Effect of carbohydrate counting using bolus calculators on glycemic control in type 1 diabetes patients during continuous subcutaneous insulin infusion

被引：10

作者：

Yamada, Eijiro ^{[1
]}

Okada, Shuichi ^{[1
]}

Nakajima, Yasuyo ^{[1
]}

Bastie, Claire C. ^{[2
]}

Tagaya, Yuko ^{[1
]}

Osaki, Aya ^{[1
]}

Shimoda, Yoko ^{[1
]}

Shibusawa, Ryo ^{[1
]}

Saito, Tsugumichi ^{[1
]}

Ozawa, Atsushi ^{[1
]}

Yamada, Masanobu ^{[1
]}

机构：

[1] Gunma Univ, Grad Sch Med, Dept Med & Mol Sci, Maebashi, Gunma, Japan

[2] Warwick Med Sch, Div Biomed Sci, Coventry, W Midlands, England

来源：

JOURNAL OF DIABETES INVESTIGATION | 2017年 / 8卷 / 04期

基金：

日本学术振兴会;

关键词：

Bolus calculator; Continuous subcutaneous insulin infusion; Type; 1; diabetes; GLUCOSE; MELLITUS; FREQUENCY; THERAPY;

D O I：

10.1111/jdi.12604

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The present study examined the long-term efficacy of insulin pump therapy for type 1 diabetes patients when carried out using carbohydrate counting with bolus calculators for 1 year. A total of 22 type 1 diabetes patients who had just started continuous subcutaneous insulin infusion were examined and divided into two groups: one that was educated about carbohydrate counting using bolus calculators (n = 14); and another that did not use bolus calculators (n = 8). After 1 year, the hemoglobin A1c levels of the patient group that used bolus calculators decreased persistently and significantly (P = 0.0297), whereas those of the other group did not. The bodyweight, total daily dose of insulin and bolus percentage of both groups did not change. Carbohydrate counting using bolus calculators is necessary to achieve optimal and persistent glycemic control in patients undergoing continuous subcutaneous insulin infusion.

引用

页码：496 / 500

页数：5

共 17 条

[1] The Evolving Role of Short-Term Professional Continuous Glucose Monitoring on Glycemic Control and Hypoglycemia Among Saudi Patients with Type 1 Diabetes: A Prospective Study [J].