Всем ли лицам с сахарным диабетом необходим самоконтроль гликемии?
Аннотация
Специалисты полагают, что самоконтроль гликемии позволяет предотвратить эпизоды гипогликемии, адаптировать дозы лекарственных препаратов и уровень физической активности, а также обеспечить профилактику острых и поздних осложнений диабета. Однако до сих пор существуют разногласия о необходимости и частоте самоконтроля гликемии у лиц с сахарным диабетом 2-го типа, находящихся на таблетированной и комбинированной схемах сахароснижающей терапии. А развитие высокотехнологичных способов контроля гликемии у людей с сахарным диабетом 1-го типа делает сомнительной перспективу использования традиционных способов самоконтроля. Отношение пациентов к самоконтролю гликемии по-прежнему остается противоречивым.
Об авторе
А. С. Погорелова
Университетская клиническая больница №2 Первого Московского государственного медицинского университета им. И.М. Сеченова
Россия
к.м.н.
Россия
к.м.н.
Список литературы
1. Алгоритмы специализированной медицинской помощи больным сахарным диабетом. Под ред. И.И. Дедова, М.В. Шестаковой. 8-е изд. М., 2017
2. Майоров А.Ю., Мельникова О.Г., Филиппов Ю.И. Самоконтроль гликемии – неотъемлемый компонент лечения сахарного диабета. Медицинский совет, 2013, 1: 90-97.
3. Петров А.В., Калинникова А.А., Суворова Л.А., Стронгин Л.Г., Логутова Д.В., Глебов С.П. Практика самоконтроля гликемии у пациентов с сахарным диабетом 2 типа по результатам работы областного мобильного диабетологического центра. Сахарный диабет, 2012, 2: 32-37.
4. Aakre KM, Watine J, Bunting PS, Sandberg S & Oosterhuis WP Self-monitoring of blood glucose in patients with diabetes who do not use insulin–are guidelines evidence-based? Diabetic Medicine, 2012, 29: 1226–1236.
5. Abdelgadir M, Elbagir M, Eltom M & Berne C. The influence of glucose self-monitoring on glycaemic control in patients with diabetes mellitus in Sudan. Diabetes Research and Clinical Practice, 2006, 74: 90–94.
6. Barnard KD, Young AJ & Waugh NR Self monitoring of blood glucose – a survey of diabetes UK members with type 2 diabetes who use SMBG. BMC Research Notes, 2010, 3: 318.
7. Bosi E, Scavini M, Ceriello A, et al. Intensive structured self-monitoring of blood glucose and glycemic control in noninsulin-treated type 2 diabetes: the PRISMA randomized trial. Diabetes Care, 2013, 36: 2887–94.
8. Breton MD, Kovatchev BP. Impact of Blood Glucose Self-Monitoring Errors on Glucose Variability, Risk for Hypoglycemia, and Average Glucose Control in Type 1 Diabetes: An In Silico Study. Journal of Diabetes Science and Technology, 2010, 4(3): 562-570.
9. Ceriello A. Self-monitoring of blood glucose in type 2 diabetes: is the debate (finally) ending? Diabetes Research and Clinical Practice, 2012: 97, 1–2.
10. Chen C-M, Yeh MC. The experiences of diabetics on self-monitoring of blood glucose: a qualitative metasynthesis. Journal of Clinical Nursing, 2014, 24: 614-626.
11. Di Bartolo P, Nicolucci A, Cherubini V, Iafusco D, Scardapane M, Rossi MC. Young patients with type 1 diabetes pourly controlled and poorly compliant with self-monitoring of blood glucose: can technology help? Results of the i-New Trend randomized clinical trial. Acta Diabetol, 2017, 54: 393-402.
12. Farmer AJ, Perera R, Ward A, Heneghan C, Oke J, Barnett AH, Davidson MB, Guerci B, Coates V, Schwedes U & O’Malley S Metaanalysis of individual patient data in randomized trials of self monitoring of blood glucose in people with non-insulin treated type 2 diabetes. British Medical Journal, 2012, 344: 486.
13. Farmer AJ, Wade AN, French DP, Simon J, Yudkin P, Gray A, Craven A, Goyder L, Holman RR, Mant D, Kinmonth AL & Neil HA Blood glucose self-monitoring in type 2 diabetes: a randomised controlled trial. Health Technology Assessment, 2009, 13: 1–50.
14. Freckmann G, Baumstark A, Jendrike N, Rittmeyer D, Pleus S, Haug C. Accuracy evaluation of four blood glucose monitoring systems in the hands of intended users and trained personnel based on ISO 15197 requirements. Diabetes Technol Ther, 2017, 19: 246-254.
15. Hortensius J, Kars MC, Wierenga WS, Kleefstra N, Bilo HJ & van der Bijl JJ. Perspectives of patients with type 1 or insulin-treated type 2 diabetes on self-monitoring of blood glucose: a qualitative study. BMC Public Health, 2012, 12: 167.
