JCEM:指南建议糖尿病患者可以更多地使用胰岛素泵和CGM

2016-10-03 MedSci MedSci原创

新的临床实践指南支持在糖尿病患者中更广泛地使用胰岛素泵和连续血糖监测仪(也被称为血糖传感器)。该指南发表在临床内分泌与代谢杂志(JCEM),该期刊是由美国临床化学协会、美国内分泌学会、美国糖尿病教育者协会和欧洲内分泌协会联合主办的。以洛杉矶的南加州大学的内分泌学教授Anne L Peters(医学博士,MD)为首的八人的写作小组起草了新的指南,建议大多数愿意并且适用的1型糖尿病患者使用胰岛素泵,使

新的临床实践指南支持在糖尿病患者中更广泛地使用胰岛素泵和连续血糖监测仪(也被称为血糖传感器)。

该指南发表在临床内分泌与代谢杂志(JCEM),该期刊是由美国临床化学协会、美国内分泌学会、美国糖尿病教育者协会和欧洲内分泌协会联合主办的。

以洛杉矶的南加州大学的内分泌学教授Anne L Peters(医学博士,MD)为首的八人的写作小组起草了新的指南,建议大多数愿意并且适用的1型糖尿病患者使用胰岛素泵,使用该设备能每日多次注射模拟基础胰岛素,他们也建议某些需要胰岛素治疗的2型糖尿病患者有选择地使用胰岛素泵。

此外,实时动态血糖监测(RT-CGM)被推荐用于愿意并适用的成人1型糖尿病患者。对于2型糖尿病患者,该指南建议糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。

该指南还包括病人的选择标准、应用注意事项、应用、所有患者使用这两种设备的持续支持,和在医院使用设备的要点。

该指南发表后不久,美国食品和药物管理局(FDA)批准了一项新的人工胰腺,Minimed 670g(美敦力)——第一个正式批准的胰岛素给药闭环系统,通过连接胰岛素泵的CGM使整个装置不仅可以自动监测血糖,还可以提供适当剂量的基础胰岛素。

它被批准用于14岁以上的1型糖尿病患者。但Minimed 670g仍需要根据患者的日常血糖情况进而决定胰岛素用量。

 "Willing and Able" (愿意并且适用)意味着什么?

谢菲尔德大学的临床糖尿病教授,Simon R Heller强调,对于那些认为设备能管理他们的糖尿病的患者来说,仅仅技术支持是行不通的;因为自我管理很重要,对自身病情做出巨大努力并自我管理良好是非常有益的。

2型糖尿病患者使用胰岛素泵、CGM的证据较弱:

Dr Peters承认这两种装置在2型糖尿病中的证据较弱,因此,指南“建议”,而不是“推荐”。“当然,我们没有很多好的数据……我认为我们需要更多地研究如何让2型糖尿病患者也能很好地使用该技术。”

原始出处:

Miriam E Tucker,et al.New Guidelines: Greater Use of Insulin Pumps, CGMs in Diabetes.Medscape.Sep 30,2016


