소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용

Type 1 diabetes requires lifelong insulin therapy because insulin-secretion capability is diminished. Glycemic control and glucose monitoring are important to prevent type 1 diabetes complications. Diabetes technologies have developed rapidly; continuous glucose monitoring (CGM) and continuous subcu...

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Language:English
Published: Ewha Womans University College of Medicine 2021-07-01
Series:The Ewha Medical Journal
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Online Access:http://www.e-emj.org/archive/view_article?pid=emj-44-3-55
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description Type 1 diabetes requires lifelong insulin therapy because insulin-secretion capability is diminished. Glycemic control and glucose monitoring are important to prevent type 1 diabetes complications. Diabetes technologies have developed rapidly; continuous glucose monitoring (CGM) and continuous subcutaneous insulin infusion (CSII) are now common and greatly aid glycemic control, especially in children and adolescents. The National Health Insurance Service has provided partial reimbursements for both CGM and CSII devices since 2019 and 2020, respectively; the devices are thus expected to become more popular. CGM reduces the frequency of hypoglycemia and the level of glycated hemoglobin. CSII affords more precise glycemic control than multi-dose insulin therapy. CSII showed reduced frequency of hypoglycemia and improved metabolic outcome without an increase in the body mass index z-score. Technological advancement of combined CGM and CSII will eventually serve as an artificial pancreas. The National Health Insurance Service should fund not only the devices but also education of patients and caregivers. In addition, healthcare providers must be continuously updated on new diabetes technologies.
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spelling doaj-art-a8a7eac26d0947ada810c6bb661ee0b42025-08-20T02:38:22ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-31802234-25912021-07-01443556210.12771/emj.2021.44.3.55emj-44-3-55소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용Type 1 diabetes requires lifelong insulin therapy because insulin-secretion capability is diminished. Glycemic control and glucose monitoring are important to prevent type 1 diabetes complications. Diabetes technologies have developed rapidly; continuous glucose monitoring (CGM) and continuous subcutaneous insulin infusion (CSII) are now common and greatly aid glycemic control, especially in children and adolescents. The National Health Insurance Service has provided partial reimbursements for both CGM and CSII devices since 2019 and 2020, respectively; the devices are thus expected to become more popular. CGM reduces the frequency of hypoglycemia and the level of glycated hemoglobin. CSII affords more precise glycemic control than multi-dose insulin therapy. CSII showed reduced frequency of hypoglycemia and improved metabolic outcome without an increase in the body mass index z-score. Technological advancement of combined CGM and CSII will eventually serve as an artificial pancreas. The National Health Insurance Service should fund not only the devices but also education of patients and caregivers. In addition, healthcare providers must be continuously updated on new diabetes technologies.http://www.e-emj.org/archive/view_article?pid=emj-44-3-55diabetes mellitus, type 1technologyblood glucose self-monitoringinsulin infusion systems
spellingShingle 소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용
The Ewha Medical Journal
diabetes mellitus, type 1
technology
blood glucose self-monitoring
insulin infusion systems
title 소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용
title_full 소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용
title_fullStr 소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용
title_full_unstemmed 소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용
title_short 소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용
title_sort 소아청소년 1형 당뇨병 환자에서 연속혈당측정기와 인슐린펌프의 사용
topic diabetes mellitus, type 1
technology
blood glucose self-monitoring
insulin infusion systems
url http://www.e-emj.org/archive/view_article?pid=emj-44-3-55