I-Glucose Monitor Continuous Reinvented
Ukubeka iliso kwi-blood glucose yinto ebalulekileyo yokulawula isifo sikashukela, ngakumbi kubantu abane-type 1 yeswekile kunye nalabo bathabatha i-insulin. Ukwenza ulawulo lwe-diabetes lube lula, kodwa lunokuba yinkqubo enzulu. Abagadi beglucose abaqhubekayo banokwenza kube lula, kwaye ngoku kukho ukhetho olungaphezulu kweyodwa kwiimakethe zaseMelika: i-FreeStyle Libre Flash Glucose Monitoring System yavunywa ukuba isebenzise.
Kutheni ukubeka iliso kubalulekile
I-American Diabetes Association ibonisa ukuba ezininzi izigulane zisebenzisa i-insulin eninzi i-insulin, njenge-insulin engxenyeni okanye unyango lwe-insulin, ukubeka iliso kwi-glucose yegazi (SMBG) ngaphambi kokutya, ukutya okutyiwayo kunye nokuzivocavoca, ngexesha lokulala, ngezihlandlo emva kokutya, xa bayayikrokrela i-low blood glucose, emva kokunyanga i-glucose yegazi ephantsi kuze kube yilapho igazi labo liye lafikelela kwizinga eliqhelekileyo, nangaphambi kwemisebenzi ebalulekileyo efana nokuqhuba.
Kuye kwaxelwa ukuba abo bantu abavavanya ishukela labo segazi kaninzi banama-A1Cs aphantsi kunye nokungafani kwe-glucose. Kodwa, unokucinga ukuba oku kunzima kangakanani-ukuhlolwa kwamanqaku amaninzi kunokusetyenziswa ixesha kwaye kunzima ukulawula.
Ukuqapha kweGlucose eqhubekayo
Ukongeza kwi-SMBG, abaninzi abantu abanesifo sikashukela banquma ukusebenzisa i- monitor glucose monitor (CGM) ukufumana ulwazi oluthe xaxa malunga noshukela lwegazi ukuze bakwazi ukulawula kakuhle amayeza abo, ukuzivocavoca kunye nokutya.
Okwangoku, i-CGM inganika i-glucose ukufundwa malunga nemizuzu emihlanu kwaye iquka i-alamu ezithe gqolo ezixelela umntu xa ushukela wegazi lihamba phezulu okanye liphezulu. Izifundo zibonise ukuba ukusetyenziswa kweCGM kudibene ne-A1C esezantsi, iintsuku zesikolo ezingekho phantsi, kunye nexesha elincinci le-hypoglycemia.
Ukusebenzisa i-CGM kunokwenza ulawulo lwe-glucose lube lula, kodwa kungekhona ngaphandle kwemithi yamanwe.
Zonke i-CGM kufuneka zilinganiswe nge-blood glucose test, ezingayisombululi ingxaki yokuhlola i-sugar deep. Kodwa, iindaba ezilungileyo kukuba amatsha amatsha aphandwa rhoqo kwaye avunywe.
UAbbott, inkampani yezoshishino ngamayeza ehlabathini lonke, wamkela imvume ye-FDA kwimveliso yenguqu yokutshintsha umhlaba wase-United States. Inkqubo ye-FreeStyle Free Flash Glucose Monitoring System yinkqubo yeCGM eboniswe ukuphathwa kwesifo sikashukela kubantu abaneminyaka eyi-18 nangaphezulu. Yenzelwe ukutshintsha i-blood glucose ukuvavanya izigqibo zonyango lwe-diabetes.
Iprogram ye-Libre isetyenziswa ngokubanzi kumazwe angama-39, ngoko ke le mvume ivuyisa kakhulu abantu abane-diabetes e-United States.
Ingaba isebenza kanjani?
I-Freestyle Free System isebenzisa iteknoloji yakutshanje ukubonelela ngexesha lokufunda i-glucose rhoqo ngeminithi isebenzisa isenzi esilungelelaniswa ngaphambili (akudingeki ukuba uyilinganise ngendwangu yomunwe, oku kwenziwa kwicandelo). Ngokungafani namanye amaCGM, akukho mthumeli okhulayo; Kunoko, inzwa encinci, inqindileyo yamanzi (ubuninzi bekota) ifakwe kalula ngamamitha angamahlanu ngaphantsi kwesikhumba kwisandla sangasemva. I-sensor ilinganisa umbane wamanzi, onokufaniswa negazi le-capillary.
Emva kwexesha lokuqalisa kweyure elilishumi elinambini, unokufumana i-blood glucose ukufunda ngokuskena i-sensor kunye ne-Reader yakho. Ungakwazi ukuskena ngokukhawuleza njengoko ungathanda, kodwa, ukwenzela ukuba uthathe yonke idatha, kucetyiswa ukuba uhlalutye inzwa yakho ubuncinane kanye emva kweeyure ezisibhozo ukurekhoda iipesenti eziyi-100 yedatha. Izifundo ezenziwe ngu-Abbott ziye zabonisa ukuba abantu abasebenzisa le ntsholongwane bavutha ukutshekisha ngokuphindaphindiweyo kunokuvavanya ushukela wabo wegazi ngomnqweno wamunwe, owanikezela ngolwazi oluxabisekileyo.
