The advent of connected insulin pens will generate an avalanche of digital insulin data, especially in the context of prandial- and multiple daily injection-insulin regimens. There is a need for the diabetes community to develop standards for such data, analogous to what has been achieved using the ambulatory glucose profile and associated metrics for glucose, permitting harmonization of data reporting for multiple devices and facilitating integration of glucose, insulin, food intake, and physical activity data. Several studies have estimated the timing of meals by analyses of glucose excursions but using diverse criteria. There is need for uniform criteria for multiple types of insulin boluses, including premeal, perimeal, delayed, missed, and correction boluses to facilitate research studies and patient care. This article contains a first preliminary proposal for standards regarding reporting of insulin dosing data. Clinical usage of these reports will require sensitive communication between health care providers and patients.

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胰岛素指标：需要制定报告胰岛素剂量数据的共识标准

互联胰岛素笔的出现将产生大量的数字胰岛素数据，尤其是在餐时和每日多次注射胰岛素方案的情况下。糖尿病社区需要为此类数据制定标准，类似于使用动态血糖曲线和相关的血糖指标所取得的成果，允许统一多个设备的数据报告并促进葡萄糖、胰岛素、食物摄入的整合和身体活动数据。几项研究通过分析葡萄糖波动但使用不同的标准来估计进餐时间。需要为多种类型的胰岛素推注制定统一的标准，包括餐前、餐前、延迟、错过和校正推注，以促进研究和患者护理。本文包含有关报告胰岛素剂量数据的标准的第一个初步建议。这些报告的临床使用将需要医疗保健提供者和患者之间进行敏感的沟通。