Amadivaysi okuqapha i-glucose (CGM) aqhubekayo i-FDA-avunyelwe ukuhlinzeka ukufundwa kwe-glucose yesikhathi sangempela amahora angu-24 ngosuku, ngaleyo ndlela kuvumela iziguli ezinezinhlobo zohlobo lwe-1 noma uhlobo lwesifo sikashukela ukuba zilandele eduze amazinga we-glucose nezitayela. Ngokuvamile, i-CGM ibika amazinga kashukela egazi kanye nemizuzu emihlanu, ngaleyo ndlela inikeza ukufundwa kwe-glucose okungu-288 ngosuku. Nakuba i-CGM yaqala ukuqala ngonyaka ka-2006, ukuthuthuka kwezobuchwepheshe kuye kwayenza kwaba nokwethenjelwa ngokwengeziwe futhi ukusetshenziswa kwayo kuqhubeka ngokubanzi namuhla.
Uma ucabangela i-CGM, funda kabanzi ngakho futhi uxhumane nochwepheshe wakho wokunakekelwa kwezempilo ukuze ubone ukuthi kungakufanelekile yini. Ngaphandle kwalokho, udokotela wakho kungenzeka ukuthi wakhuthaza usebenzisa idivayisi ye-CGM ukukusiza kangcono ukuphatha isifo sikashukela sakho. Kulokhu, ngaphambi kokusebenzisa eyodwa, ukuqonda ukuthi umuntu usebenza kanjani kungaba usizo.
Amadivayisi we-CMG asebenza kanjani?
Ngokwesiko, amadivayisi we-CGM ahlanganisa izingxenye ezintathu:
- Umgqugquzeli we- s ukuthi ulinganisa amazinga angaphansi kwe-glucose
- I- transmitter etholakala ngaphezulu kwenzwa, eyathumela idatha ngamaza omsakazo kumuntu owemukelayo
- Umculi we-r , owawunomqapha onjenge- wireless pager-like monitor owabonisa amazinga we-glucose nezitayela.
Ukusebenzisa ubuchwepheshe be-Bluetooth, amadivaysi amasha emakethe, afana neDexcom 5, avumela ulwazi lwe-glucose yegazi kusuka kumthumeli ngaphansi kwesikhumba ukuthi lithunyelwe ngqo kumadivaysi ahlakaniphile ahambisanayo, kufaka iPhones ne-iPads. Iziguli ezikhononda ngenani lezingxenye ze-CGM zendabuko zizokuthokoziswa yizinguqulo ezintsha ezishintshiwe.
Amadivayisi we-CMG afana noDexcom 5 nawo afaka phakathi isofthiwe yokubika i-cloud-based software. Uma ulwazi lwegazi lwe-glucose lithola ngedivaysi ehlakaniphile, lidluliselwa ngefu kuze kufike abalandeli abangu-5. Ulwazi lungafinyeleleka kalula ehhovisi likadokotela, lula ukulandelela nokuhlaziywa kwamaphethini kanye nezitayela zokubonisa ngesimo sokudweba.
Ukulinganiselwa kwamadivayisi we-CGM
Ukusetshenziswa kwe-CGM kusalokhu kunengxabano, ngezinzuzo ezihlukahlukene kanye nezindlela ezihlukahlukene ezinikezwe ngezansi.
Ukulinganiselwa kufaka:
- Nakuba i-CGM inikeza ukufundwa kwegazi kwegazi ngokuzenzakalelayo ngezikhathi ezincane, izinti eziningi zamaningi zansuku zonke zisadingeka ukuze zilinganiswe i-CGM.
- Imishini ye-CGM iveza ukufundwa kwe-glucose ephansi uma kuqhathaniswa ne-blood sugar glucose, lapho ushukela landa ngokushesha.
- Abaningi bathi inzuzo yeqiniso ikhona ekutholeni iziqephu ze-hypoglycemic. Kodwa-ke, idatha idinga ukuthi i-CGM ingaba yinto engacacile ezindaweni eziphansi ze-glucose.
- Imishini ye-CGM iyabiza, ngezindleko zokuqala eziphakathi kuka-$ 1,000 no-$ 2,000, futhi zitholakala ngomshwalense kuphela. Ngaphezu kwalokho, izinto zithengisa phakathi kuka-$ 300 no- $ 450 ngenyanga, kufaka phakathi izinzwa okufanele zishintshwe njalo ezinsukwini ezintathu kuya kwezingu-7.
Izinzuzo zamadivayisi we-CGM
Izinzuzo zokucabangela zifaka:
- I-CGM isiza ngokuqinisekile ukubona ukuthambekela kwamazinga egazi legazi, noma ngabe izilinganiso azizona ngokuphelele. Isibonelo, i-CGM ingasiza ekuboniseni ama-spikes ekuseni noma ama-dips ku-glucose yegazi ngezikhathi lapho abantu abaningi bengaboni ushukela njalo.
- I-CGM ingasiza ukucacisa umphumela wokudla nokuzivocavoca emazingeni ashukela egazini.
- Abasebenzisi bangabeka ama-alamu ukuze bawazise lapho amazinga e-glucose ephansi kakhulu noma ephakeme kakhulu.
- Kwezinye izilingo ezinkulu, i-CGM yanciphisa i-hemoglobin A1C ngamaphesenti angu-0.3 kuya ku-0.5 uma kuqhathaniswa nokuhlolwa kwe-fingerstick glucose.
- Kulezi zilingo ezifanayo, i-CGM yanciphisa kancane umphumela we-hypoglycemia.
I-CGM ingasetshenziswa futhi nge-insulin pump treatment. Ipompo elisezingeni eliphezulu (SAP) lihlanganisa ubuchwepheshe bepompo ye- insulin ne-sensor glucose eqhubekayo . Izifundo okwamanje zihlola ukusebenza kwesistimu lapho ukulethwa kwe-insulin kuncike kudatha ye-CGM.
Ubani i-CGM?
Ukukhetha ukwelashwa kuyisici esibalulekile ekusetshenzisweni okuphumelelayo kwe-CGM. I-Endocrine Society Guidelines ikhuthaza i-CGM yeziguli ezindala ezine-type 1 yesifo sikashukela namazinga A1C ≥7 abonise ukuthi angasebenzisa la madivayisi cishe nsuku zonke.
Ngaphezu kwalokho, kubalulekile ukuthi iziguli ezikhethiwe zibonisa ukuqonda ubuchwepheshe beCGM ukuze kutholakale inzuzo enkulu. Ukusetshenziswa okuphakathi kwe-CGM kungase kulungele iziguli ezine-hypoglycemic noma u-hypoglycemic unawareness (ukungakwazi ukuzitholela i-hypoglycemia). Kungasiza futhi iziguli ezine-type 2 yesifo sikashukela esine-hypoglycemia noma ama-episodes avamile noma ukungaziwa kwe-hypoglycemic.
Imithombo:
Klonoff DC. Ukuqapha kweglucose okuqhubekayo: umgwaqo wendlela yokwelashwa kwesifo sikashukela se-21. Ukunakekelwa yisifo sikashukela 2005; 28: 1231.
Hirsch IB. Ukubuyekezwa kwemitholampilo: Ukulindela okungokoqobo kanye nokusetshenziswa okuqhubekayo kokuqapha kwegazi kwe-endocrinologist. J Clin Endocrinol Metab 2009; 94: 2232.