Palabras clave
monitoreo continuo de glucosa
autocuidado
glucemia
control glucémico
hipoglucemia
diabetes mellitus tipo 1
Cómo citar
Resumen
Contexto: a través de los sistemas de monitoreo continuo de glucosa (MCG) se ha logrado tener una visión más dinámica de la glucosa a lo largo del día en tiempo real. Esto ha permitido alcanzar las metas de cuidado con mayor calidad. Además, existe una escasa orientación sobre cómo se debe actuar frente a los datos obtenidos en el MCG en tiempo real y, puntualmente, saber qué acción correctiva tomar según la dirección de las flechas de tendencia.
Objetivo: proporcionar un enfoque seguro y práctico en la interpretación de las flechas de tendencia.
Metodología: se realizó una búsqueda descriptiva de la literatura en las bases de datos Scopus, Scielo, Lilacs y PubMed, y se seleccionaron artículos pertinentes a los objetivos propuestos. A través de reuniones periódicas presenciales y virtuales, se analizaron las metodologías disponibles en la literatura médica para la implementación del uso de flechas de tendencias y, junto con la experiencia personal de los autores, se llegó a unas conclusiones de implementación.
Resultados: para garantizar una adecuada interpretación e implementación de las flechas de tendencia, se recomienda: 1) individualizar quién se beneficia del uso de tecnología en diabetes; 2) hacer uso de una app que facilite los cálculos; 3) garantizar un adecuado seguimiento de los registros del MCG; 4) determinar el momento del día (escenarios) en que las flechas de tendencia serán usadas.
Conclusiones: la incorporación de las flechas de tendencia en la toma de decisiones en tiempo real es fundamental para garantizar un control global glucémico de calidad y un mayor tiempo en rango terapéutico. Faltan estudios de intervención donde se evalúe la implementación de esta estrategia en desenlaces clínicos duros.
Citas
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