Kuenderera mberi kwekuisa glucose (CGM) zvishandiso zvakagadzirirwa FDA-kupa nguva yekuverenga glucose maawa makumi maviri nemasere, zvichiita kuti varwere vane chirwere chechirwere chechipiri kana chirwere cheshuga chechipiri kuti vaone zvakanyanya mazinga eglucose uye maitiro. Kazhinji, CGM inoratidzira mazinga ega shuga kamwe chete pamaminitsi mashanu, nokudaro inopa kuverenga 288 glucose pazuva. Kunyange zvazvo CGM yakatanga kubudiswa muna 2006, kufambira mberi kwezvigadzirwa zvemagetsi kwakaita kuti zviwedzere kutendeseka uye kushandiswa kwayo kuri kuramba kuchiwedzera nhasi.
Kana uri kutarisa CGM, dzidza zvakawanda pamusoro payo uye taura neunyanzvi hwehutano hwehutano kuti uone kana ingave yakakodzera iwe. Zvichida, chiremba wako angangodaro akakurudzira kushandisa kadhi yeCGM kuti ikubatsire kutarisa chirwere chako cheshuga. Muchiitiko ichi, usati watoshandisa imwe, kunzwisisa kuti unoshanda sei kunobatsira.
CMG Devices inoshanda sei?
Nenzira, tsika dzeCGM dzine zvikamu zvitatu:
- S s ensor iyo inoyera maitiro emushuga weglucose
- Mutambo uri pamusoro pe sensor, iyo inotumira dhidhiyo kuburikidza nemasaisai eredhiyo kune anogamuchira
- Mutevedzeri wemabhuku, uyo aimbova ainetseka asingasviki-pager-sekucherechedza kwakaratidza mazinga ehuluji uye maitiro.
Uchishandisa bluetooth teknolojia, zvishandiso zvitsva pamusika, zvakadai saDexcom 5, inopa ruzivo rweropa rekudzivirira kubva kune chinyorwa pasi peganda kuti ritumire zvakananga kumashandisi akachenjera anoshanda, kusanganisira iPhones nePads. Varwere vakanyunyutira pamusoro pehuwandu hwezvikamu zvemuCGM zvekare zvinofadza nekushandiswa kwemashanduro matsva.
Zvigadzirwa zve CMG seDexcom 5 zvinosanganisirawo user-friendly cloud-based reporting software. Kana ruzivo rwesopa rega rega ruchirwa nefoni yakachenjera, inobva yatumirwa kuburikidza negore kusvika kune vateveri vashanu. Mashoko acho anogona kuwanikwa nyore nyore pahofisi yechiremba, kuita kuti kutevedza uye kuongororwa kwemaitiro uye kuratidza mafambiro mufananidzo wakajeka.
Kukanganisa kweCGM Devices
Kushandiswa kweCGM kuchiri kukakavadzana, nehutano hwakasiyana-siyana uye hwakarongwa pasi apa.
Zvikanganiso zvinosanganisira:
- Kunyange zvazvo CGM inopa kuverenga ropa kwegawi kamwe chete panguva pfupi, zvigaro zvezuva rimwe nerimwe zvigunwe zvinenge zvichitarisirwa kuti zvive neCGM.
- Mushonga weCGM unobatsira kuverengwa kweglucose shoma kana uchienzaniswa neveous blood glucose, apo mashuga ari kukura nokukurumidza.
- Vakawanda vanopikisa kuti rubatsiro rwechokwadi runoonekwa pakuonekwa kwezvirwere zve hypoglycemic. Zvisinei, deta inoratidza kuti CGM inogona kuwedzera kusakarurama pamatsetse akaderera emaglucose.
- Michina yeCGM inodhura, neyokutanga mari inenge iri pakati pe $ 1 000 ne $ 2,000, uye inowanikwa nemurairo chete. Mukuwedzera, zvinhu zvinodhura zvinosvika $ 300 ne $ 450 pamwedzi, kusanganisira masero anofanirwa kutsiviwa mazuva matatu kusvika kune manomwe.
Makomborero eCGM Devices
Makomborero ekufungisisa anosanganisira:
- CGM zvechokwadi inobatsira kuona maitiro ekuropafisa kweropa, kunyange kana zviyero zvisiri zvachose zvakakwana. Semuenzaniso, CGM inogona kubatsira kuratidza mapepa emangwanani kana kuputika muropa rekuisa ropa apo dzimwe nguva vanhu vakawanda vasingatarisi shuga kazhinji.
- CGM inogona kubatsira kujekesa migumisiro yezvokudya uye kurovedza muviri pahutachiwana hwehuga.
- Vashandi vanogona kugadzirisa malarms kuti avanyevere kana mazinga ejukisi ari akaderera kana kuti akakwirira.
- Mune dzimwe mimwe miedzo mikuru, CGM yakaderedza hemoglobin A1C ne 0.3 kusvika ku3,5 muzana kana ichienzaniswa nemafuta ekugadzira glucose.
- Mune miedzo imwecheteyo, CGM yakaderedza zvishoma zvehupirglycemia.
CGM inogonawo kushandiswa ne insulin pump therapy. Pampu inowedzera-inowanikwa (SAP) inobatanidza teknolojia ye insulin pump neinopfuurira glucose sensor. Zvidzidzo zviripo zvino zvichiongorora kushanda kwehutano umo insulini inotarisana inotarirwa pamashoko eCGM.
Ndiani CGM?
Kutsungirira kusarudzwa chinhu chinokosha pakubudirira kweCGM kushandiswa. The Endocrine Society Mirayiridzo inokurudzira CGM kuvarwere vakura vane chirwere cheshuga cheshuga neA1C mazinga ≥7 avo vakaratidza kuti vanogona kushandisa mashandisi aya anenge mazuva ose.
Mukuwedzera, zvakakosha kuti varwere vakasarudzwa vanoratidza kunzwisisa kwekambani yeCGM kuitira kuti muwane kukosha kunobatsira. Kushandiswa kwemukati kweCGM kunogona kunge kwakakodzera kune varwere vane husiku humwe hupombwe kana hypoglycemic unawareness (kusakwanisa kuzviratidza hypoglycemia). Zvinogonawo kubatsira kune varwere vane chirwere cheshuga chechirwere cheshuga vane husiku hune hypoglycemia kana nguva dzenguva dzakawanda kana hypoglycemic unawareness.
Sources:
Klonoff DC. Kuenderera mberi kwekuisa glucose kutarisa: nzira yemugwagwa wezana remakore rechi21 remishonga yechirwere cheshuga. Diabetes Care 2005; 28: 1231.
Hirsch IB. Kuongororwa kwechipatara: Zvechokwadi zvinotarisirwa uye kushandiswa kwakakodzera kwekuenderera kweglucose kutarisa kwekupedzisira kwechikoro. J Clin Endocrinol Metab 2009; 94: 2232.