I-Monitor Continuous Glucose Monitor ivuselelwe kabusha
Ukuqapha i-glucose yegazi kuyingxenye ebalulekile yokuphathwa kwesifo sikashukela, ikakhulukazi kubantu abane-type 1 yesifo sikashukela nalabo abathwala i-insulin. Ukwenza ukuphathwa kwesifo sikashukela kulula, kodwa kungaba inqubo ejulile. Abaqaphi be-glucose abaqhubekayo bangenza kube lula, futhi manje kukhona okungaphezu kweyodwa okukhethwa kukho emakethe yase-United States: Uhlelo lwe-FreeStyle Libre Flash Glucose Monitoring System lwavunyelwa ukusetshenziswa.
Kungani Ukuqapha Kubalulekile
I-American Diabetes Association iphakamisa ukuthi iziguli eziningi zisebenzisa imishanguzo enamandla ye-insulin, njengama-injection amaningi e-insulin noma i- insulin pump therapy, yenza ukuziqapha kwegazi glucose (SMBG) ngaphambi kokudla, ukudla okulula, nokuzivocavoca, ngesikhathi sokulala, ngezikhathi ezithile emva kokudla, lapho bacabanga ukuthi i-glucose ephansi yegazi, ngemuva kokwelapha i- glucose yegazi ephansi kuze kube yilapho ishukela labo legazi selifinyelele ezingeni elivamile, futhi ngaphambi kwemisebenzi ebalulekile njengokushayela.
Kuye kwabikwa ukuthi labo bantu abahlola ishukela legazi labo kaningi babe nama- A1Cs aphansi nokuhluka kwe-glucose encane. Kodwa, ungacabanga ukuthi lokhu kuyinkimbinkimbi kangakanani-ukuhlolwa kwamanoni amaningi kungadla isikhathi futhi kunzima ukuphatha.
Ukuqapha kweGlucose okuqhubekayo
Ngaphezu kwe-SMBG, abantu abaningi abanesifo sikashukela banquma ukusebenzisa i- glucose monitor monitor (CGM) ukuthola ulwazi oluthe xaxa mayelana noshukela wegazi ukuze bakwazi ukuphatha kangcono imithi yabo, ukuzivocavoca nokudla.
Kuze kube yimanje, ama-CGM anganikeza ukufundwa kwe-glucose cishe yonke imizuzu emihlanu futhi afaka ama-alamu ayinkimbinkimbi atshela umuntu uma ushukela wegazi luhamba phansi noma luphakeme. Izifundo zibonise ukuthi ukusetshenziswa kwe-CGM kuhlotshaniswa nama-A1Cs aphansi, izinsuku ezimbalwa ezingekho esikoleni, futhi imvamisa ye-hypoglycemia enciphise.
Ukusebenzisa i-CGM kungenza ukuphathwa kwe-glucose kube lula, kodwa hhayi ngaphandle kwezinti zomunwe.
Wonke ama-CGM kufanele alinganiswe nge-test glucose yegazi, engaxazululanga inkinga yokuhlolwa kweshukela egazini. Kodwa, izindaba ezinhle ukuthi amathuluzi amasha ahlolisiswa ngaso sonke isikhathi futhi avunyelwe.
U-Abbott, inkampani yezemithi yokwelapha emhlabeni wonke, wathola imvume ye-FDA yomkhiqizo wokuguqula ukushaya umhlabathi wase-United States. I-FreeStyle Libre Flash Glucose Monitoring System iyisetshenziswa seCGM esiboniswe ukuphathwa kwesifo sikashukela kubantu abaneminyaka engu-18 nangaphezulu. Yenzelwe ukufaka esikhundleni sokuhlolwa kwegazi nge-glucose izinqumo zokwelapha sikashukela.
Uhlelo lwe-Libre lusetshenziselwa kwamanye amazwe angu-39, ngakho-ke lokhu kuvunywa kuyathandeka kakhulu kubantu abanesifo sikashukela e-United States.
Isebenza kanjani?
I-Freestyle Libre System isebenzisa ubuchwepheshe bamuva ukuhlinzeka ukufundwa kwe-glucose ngesikhathi sangempela njalo ngomzuzu usebenzisa inzwa engakaqaliwe (akudingeki ukuba uyilinganise ngenduku yomunwe, lokhu kwenziwa efektri). Ngokungafani namanye ama-CGM, asikho i-transmitter enamandla; Kunalokho, inzwa encane, enganqamuki amanzi (cishe ubukhulu bekota) ifakwa kalula ngamamitha ayi-5 ngaphansi kwesikhumba ibe ngemuva kwengalo. Inzwa iyalinganisa uketshezi lwe-interstitial, okufana negazi le-capillary.
Ngemuva kwesikhathi sokuqala sehora leshumi nambili, ungathola i-blood glucose ukufunda ngokuskena isithwebuli ne-Reader yakho. Ungakwazi ukuskena kaningi ngangokunokwenzeka, kodwa, ukuze uthathe yonke idatha, kunconywa ukuba uskena inzwa yakho okungenani kanye namahora angu-8 ukurekhoda amaphesenti angu-100 yedatha. Ucwaningo oluqhutshwa ngu-Abbott lubonise ukuthi abantu abasebenzisa lesi senzwa bavame ukuskena ukuskena kaningi kunokuhlola ushukela wabo wegazi ngomunwe omunwe, obanika idatha ewusizo.
