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The Use of Standardized Reporting and Time-in-Range in the Management of Diabetes: A Consensus Report

International Journal of Clinical Medicine 2021年第8期12卷 316-327页

作者： Saud Al Sifri Adnan Alshaikh Bassam Bin-Abbas Eman Sheshah Fahad Al Sabaan mohammed Al-Dawish mohammed Al-Dubayee Naweed Al-Zaman Raed A. Al-Dahash Saad alzahrani Emad R. Issak Endocrinology and Diabetes Department Alhada and Taif Armed Forces Hospitals Taif Saudi Arabia Pediatrics Department King Abdulaziz Medical City—Ministry of National Guard Health Affairs King Khalid National Guard Hospital Jeddah Saudi Arabia Pediatrics Department King Faisal Specialist Hospital and Research Center Riyadh Saudi Arabia Endocrinology Department King Salman hospital Riyadh Saudi Arabia Endocrinology Department Security forces hospital program Riyadh Saudi Arabia Endocrinology Department Prince Sultan Military Medical City (PSMMC) Riyadh Saudi Arabia Pediatrics Department Ministry of National Guard Health Affairs-Riyadh Riyadh Saudi Arabia Endocrinology Department Taibah University Madina Saudi Arabia Internal Medicine Department King Abdulaziz Medical City—National Guard Riyadh Saudi Arabia Endocrinology Department Medical Director OEMC King Fahad Medical City Riyadh Saudi Arabia Internal Medicine Department Faculty of Medicine Ain-Shams University Cairo Egypt

Introduction: The exhaustion of healthcare resources due to the rising prevalence in Saudi Arabia mandates the search for each method that can help in better control of diabetes. Methods: The gathered task force gath-ered to develop an explicit, evidence-based consensus for the use of time-in-range targets as guidance for better glycemic control while using continuous glucose monitoring (CGM). This article has the recommenda-tions of this expert panel. Results: HbA1c and self-monitoring blood glu-cose (SMBG) are not enough to detect blood glucose (BG) fluctuations on a daily basis. The incorporation of technology like FreeStyle Libre with its applications like Libre View is now used in many institutes in Saudi Ara-bia. This system is comprehensive and has all the standardized metrics needed. However, training and support are always needed. Barriers and challenges include the awareness & experience of the technology, the time barrier, the patients’ barriers, the technical barriers, and of course, the availability barrier. All the barriers and challenges should be dealt with by designing new training programs. Conclusion: The expert panel recom-mended using CGMs technology in people with type 1 diabetes (T1DM) children and adults, type 2 diabetes (T2DM) on multiple insulin injections, gestational diabetes (GDM) who need further glycemic control, and those at high risk for hypoglycemia. In addition, we recommend using them for a short period for those who require intensive BG control or during acute illness or stress. In addition, Ambulatory Glucose Profile (AGP) could be used as an educational tool for any individuals with DM to study the im-pact of certain elements of lifestyle modifications on their immediate BG level.

关键词： Diabetes Time in Range Glycemic Control HbA1c

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The Diabetic Foot Research in Arabs’ Countries

引用

Open Journal of Endocrine and Metabolic Diseases 2013年第3期3卷 157-165页

作者： Owiss H. alzahrani yousef S. Badahdah Moataz S. Bamakrid Abdullah S. Alfayez Mossab S. Alsaeedi Amro M. Mansouri Hasan A. alzahrani mohammed Hussein Al-Amoudi Chair for Diabetic Foot Research King Abdulaziz University Jeddah Saudi Arabia

Objective: To review all the studies on diabetic foot disorders (DFDs) that were published on the PubMed? site aiming to identify the contributions of the different Arabs’ countries in the world scientific literature on this topic. Methods: The PubMed? site was searched using different key words for searching all the abstracts on Diabetes mellitus (DM) and DFDs published from Arabs’ League countries (n = 22). For this review, the 22 countries were classified into 3 groups: Group 1 (G1): Gulf Council Countries (GCC) countries (n = 6), Group 2 (G2): African Arabs’ countries (n = 10), Group 3 (G3): Asian and/or Eastern Mediterranean Arabs’ countries (n = 6). All the abstracts on DM coming from all of the 22 Arabs’ countries were initially reviewed to locate the ones related to DFDs’ management. All of the articles related to DFDs were reviewed by the senior author. A publication index was created to allow a comparison between the productivity of various countries and correlate that to the population number. Results: By April 2012, a total of 906 articles were published on DM, out of them 115 (11.6%) were related to DFDs. The largest number of DM/DFDs research came from G1 countries (n = 437/51) followed by G2 (n = 307/38) and finally G3 (n = 162/26). The percentages of the studies related to DFDs were therefore: 11.6%, 12.3% and 20.6% respectively. Saudi Arabia was the top on the list of all studied countries with 31 studies related to DFDs out of the 187 on DM (16.5%). Conclusion: More research on DFDs is needed in most of the Arabs’ countries particularly those in the GCC region which reported very high prevalence rates and are expected to hold these rates for the coming decades. Also, special attention is needed for those low-income Arabs’ countries that had no contributions in DFDs’ research.

关键词： Diabetes Mellitus Diabetic Foot Disorders Arabs

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