medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2021-21-1-140-148medsovet-6620Research ArticleЭНДОКРИНОЛОГИЯENDOCRINOLOGYПроблемы самоконтроля гликемии у пациентов с сахарным диабетомProblems of blood glucose self-monitoring in patients with diabetes mellitushttps://orcid.org/0000-0002-6531-767XКононоваЮ. А.KononovaYu. A.

Кононова Юлия Алексеевна, научный сотрудник научно-исследовательской лаборатории предиабета и других метаболических нарушений Научного центра мирового уровня

197341, Санкт-Петербург,ул. Аккуратова, д. 2

Yulia A. Kononova, Researcher, Research Laboratory for Prediabetes and Other Metabolic Disorders, World-Class Scientific Center for Personalized Medicine

2, Akkuratov St., St Petersburg, 197341

yukonon@mail.ruhttps://orcid.org/0000-0002-5285-8303БреговскийВ. Б.BregovskiyV. B.

Бреговский Вадим Борисович, д.м.н., врач-эндокринолог кабинета «Диабетическая стопа»

194354, Санкт-Петербург, ул. Сикейроса, д. 10Д

Vadim B. Bregovskiy, Dr. Sci. (Med.), Endocrinologist, Diabetic Foot Office

10D, Sikeyros St., St. Petersburg, 194354

dfoot.tdc@gmail.comhttps://orcid.org/0000-0002-0559-697XБабенкоА. Ю.BabenkoA. Yu.

Бабенко Алина Юрьевна, д.м.н., главный научный сотрудник, руководитель научно-исследовательской лаборатории диабетологии, руководитель научно-исследовательского отдела генетических рисков и персонифицированной профилактики Научного центра мирового уровня «Центр персонализированной медицины», профессор кафедры эндокринологии Института медицинского образования

197341, Санкт-Петербург,ул. Аккуратова, д. 2

Alina Yu. Babenko, Dr. Sci. (Med.), Chief Researcher, Head of the Research Laboratory of Diabetology, Head of the Research Department of Genetic Risks and Personalized Prevention of the World-Class Scientific Center for Personalized Medicine, Professor of the Department of Endocrinology of the Institute of Medical Education

2, Akkuratov St., St Petersburg, 197341

alina_babenko@mail.ruНациональный медицинский исследовательский центр имени В.А. АлмазоваРоссияAlmazov National Medical Research CentreRussian FederationГородской консультативно-диагностический центр №1РоссияCity Consultative and Diagnostic Center No. 1Russian Federation202107012022021-1140148Copyright © Кононова Ю.А., Бреговский В.Б., Бабенко А.Ю., 20222022Кононова Ю.А., Бреговский В.Б., Бабенко А.Ю.Kononova Y.A., Bregovskiy V.B., Babenko A.Y.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/6620

Самоконтроль гликемии занимает важнейшее место в лечении сахарного диабета (СД). Выполнение рекомендаций по самоконтролю гликемии является важным условием профилактики осложнений СД. В статье представлен обзор проблем, с которыми сталкиваются пациенты с СД и врачи и которые связаны с самоконтролем уровня глюкозы крови. Они включают недостаточную частоту измерения глюкозы, технические ошибки при ее измерении, при ведении дневника и при использовании данных измерения для контроля СД. Система для измерения уровня глюкозы крови, включающая глюкометр, тест-полоски, приложение, облако для хранения данных, может использоваться в качестве средства самоконтроля гликемии для пациентов с СД. В статье обсуждаются особенности и достоинства данной системы для измерения глюкозы крови. Преимуществами данного глюкометра являются отсутствие кодировки, возможность дозаполнения тест-полоски при нанесении недостаточного количества крови, функция добавления меток, характеризующих время измерения глюкозы, информирование о соответствии уровня глюкозы целевому диапазону, возможность хранения большого количества результатов измерений. Помимо стандартного измерения уровня глюкозы крови, глюкометр и приложение содержат множество дополнительных функций для более эффективного самоконтроля глюкозы крови, которые могут помочь улучшить управление СД: автоматическое отображение результатов измерения на смартфоне или планшете, сравнение их с целевыми значениями глюкозы, ведение электронного дневника, отображение трендов изменения уровня глюкозы и соответствия целевым диапазонам, предложение подсказок к действиям при критически высоких/низких значениях глюкозы.

Glycemic self-monitoring is essential in  the  treatment of  diabetes mellitus. Compliance with the  recommendations for  selfmonitoring of glycemia is an important condition for the prevention of diabetes complications. The article provides a review of the problems associated with blood glucose self-monitoring faced by diabetic patients and doctors. These include low frequency of blood glucose self-monitoring, technical errors in glucose measurements, errors in keeping a diary and errors in using measurement data to diabetes control. The blood glucose monitoring system, which includes the glucometer, test strips, application, сloud for data storage can be used for blood glucose self-monitoring in patients with diabetes mellitus. The article discusses the features and advantages of the blood glucose monitoring system. The advantages of the glucometer are the no сoding technology and the following options: аpplication of additional amount of blood to the test strip; adding meal marks, testing as the measurement results compare with targets and informing about it; storage a large number of measurement results. In addition to the standard blood glucose measurement, the glucose meter and the application offer many features to improve blood glucose self-monitoring that can help to improve diabetes management: automatic transferring measurement results to smartphone or tablet; saving notes in logbook; display of glucose trends and testing as they compare with targets; offering quick and valuable tips for critical high/low glucose values.

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