RESUMO
Inpatient diabetes management of those on hemodialysis poses a major challenge. In a post hoc analysis of a randomized controlled clinical trial, we compared the efficacy of fully automated closed-loop insulin delivery vs. usual care in patients undergoing hemodialysis while in hospital. Compared to control patients receiving conventional subcutaneous insulin therapy, those patients receiving closed-loop insulin delivery significantly increased the proportion of time when a continuous glucose monitor was in the target range of 5.6-10.0 mmol/l by 37.6 percent without increasing the risk of hypoglycemia. Thus, closed-loop insulin delivery offers a novel way to achieve effective and safe glucose control in this vulnerable patient population.
Assuntos
Diabetes Mellitus Tipo 2/tratamento farmacológico , Hipoglicemiantes/administração & dosagem , Sistemas de Infusão de Insulina , Falência Renal Crônica/terapia , Diálise Renal/efeitos adversos , Idoso , Idoso de 80 Anos ou mais , Glicemia/análise , Glicemia/efeitos dos fármacos , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/diagnóstico , Quimioterapia Assistida por Computador/instrumentação , Quimioterapia Assistida por Computador/métodos , Feminino , Hospitalização , Humanos , Bombas de Infusão Implantáveis , Insulina Aspart/administração & dosagem , Insulina Lispro/administração & dosagem , Falência Renal Crônica/complicações , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica/instrumentação , Monitorização Fisiológica/métodos , Resultado do TratamentoRESUMO
Charmonia spectral functions at finite temperature are studied using QCD sum rules in combination with the maximum entropy method. This approach enables us to directly obtain the spectral function from the sum rules, without having to introduce any specific assumption about its functional form. As a result, it is found that while J/ψ and η(c) manifest themselves as significant peaks in the spectral function below the deconfinement temperature T(c), they quickly dissolve into the continuum and almost completely disappear at temperatures between 1.0T(c) and 1.1T(c).