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引用本文:简喜超, 简扬, 邓呈亮. 2025版《中国糖尿病足防治实践指南》解读[J]. 中华医学美学美容杂志, 2026, 32(2): 99-103. DOI: 10.3760/cma.j.cn114657-20251215-00266.
通信作者:邓呈亮,Email:该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。
Athina Stamati1 · Athanasios Christoforidis2
Received: 7 October 2024 / Accepted: 31 December 2024 / Published online: 10 January 2025 © The Author(s) 2025
Abstract
Aims To assess the efficacy and safety of automated insulin delivery (AID) systems compared to standard care in managing glycaemic control during pregnancy in women with Type 1 Diabetes Mellitus (T1DM).
Methods We searched MEDLINE, Cochrane Library, registries and conference abstracts up to June 2024 for randomized controlled trials (RCTs) and observational studies comparing AID to standard care in pregnant women with T1DM. We con-ducted random effects meta-analyses for % of 24-h time in range of 63–140 mg/dL (TIR), time in hyperglycaemia (>140 mg/ dl and>180 mg/dL), hypoglycaemia (<63 mg/dl and<54 mg/dL), total insulin dose (units/kg/day), glycemic variability (%), changes in HbA1c (%), maternal and fetal outcomes.
Results Thirteen studies (450 participants) were included. AID significantly increased TIR (Mean difference, MD 7.01%, 95% CI 3.72–10.30) and reduced time in hyperglycaemia>140 mg/dL and>180 mg/dL (MD – 5.09%, 95% CI – 9.41 to – 0.78 and MD – 2.44%, 95% CI – 4.69 to – 0.20, respectively). Additionally, glycaemic variability was significantly reduced (MD – 1.66%, 95% CI – 2.73 to – 0.58). Other outcomes did not differ significantly.
Conclusion AID systems effectively improve glycaemic control during pregnancy in women with T1DM by increasing TIR and reducing hyperglycaemia without any observed adverse short-term effects on maternal and fetal outcomes.
Keywords Automated insulin delivery · Pregnancy · Type 1 diabetes mellitus · Systematic review · Meta-analysis
原创: 十六点五 中山二院糖尿病足中心
糖尿病足创面难愈合的原因很多,但细菌感染是其中最重要的原因。
糖尿病足患者从开始愈合(到了红期,开始出现新的真皮的时候)到了完全愈合(主要是硬痂完全覆盖创面后)时,总是会出现创面附近、或者创面同边的足部,尤其是足背部、足踝部出现比较明显的肿胀,这种肿胀不伴有皮肤发红,但是有时会有触痛,一般没有波动感或有轻微的波动感
原创: 胡海涛 负压引流与创面修复
病例简介:
老年男患,糖尿病多年,2014年的冬天,出现左足一个足趾发黑坏疽,在某专业糖尿病足中心下肢介入治疗,最后出现5个足趾全坏疽,建议:截肢!患者和其老伴儿极其抵抗截肢,在辗转几家三甲医院后仍不放弃,其言拿广州一套房也要保下此脚(还是原配老伴儿可靠,如果是子女,就只能呵呵一下了,至今还没遇到过):文章附图请谨慎点击!!
胡海涛 负压引流与创面修复
联合国糖尿病日前身是世界糖尿病日(World Diabetes Day' WDD),由世界卫生组织和国际糖尿病联盟于1991年共同发起的,其宗旨是引起全球对糖尿病的警觉和醒悟。
伤口世界平台生态圈,以“关爱人间所有伤口患者”为愿景,连接、整合和拓展线上和线下的管理慢性伤口的资源,倡导远程、就近和居家管理慢性伤口,解决伤口专家的碎片化时间的价值创造、诊疗经验的裂变复制、和患者的就近、居家和低成本管理慢性伤口的问题。
2019广东省医疗行业协会伤口管理分会年会
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