diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM13063diaendo-13063Research ArticleОбзорыReviewЭволюция технологии самоконтроля гликемииEvolution of blood glucose self-monitoring technologyhttps://orcid.org/0000-0001-9253-8075СуплотоваЛ. А.SuplotovaL. A.

Суплотова Людмила Александровна, д.м.н., профессор 

625023, г. Тюмень, ул. Одесская, д. 54

Lyudmila A. Suplotova, MD, PhD, Professor

54 Odesskaya street, 625023 Tyumen

suplotovala@mail.ruhttps://orcid.org/0000-0002-1232-3806АлиеваО. О.AlievaO. O.

Алиева Оксана Олимжоновна, аспирант 

г. Тюмень

Oksana O. Alieva, PhD student

Tyumen

dr.alieva@inbox.ruТюменский государственный медицинский университетРоссияTyumen State Medical UniversityRussian Federation202327112023266566574Copyright © Суплотова Л.А., Алиева О.О., 20232023Суплотова Л.А., Алиева О.О.Suplotova L.A., Alieva O.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/13063

В 1838 году G. Rees, врач из Лондона (Guy’s Hospital) впервые выделил избыток сахара из сыворотки крови больного сахарным диабетом (СД). Постепенно развивалась диагностика СД, следующим шагом стало понимание того, что регулярный контроль показателей глюкозы самим пациентом является неотъемлемой частью терапии СД. Отправной точкой технологии самоконтроля СД было определение содержания сахара в моче с помощью химических реакций. Метод не имел большого клинического значения, свидетельствовал лишь о прогрессирующем заболевании. Первая тест-полоска для определения уровня глюкозы крови Dextrostix (Ames-Mile’s laboratories) была представлена в 1964 году. В 1970 году была создана первая автоматизированная система анализа показателей глюкозы в крови, фотометрический глюкометр the Ames Reflectance Meter (ARM). Со временем технология совершенствовалась, формировались точность, наглядность, комфорт и индивидуальный подход в глюкометрии. Новой главой стало развитие дистанционных технологий и возможность удаленного мониторинга. В настоящее время доступна более продвинутая обработка данных в табличной и графической формах с расчетом 7-, 14-, 30- и 90-дневных средних показателей гликемии. Перспективным направлением является внедрение искусственного интеллекта в управление СД.

In 1838 G. Rees, a doctor from London (Guy's Hospital), for the first time isolated excess sugar from the blood serum of a patient with diabetes mellitus. Diagnosis of diabetes mellitus gradually developed. The next step was the understanding that regular monitoring of glucose levels by the patient himself is an integral part of diabetes mellitus therapy. The starting point of the technology for self-monitoring of diabetes mellitus was the determination of the sugar content in urine using chemical reactions. The method had no great clinical significance, it only indicated a progressive disease. The first Dextrostix blood glucose test strip (Ames-Mile's laboratories) was introduced in 1964. In 1970, the first automated blood glucose analysis system, the Ames Reflectance Meter (ARM), was created. Over time, the technology has been improved, accuracy, visibility, comfort, and an individual approach to glucometry have been formed. A new chapter was the development of remote technologies and the possibility of remote monitoring. More advanced data processing is now available in tabular and graphical form, with the calculation of 7-, 14-, 30-, and 90-day average glycemic values. A promising direction is the introduction of artificial intelligence in the management of diabetes mellitus.

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The authors declare that there are no conflicts of interest present.