medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2026-133medsovet-10094Research ArticleЭНДОКРИНОЛОГИЯENDOCRINOLOGYСовременные подходы к самоконтролю гликемии у пациентов с сахарным диабетом: клинический опыт использования высокоточных систем мониторингаCurrent approaches to blood glucose self-monitoring in patients with diabetes mellitus: Clinical experience with high-precision monitoring systemshttps://orcid.org/0000-0002-8249-6075ДораC. В.DoraS. V.

Дора Светлана Владимировна, д.м.н., профессор кафедры терапии факультетской с курсом эндокринологии, кардиологии с клиникой имени академика Г.Ф. Ланга

197022, Санкт-Петербург, ул. Льва Толстого, д. 6–8

Svetlana V. Dora, Dr. Sci. (Med.), Professor of the Department of Therapy of the Faculty with a Course in Endocrinology, Cardiology with the Clinic named after Academician G.F. Lang

6–8, Lev Tolstoy St., St Petersburg, 197022

doras2001@mail.ruПервый Санкт-Петербургский государственный медицинский университет имени академика И.П. ПавловаРоссияPavlov First Saint Petersburg State Medical UniversityRussian Federation202631052026205184189Copyright © Дора C.В., 20262026Дора C.В.Dora S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/10094

Сахарный диабет является одним из наиболее распространенных хронических заболеваний и сопровождается высоким риском развития макрои микрососудистых осложнений. Эффективный контроль уровня гликемии играет ключевую роль в профилактике осложнений и улучшении прогноза заболевания. Недостаточный гликемический контроль приводит к повышенному риску развития поздних осложнений сахарного диабета, что обусловливает необходимость эффективного мониторирования уровня глюкозы крови. Следует учитывать, что определение уровня гликированного гемоглобина проводится ретроспективно, как правило, не чаще 1 раза в 3–4 мес., что не позволяет оценивать суточные колебания глюкозы и оперативно реагировать на них. Именно самоконтроль гликемии с помощью индивидуальных глюкометров обеспечивает возможность текущего мониторинга ситуации и своевременной коррекции лечения. В этом контексте регулярный самоконтроль уровня глюкозы крови имеет решающее значение. Современные системы самоконтроля гликемии обеспечивают высокую точность измерений в соответствии с международными стандартами и обладают дополнительными функциями, направленными на повышение удобства и улучшение интерпретации результатов пациентами. К ним относятся цветовые индикаторы целевого диапазона гликемии, возможность синхронизации с мобильными приложениями и технологии повторного нанесения образца крови на тест-полоску при недостаточном первоначальном объеме. В статье рассматриваются современные подходы к самоконтролю гликемии у пациентов с диабетом, значение точности измерений для клинической практики и потенциал цифровых технологий для повышения приверженности пациентов мониторированию уровня глюкозы. Использование современных систем мониторирования гликемии, характеризующихся высокой точностью измерений и удобством применения, позволяет повысить эффективность контроля заболевания, улучшить приверженность пациентов терапии и снизить риск развития гипогликемических состояний. Приводятся клинические наблюдения, демонстрирующие практическую ценность системы самоконтроля Контур Плюс Элит (Contour® Plus Elite, Ascensia Diabetes Care) у пациентов различных возрастных групп и с сопутствующей патологией.

Diabetes mellitus is one of the most common chronic diseases and is associated with a high risk of macrovascular and microvascular complication. Effective glycemic control is a key factor in preventing complications and improving disease prognosis. Poor glycemic control increases the risk of developing late complications of diabetes mellitus, raising the need for effective blood glucose monitoring. It should be borne in mind that glycated hemoglobin (HbA1c) level is measured retrospectively, usually no more frequently than once every 3 to 4 months, which doesn’t provide an opportunity to assess blood glucose fluctuations and readily respond to them. It is self-monitoring of glycemia using individual blood glucose meters that enables routine monitoring and timely therapeutic adjustments. Regular self-monitoring of blood glucose plays an important role in achieving target glycemic levels. Modern blood glucose self-monitoring systems provide high measurement accuracy according to international standards and include additional features aimed at improving usability and interpretation by patients. These features include color indicators of the target glycemic range, synchronization with mobile applications, and technologies allowing reapplication of a blood sample to the test strip if the initial volume is insufficient. This article discusses current approaches to blood glucose self-monitoring in patients with diabetes, clinical significance of measurement accuracy, and the potential of modern technologies to improve patient adherence. The use of advanced blood glucose monitoring systems characterized by accurate measurements and user-friendly features can increase the disease control efficacy, enhance patient adherence to therapy, and reduce the risk of hypoglycemic events. Clinical cases illustrating the practical value of the Contour® Plus Elite self-monitoring system (Ascensia Diabetes Care) in patients of different ages and with comorbidities are presented.

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The authors declare that there are no conflicts of interest present.