开放期刊系统

连续血糖监测系统对 2 型糖尿病患者血糖控制效果的证据总结

张 书怡, 汤 芳丽, 李 晓燕, 甘 燕琴

摘要

目的 总结连续血糖监测仪对 2 型糖尿病患者血糖控制效果的相关证据。方法 系统检索国内外数据库中连续血糖监
测仪对 2 型糖尿病患者血糖管理的相关文献,根据相关文献评价标准进行评价并提取证据。结果 共纳入 17 篇文献,包括
指南 3 篇,系统评价 12 篇,专家共识 2 篇,从血糖指标、血糖波动、使用连续血糖监测仪不良事件、血糖管理依从性 4 个
方面共提取出 12 条最佳证据。结论 持续血糖监测有利于 2 型糖尿病患者血糖指标的改善,将证据转化为 2 型糖尿病患者
自我管理方案,把持续血糖监测应用在 2 型糖尿病患者中,以期提高血糖管理的依从性,帮助患者控制血糖,最终改善其
临床症状与预后、提高生活质量。

关键词

连续血糖;监测系统;2 型糖尿病

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参考

[1] International Diabetes Federation. IDF Diabetes Atlas,

10th edn. Brussels, Belgium: 2021. Available at: https://www.

diabetesatlas.org

[2] 中华医学会糖尿病学分会 . 中国 2 型糖尿病防治指

南 (2020 年版 )[J]. 国际内分泌代谢杂志 , 2021, 41(05):482-

548.

[3] Cosentino F, Grant PJ, Aboyans V, et al. 2019 ESC

Guidelines on diabetes, pre-diabetes, and cardiovascular diseases

developed in collaboration with the EASD [J]. Eur Heart J, 2020,

41(2):255-323.

[4] 中华医学会糖尿病学分会 . 中国血糖监测临床应用

指 南(2021 年 版). 中 华 糖 尿 病 杂 志,2021,13(10):936-

948.

[5] Teo, E., Hassan, N., Tam, W., & Koh, S. (2022).

Effectiveness of continuous glucose monitoring in maintaining

glycaemic control among people with type 1 diabetes mellitus:

a systematic review of randomised controlled trials and meta-

analysis. Diabetologia, 65(4), 604-619.

[6] 李佳旻 . 2 型糖尿病患者自我血糖监测的现况、影响

因素及其与血糖控制的关系 [D]. 上海 : 复旦大学 ,2007.

[7] 陈 俊 键 , 范 冠 华 . 社 区 血 糖 管 理 人 群 血 糖 自

我 监 测 达 标 情 况 及 其 影 响 因 素 研 究 [J]. 中 国 全 科 医

学 ,2022,25(34):4298-4303.

[8] 熊怡 , 吴冬梅 , 毛国菊 , 等 . 中国 2 型糖尿病自我血

糖监测频率达标率及其影响因素的 Meta 分析 [J]. 现代预防

医学 ,2024,51(03):507-513.

[9] Brouwers MC, Kho ME, Browman GP, et al. AGREE II:

advancing guideline development, reporting, and evaluation in

health care. Prev Med. 2010;51(5):421-424.

[10] 顾莺 , 张慧文 , 周英凤 , 等 .JBI 循证卫生保健中心

关于不同类型研究的质量评价工具——系统评价的方法学

质量评价 [J]. 护士进修杂志 ,2018,33(08):701-703.

[11] 王春青 , 胡雁 . JBI 证据预分级及证据推荐级别系统

(2014 版)[J]. 护士进修杂志 ,2015(11):964-967.

[12] 邢唯杰 , 胡雁 , 周英凤 , 等 . 推动证据向临床转化 ( 六 )

证据总结的制作与撰写 [J]. 护士进修杂志 ,2020,35(12):1129-

1132.

[13] Park, C., & Le, Q. A. (2018). The Effectiveness of

Continuous Glucose Monitoring in Patients with Type 2 Diabetes:

A Systematic Review of Literature and Meta-analysis. Diabetes

technology & therapeutics, 20(9), 613–621.

[14] Ida, S., Kaneko, R., & Murata, K. (2019). Utility of

Real-Time and Retrospective Continuous Glucose Monitoring

in Patients with Type 2 Diabetes Mellitus: A Meta-Analysis of

Randomized Controlled Trials. Journal of diabetes research, 2019,

4684815.

[15] Gandhi, G. Y., Kovalaske, M., Kudva, Y., Walsh, K.,

Elamin, M. B., Beers, M., Coyle, C., Goalen, M., Murad, M. S.,

Erwin, P. J., Corpus, J., Montori, V. M., & Murad, M. H. (2011).

