Новые критерии компенсации сахарного диабета у детей и подростков и пути их достижения
Новые критерии компенсации сахарного диабета у детей и подростков и пути их достижения
Витебская А.В. Новые критерии компенсации сахарного диабета у детей и подростков и пути их достижения. Педиатрия (Прил. к журн. Consilium Medicum). 2018; 4: 63–66. DOI: 10.26442/24138460.2018.4.180100
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Аннотация
В октябре 2018 г. Международная ассоциация по детскому и подростковому диабету опубликовала новый консенсус, рекомендующий более низкие целевые значения гликированного гемоглобина – менее 7,0% – и гликемии по сравнению с предыдущими рекомендациями. Обсуждается индивидуальный выбор цели гликированного гемоглобина – менее 6,5% во время «медового месяца», а при высоком риске гипогликемий или при отсутствии современных средств лечения диабета – менее 7,5%. В статье анализируются преимущества использования новых технологий в лечении и обучении детей и подростков с сахарным диабетом, подчеркивается необходимость родительского контроля. C этой точки зрения продемонстрированы преимущества мобильного приложения глюкометра Контур Плюс Уан.
Ключевые слова: сахарный диабет, дети, подростки, контроль гликемии.
Key words: diabetes mellitus, children, adolescents, glycemic control.
Ключевые слова: сахарный диабет, дети, подростки, контроль гликемии.
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Key words: diabetes mellitus, children, adolescents, glycemic control.
Список литературы
1. DiMeglio LA, Acerini CL, Codner E et al. ISPAD Clinical Practice Consensus Guidelines 2018: Glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes. Pediatr Diabetes 2018; 19 (Suppl. 27): 105–14. https://doi.org/10.1111/pedi.12737
2. ISPAD Clinical Practice Consensus Guidelines 2014 Compendium. Pediatric Diabetes 2014; 15 (Suppl. 20): 1–290. DOI: 10.1111/pedi.12182
3. American Diabetes Association. 12. Children and Adolescents: Standards of Medical Care in Diabetes-2018. Diabetes Care 2018; 41 (Suppl. 1): S126–S136. DOI: 10.2337/dc18-S012
4. Beckles ZL, Edge JA, Mugglestone MA et al. Guidelines Development Group. Diagnosis and management of diabetes in children and young people: summary of updated NICE guidance. BMJ 2016; 352: i139. DOI: 10.1136/bmj.i139
5. Sundberg F, Barnard K, Cato A et al. Managing diabetes in preschool children. Pediatr Diabetes 2017. DOI: 10.1111/pedi.12554
6. Sherr JL, Tauschmann M, Battelino T et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes technologies. Pediatr Diabetes 2018; 19 (Suppl. 27): 302–25. https://doi.org/10.1111/pedi.12731
7. Phelan H, Lange K, Cengiz E et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes education in children and adolescents. Pediatr Diabetes 2018; 19 (Suppl. 27): 75–83. https://doi.org/10.1111/pedi.12762
8. El-Gayar O, Timsina P, Nawar N, Eid W. Mobile applications for diabetes self-management: status and potential. J Diabetes Sci Technol 2013; 7 (1): 247–62. DOI: 10.1177/193229681300700130
9. Franklin VL, Waller A, Pagliari C, Greene SA. A randomized controlled trial of Sweet talk, a textmessaging system to support young people with diabetes. Diabet Med 2006; 23: 1332–8. DOI: 10.1111/j.1464-5491.2006.01989.x
10. Howells L, Wilson AC, Skinner TC et al. A randomized control trial of the effect of negotiated telephone support on glycemic control in young people with type 1 diabetes. Diabet Med 2002; 19: 643–8.
