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Роль самоконтроля гликемии в управлении сахарным диабетом: по материалам рекомендаций Американской диабетической ассоциации (2021)

https://doi.org/10.21518/2079-701X-2021-12-286-292

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Аннотация

Контроль глюкозы крови является неотъемлемой частью терапии сахарного диабета (СД). Неудивительно, что технологии в области СД развиваются в направлении не только создания новых способов введения инсулина, но и совершенствования измерения гликемии. За  последние 10  лет на  рынке появилось значительное количество новых систем мониторирования глюкозы. Тем не менее на настоящий момент только 30% пациентов с СД 1-го типа и единицы больных с СД 2-го типа используют непрерывный или флеш-мониторинг. Это обусловлено не только стоимостью и техническими сложностями непрерывного мониторинга, но  еще и  его клинической целесообразностью. Существуют неоспоримые доказательства необходимости частого самоконтроля / непрерывного мониторинга при проведении интенсифицированной инсулинотерапии, прежде всего у людей с СД 1-го типа. В отношении пациентов с СД 2-го типа, получающих базальный инсулин и (или) другую антигипергликемическую терапию, данные противоречивы и неоднозначны. Тем не менее большинство рекомендаций сводится к необходимости самоконтроля глюкозы крови пациентам с СД 2-го типа. В опубликованных в 2021 г. рекомендациях Американской диабетической ассоциации в разделе, посвященном технологиям в управлении СД, подробно описаны вопросы роли самоконтроля гликемии в управлении СД, в т. ч. необходимости постоянного обучения пациентов принципам и правилам самоконтроля, интерпретации и применения на практике результатов самоконтроля, различных стандартов глюкометров, факторов, влияющих на точность результатов. 

Об авторе

Г. Е. Рунова
Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)
Россия

к.м.н., врач-эндокринолог, доцент кафедры эндокринологии № 1 Института клинической медицины имени Н.В. Склифосовского;

119121, Москва, ул. Погодинская, д. 1, стр. 1



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Для цитирования:


Рунова Г.Е. Роль самоконтроля гликемии в управлении сахарным диабетом: по материалам рекомендаций Американской диабетической ассоциации (2021). Медицинский Совет. 2021;(12):286-292. https://doi.org/10.21518/2079-701X-2021-12-286-292

For citation:


Runova G.E. The role of glycemic self-control in diabetes management: based on the American Diabetes Association guidelines (2021). Meditsinskiy sovet = Medical Council. 2021;(12):286-292. (In Russ.) https://doi.org/10.21518/2079-701X-2021-12-286-292

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