16. Hortensius J, Kleefstra N, Landman GWD, Houweling BT, Groenier KH, Van der Bijl JJ, Bilo H. Effects of three frequencies of self-monitored blood glucose on HbA1c and quality of life in patients with type 2 diabetes with once daily insulin and stable control: a randomized trial. BMC Res Notes, 2018, 11: 26.
17. International Diabetes Federation. IDF Guide line on self-monitoring of blood glucose in non-insulin treated type diabetes. [Internet]. Brussels (Belgium): International Diabetes Federation.
18. Krishnan V, Thirunavukkarasu J. Assessment of knowledge of self-blood glucose monitoring and extent of self-titration of anti-diabetic drugs among diabetes mellitus patients – a cross sectional, community based study. Journal of Clinical and Diagnostic Research, 2016, 10(3): FC09-FC11.
19. Lawton J, Peel E, Douglas M & Parry O. ‘Urine testing is a waste of time’: newly diagnosed Type 2 diabetes patients’ perceptions of self-monitoring. Diabetic Medicine, 2004, 21: 1045–1048.
20. Malanda UL, Bot SD & Nijpels G Self-monitoring of blood glucose in noninsulin-using type 2 diabetic patients: it is time to face the evidence. Diabetes Care, 2013: 36, 176–178.
21. Minder AE, Albrecht D, Schafer J, Zulewski H. Frequency of blood glucose testing in well educated patients with diabetes mellitus type 1: how often is enough? Diabetes Res Clin Pract, 2013, 101: 57–61.
22. Musacchio N, Ciullo I, Scardapane M, Glancaterini A, Pessina L, Maino S, Gaiofatto R, Nicolucci A, Rossi MC. Efficacy of self-monitoring blood glucose as a key component of a chronic care model versus usual care in type 2 diabetes patients treated with oral agents: results of a randomized trial. Acta Diabetologica, 2017 November 14.
23. Ong WM, Chua SS & Ng CJ Barriers and facilitators to self-monitoring of blood glucose in people with type 2 diabetes using insulin: a qualitative study. Patient Prefer Adherence, 2014, 8: 237–246.
24. Peel E, Douglas M & Lawton J Self-monitoring of blood glucose in type 2 diabetes: longitudinal qualitative study of patients’ perspectives. British Medical Journal, 2007, 335: 493.
25. Peel E, Parry O, Douglas M & Lawton J Blood glucose self-monitoring in non-insulin-treated type 2 diabetes: a qualitative study of patients’ perspectives. British Journal of General Practice, 2004, 54: 183–188.
26. Polonsky WH, Fisher L, Schikman CH, et al. Structured self-monitoring of blood glucose significantly reduces A1C levels in poorly controlled, noninsulin-treated type 2 diabetes: results from the Structured Testing Program study. Diabetes Care, 2011, 34: 262–7.
27. Protection of Laboratory Workers from Occupationally Acquired infections, Approved Guideline – Third Edition. Clinical and Laboratory Standards Institute (CLSI), document M 29-A 3 (ISBN 1-56238-567-4). CLSI, 940 West Valley Road, Suite 1400, Wayne, Pennsylvania 19087-1898, 2005, USA.
28. Raine CH. 3-rd. Self-monitored blood glucose: a common pitfall. Endocrine Practice, 2003, 9: 137-139.
29. Schutt M, Kern W, Krause U, et al. Is the frequency of self-monitoring of blood glucose related to long-term metabolic control? Multicenter analysis including 24,500 patients from 191 centers in Germany and Austria. Exp Clin Endocrinol Diabetes, 2006, 114: 384–8.
30. Sieber J, Flacke F, Link M, Haug C, Freckmann G. Improved glycemic control in a patient group performing 7-point profile self-monitoring of blood glucose and intensive data documentation: an open-label, multicenter, observational study. Diabetes Ther, 2017 September 14.
31. Yeoh EC, Lim BK, Fun S, Tong J, Yeoh LY, Sum CF, Subramaniam T, Lim SC. Efficacy of self-monitoring of blood glucose versus retrospective continuous glucose monitoring in improving glycaemic control in diabetic kidney disease patients. Nephrology (Carlton), 2016 Dec 9. [Epub ahead of print].
32. Young LA, Buse JB, Weaver MA, Vu MB, Mitchell CM, Blakeney T, Grimm K, Rees J, Niblock F, Donahue KE. Glucose self-monitoring in non-insulin-treated patients with type 2 diabetes in primary care settings. A randomized trial. JAMA Internal Medicine, 2017, 177(7): 920-929.
Для цитирования:
Погорелова А.С. Всем ли лицам с сахарным диабетом необходим самоконтроль гликемии? Медицинский Совет. 2018;(6):137-141. https://doi.org/10.21518/2079-701X-2018-6-137-141
For citation:
Pogorelova A.S. Do all patients with diabetes require monitoring of glycemia? Meditsinskiy sovet = Medical Council. 2018;(6):137-141. (In Russ.) https://doi.org/10.21518/2079-701X-2018-6-137-141
Просмотров: 2032
Послать статью по эл. почте 