11. Cameron FJ, Garvey K, Hood KK et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence. Pediatr Diabetes 2018; 19 (Suppl. 27): 250–61. https://doi.org/10.1111/pedi.12702
12. Bailey TS, Wallace JF, Pardo S et al. Accuracy and User Performance Evaluation of a New, Wireless-enabled Blood Glucose Monitoring System That Links to a Smart Mobile Device. J Diabetes Sci Technol 2017; 11 (4): 736–43. DOI: 10.1177/1932296816680829
13. Руководство пользователя. Система для измерения уровня глюкозы в крови Countour Plus One (Контур Плюс Уан). РУ №ФСЗ 2008/02237 от 30.05.2017. / Rukovodstvo pol’zovatelia. Sistema dlia izmereniia urovnia gliukiozy v krovi Countour Plus One (Kontur Plus Uan). RU №FSZ 2008/02237 ot 30.05.2017. [in Russian]
2. ISPAD Clinical Practice Consensus Guidelines 2014 Compendium. Pediatric Diabetes 2014; 15 (Suppl. 20): 1–290. DOI: 10.1111/pedi.12182
3. American Diabetes Association. 12. Children and Adolescents: Standards of Medical Care in Diabetes-2018. Diabetes Care 2018; 41 (Suppl. 1): S126–S136. DOI: 10.2337/dc18-S012
4. Beckles ZL, Edge JA, Mugglestone MA et al. Guidelines Development Group. Diagnosis and management of diabetes in children and young people: summary of updated NICE guidance. BMJ 2016; 352: i139. DOI: 10.1136/bmj.i139
5. Sundberg F, Barnard K, Cato A et al. Managing diabetes in preschool children. Pediatr Diabetes 2017. DOI: 10.1111/pedi.12554
6. Sherr JL, Tauschmann M, Battelino T et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes technologies. Pediatr Diabetes 2018; 19 (Suppl. 27): 302–25. https://doi.org/10.1111/pedi.12731
7. Phelan H, Lange K, Cengiz E et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes education in children and adolescents. Pediatr Diabetes 2018; 19 (Suppl. 27): 75–83. https://doi.org/10.1111/pedi.12762
8. El-Gayar O, Timsina P, Nawar N, Eid W. Mobile applications for diabetes self-management: status and potential. J Diabetes Sci Technol 2013; 7 (1): 247–62. DOI: 10.1177/193229681300700130
9. Franklin VL, Waller A, Pagliari C, Greene SA. A randomized controlled trial of Sweet talk, a textmessaging system to support young people with diabetes. Diabet Med 2006; 23: 1332–8. DOI: 10.1111/j.1464-5491.2006.01989.x
10. Howells L, Wilson AC, Skinner TC et al. A randomized control trial of the effect of negotiated telephone support on glycemic control in young people with type 1 diabetes. Diabet Med 2002; 19: 643–8.
11. Cameron FJ, Garvey K, Hood KK et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence. Pediatr Diabetes 2018; 19 (Suppl. 27): 250–61. https://doi.org/10.1111/pedi.12702
12. Bailey TS, Wallace JF, Pardo S et al. Accuracy and User Performance Evaluation of a New, Wireless-enabled Blood Glucose Monitoring System That Links to a Smart Mobile Device. J Diabetes Sci Technol 2017; 11 (4): 736–43. DOI: 10.1177/1932296816680829
13. Руководство пользователя. Система для измерения уровня глюкозы в крови Countour Plus One (Контур Плюс Уан). РУ №ФСЗ 2008/02237 от 30.05.2017. / Rukovodstvo pol’zovatelia. Sistema dlia izmereniia urovnia gliukiozy v krovi Countour Plus One (Kontur Plus Uan). RU №FSZ 2008/02237 ot 30.05.2017. [in Russian]
2. ISPAD Clinical Practice Consensus Guidelines 2014 Compendium. Pediatric Diabetes 2014; 15 (Suppl. 20): 1–290. DOI: 10.1111/pedi.12182
3. American Diabetes Association. 12. Children and Adolescents: Standards of Medical Care in Diabetes-2018. Diabetes Care 2018; 41 (Suppl. 1): S126–S136. DOI: 10.2337/dc18-S012
4. Beckles ZL, Edge JA, Mugglestone MA et al. Guidelines Development Group. Diagnosis and management of diabetes in children and young people: summary of updated NICE guidance. BMJ 2016; 352: i139. DOI: 10.1136/bmj.i139
5. Sundberg F, Barnard K, Cato A et al. Managing diabetes in preschool children. Pediatr Diabetes 2017. DOI: 10.1111/pedi.12554
6. Sherr JL, Tauschmann M, Battelino T et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes technologies. Pediatr Diabetes 2018; 19 (Suppl. 27): 302–25. https://doi.org/10.1111/pedi.12731
7. Phelan H, Lange K, Cengiz E et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes education in children and adolescents. Pediatr Diabetes 2018; 19 (Suppl. 27): 75–83. https://doi.org/10.1111/pedi.12762
8. El-Gayar O, Timsina P, Nawar N, Eid W. Mobile applications for diabetes self-management: status and potential. J Diabetes Sci Technol 2013; 7 (1): 247–62. DOI: 10.1177/193229681300700130
9. Franklin VL, Waller A, Pagliari C, Greene SA. A randomized controlled trial of Sweet talk, a textmessaging system to support young people with diabetes. Diabet Med 2006; 23: 1332–8. DOI: 10.1111/j.1464-5491.2006.01989.x
10. Howells L, Wilson AC, Skinner TC et al. A randomized control trial of the effect of negotiated telephone support on glycemic control in young people with type 1 diabetes. Diabet Med 2002; 19: 643–8.
