medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2025-168medsovet-9088Research ArticleСАХАРНЫЙ ДИАБЕТDIABETES MELLITUSЦифровые технологии в самостоятельном контроле глюкозы крови и их клиническая значимостьDigital technologies in self-monitoring of blood glucose and their clinical significancehttps://orcid.org/0000-0003-0069-7744ГригорьеваИ. Н.Grigor’evaI. N.

Григорьева Ирина Николаевна, д.м.н., профессор, главный научный сотрудник, профессор отдела образования 

630089, Россия, Новосибирск, ул. Бориса Богаткова, д. 175/1

Irina N. Grigor’eva, Dr. Sci. (Med.), Professor, chief Researcher, Professor of the Education Department

175/1, Boris Bogatkov St., Novosibirsk, 630089, Russia

grigorieva2024@yandex.ruhttps://orcid.org/0000-0002-9734-1826ТовН. Л.TovN. L.

Тов Никита Львович, д.м.н., профессор, заведующий кафедрой внутренних болезней имени акад. Л.Д. Сидоровой лечебного факультета

630091, Россия, Новосибирск, Красный проспект, д. 52 

Nikita L. Tov, Dr. Sci. (Med.), Professor, Head of the Department of Internal Medicine named after Academician L.D. Sidorova, Faculty of Medicine

52, Krasny Ave., Novosibirsk, 630091, Russia

nikita.tov@gmail.comНаучно-исследовательский институт терапии и профилактической медицины Федерального исследовательского центра Института цитологии и генетики Сибирского отделения Российской академии наукРоссияResearch Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of SciencesRussian FederationНовосибирский государственный медицинский университетРоссияNovosibirsk State Medical UniversityRussian Federation202524052025066066Copyright © Григорьева И.Н., Тов Н.Л., 20252025Григорьева И.Н., Тов Н.Л.Grigor’eva I.N., Tov N.L.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/9088

В XXI в. распространенность сахарного диабета (СД) существенно выросла как в Российской Федерации, так и во всем мире. Цель: охарактеризовать методы диагностики СД, проанализировать клиническую значимость самостоятельного контроля уровня глюкозы в крови (СКГК), а также влияние цифровых технологий СКГК на гликемический контроль у пациентов с СД и их приверженность лечению СД. Многие международные (UKPDS, DCCT, ACCORD, ADVANCE, VADT) и российские (Федеральный регистр СД в РФ) исследования показали, что СД не только приводит к целому ряду осложнений, но и повышает риск сердечно-сосудистых заболеваний, которые являются основной причиной смертности больных СД. Гипергликемия определяет СД, а гликемический контроль имеет фундаментальное значение для лечения СД. Для минимизации риска развития осложнений СД пациентам необходимо поддерживать гликемию в пределах целевых значений различными методами (определение HbA1c, непрерывный мониторинг глюкозы и др.), а также с помощью структурированного СКГК. Современный высокоточный глюкометр Контур Плюс Уан (Contour®Plus ONE) с русскоязычным мобильным приложением Контур Диабитис (ContourTMDiabetes) прост и удобен в использовании, оснащен дополнительными опциями, а также функцией дистанционного мониторинга уровня ГК, что улучшает клиническую и экономическую эффективность лечения СД2 и может помочь ограничить прогрессирование заболевания. В эпоху прецизионной медицины использование цифровых технологий здравоохранения в СКГК обеспечивает стратегию повышения приверженности лечению пациентов с СД, а следовательно, и результативность, и безопасность лечения СД в реальных условиях.

In the 21st century, the prevalence of diabetes mellitus (DM) has increased significantly both in the Russian Federation and worldwide. Objective: to characterize the methods for diagnosing DM, analyze the clinical significance of self-monitoring of blood glucose (SMBG), and the impact of digital SBG technologies on glycemic control in DM patients and their adherence to DM treatment. Many international (UKPDS, DCCT, ACCORD, ADVANCE, VADT) and Russian (Federal Register of DM in the Russian Federation) studies have shown that DM not only leads to a number of complications, but also increases the risk of cardiovascular diseases, which are the main cause of death in patients with DM. Hyperglycemia determines DM, and glycemic control is fundamental for DM treatment. To minimize the risk of DM complications, patients need to maintain glycemia within target values using various methods (HbA1c determination, continuous glucose monitoring, flash glucose monitoring etc.), as well as with the help of structured SMBG. The modern high-precision glucometer Contour®Plus ONE with the Russianlanguage mobile application ContourTMDiabetes is simple and easy to use, equipped with additional options, as well as a function for remote monitoring of the glucose level, which improves the clinical and economic effectiveness of T2DM treatment and can help limit the progression of the disease. In conclusion, in the era of precision medicine, the use of digital health technologies in SMBG provides a strategy for increasing adherence to treatment in patients with DM, and therefore the effectiveness and safety of DM treatment in real conditions.

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