I-Free inekhono lokugcina idatha eyizinsuku ezingama-90. Kungadliwa kuze kube yizinsuku ezingu-10-iyeka ukusebenza ngemva kwalesi sikhathi futhi kufanele ithathelwe indawo.
Uma usuqedile ngenzwa yakho, ungayilahla.
I-Libre nayo inemitha ye- glucose yegazi ngaphakathi kwesistimu. Ungase uzicabange wena, kungani ngingavivinya ushukela wegazi lami uma i-CGM yami ikuhlola njalo ngomzuzu? Okokuqala, ungase ube nesifiso sokuthi i-CGM inembile yini. Ngaphezu kwalokho, kunezikhathi ezithile lapho i-CGM ingaveza khona ukungalungi-lokhu kungase kube lapho kushintshwe ngokushesha kwegazi, njengokusho kokudla, ukufaka i-insulin, noma ukuzivocavoca. Ukwehlisa amanzi ngokweqile nokulahlekelwa kwamanzi ngokweqile kungabangela nemiphumela engalungile. Phakathi nalezi zikhathi, uzofuna ukuqinisekisa ushukela wakho wegazi ngomunwe womunwe.
Ukwengeza, uma unezibonakaliso zeshukela eliphansi noma eliphezulu, kufanele uhlole ushukela wegazi ngesandla (ngoba i-Libre ayinawo ama-alamu). Imichilo esetshenziselwa imitha ibizwa ngokuthi i-Precision Neo test strips. Ziyinto engabizi, umkhawulo wokukhokha ukheshi, ngamunye we-foil ehlanganisiwe ukuze angasetshenziswa kuze kube usuku lokuphelelwa yisikhathi. Ngokuvamile, ibhokisi lama-50 libiza cishe ngama-$ 20. Ukusebenzisa ezinye iziqephu zokuhlola nge-meter eyakhelwe ngaphakathi kuzokhiqiza iphutha noma lenze ukuthi lingavali noma liqale ukuhlolwa. Awukwazi ukusebenzisa imitha ukuhlola ametoni.
Ngezinye izikhathi, i-Reader ngeke ikwazi ukukwazisa lapho i-glucose yakho ihamba khona futhi izokunikeza uphawu lokuxwayisa. Noma nini lapho ubona lokhu kuwuphawu, kufanele wenze ukuhlolwa kweglucose yegazi futhi uphathe ngokusekelwe kulowo mphumela.
Izinzuzo
I-Freestyle Libre yiyona CGM yokuqala futhi kuphela eqeda izinti zomunwe zokulinganisa. Esikhundleni sokuhlola umunwe ubeka izikhathi eziningi ngosuku, abantu abanesifo sikashukela bangakwazi ukuskena i-CGM yabo (inqubo engenabuhlungu) ukuze bathole ukufundwa kwe-glucose real-time abangayisebenzisa ekufakeni i-insulin dosing, ukuhlela ukudla, njll.
Kulabo bantu abazonda ukuhlolwa, lokhu kungabasiza ukuba baphathe kangcono isifo sikashukela, konke kuyilapho bethuthukisa ikhwalithi yabo yokuphila. Ngaphezu kwalokho, inani elikhulu lemininingwane nemibiko yethando lingasiza abantu abanesifo sikashukela bancishise ingozi yokushukela egazini eliphansi futhi basize ukuba bathole i-insulin dosing nokuhlela kokudla.
Kulabo bantu abanesifo sikashukela abangakwazi ukukhokhela ezinye i-CGM, i-Libre System ingabahlinzeka ngesisombululo.
Ukuqhathaniswa namanye amadivaysi
Idivayisi ye-Libre ibizwa ngokuthi i-flash glucose system yokuqapha. Uma kuqhathaniswa namanye amaCGM afana noDexcom G4 no-G5, uhlelo lwe-Libre luhlola i-glucose njalo ngeminithi kunemizuzu emihlanu futhi lungagqoka izinsuku ezingu-10, ngokumelene neyisikhombisa. Inembile kakhulu futhi ayidingi ukulinganiswa komunwe womunwe. Ngenxa yokuthi i-Libre ayidingi i-transmitter, intengo yayo nezinzwa zayo iye yaphansi uma kuqhathaniswa namanye ama-CGM.
Omunye umehluko wukuthi i-Libre ayinawo ama-alamu othomathikhi-okungenzeka ukugwema ukukhathala kwe-alamu. Usengakwazi ukubona ushukela ophezulu noma ophansi wegazi, kodwa ngemuva kokuskena idivayisi yakho. Uma ngaleso sikhathi uthola ushukela wegazi olungavamile, i-Reader izokuxwayisa iphinde ikusize ukuthi usethe isikhumbuzi ukuskena futhi.
