연속혈당측정의 활용과 국내 지원현황에 대한 입장 성명서.

Autor: 김원준, 김재현, 류혜진, 손장원, 강아름, 권수경, 김지혜, 김태호, 류옥현, 박경혜, 송선옥, 이강우, 이우제, 정정화, 조호찬, 구민정, 이정림, 주달래, 이연희, 김은경
Zdroj: Journal of Korean Diabetes; Dec2021, Vol. 22 Issue 4, p225-237, 13p
Abstrakt: The accuracy and convenience of continuous glucose monitoring (CGM), which efficiently evaluates glycemic variability and hypoglycemia, are improving. There are two types of CGM: professional CGM and personal CGM. Personal CGM is subdivided into real-time CGM (rt-CGM) and intermittently scanned CGM (isCGM). CGM is being emphasized in both domestic and foreign diabetes management guidelines. Regardless of age or type of diabetes, CGM is useful for diabetic patients undergoing multiple insulin injection therapy or using an insulin pump. rt-CGM is recommended for all adults with type 1 diabetes (T1D), and can also be used in type 2 diabetes (T2D) treatments using multiple insulin injections. In some cases, short-term or intermittent use of CGM may be helpful for patients with T2D who use insulin therapy other than multiple insulin injections and/or oral hypoglycemic agents. CGM can help to achieve A1C targets in diabetes patients during pregnancy. CGM is a safe and cost-effective alternative to self-monitoring blood glucose in T1D and some T2D patients. CGM used in diabetes management works optimally with proper education, training, and follow up. To achieve the activation of CGM and its associated benefits, it is necessary to secure sufficient repetitive training and time for data analysis, management, and education. Various supports such as compensation, insurance coverage expansion, and reimbursement are required to increase the effectiveness of CGM while considering the scale of benefit recipients, policy priorities, and financial requirements. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index