11. Cameron FJ, Garvey K, Hood KK et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence. Pediatr Diabetes 2018; 19 (Suppl. 27): 250–61. https://doi.org/10.1111/pedi.12702
12. Bailey TS, Wallace JF, Pardo S et al. Accuracy and User Performance Evaluation of a New, Wireless-enabled Blood Glucose Monitoring System That Links to a Smart Mobile Device. J Diabetes Sci Technol 2017; 11 (4): 736–43. DOI: 10.1177/1932296816680829
13. Руководство пользователя. Система для измерения уровня глюкозы в крови Countour Plus One (Контур Плюс Уан). РУ №ФСЗ 2008/02237 от 30.05.2017. / Rukovodstvo pol’zovatelia. Sistema dlia izmereniia urovnia gliukiozy v krovi Countour Plus One (Kontur Plus Uan). RU №FSZ 2008/02237 ot 30.05.2017. [in Russian]
________________________________________________
2. ISPAD Clinical Practice Consensus Guidelines 2014 Compendium. Pediatric Diabetes 2014; 15 (Suppl. 20): 1–290. DOI: 10.1111/pedi.12182
3. American Diabetes Association. 12. Children and Adolescents: Standards of Medical Care in Diabetes-2018. Diabetes Care 2018; 41 (Suppl. 1): S126–S136. DOI: 10.2337/dc18-S012
4. Beckles ZL, Edge JA, Mugglestone MA et al. Guidelines Development Group. Diagnosis and management of diabetes in children and young people: summary of updated NICE guidance. BMJ 2016; 352: i139. DOI: 10.1136/bmj.i139
5. Sundberg F, Barnard K, Cato A et al. Managing diabetes in preschool children. Pediatr Diabetes 2017. DOI: 10.1111/pedi.12554
6. Sherr JL, Tauschmann M, Battelino T et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes technologies. Pediatr Diabetes 2018; 19 (Suppl. 27): 302–25. https://doi.org/10.1111/pedi.12731
7. Phelan H, Lange K, Cengiz E et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes education in children and adolescents. Pediatr Diabetes 2018; 19 (Suppl. 27): 75–83. https://doi.org/10.1111/pedi.12762
8. El-Gayar O, Timsina P, Nawar N, Eid W. Mobile applications for diabetes self-management: status and potential. J Diabetes Sci Technol 2013; 7 (1): 247–62. DOI: 10.1177/193229681300700130
9. Franklin VL, Waller A, Pagliari C, Greene SA. A randomized controlled trial of Sweet talk, a textmessaging system to support young people with diabetes. Diabet Med 2006; 23: 1332–8. DOI: 10.1111/j.1464-5491.2006.01989.x
10. Howells L, Wilson AC, Skinner TC et al. A randomized control trial of the effect of negotiated telephone support on glycemic control in young people with type 1 diabetes. Diabet Med 2002; 19: 643–8.
11. Cameron FJ, Garvey K, Hood KK et al. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence. Pediatr Diabetes 2018; 19 (Suppl. 27): 250–61. https://doi.org/10.1111/pedi.12702
12. Bailey TS, Wallace JF, Pardo S et al. Accuracy and User Performance Evaluation of a New, Wireless-enabled Blood Glucose Monitoring System That Links to a Smart Mobile Device. J Diabetes Sci Technol 2017; 11 (4): 736–43. DOI: 10.1177/1932296816680829
13. Руководство пользователя. Система для измерения уровня глюкозы в крови Countour Plus One (Контур Плюс Уан). РУ №ФСЗ 2008/02237 от 30.05.2017. / Rukovodstvo pol’zovatelia. Sistema dlia izmereniia urovnia gliukiozy v krovi Countour Plus One (Kontur Plus Uan). RU №FSZ 2008/02237 ot 30.05.2017. [in Russian]
Авторы
А.В.Витебская*
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова»
Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
*dr.vitebskaya@gmail.com
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation.
119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2
*dr.vitebskaya@gmail.com
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова»
Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
*dr.vitebskaya@gmail.com
________________________________________________
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation.
119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2
*dr.vitebskaya@gmail.com
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