Sɛ wo ne asikreyare te a, ebia woasua sɛ wobɛbɔ wo nsateaa mpɛn pii da biara de ahwɛ asikre dodow a ɛwɔ wo mogya mu. Nanso so wo duruyɛfo aka ɔkwan foforo a ɛsono no kakra ho asɛm akyerɛ wo? Ɛyɛ afiri bi a wɔfrɛ no CGM, anaa Continuous Glucose Monitor. Eyi boa wo ma wohwɛ asikre dodow a ɛwɔ wo mogya mu.
Nsonsonoe bɛn na ɛwɔ glucose mita ne CGM ntam?
Saa mfiri abien yi nyinaa susuw asikre dodow a ɛwɔ mogya mu, nanso nsonsonoe kɛse da abien no ntam. Susuw ho saa kwan yi so: sɛ wɔkyekyem pɛpɛɛpɛ a, mogya mu glucose mita a wode di dwuma no te sɛ polisifo kar a ɛretu mmirika wɔ beae biako. Ɛne sɛ, ɛkyerɛ asikre dodow a ɛwɔ wo mogya mu bere pɔtee a wugye mogya fi wo nsateaa mu no nkutoo.
Nanso CGM (Continuous Glucose Monitor) yɛ soronko koraa. Ɛte sɛ GPS a ɛhwɛ ahoɔhare a wode tu mmirika wɔ w’akwantu no nyinaa mu. Saa mfiri yi susuw asikre dodow a ɛwɔ wo mogya mu no ara kwa na ɛkyerɛw to hɔ simma kakraa biara awia no nyinaa, awia ne anadwo. Sɛ wohwɛ saa nsɛm yi a, wubetumi ahu sɛnea w’aduan, w’apɔw-mu-teɛteɛ, ne da biara da nneyɛe renya asikre dodow a ɛwɔ wo mogya mu so nkɛntɛnso no ho mfonini pefee. Sɛ wode saa nsɛm yi di dwuma a, wo ne wo duruyɛfo betumi abom ayɛ adwuma de adi wo asikreyare no ho dwuma yiye.
Nnipa pii susuw sɛ ɛnyɛ den sɛ wɔde CGM bedi dwuma efisɛ enhia sɛ wɔde nsateaa bɛbɔ no bere nyinaa. Nanso egye bere ne boasetɔ kakra ansa na yɛatumi de nhyehyɛe foforo yi ayɛ ne su. Ma yɛnhwɛ sɛnea ɛbɛyɛ mmerɛw sɛ yɛde bedi dwuma.
Ɔkwan bɛn so na saa CGM yi yɛ adwuma?
Eyi hwehwɛ sɛ wode sensor ketewaa bi bɛhyɛ wo honam ani. Ɛnsusuw asikre a efi wo mogya mu tẽẽ. Ɛsusuw asikre dodow fi nsu a ɛwɔ nkwammoaa ntam (interstitial glucose) a ɛwɔ yɛn honam ani no mu.
Wɔde saa sensor yi bata transmitter bi ho, na wɔde biribi te sɛ patch bata honam ani. Saa afiri yi de wo mogya mu asikre dodow ho nsɛm kɔ app bi a ɛwɔ wo smartphone so, insulin pɔmpɛ, anaa afiri ketewaa bi a wɔfrɛ no akenkanfo a ɛka ho no so. Afei wubetumi de saa nsɛm yi akɔ kɔmputa so, ahwɛ sɛnea asikre dodow a ɛwɔ wo mogya mu no kɔ so bere tenten, na wode akyerɛ wo duruyɛfo.
CGM nhyehyɛe ahorow bi nso ma wutumi hwɛ aduan a wudi, apɔw-mu-teɛteɛ, ne nnuru a wode di dwuma, na ɛno betumi aboa wo ma woate abusuabɔ a ɛda w’asetra kwan ne asikre dodow a ɛwɔ wo mogya mu no ase yiye.
CGM pii mpo wɔ alarm a ɛbɛbɔ wo kɔkɔ sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro anaasɛ ɛba fam wɔ ɔkwan a ɛyɛ hu so a. Wo duruyɛfo bɛkyerɛkyerɛ sɛnea wode saa mfiri yi bedi dwuma mu akyerɛ wo.
Nneɛma a ɛsɛ sɛ wode sie w’adwenem bere a woredan akɔ CGM so no
Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wuhu bere a woreyɛ mfiridwuma foforo yi su no.
Ɛsɛ sɛ wɔsesa sensor no.
Ɛdenam CGM ko a wode bedi dwuma so no, ɛho behia sɛ w’ankasa wosesa saa sensor yi nnafua 3 kosi 14 biara . Wɔayɛ eyi sɛnea ɛbɛyɛ a ɛnyɛ den koraa sɛ wɔbɛyɛ. Wɔtaa de saa sensor yi si yafunu, asen, abasa a ɛwɔ soro akyi, anaa akyi akyi.
Ɛtɔ da bi a, asikre dodow akenkan betumi ayɛ soronko kakra a egyina baabi a wode sensor no besi so. Enti, sɛ nsonsonoe kɛse wɔ akenkan a wode wo nsateaa hu no mu a, bɔ mmɔden sɛ wode sensor no bɛto baabi foforo. Kwati sɛ wode sensor no bɛto mmeae a wɔtaa mia bere a woada anaa baabi a ntade bɛkyere no.
Bere a ɛkyɛ kakra wɔ hɔ.
