Ramba Rinoenderera Glucose Monitor Rwakadzokororwa
Ropa glucose kutarisa chikamu chakakosha chekuchengetedza chirwere cheshuga, kunyanya kuvanhu vane chirwere cheshuga chechirwere uye avo vanotora insulini. Zvinokonzera kuti chirwere cheshuga chive nyore, asi chinogona kunge chiri chirongwa chakasimba. Kuenderera mberi kweglucose vatariri vanogona kuita kuti zvive nyore, uye pane zvino zvinopfuura imwechete inowanika muUnited States market: FreeStyle Libre Flash Glucose Monitoring System yakagamuchirwa kuti ishandiswe.
Sei Kuongorora Kukosha?
IAmerican Diabetes Association inoratidzira kuti varwere vazhinji vanoshandisa insulin yakawanda regimens, yakadai seingi dzakawanda dze insulin injection kana insulin pump therapy, vanozviongorora vachiona ropa rekuisa ropa (SMBG) vasati vadya, vanodya, uye vanoita muviri, panguva yokurara, dzimwe nguva mushure mekudya, kana vanofungidzira kuvhara ropa kweropa, mushure mekurapa ropa shoma shoga kusvikira shuga yavo yeropa yasvika pane yakasununguka, uye zvisati zvaitika mabasa akadai sekutyaira.
Izvo zvave zvichinzi vanhu avo vanoedza shuga yavo yeropa kakawanda vanowanzova neA1Cs yakaderera uye kuchinja kweglucose kuduku. Asi, iwe unogona kufungidzira kuti zvakanyanya sei izvi zvinogona kuva-zvizhinji zvemunwe zvekutsvaga zvingava nguva yekudya uye zvakaoma kugadzirisa.
Kuramba Glucose Monitoring
Mukuwedzera kune SMBG, vanhu vakawanda vane chirwere cheshuga vanosarudza kushandisa glucose chengetedza (CGM) kuti vawane mamwe mashoko pamusoro peropa ravo rehuga kuitira kuti vagone kurapa mishonga yavo, kurovedza muviri, uye kudya.
Kusvika iye zvino, CGM inokwanisa kupa kuverengera kweglucose inenge maminitsi mashanu ega uye inosanganisira mazamu akaoma anotaurira munhu kana shuga yavo yeropa ichikwira pasi kana yakakwirira. Zvidzidzo zvakaratidza kuti CGM inoshandiswa inosanganiswa nemaA1Cs ari pasi, mashoma mashoma echikoro mazuva, uye kuderedzwa kwehuwandu hwe hypoglycemia.
Kushandisa CGM kunogona kuita kuti glucose kutungamira zviri nyore, asi kwete pasina michina yemunwe.
Zvose zveCGM zvinofanira kuenzaniswa nemuviri weglucose test, iyo isingagadziri dambudziko rekutsvaga kwekushuga kwega. Asi, nhau dzakanaka ndeyokuti zvishandiso zvitsva zvinogara zvichitsvakurudzwa uye zvinogamuchirwa.
Abbott, kambani yenyika yose yehutano yehutano, yakagamuchira FDA kubvumidzwa kwekugadziriswa kwegadziriro yekurova nyika yeUnited States. The FreeStyle Libre Flash Glucose Monitoring System ndiyo inonzi CGM inoratidzwa kuti vatungamiri ve chirwere cheshuga vane vanhu vane makore gumi nemasere kana kupfuura. Yakagadzirirwa kushandura ropa rinokonzerwa neropa rekuisa chirwere cheshuga cheshuga.
Shanduro yeNyika Iripo ikozvino inoshandiswa mune dzimwe nyika 39, naizvozvo kubvumirwa uku kunonakidza zvikuru kune vanhu vane chirwere cheshuga muUnited States.
Chinoshanda sei?
The Free Freestyle Free System inoshandisa teknolojia yepamusoro kuti ipe nguva chaiyo yeglucose kuverengwa nguva dzose neminiti uchishandisa se-pre-calibrated sensor (iwe haufaniri kuirimbidza nekunyorera munwe, izvi zvinoitwa mufekitari). Kusiyana nedzimwe maCGM, hapana chinyorwa chinotyisa; panzvimbo pacho, muto, asingadziviriri masimbi (inenge yakaenzana neyendima) inowanikwa nyore nyore mamita mamita mashanu pasi peganda kupinda kumashure kworuoko. Iyo sensor inotarisa interstitial fluid, inofananidzwa ne capillary ropa.
