Description
糖尿病是晚期慢性腎病的主要原因和常見合併症。 這個人群的血糖管理具有挑戰性，其特點是經常出現低血糖和高血糖。 目前的葡萄糖監測工具，如HbA1c、果糖胺和糖化白蛋白，對這一人群有偏見，僅提供平均葡萄糖暴露的資訊。 在過去的十年裡，葡萄糖感測和胰島素輸送技術發生了革命性的發展。 較新的工廠校準的連續血糖監測器提供實時葡萄糖資料，並帶有預測性警報，從而改善對葡萄糖偏差和預防措施的評估，特別是在透析期間和透析期間。 此外，將連續血糖監測器及其預測警報與自動胰島素輸送系統整合，可以主動減少或停止胰島素給藥，從而改善血糖管理並減少血糖波動。 在等待監管部門批准的同時，新興研究、專家現實世界經驗和臨床指南支援糖尿病和晚期慢性腎病患者使用糖尿病技術裝置。
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