Eyi ho hia paa. Sɛ wofa mogya fi wo nsateaa mu a, ɛkyerɛ asikre dodow a ɛwɔ wo mogya mu saa bere no. Nanso esiane sɛ CGM susuw asikre dodow a ɛwɔ nsu a ɛwɔ honam ani no mu nti, saa dodow no di bo ankasa a ɛwɔ mogya no mu no akyi bɛyɛ simma 5 kosi 10. Ɛno kyerɛ sɛ CGM kyerɛ sɛnea na wo asikre dodow yɛ simma 5 a atwam ni.
Eyi nyɛ ɔhaw kɛse wɔ nsɛm dodow no ara mu, nanso ɛho hia sɛ wode saa akyɛde yi tra w’adwenem wɔ tebea horow a asikre dodow a ɛwɔ wo mogya mu betumi asesa ntɛmntɛm, te sɛ bere a woanom insulin dodow bi akyi anaasɛ bere a woreyɛ apɔw-mu-teɛteɛ no.
Woda so ara hia wo glucose mita dedaw no!
Mfa wo glucose mita dedaw no ntow esiane sɛ wode CGM redi dwuma nti. Ɛtɔ da bi a ɛhia sɛ wo "calibrate" wo CGM mprenu da biara, a ɛkyerɛ sɛ wobɛhwɛ akenkan no, na wuhia wo mita dedaw no. Ɛno kyerɛ sɛ wobɛhwɛ sɛ nsateaa akenkan ne CGM akenkan no yɛ pɛ anaa.
Wɔ nsɛm a edidi so yi mu no, akyinnye biara nni ho sɛ ɛsɛ sɛ wofa nsateaa na wosan hwɛ asikre dodow a ɛwɔ wo mogya mu.
| Akwannya | Nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Bere a wɔde sensor foforo ahyɛ mu no | CGM dodow no ara hwehwɛ sɛ wɔde nsateaa bɔ mu na ama wɔatumi ayɛ sensor no wɔ nnɔnhwerew 2 a edi kan wɔ bere a wɔde ahyɛ mu akyi. |
| Sɛ CGM bo no sua anaasɛ ɛkɔ soro wɔ ɔkwan a ɛnteɛ so a | Sɛ wunnim bo a CGM no kyerɛ a, fa wo nsateaa sɔ hwɛ na si so dua. |
| Bere a wote nka sɛ asikre a ɛba fam/ɛdɔɔso ho sɛnkyerɛnne | Sɛ wuhu asikre a ɛba fam ho sɛnkyerɛnne te sɛ wo ho atɔ wo, wo ho fifiri, anaasɛ wo ho wosow, anaasɛ asikre a ɛkɔ wo mogya mu ho sɛnkyerɛnne te sɛ sukɔm a ɛboro so a, ɛmfa ho sɛnea CGM akenkan no te a, hwɛ wo nsateaa mu na si so dua. |
| Bere a wususuw sɛ wo CGM akenkan no nyɛ nokware no | Bere biara a wobɛte nka sɛ wo CGM akenkan no nyɛ papa no, fa wo nsateaa hwɛ. |
Mma wo ho nnyɛ wo hu bere a wuhu gyinapɛn ahorow a ɛwɔ CGM no so no!
Sɛ wufi ase de CGM di dwuma a, ebia wubehu sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso sen kan no. Eyi te saa efisɛ na wode wo mita dedaw no rehwɛ asikre a ɛwɔ wo mogya mu wɔ da no mu mmere pɔtee bi nkutoo. Nanso CGM bɛkyerɛ wo asikre dodow a ɛkɔ soro wɔ wo mogya mu, titiriw bere a woadi aduan awie no.
Mma wo ho nnpopo bere a wuhu sɛ asikre a ɛwɔ wo mogya mu no kɔ soro na ɛba fam saa no. Mma nnom insulin dodow a ɛkɔ soro mpofirim anaasɛ nni carbohydrates pii mpofirim a wunsusuw sɛ asikre a ɛwɔ wo mogya mu no bɛkɔ fam.
Mmom no, wo ne wo duruyɛfo nsusuw saa data yi ho. Wo duruyɛfo ne onipa a oye sen biara a ɔbɛhwɛ mfonini a edi mũ yi afi CGM no mu na wasi nsakrae a ehia wɔ wo asikreyare ayaresa nhyehyɛe no mu ho gyinae.
Nea ɛho hia yiye: Mfa CGM akenkan nkutoo so nyɛ nsakrae wɔ w’ayaresa mu, titiriw insulin dodow a wode ma no mu a wunnya wo duruyɛfo afotu. CGM ahorow kakraa bi pɛ na ɛwɔ hɔ a FDA apene so sɛ wɔmfa nni dwuma wɔ ayaresa ho gyinaesi mu. Bisa wo duruyɛfo sɛ ebia wo mfiri no yɛ saa ahorow yi mu biako anaa.
Nkrasɛm a Wɔde Kɔ Fie
- Bere a glucose mita a wɔde di dwuma daa kyerɛ asikre dodow a wowɔ saa bere no, CGM hwɛ asikre dodow a wowɔ da mũ no nyinaa na ɛma wunya mfonini a edi mũ.
- Ebia CGM akenkan no bɛka asikre dodow ankasa a ɛwɔ mogya mu no akyi bɛyɛ simma 5-10.
- Sɛ wode CGM di dwuma mpo a, fa wo nsateaa glucose mita dedaw no bɛn hɔ na ama woahwɛ sɛ akenkan ahorow no yɛ nokware na woasusuw ho.
- Sɛ wode wo CGM hu asikre dodow a ɛkɔ soro a na wunhuu bi da wɔ mogya mu a, mma wo ho nnpopo, nanso wo ne wo duruyɛfo nka ho asɛm.
- Kwati sɛ wobɛsesa w’ayaresa nhyehyɛe (e.g., insulin dodow) a egyina CGM gyinapɛn nkutoo so a wunni aduruyɛ mu afotu.
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