Efficacy of continuous glucose monitoring in improving glycemic

control and reducing hypoglycemia: a systematic review and metaanalysis of randomized trials. Journal of diabetes science and

technology, 5(4), 952–965.

[16] Poolsup N, Suksomboon N, Kyaw AM. Systematic review

and meta-analysis of the effectiveness of continuous glucose

monitoring (CGM) on glucose control in diabetes. Diabetol Metab

Syndr. 2013;5:39.

[17] Di Molfetta, S., Caruso, I., Cignarelli, A., Natalicchio,

A., Perrini, S., Laviola, L., & Giorgino, F. (2023). Professional

continuous glucose monitoring in patients with diabetes mellitus:

A systematic review and meta-analysis. Diabetes, obesity &

metabolism, 25(5), 1301–1310.

[18] Seidu S, Setor K. Kunutsor, Ramzi A. Ajjan, Pratik

Choudhary; Efficacy and Safety of Continuous Glucose Monitoring

and Intermittently Scanned Continuous Glucose Monitoring in

Patients With Type 2 Diabetes: A Systematic Review and Metaanalysis of Interventional Evidence. Diabetes Care 2 January

2024; 47 (1): 169–179.

[19] Jancev M, Vissers TACM, Visseren FLJ, et al.

Continuous glucose monitoring in adults with type 2 diabetes:

a systematic review and meta-analysis. Diabetologia.

2024;67(5):798-810.

[20] Ferreira ROM, Trevisan T, Pasqualotto E, et al.

Continuous Glucose Monitoring Systems in Noninsulin-Treated

People with Type 2 Diabetes: A Systematic Review and MetaAnalysis of Randomized Controlled Trials. Diabetes Technol Ther.

2024;26(4):252-262.

[21] Uhl S, Choure A, Rouse B, Loblack A, Reaven P.

Effectiveness of Continuous Glucose Monitoring on Metrics of

Glycemic Control in Type 2 Diabetes Mellitus: A Systematic

Review and Meta-analysis of Randomized Controlled Trials. J

Clin Endocrinol Metab. 2024;109(4):1119-1131.

[22] Dicembrini I, Mannucci E, Monami M, Pala L. Impact

of technology on glycaemic control in type 2 diabetes: A metaanalysis of randomized trials on continuous glucose monitoring and

continuous subcutaneous insulin infusion. Diabetes Obes Metab.

2019;21(12):2619-2625.

[23] Nuha A. ElSayed, Grazia Aleppo, Vanita R. Aroda,

Raveendhara R. Bannuru, Florence M. Brown, Dennis Bruemmer,

Billy S. Collins, Marisa E. Hilliard, Diana Isaacs, Eric L. Johnson,

Scott Kahan, Kamlesh Khunti, Jose Leon, Sarah K. Lyons, Mary

Lou Perry, Priya Prahalad, Richard E. Pratley, Jane Jeffrie Seley,

Robert C. Stanton, Robert A. Gabbay; on behalf of the American

Diabetes Association, 7. Diabetes Technology: Standards of

Care in Diabetes—2023. Diabetes Care 1 January 2023; 46

(Supplement_1): S111–S127.

[24] Janapala, R. N., Jayaraj, J. S., Fathima, N., Kashif,

T., Usman, N., Dasari, A., Jahan, N., & Sachmechi, I. (2019).

Continuous Glucose Monitoring Versus Self-monitoring of Blood

Glucose in Type 2 Diabetes Mellitus: A Systematic Review with

Meta-analysis. Cureus, 11(9), e5634.

[25]Lu J, Ying Z, Wang P, Fu M, Han C, Zhang M.

Effects of continuous glucose monitoring on glycaemic control

in type 2 diabetes: A systematic review and network metaanalysis of randomized controlled trials. Diabetes Obes Metab.

2024;26(1):362-372.

[26]Krakauer M, Gómez AM, Almeda-Valdes P, et al.

Type 2 diabetes in latin America: recommendations on the flash

glucose monitoring system. Diabetol Metab Syndr. 2024;16(1):106.

Published 2024 May 20.

[27]Kong APS, Lim S, Yoo SH, et al. Asia-Pacific

consensus recommendations for application of continuous glucose

monitoring in diabetes management. Diabetes Res Clin Pract.

2023;201:110718.

[28] 中华医学会糖尿病学分会 . 中国持续葡萄糖监测

临 床 应 用 指 南(2017 年 版). 中 华 糖 尿 病 杂 志,2017,

09(11):667-675.


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