Izixhobo zokuqapha i-glucose (CGM) eziqhubekayo zivunyelwe yi-FDA ukubonelela i-glucose yexesha langempela iiyure ezingama-24 ngosuku, ngaloo ndlela zivumela izigulane zoluhlobo 1 okanye uhlobo lwesifo sikashukela ukuba zilandele ngokukhawuleza amazinga e-glucose kunye neendlela. Ngokuqhelekileyo, i-CGM ibika amanqanaba eshukela egazi emva kwemizuzu emihlanu, ngaloo ndlela ihlinzeka ngokufundwa kwe-288 i-glucose ngosuku. Nangona i-CGM yaqala ukuqala ngo-2006, ukuqhubela phambili kwezobuchwepheshe kuye kwandisa ngokunyaniseka kwaye ukusetyenziswa kwayo kuqhubeka ngokubanzi ngokubanzi namhlanje.
Ukuba uqwalasela i-CGM, funda kabanzi malunga nalo kwaye uqhagamshelane nomncedisi wakho wezezempilo ukuze ubone ukuba ingaba yinto efanelekileyo kuwe. Ngaphandle koko, ugqirha wakho unokucetyiswa usebenzisa iCGM ifowuni ukukunceda ukuphatha kakuhle isifo sikashukela. Kule meko, ngaphambi kokusebenzisa enye, ukuqonda indlela osebenza ngayo kuya kuba luncedo.
I-CMG Devices isebenza njani?
Ngokwesiko, iiCGM zixhobo zineengxenye ezintathu:
- Umququzeleli owenza amanyathelo angaphantsi kwe-glucose
- Umthumeli ophezulu kwi-sensor, othumela idatha ngamaza omsakazo kummkeli
- I- eceiver, eyayibe yinkqubo yokujonga i-pager-like-monitor efana nobunzima obungabonakaliyo obubonisa amazinga e-glucose kunye neendlela.
Ukusebenzisa iteknoloji ye-bluetooth, amacebo amatsha kwimarike, afana noDexcom 5, avumela i-blood glucose ngolwazi kwi-transmitter phantsi kwekhumba ukuba ithunyelwe ngqo kwiinkcukacha ezifanelekileyo ezifanelekileyo, kuquka iPhones ne-iPads. Izigulana ezikhalazayo malunga nenani lamacandelo kwi-CGM yendabuko ziya kuvuyisiswa ngenguqulelo ezitsha ezihlaziyiweyo.
Izixhobo ze-CMG ezifana neDexcom 5 ziquka i-software-friendly friendly based software software. Xa ulwazi lwegazi lwe-glucose lufunyenwe kwisixhobo esihlakaniphile, sisasazwa ngelifu ukuya kubalandeli aba-5. Ingcaciso inokufumaneka lula kwiofisi yegqirha, ukuququzelela ukulandelela nokuhlalutya kwamaphetheni kunye nokubonakalisa iimpawu kwifom yegrafu.
Imida yeCGM Devices
Ukusetyenziswa kwe-CGM kusengumngcipheko, kunye neengcali ezihlukeneyo kunye neengxaki ezichazwe ngezantsi.
Imida iquka:
- Nangona i-CGM ihambisa i-blood glucose ifundwa ngokuzenzekelayo ngexesha elifutshane, iintonga ezininzi zamanqwanqwa zemihla ngemihla zisadingeka ukuze zilungele iCGM.
- Amashishini e-CGM avelisa ukufundwa kwe-glucose ephantsi xa kuthelekiswa ne-blood sugar glucose, xa ushukela ukhula ngokukhawuleza.
- Uninzi lubonisa ukuba inzuzo yangempela ikhona ekufumaneni iipasiti ze-hypoglycemic. Nangona kunjalo, idatha ibonisa ukuba i-CGM ingaba yinto engacacanga kwiindawo eziphantsi kwe-glucose.
- Iimveliso ze-CGM zibiza, ngeendleko zokuqala eziphakathi kwe-$ 1,000 kunye ne-$ 2,000, kwaye ziyafumaneka ngomyalelo kuphela. Ukongezelela, unike ngeendleko eziphakathi kweedola ezingama-300 kunye ne-$ 450 ngenyanga, kubandakanywa izinzwa ezifunekayo zatshintshwe zonke iintsuku ezi-3 ukuya kwezi-7.
Izibonelelo zeeCGM Devices
Izinzuzo zokuqwalasela ziquka:
- I-CGM ngokuqinisekileyo inceda ekufumaneni ukunyuka kwegazi kwizinga le-glucose, nangona ukuba imilinganiselo ayilungele ngokupheleleyo. Umzekelo, i-CGM inokukunceda ukubonisa ukupasa kwentsasa okanye ukudibanisa ngegazi kwixesha apho abantu abaninzi bengaboni iishukela rhoqo.
- I-CGM inokukunceda ukucacisa umphumo wokutya kunye nokuzivocavoca kwizinga leshukela legazi.
- Abasebenzisi bangasetha i-alamu ukuba bawaqaphele xa amazinga e-glucose aphantsi okanye aphakamileyo.
- Kwezinye iilingo ezinkulu, i-CGM yanciphisa i-hemoglobin A1C nge-0.3 ukuya kwi-0.5 ekhulwini xa kuthelekiswa nokuhlolwa kwe-fingerstick glucose.
- Kule zilingo ezifanayo, i-CGM yanciphise i-incidence ye-hypoglycemia.
I-CGM ingasetyenziswa kwakhona nge-insulin pump. Umpompo okhutshiswe umzwa (SAP) udibanisa iteknoloji yepompo ye- insulin kunye nenzwa ye- glucose eqhubekayo . Izifundo ngoku zivavanya ukuphumelela kwenkqubo apho ukunikezelwa kwe-insulin kusekelwe kwidatha yeCGM.
Ngubani na iCGM?
Ukunyamezela umonde kuyisici esibalulekileyo ekusebenziseni kweCGM. I-Endocrine Society Izikhokelo zincoma i-CGM kwizigulane zabantu abadala abanesifo seswekile kunye namazinga A1C ≥7 abonise ukuba bangasebenzisa ezi zixhobo malunga nosuku.
Ukongezelela, kubalulekile ukuba izigulane ezikhethiweyo zibonisa ukuqonda kweteknoloji yeCGM ukuze ufumane inzuzo enkulu. Ukusetyenziswa ngokukhawuleza kweCGM kunokuba kufanelekile kwizigulane ezinobunqunu obunobusuku okanye u-hypoglycemic ignorance (ukungakwazi ukuzithobela i-hypoglycemia). Oku kunokuba luncedo kwizigulane ezine-type 2 zeswekile zine-hypoglycemia okanye iziqwenga eziqhelekileyo okanye ukungabikho kolwazi lwe-hypoglycemic.
Imithombo:
Klonoff DC. Ukuqapha kwe-glucose eqhubekayo: indlela yokwenza i-diabetes ye-21 yenkulungwane ye-21. Unonophelo lweSwekile 2005; 28: 1231.
Hirsch IB. Ukuphononongwa ngonyango: Ukulindela okwenene kunye nokusetyenziswa ngokusemthethweni kokuqapha kwe-glucose ye-endocrinologist. J Clin Endocrinol Metab 2009; 94: 2232.