I-Free inekwazi ukugcina idatha efanelekileyo yeentsuku ezingama-90. Ingadluliselwa kwiintsuku eziyi-10-iyeka ukusebenza emva kwexesha kwaye kufuneka ithathe indawo.
Emva kokuba usuqedile nge-sensor yakho, ungayilahla.
I-Libre nayo inegazi lemitha ye-glucose ngaphakathi kwenkqubo. Usenokuzicingela kuwe, kutheni ndiza kuvavanya ishukela yam gazi ukuba i-CGM yam isitshekishe yonke iminithi? Ukuqala, unokufuna ukwazi ukuba i-CGM ilungile. Ukongezelela, kukho amaxesha athile apho i-CGM ingakwazi ukuvelisa ukungalungi-oku kungenzeka ngexesha lokutshintsha ngokukhawuleza kwi-glucose yegazi, njengokuthi emva kokutya, ukufaka i-insulin, okanye ukusebenzisa. Ukukhulelwa kwamanzi kunye nokulahlekelwa kwamanzi okugqithiseleyo kunokubangelwa neziphumo ezingalunganga. Ngethuba la maxesha, uya kufuna ukuqinisekisa ushukela wegazi lakho ngentonga yomunwe.
Ukongezelela, ukuba unayo impawu yeeshukela eziphantsi okanye eziphezulu zegazi, kufuneka ukhangele ushukela wegazi ngesandla (kuba i-Libre ayinayo i-alamu). Amacwecwe asetyenziswa kumitha abizwa ngokuba yi-Precision Neo test strips. Ziyimali engabizi, umrhumo wemali yokuhlawula imali, ngamnye uboyiweyo bayihlanganiswe ukwenzela ukuba bangasetyenziselwa de kube ngumhla wokuphela. Ngokuqhelekileyo, ibhokisi le-50 libiza malunga needola ezingama-20. Ukusebenzisa amanye amanqaku okuvavanya kunye nemitha ekwakhiweyo iya kuvelisa impazamo okanye ibangele ukuba ingavuki okanye uqale uvavanyo. Awukwazi ukusebenzisa imitha ukuvavanya iietoni.
Ngamanye amaxesha, i-Reader ayikwazi ukukwazisa apho i-glucose yakho ihamba khona kwaye iya kukunika isilumkiso sesilumkiso. Nanini na xa ubona lo mfuziselo, kufuneka uyenze i-blood glucose test kunye nophatha ngokusekelwe kuloo mphumo.
Izinzuzo
I-Freestyle Simahla yi-CGM yokuqala kunye neCGM kuphela ekhupha iminwe yamanqaku yokulinganisa. Esikhundleni sokutshekisha umnwe unamathela ngamaxesha amaninzi ngosuku, abantu abanesifo sikashukela bangakwazi ukuyihlola i-CGM yabo (inkqubo engenabuhlungu) ukuze bafunde i-glucose yangempela-glucose ukuba bangayisebenzisa kwi-insulin dosing, ukucwangcisa ukutya, njl.
Kwabo bantu abazonda ukuvavanywa, oku kunokubanceda baphathe kakuhle isifo sikashukela, ngelixa bephucula umgangatho wobomi. Ukongezelela, iindleko ezinkulu zeenkcukacha kunye neengxelo zengqondo zinokunceda abantu abanesifo sikashukela banciphise umngcipheko we-ushukela ophantsi wegazi kwaye bancede bafumane i-insulin dosing kunye nesicwangciso sokutya.
Kwabo bantu abanesifo sikashukela abangenako ukufumana ezinye i-CGM, i-Free System ingabanika isisombululo.
Ukuthelekiswa namanye amadivaysi
Idivaysi ye-Libre ibizwa ngokuba yi-flash flash glucose system. Xa kuthelekiswa namanye amaCGM afana neDexcom G4 kunye ne-G5, inkqubo ye-Libre ihlola i-glucose nganye ngomzuzu kunemizuzu emihlanu kwaye inokugqithiselwa iintsuku ezili-10, ngokuchasene neesixhenxe. Ichanekileyo kwaye ayifuni imilinganiselo yomunwe. Ngenxa yokuba i-Libre ayifuni i-transmitter, ixabiso layo kunye neenzwa zalo liye liphantsi xa lifaniswa namanye amaCGM.
Omnye umehluko kukuba i-Libre ayinayo i-alamu ezenzekelayo-kunokunokwenzeka ukuba ugweme ukukhathala kwe-alarm. Unokwazi ukufumana ishukela eliphezulu okanye eliphantsi kwegazi, kodwa emva kokutshekisha isixhobo sakho. Ukuba ngelo xesha ufumene ishukela engavumelekanga yegazi, i-Reader izakukuphawula kwaye ikukhuthaze ukusetha isikhumbuzi ukuze uphinde uhlole
Ekugqibeleni, ukubekwa kwe-Sensor ayivunyelwanga kwiisayithi ngaphandle kwengalo yangaphambili (ezinye i-CGM zivunyiwe kwi-belly kunye ne-buttocks placement). Ukuba kufakwe kwezinye iindawo, i-Sensor ayikwazi ukusebenza ngokufanelekileyo.
