Hosp Nossa Senhora Gracas, Div Pediat Endocrinol, Curitiba, Parana, Brazil

[38] Yale Sch Med, Dept Pediat, New Haven, CT USA

来源：

DIABETES CARE | 2017年 / 40卷 / 12期

关键词：

INSULIN PUMP THERAPY; BLOOD-GLUCOSE; GLYCEMIC VARIABILITY; SEVERE HYPOGLYCEMIA; COST-EFFECTIVENESS; COUNTERREGULATORY RESPONSES; SUBSEQUENT HYPOGLYCEMIA; DIABETES COMPLICATIONS; RACIAL-DIFFERENCES; HEMOGLOBIN A1C;

D O I：

10.2337/dc17-1600

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Measurement of glycated hemoglobin (HbA(1c)) has been the traditional method for assessing glycemic control. However, it does not reflect intra- and interday glycemic excursions that may lead to acute events (such as hypoglycemia) or postprandial hyperglycemia, which have been linked to both microvascular and macrovascular complications. Continuous glucose monitoring (CGM), either from real-time use (rtCGM) or intermittently viewed (iCGM), addresses many of the limitations inherent in HbA(1c) testing and self-monitoring of blood glucose. Although both provide the means to move beyond the HbA(1c) measurement as the sole marker of glycemic control, standardized metrics for analyzing CGM data are lacking. Moreover, clear criteria for matching people with diabetes to the most appropriate glucose monitoring methodologies, as well as standardized advice about how best to use the new information they provide, have yet to be established. In February 2017, the Advanced Technologies & Treatments for Diabetes (ATTD) Congress convened an international panel of physicians, researchers, and individuals with diabetes who are expert in CGM technologies to address these issues. This article summarizes the ATTD consensus recommendations and represents the current understanding of how CGM results can affect outcomes.

引用

页码：1631 / 1640

页数：10

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