Mushure memakore gumi namaviri ekutanga, iwe unogona kutora glucose yeropa kuverenga nekutsvaga iyo sensor ne Reader yako. Iwe unogona kuverenga kakawanda sezvaunoda, asi, kuitira kuti utore data yose, zvinokurudzirwa kuti uone senzwa yako kamwe chete maawa masere ose kuti ureve 100 muzana ye data. Zvidzidzo zvinotungamirirwa naAbbott zvakaratidza kuti vanhu vanoshandisa sora iyi vanofambisa kuongorora kanowanzopfuura kuedza shuga yavo yeropa neminwe inopinza, inovapa iyo inonyanya kukosha.
The Libre inokwanisa kuchengetedza mazuva makumi mapfumbamwe ekukosha kwedata. Inogona kuve yakasimudzwa kusvika kwemazuva gumi-inomira kushanda pashure penguva ino uye inofanira kushandurwa.
Kana ukangopedzisira uine sensor yako, unogona kuzvirasa.
I-Libre inewo ropa rekuisa ropa mumutambo. Unogona kunge uchifunga iwe pachako, sei ndaizotarisa shuga yangu yeropa kana CGM yangu ichiiongorora iyo yeminiti? Kutanga, unogona kunge uchida kuziva kana CGM yakarurama. Mukuwedzera, pane dzimwe nguva apo CGM inogona kuisa zvisakarurama-izvi zvinogona kuva panguva yekuchinja kwechirwere muropa, sekunge mushure mekudya, kuisa insulin, kana kushandisa. Kunyanya kunaya mvura uye kukanganiswa kwemvura zvakanyanya kunogona kukonzera mhinduro dzisina kururama. Munguva iyi, iwe unoda kusimbisa shuga yako yeropa nekunamatira kwemunwe.
Uyezve, kana iwe uine zviratidzo zvehutachi hwakadzika kana hwepamusoro, unofanirwa kukuongorora iwe shuga yeropa (nokuti Free haina ma alarms). Mitsara inoshandiswa mumamita inonzi Precision Neo test strips. Icho chisingatengi, mari yekubhadhara mari, mumwe nemapuranga akavharwa kuitira kuti agone kushandiswa kusvikira zuva rapera. Kazhinji, bhokisi re50 rinodhura ne $ 20. Kushandisa mamwe mapepa ekuedza nemamita akavakwa mumamita achabudisa kukanganisa kana kuti kuite kuti irege kutendeuka kana kutanga chiyero. Iwe haugoni kushandisa mamita kuti uedze ketoni.
Dzimwe nguva, muverengi haazokwanisi kukuzivisai kuti glucose yako iri kufamba sei uye ichakupa chiratidzo chenyevero. Pese paunoona chiratidzo ichi, iwe unofanirwa kuedza kuongorora glucose uye kurapa zvichienderana nemugumisiro iwoyo.
Batsirwa
Freestyle Libre ndiyo yekutanga uye yeCGM chete iyo inobvisa zvigunwe zvemunwe zvekugadzirisa. Panzvimbo yekuongorora zvigunwe zvemunwe kakawanda pazuva, vanhu vane chirwere cheshuga vanogona kutarisa CGM yavo (inorwadza nenzira) kuti vawane kuverenga kwemazuva-glucose avo vanogona kushandisa insulin dosing, urongwa hwekudya, nezvimwewo.
Kune avo vanovhiringidza kuedza, izvi zvinogona kuvabatsira kuti vararame zviri nani chirwere cheshuga, vose vachivandudza mararamiro avo ehupenyu. Mukuwedzera, yakawandisa deta uye mafambiro emitemo inogona kubatsira vanhu vane chirwere cheshuga kuti vaderedze njodzi yavo yehuga yepasi shoma uye vabatsire kuverenga insulin dosing uye kuronga kudya.
Kune avo vane chirwere cheshuga chisingagoni kuwana mamwe maCGM, the Free System ingavapa mhinduro.
Kuenzanisa kune dzimwe Devices
Iko chipangamuko chinonzi chinonzi flash glucose monitoring system. Sezvo ichienzaniswa nedzimwe maCGM saDexcom G4 uye G5, iyo Free system inotarisa glucose maminitsi oga oga pane maminitsi mashanu uye inogona kupfeka mazuva gumi, kusiyana nemanomwe. Iyo yakarurama kwazvo uye haifaniri kudonhedzwa nemunwe. Nemhaka yokuti Libre haifaniri kutumira mutengo, mutengo wayo uye masero ayo wakaderedzwa uchienzaniswa nemamwe maCGM.
Imwe misiyano ndeyokuti Free haina chero ma-alarms anotsvaga-angangodaro kuti arege kupera simba. Iwe unogona kuve uchiona shuga yakakwirira kana yakadzika, asi mushure mekunge uongorora shanduro yako. Kana panguva iyoyo iwe wakaziva shuga isina ropa, Vaverengi vachakuona uye vanokukumbira kuti ugadzire chiyeuchidzo kuti chione zvakare.