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    2017-02-04 baoya
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    2017-05-04 zhishijing
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GetPortalCommentsPageByObjectIdResponse(id=139806, encodeId=e3bf139806c5, content=糖尿病得危害主要在于并发症,防止并发症有重要意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Tue Oct 04 09:25:12 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
    2017-08-31 smallant2015
  4. 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encryptionId=14fb10264d7, topicName=JCE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, createdName=achengzhao, createdTime=Sun Dec 04 13:39:00 CST 2016, time=2016-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474069, encodeId=29a714e406929, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545296, encodeId=0fff154529654, content=<a href='/topic/show?id=d49b8390451' target=_blank style='color:#2F92EE;'>#胰岛素泵#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83904, encryptionId=d49b8390451, topicName=胰岛素泵)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=739113711075, createdName=12498a1cm71暂无昵称, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140140, encodeId=bf2e14014041, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Oct 04 22:05:43 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139828, encodeId=e52813982881, content=能用就用,不能用就不用。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:54:18 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139827, encodeId=f20613982e4b, content=糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:53:51 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139806, encodeId=e3bf139806c5, content=糖尿病得危害主要在于并发症,防止并发症有重要意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Tue Oct 04 09:25:12 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
    2016-12-04 achengzhao
  5. 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encryptionId=14fb10264d7, topicName=JCE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, createdName=achengzhao, createdTime=Sun Dec 04 13:39:00 CST 2016, time=2016-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474069, encodeId=29a714e406929, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545296, encodeId=0fff154529654, content=<a href='/topic/show?id=d49b8390451' target=_blank style='color:#2F92EE;'>#胰岛素泵#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83904, encryptionId=d49b8390451, topicName=胰岛素泵)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=739113711075, createdName=12498a1cm71暂无昵称, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140140, encodeId=bf2e14014041, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Oct 04 22:05:43 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139828, encodeId=e52813982881, content=能用就用,不能用就不用。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:54:18 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139827, encodeId=f20613982e4b, content=糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:53:51 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139806, encodeId=e3bf139806c5, content=糖尿病得危害主要在于并发症,防止并发症有重要意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Tue Oct 04 09:25:12 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1749651, encodeId=022a1e4965196, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Sat Feb 04 09:39:00 CST 2017, time=2017-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2050098, encodeId=e6dd20500981d, content=<a href='/topic/show?id=4691454e37' target=_blank style='color:#2F92EE;'>#CGM#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4547, encryptionId=4691454e37, topicName=CGM)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d70341, 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channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83904, encryptionId=d49b8390451, topicName=胰岛素泵)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=739113711075, createdName=12498a1cm71暂无昵称, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140140, encodeId=bf2e14014041, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Oct 04 22:05:43 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139828, encodeId=e52813982881, content=能用就用,不能用就不用。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:54:18 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139827, encodeId=f20613982e4b, content=糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:53:51 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139806, encodeId=e3bf139806c5, content=糖尿病得危害主要在于并发症,防止并发症有重要意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Tue Oct 04 09:25:12 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=1749651, encodeId=022a1e4965196, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Sat Feb 04 09:39:00 CST 2017, time=2017-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2050098, encodeId=e6dd20500981d, content=<a href='/topic/show?id=4691454e37' target=_blank style='color:#2F92EE;'>#CGM#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4547, encryptionId=4691454e37, topicName=CGM)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d70341, createdName=zhishijing, createdTime=Thu May 04 09:39:00 CST 2017, time=2017-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1777557, encodeId=14271e775577c, content=<a href='/topic/show?id=eb9610265ed' target=_blank style='color:#2F92EE;'>#JCEM#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10265, encryptionId=eb9610265ed, topicName=JCEM)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2a4439169927, createdName=smallant2015, createdTime=Thu Aug 31 07:39:00 CST 2017, time=2017-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2062939, encodeId=b8ee2062939ef, content=<a href='/topic/show?id=14fb10264d7' target=_blank style='color:#2F92EE;'>#JCE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10264, encryptionId=14fb10264d7, topicName=JCE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, createdName=achengzhao, createdTime=Sun Dec 04 13:39:00 CST 2016, time=2016-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474069, encodeId=29a714e406929, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545296, encodeId=0fff154529654, content=<a href='/topic/show?id=d49b8390451' target=_blank style='color:#2F92EE;'>#胰岛素泵#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83904, encryptionId=d49b8390451, topicName=胰岛素泵)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=739113711075, createdName=12498a1cm71暂无昵称, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140140, encodeId=bf2e14014041, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Oct 04 22:05:43 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139828, encodeId=e52813982881, content=能用就用,不能用就不用。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:54:18 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139827, encodeId=f20613982e4b, content=糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:53:51 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139806, encodeId=e3bf139806c5, content=糖尿病得危害主要在于并发症,防止并发症有重要意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Tue Oct 04 09:25:12 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
    2016-10-04 刘煜

    学习了谢谢分享。

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1749651, encodeId=022a1e4965196, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Sat Feb 04 09:39:00 CST 2017, time=2017-02-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2050098, encodeId=e6dd20500981d, content=<a href='/topic/show?id=4691454e37' target=_blank style='color:#2F92EE;'>#CGM#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4547, encryptionId=4691454e37, topicName=CGM)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d70341, 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encryptionId=14fb10264d7, topicName=JCE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e656479, createdName=achengzhao, createdTime=Sun Dec 04 13:39:00 CST 2016, time=2016-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474069, encodeId=29a714e406929, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545296, encodeId=0fff154529654, content=<a href='/topic/show?id=d49b8390451' target=_blank style='color:#2F92EE;'>#胰岛素泵#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83904, encryptionId=d49b8390451, topicName=胰岛素泵)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=739113711075, createdName=12498a1cm71暂无昵称, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140140, encodeId=bf2e14014041, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Oct 04 22:05:43 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139828, encodeId=e52813982881, content=能用就用,不能用就不用。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:54:18 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139827, encodeId=f20613982e4b, content=糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:53:51 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139806, encodeId=e3bf139806c5, content=糖尿病得危害主要在于并发症,防止并发症有重要意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Tue Oct 04 09:25:12 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
    2016-10-04 医路开来

    能用就用,不能用就不用。

    0

  9. 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channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83904, encryptionId=d49b8390451, topicName=胰岛素泵)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=739113711075, createdName=12498a1cm71暂无昵称, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140140, encodeId=bf2e14014041, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Oct 04 22:05:43 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139828, encodeId=e52813982881, content=能用就用,不能用就不用。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:54:18 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139827, encodeId=f20613982e4b, content=糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:53:51 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139806, encodeId=e3bf139806c5, content=糖尿病得危害主要在于并发症,防止并发症有重要意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Tue Oct 04 09:25:12 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
    2016-10-04 医路开来

    糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。

    0

  10. 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channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83904, encryptionId=d49b8390451, topicName=胰岛素泵)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=739113711075, createdName=12498a1cm71暂无昵称, createdTime=Wed Oct 05 12:39:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140140, encodeId=bf2e14014041, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Tue Oct 04 22:05:43 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139828, encodeId=e52813982881, content=能用就用,不能用就不用。, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:54:18 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139827, encodeId=f20613982e4b, content=糖化血红蛋白水平在7%及以上且不需餐前胰岛素的2型糖尿病患者可以间歇使用RT-CGM。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 09:53:51 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139806, encodeId=e3bf139806c5, content=糖尿病得危害主要在于并发症,防止并发症有重要意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Tue Oct 04 09:25:12 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
    2016-10-04 Carlos007

    糖尿病得危害主要在于并发症,防止并发症有重要意义

    0

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