连续血糖监测技术在血糖管理中的研究进展

doi:10.3877/cma.j.issn.1674-6880.2024.01.011

糖尿病，作为一种慢性代谢性疾病，已成为全球公共健康问题的重要组成部分。根据国际糖尿病联盟的统计，2019年全球约有4.62亿成年人患有糖尿病，预计到2045年这一数字将增加至7亿^[1]。血糖监测作为糖尿病管理的"五驾马车"之一，便于发现隐匿的低血糖及高血糖，评估患者糖代谢紊乱的程度，从而有助于制定个性化的血糖管理方案^[2]。尽管传统的血糖监测方法在一定程度上有效，但存在诸多局限性，如侵入性操作、无法提供实时数据、缺乏长期趋势分析等。因此，连续血糖监测（continuous glucose monitoring，CGM）技术应运而生。CGM系统通过提供更精准的每日血糖波动模式，识别食物、体力活动、胰岛素计量以及不同药物类型和剂量对血糖的影响，实时监测血糖水平，从而更有效地帮助糖尿病患者和医疗提供者掌握血糖波动，优化血糖的管理^[3]。本研究从CGM技术挑战、数据管理、用户接受度、经济成本以及临床应用效果等方面综述了CGM在血糖管理中的研究进展，旨在为临床更好地优化血糖管理提供参考。

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