Ukugcina
Ukugcinwa kubalulekile ukukhusela i-sensor kwaye ugcine ukufundwa kwe-glucose njengechanileyo ngokunokwenzeka. Gwema ukucima ikiti yentsimbi kwaye ulondoloze ikiti phakathi kwe-39 ° F no-77 ° F. Awudingi ukugcina ikiti yakho yesikhombisi esiqandisini, kodwa unako nje ukuba isiqandisisi sibe phakathi kwe-39 ° F no-77 ° F. Gcina ikiti yentshukumo phakathi kwe-10 ukuya kwe-90 ekhulwini engeyiyo yokuxoxisa.
Imida
Enye yeyona mingcipheko enkulu kukuba akukho i-alamu ngaphandle kwendlela yokuhlola. I-Free System ayiyi kukulumkisa ngokuzenzekelayo ukuba iswekile legazi lakho liphezulu kakhulu okanye liphantsi kakhulu ngaphandle kokuba ulandele inzwa yakho. Ngokomzekelo, iNkqubo ayiyi kukuqaphela ukuba isetyhi yakho yegazi iphantsi xa ulele. Ukongezelela, i-Libre ayizange ihlolwe ukuba isebenziswe kubantu abane-hypoglycemia not aware.
Inkqubo ye-Libre ayibonakaliswa ukuba isetyenziswe kumntu ongaphantsi kweminyaka eyi-18 ubudala.
Freestyle Simahla Pro
Inkqubo ye-FreeStyle Libre iyahluke kwi-Freestyle Libre Pro, efunyenwe e-United States malunga nonyaka omnye. Inkqubo ye-Abbott's FreeStyle Libre Pro isetyenziselwe ukubonelela ngeekliniki kunye nezigulane ngolwazi malunga nokufundwa kwegazi kwi-14-day day. Isetyenziswe okwethutyana ukunceda ukwenza izigqibo zonyango kubantu abaneeshukela ezichanekileyo zegazi okanye i-hyper rhoqo okanye i-hypo glycemia.
Ngethuba ngexesha isigulane sigqoke ivakalelo, abafunwa ukuba badibanise kunye nefowuni okanye kufuneka bathathe igazi nge-stick stick ukuze balinganise inzwa. Kodwa, kufuneka baqhubeke bevavanya iishukela zabo zegazi kwaye bagcine i-log yeeshukela zabo, ukutya, ukuzivocavoca, njl.
Emva kweentsuku ezili-14, isigulane sibuyela kwi-ofisi yogqirha, apho ugqirha usebenzisa i-FreeStyle Libre Pro umfundi ukuba ahlole i-sensor kwaye alandele iziphumo ze-glucose zeentsuku ezili-14 ezigcinwe kwi-sensor-in nje imizuzwana emihlanu.
Ukufumaneka
I-Freestyle Free System ilindeleke ukuba ifumaneke kwii-pharmacy zeevenkile zentengiso ekuqaleni-kuya-kaDisemba. Kukulindeleke ukuba ufumane i-inshorensi efanelekileyo kwaye kufuneka ube ne-prescription ukuze uyifumane. Ukuba i-inshurensi yakho ayifaki i-meter, ixabiso lokuthengwa kwemali ye-cash price liyi-$ 70 yomfundi (ukuthengwa kwexesha elilodwa) kwaye malunga ne-$ 108 yenyanga yokubonelela ngeentloko (iinzwa ezintathu ngenyanga).
Izwi elivela ku- erywell
I-Freestyle Free Flash I-Glucose Monitoring System yindlela yokuqala yoCGM yokuqhawula umthamo wokunamathela komunwe. Le ngxelo evuyisayo kubantu abanesifo sikashukela. I-Free kulindeleke ukuba ithinte ii-pharmacy zentengiso (akufuneki ukuba ithunyelwe) ngo-Disemba 2017 kwaye isetyenziswe ukuba ifikeleleke ngakumbi xa kuthelekiswa namanye amaCGM.
Enye impazamo enkulu yokuqwalasela ngaphambi kokuba uxoxe ngale ngxelo ngogqirha wakho kukuba i-Free System ayinayo i-alamu ezakhelweyo kwaye ayifumanekanga kwizigulane ezingaphantsi kweminyaka eyi-18 ubudala. Izigulane ezifanelekile zesifo sikashukela kufuneka zithole imithi yokufumana le mitha. Ukuba ucinga ukuba unelungelo okanye unomdla, cela iqela lakho lonakekelo lwempilo malunga nalo. Ukuba unakho ukungathandabuzeki, unako ukujonga ukuba ungayilinga i-Freestyle Free Pro ngaphambi kokuba uqalise.
> Imithombo:
> I-American Diabetes Association. ImiGangatho yoLondolozo lwezoNyango kwiSwekile-2017. 2017 Jan; 38 (iSiza 1): S1-132.
> Abbott. Iimpawu kunye neNkcukacha zoKhuseleko ezibalulekileyo.