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临床实践中使用胰岛素泵越来越多,为了确保其使用的安全性,一些指导建议是必要的。针对需要胰岛素强化管理(控制糖尿病)的患者,本报告总结了当前国家最先进的持续皮下胰岛素输注技术的使用情况。认为,适合患者的胰岛素泵选择是至关重要的,因此首先必须对他们的糖尿病自我管理知识进行全面评估。同样的,医师的决定也是至关重要的,合格的医师应该能够提供全面的胰岛素泵管理方案,能够承担全部的责任。胰岛素泵使用的糖尿病患者教育和培训计划,必须由一个有经验的内分泌专家/糖尿病教育者管理的多学科小组来实施。定期重新评估教育和培训的效果是重要的。医生在让患者使用胰岛素泵时,应该有一个24小时服务系统来随时回答患者对胰岛素泵的疑问。我们回顾了已发表的相关数据,包括胰岛素泵治疗和多次胰岛素注射的比较、胰岛素泵的安全性问题。最后还提到我们的知识和研究领域的不足之处。
Insulin pumps are used more and more in clinical practice, and some guidelines are necessary to ensure the safety of their use. This report summarizes current state-of-the-art use of continuous subcutaneous insulin infusion technology for patients in need of intensive insulin management (controlling diabetes). The choice of insulin pump that suits the patient is crucial, and therefore a thorough assessment of their diabetes self-management knowledge must first be made. Likewise, the decision of the physician is also crucial, and qualified physicians should be able to provide a comprehensive insulin pump management solution that takes full responsibility. Diabetes patient education and training programs used with insulin pumps must be implemented by a multidisciplinary team run by an experienced endocrinologist / diabetes educator. It is important to periodically reassess the effectiveness of education and training. The doctor should have a 24-hour service system ready to answer patients’ questions about the insulin pump when they are going to use the insulin pump. We reviewed published data, including comparison of insulin pump therapy with multiple insulin injections, and safety issues with insulin pumps. Finally, we mention shortcomings in our knowledge and research.