Okokugcina, ukubekwa kwenzwa akuvunyelwe amasayithi ngaphandle kwengalo yangemuva (amanye ama-CGM avunyelwe ukubekwa kwesisu nesisu). Uma kufakwe kwezinye izindawo, i-Sensor ingase ingasebenzi kahle.
Isitoreji
Isitoreji kubalulekile ukuvikela inzwa futhi ugcine ukufunda kwe-glucose ngendlela enembile ngangokunokwenzeka. Gwema ukugoqa isisindo senzwa bese ugcina ithi phakathi kuka-39 ° F no-77 ° F. Awudingi ukugcina isitifiketi sakho senzwa esiqandisini, kodwa uma nje isiqandisini singaphakathi kuka-39 ° F no-77 ° F. Gcina ikhi yenzwa phakathi kwamaphesenti angu-10 kuya kwangu-90 okungenakunciphisa umswakama.
Ukulinganiselwa
Omunye wemikhawulo emikhulu yukuthi awekho ama-alamu ngaphandle kokuskena kwenzwa. I-System ye-Libre ngeke ikuxwayise ngokuzenzakalelayo uma ushukela wegazi lakho liphakeme kakhulu noma liphansi kakhulu ngaphandle kokuthi uhlole inzwa yakho. Isibonelo, iSistimu ngeke ikuxwayise uma ushukela wegazi lakho liphansi uma ulele. Ukwengeza, i-Libre ayizange ihlolwe ukusetshenziswa kubantu abanokuqwashisa kwe-hypoglycemia.
Uhlelo lwe-Libre alukhonjisiwe ukuthi lusetshenziswe kunoma ubani ongaphansi kweminyaka engu-18 ubudala.
Freestyle Free Pro
Uhlelo lwe-FreeStyle Libre luhlukile ku-Freestyle Libre Pro, olutholakale e-United States cishe unyaka owodwa. Uhlelo lwe-Abbott's FreeStyle Libre Pro lusetshenziselwa ukuhlinzeka odokotela kanye neziguli ngolwazi mayelana nokufunda kwegazi kwegazi ngezinsuku ezingu-14. Isetshenziselwa okwesikhashana ukusiza ukwenza izinqumo zokwelashwa kubantu abaneziphuzo zegazi eziphuthumayo noma hyper njalo noma i-hypo glycemia.
Phakathi nesikhathi isiguli sigqoka inzwa, akudingeki ukuba bahlanganyele nedivaysi futhi akudingeki badonse igazi nge-stick finger ukuze balinganise inzwa. Kodwa, kumele baqhubeke nokuvivinya ushukela wabo wegazi futhi bagcine umuthi weshukela wabo, ukudla, ukuzivocavoca, njll.
Ngemuva kwezinsuku ezingu-14, isiguli sibuyela ehhovisi likadokotela, lapho udokotela esebenzisa khona umfundi we-FreeStyle Libre Pro ukuskena inzwa futhi alandele imiphumela ye-glucose yezinsuku eziyi-14 egcinwe ngaphakathi kwesikrini kungakapheli imizuzwana emihlanu.
Ukutholakala
I-Freestyle Libre System ilindeleke ukuba itholakale kuma-pharmacies e-chain yokuthengisa ekuqaleni kuka-Disemba. Kulindeleke ukuthi uthole umshwalense omuhle futhi kufanele ube nesidakamizwa ukuze uwuthole. Uma umshuwalense wakho ungafihli imitha, imali yokukhokha imali yokudayisa imali ingu-$ 70 kumfundi (ukuthengwa kwesikhathi esisodwa) futhi cishe ngo-$ 108 ukuze unikezwe izinzwa zenyanga (izinzwa ezintathu ngenyanga).
Izwi elivela kuVerywell
I-Freestyle Free Flash Glucose Monitoring System yiyona CGM yokuqala yokuqeda ukulinganisa kwamanwe. Lokhu kuyindaba ejabulisayo kubantu abanesifo sikashukela. I-Free kulindeleke ukuthi ibambe ama-pharmacy okudayisa (akudingeki ukuthi ithunyelwe) ngo-Disemba 2017 futhi isethelwe ukuba ifinyeleleke kakhulu uma kuqhathaniswa namanye ama-CGM.
Umehluko omkhulu okumele ucatshangelwe ngaphambi kokuba uxoxisane nalokhu nodokotela wakho ukuthi i-Libre System ayinayo i-alamu esakhelwe futhi ayihloselwe iziguli ezingaphansi kweminyaka engu-18 ubudala. Iziguli ezifanelekile zesifo sikashukela kumele zithole imithi ukuze uthole le mitha. Uma ucabanga ukuthi ufanelekile noma unesithakazelo, cela ithimba lakho lokunakekela impilo ngalo. Uma unokungabaza, ungabona njalo uma ungazama i-Freestyle Libre Pro ngaphambi kokuqala.
> Imithombo:
> I-American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela - 2017. Ukunakekelwa Kweshukela . 2017 Jan; 38 (I-Suppl 1): S1-132.
> Abbott. Izimpawu kanye nolwazi olubalulekile lokuphepha.