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Avances en Diabetología - Sociedad Española de Diabetes

Avances en Diabetología - Sociedad Española de Diabetes

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20Vol. 21 Núm. 1 - <strong>en</strong>ero-marzo 2005L. Heinemanngies, that a number of new glucose monitoring technologieswill allow <strong>de</strong>velopm<strong>en</strong>t of novel GMS and that the firstattempts will be ma<strong>de</strong> to introduce closed-loop systems intothe market (Figure 1). If we expand our view to 10 yearsor ev<strong>en</strong> longer, we will see the introduction of the first “Prev<strong>en</strong>tionand Cure” biotechnology products and the obsolesc<strong>en</strong>ceof most curr<strong>en</strong>t technologies (insulins, <strong>de</strong>liveryand diagnostic systems). Clearly this will result in fundam<strong>en</strong>taltransformation of the curr<strong>en</strong>t strategies to treatpati<strong>en</strong>ts with diabetes.CONSIDERACIONES PRÁCTICAS• Los sistemas disponibles <strong>de</strong> monitorización continua<strong>de</strong> glucosa son mínimam<strong>en</strong>te invasivos y permit<strong>en</strong>registrar la glucemia sólo durante periodos <strong>de</strong> tiempolimitado.• Los nuevos sistemas no-invasivos <strong>de</strong> monitorizacióncontinua <strong>de</strong> glucosa están todavía <strong>en</strong> fase <strong>de</strong> <strong>de</strong>sarrollo.• La introducción <strong>de</strong> estos nuevos sistemas <strong>en</strong> la prácticaclínica impondrá necesariam<strong>en</strong>te cambios <strong>en</strong> lasestrategias actuales <strong>de</strong> control glucémico.BIBLIOGRAFÍA1. Pfeiffer EF. On the way to the automated (blood) glucose regulationin diabetes: the dark past, the grey pres<strong>en</strong>t and the rosy future.XII Congress of the International <strong>Diabetes</strong> Fe<strong>de</strong>ration, Madrid,22-28 September 1985. Diabetologia 1987; 30: 51-65.2. Maran A, Crepaldi C, Ti<strong>en</strong>go A, Grassi G, Vitali E, Pagno G, et al.Continuous subcutaneous glucose monitoring in diabetic pati<strong>en</strong>ts.<strong>Diabetes</strong> Care 2002; 25: 347-52.3. Lodwig V, Heinemann L on behalf of the Glucose Monitoring StudyGroup. Continuous glucose monitoring with glucose s<strong>en</strong>sors: Calibrationand assessm<strong>en</strong>t criteria. <strong>Diabetes</strong> Technology & Therapeutics2003; 5: 573-88.4. Koschinsky T, Jungheim K, Heinemann L on behalf of the GlucoseMonitoring Study Group. Glucose s<strong>en</strong>sors and the AST-likeph<strong>en</strong>om<strong>en</strong>on:Relationship betwe<strong>en</strong> rapid blood glucose changesand glucose s<strong>en</strong>sor signals. <strong>Diabetes</strong> Technology & Therapeutics2003; 5: 829-42.volver sumario

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