References

medsovet

Медицинский Совет

Meditsinskiy sovet = Medical Council

2079-701X2658-5790

REMEDIUM GROUP Ltd.

10.21518/ms2024-259

medsovet-8507

Research Article

ЭНДОКРИНОЛОГИЯ

ENDOCRINOLOGY

Пациент и глюкометр: как можно улучшить самоконтроль гликемии?

Patient and glucometer: how can glucose self-monitoring be improved?

https://orcid.org/0000-0002-6531-767X

Кононова

Ю. А.

Kononova

Yu. A.

Кононова Юлия Алексеевна - научный сотрудник научно-исследовательской лаборатории преддиабета и других метаболических нарушений Научного центра мирового уровня «Центр персонализированной медицины».

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

Yulia A. Kononova - Researcher at the Research Laboratory of Prediabetes and Other Metabolic Disorders of the World-class Scientific Center “Center for Personalized Medicine”, Almazov National Medical Research Center.

2, Akkuratov St., St Petersburg, 197341

yukonon@mail.ru

https://orcid.org/0000-0002-0559-697X

Бабенко

А. Ю.

Babenko

A. 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 “Center for Personalized Medicine”, Professor of the Department of Endocrinology at the Institute of Medical Education, Almazov National Medical Research Center.

2, Akkuratov St., St Petersburg, 197341

alina_babenko@mail.ru

https://orcid.org/0000-0002-5285-8303

Бреговский

В. Б.

Bregovskiy

V. В.

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

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

Vadim B. Bregovskiy - Dr. Sci. (Med.), Doctor of the Diabetic Foot Office, City Consulting and Diagnostic Center No. 1.

10d, Siqueiros St., St Peters-burg, 1194354

dfoot.tdc@gmail.com

Национальный медицинский исследовательский центр имени В.А. АлмазоваРоссияAlmazov National Medical Research CenterRussian Federation

Городской консультативно-диагностический центр №1РоссияCity Consulting and Diagnostic Center No. 1Russian Federation

2024

02092024

013130137

2024

Кононова Ю.А., Бабенко А.Ю., Бреговский В.Б.

Kononova Y.A., Babenko A.Y., Bregovskiy V.В.

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/8507

Данный обзор посвящен описанию проблем, с которыми сталкиваются пациенты с сахарным диабетом (СД) при самоконтроле гликемии, и вариантам их решения. Представлен обзор факторов, влияющих на приобретение и выбор глюкометра, на использование мобильных приложений для контроля СД, на приверженность самоконтролю СД. Описаны такие факторы, влияющие на выбор глюкометра, как точность, объем образца крови и аспекты, от которых они зависят. Представлены исследования, изучавшие такую опцию, как настройка индивидуального целевого диапазона гликемии, ее преимущество для улучшения показателей углеводного обмена. Рассмотрены факторы, определяющие эффективность и приверженность лечению при использовании мобильных приложений для контроля СД (функция напоминаний в мобильных приложениях). В статье даны некоторые наиболее важные для пациентов характеристики системы для измерения уровня глюкозы крови Contour®Plus ONE (Контур Плюс Уан), которая состоит из глюкометра Contour®Plus ONE (Контур Плюс Уан), тест-полосок Contour®Plus (Контур Плюс), приложения ContourTMDiabetes (Контур Диабитис), облака ContourTMCloud (Контур). Описаны нюансы использования глюкометра и приложения, которые позволяют сделать их применение для самоконтроля уровня глюкозы максимально комфортным и эффективным для врача и пациента. Обозначены психологические факторы, влияющие на приверженность самоконтролю гликемии. Кроме того, в статье представлено краткое описание современного состояния проблемы неинвазивной глюкометрии и перечислены некоторые разработки последних лет. Среди представленных последних разработок - устройства на основе электрохимических методов (гибкие сенсоры, измеряющие уровень глюкозы в поте на поверхности кожи, в слюне, в слезе), а также устройства, измеряющие уровень глюкозы крови в сосудах с помощью оптических, электромагнитных и микроволновых методов.

This review describes the challenges faced by patients with diabetes in self-monitoring of glycemia and their solutions. An over-view of factors influencing the purchase and selection of a glucometer, the use of mobile applications for diabetes mellitus (DM) control, and adherence to DM self-monitoring is presented. Factors influencing glucometer choice such as accuracy, blood sample volume, and the aspects on which they depend are described. Studies investigating such an option as setting an individual glycemic target range and its advantage in improving carbohydrate metabolism are presented. The factors that determine effectiveness and adherence when using mobile apps for DM control, the function of reminders in mobile apps are considered. The article gives some of the most important features of the Contour®Plus ONE blood glucose measurement system for patients, which consists of the Contour®Plus ONE glucometer, Contour®Plus test strips, ContourTMDiabetes app, ContourTMCloud. The nuances of glucometer use and applications that make their combination for self-monitoring of glucose levels as comfortable and effective as possible for the physician and the patient are described. The article identifies psychological factors influencing adherence to glycemic self-control. In addition, the article presents a brief description of the current state of the problem of non-invasive glucometry and lists some developments in recent years. Among the presented recent developments are devices based on electrochemical methods (flexible sensors measuring glucose levels in sweat on the skin surface, in saliva, in tears), as well as devices measuring blood glucose levels in blood vessels using optical, electromagnetic and microwave methods.

глюкометртест-полоскисахарный диабетсамоконтроль уровня глюкозы кровигликемияглюкоза кровивыбор глюкометраприложениеприверженность

glucose metertest stripsdiabetes mellitusself-monitoring of blood glucoseglycemiablood glucoseglucose meter selectionapplicationcommitment

Статья подготовлена при поддержке компании «Асцензия Диабетическая продукция».

The article was prepared with the support of Ascenzia Diabetic Products company.

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