Pakupedzisira, kuiswa kweSensor hakubvumirwi kune dzimwe nzvimbo kunze kwemashure enduoko (mamwe maCGM anogamuchirwa kune dumbu uye madonzvo kuiswa). Kana akaiswa kune dzimwe nzvimbo, Sensor inogona kushanda zvakanaka.
Kuchengetedza
Kuchengetedza kwakakosha kuchengetedza sensor uye kuchengetedza kuverenga kweglucose zvakarurama sezvinobvira. Dzivisa kupisa girasi re sensor uye uchengetedze kititi pakati pe39 ° F ne 77 ° F. Iwe haufaniri kuchengetedza chikwata chako cheganda mufiriji, asi iwe unogona chero nguva iyo firiji iri pakati pe39 ° F ne 77 ° F. Chengetedza chigamba chechitinha kubva pakati pe10 kusvika ku90 muzana isiri-condensing humidity.
Zvikanganiso
Chimwe chezvinhu zvakanyanya kukundikana ndezvokuti hakuna malarm asi asina kuongorora senjere. Shanduro Yakawanikwa haizokuongorori iwe kana shuga yako yeropa iri yakakwirira kwazvo kana yakaderera zvikuru kunze kwekunge iwe uchitora sora yako. Semuenzaniso, Hurongwa hahugoni kukuchenjerera kana shuga yako yeropa iri pasi kana iwe uri kurara. Uyezve, iyo Free haina kuongororwa kuti ishandiswe kune vanhu vane hypoglycemia unawareness.
The Free system haina kuratidzwa kuti ishandiswe kune ani zvake anopfuura makore gumi nemasere.
Freestyle Free Pro
The FreeStyle Libre system yakasiyana ne Freestyle Libre Pro, iyo yave iripo muUnited States kwegore rimwe chete. Abbott's FreeStyle Libre Pro system inofanirwa kupa vakiriniki nevarwere vane ruzivo pamusoro pekuverenga ropa kwemashuga kwemazuva 14. Inoshandiswa kwenguva pfupi kubatsira kubatsira kuita zvisarudzo zvehutano kuvanhu vane ropa rinokonzera sukari kana kazhinji hyper kana hypo-glycemia.
Munguva iyo murwere anorema vanonzwa, havakwanisi kuyanana nechokushandisa uye havafaniri kuteura ropa kuburikidza nemudonzvo wemunwe kuvhara sensor. Asi, ivo vanofanira kuramba vachiedza ropa ravo sutu uye vachengetedze ganda re shuga yavo, zvokudya, kurovedza muviri, nezvimwewo.
Mushure memazuva gumi nemana, murwere anodzokera kuhofisi yechiremba, apo chiremba anoshandisa muverengi we FreeStyle Libre Pro kuti aone senjeni uye adzinge mhinduro yemazuva 14-yakakodzera yeglucose inenge yakachengetwa mukati-sensor-in zvishoma semaminitsi mashanu.
Kuwanika
I Freestyle Free System inotarisirwa kuwanika mune zvekutengesa ma pharmacy kutanga-kusvika-pakati December. Inotarisirwa kugamuchira inshuwarisi yakanaka uye iwe unofanira kuva nechirongwa chekuwana. Kana inishuwarenzi yako isingagoni kuvhara mamita, mari yekutengesa mari yekubhadhara mari inosvika $ 70 kune muverengi (nguva imwechete yekutenga) uye inenge $ 108 pamwedzi wekupa masero (matatu masero pamwedzi).
Izwi Kubva kuVerywell
The Freestyle Free Flash Glucose Monitoring System ndiyo CGM yokutanga kubvisa kubatana kwetimboni. Iyi inhau inofadza kune vanhu vane chirwere cheshuga. I-Libre inotarisirwa kugunzva ma pharmacies ezvitoro (haifaniri kutumirwa) munaDisemba 2017 uye yakagadzirirwa kuva yakakosha zvikuru kana ichienzaniswa nedzimwe maCGM.
Chimwe chinhu chakasiyana-siyana kufungisisa usati wataurirana izvi nechiremba wako ndechokuti Free System haina kuvhara-maawa uye haina kuitirwa varwere vasati vava nemakore gumi nemana. Vanokodzera varwere vane chirwere cheshuga vanofanira kuwana chiremba kuti vawane iyi mita. Kana iwe uchifunga kuti iwe unofanirwa kana unofarira, bvunza sangano rako rehutano nezvehutano nezvazvo. Kana uine kusava nechokwadi, iwe unogona kuona nguva dzose kana uchigona kuedza Freestyle Libre Pro usati watanga.
> Sources:
> American Diabetes Association. Maitiro ekurapa muShuga - 2017. Chirwere cheshuga . 2017 Jan; 38 (Suppl 1): S1-132.
> Abbott. Zviratidzo uye Zvakakosha Zvokuchengetedza Mashoko.