Ɔkwan foforo a wobɛfa so ahwɛ asikre dodow a wowɔ! Biribiara a ɛfa Glucose Monitoring a Wɔkɔ So (CGM) ho .

Sɛ wo ne asikreyare te a, ɛho nhia sɛ yɛka sɛnea ɛho hia sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu no so. Sɛ wode wo nsateaa bɛsɔ wo mogya mu asikre ahwɛ mpɛn pii da biara a, ɛtɔ mmere bi a ebetumi ayɛ ɔhaw. Nanso seesei mfiridwuma foforo bi aba sɛ eyi ano aduru kɛse. Ɛno ne `Continuous Glucose Monitoring` anaa `CGM` kwan no. Momma yɛnka ho asɛm nkɔ akyiri nnɛ.

Dɛn ne CGM (Glucose a Wɔkɔ So Hwɛ)? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, CGM yɛ afiri ketewaa bi a ɛkɔ so hwɛ wo nipadua mu glucose (asikre) dodow, a ɛkyerɛ nnɔnhwerew 24 da biara. Ɛyɛ mfiridwuma bi a wotumi hyɛ. Bere tenten a wohyɛ afiri no, ɛsusuw glucose dodow a ɛwɔ nsu a ɛwɔ wo honam ani a wɔfrɛ no interstitial fluid no mu na ɛma wunya data. Nnipa pii de asɛmfua a wɔatwa no tiaa CGM di dwuma ma eyi.

Saa `CGM` mfiri yi ho wɔ mfaso titiriw ma nnipa a wɔwɔ asikreyare. Efisɛ asikreyare a wobedi ho dwuma no kyerɛ sɛ wobɛhwɛ asikre dodow a ɛwɔ mogya mu no so. Enti `CGM` ma wo bere ankasa mu nsɛm a ɛfa sɛnea wo glucose dodow resakra ho. Eyi ho hia paa, efisɛ nneɛma pii wɔ hɔ a ɛka asikre dodow a ɛwɔ yɛn mogya mu, na ebinom yɛ nea yentumi nni kan nsusuw ho mpo.

CGM mfiri ahorow pii wɔ gua so, na mfiridwuma no renya nkɔso ntɛmntɛm. Wɔayɛ CGM mfiri ahorow bi sɛnea ɛbɛyɛ a wɔde bɛka insulin pɔmpɛ ne insulin a wɔde ma a ɛnyɛ adwuma ho. Sɛ wopɛ sɛ wuhu pii fa CGM ho a, wo ne wo duruyɛfo nkasa.

Dɛn ne `Nsuo a Ɛwɔ Ntam`?

Afei ebia worebisa wo ho sɛ dɛn ne saa ``interstitial fluid`` yi. Susuw ho hwɛ, eyi ne nsu a atwa nkwammoaa a ɛwɔ yɛn nipadua mu ho ahyia. Nneɛma a ɛtu fi yɛn mogya ntini mu na ɛyɛ saa nsu yi. Glucose anaa asikre fi mogya no mu ba saa nsu yi mu wɔ saa kwan yi so.

Sensor a ɛwɔ CGM mu no ntumi nkɔ mogya ntini bi ho tẽẽ, na mmom ɛbata nsu a ɛwɔ honam ani no ntam no ho. Enti ɛsusuw glucose dodow a ɛwɔ hɔ.

Glucose di kan hyɛn mogya no mu na afei ɛtrɛw kɔ nsu a ɛwɔ ntam no mu. Enti, ebia glucose dodow a ɛwɔ wo mogya mu ne glucose dodow a ɛwɔ nsu a ɛwɔ wo mogya mu no ntam bɛkyɛ kakra. Eyi kyerɛ sɛ ebia glucose akenkan a efi CGM sensor no mu no bɛka akyi simma kakraa bi asen glucose akenkan a efi nsateaa a wɔde hyɛ mu no.

Ɔkwan bɛn so na `CGM` mfiri yɛ adwuma?

`CGM` mfiri ahorow pii wɔ gua so. Wɔn nyinaa yɛ adwuma wɔ ɔkwan koro so. Nsonsonoe titiriw a ɛwɔ afiri no mu ne sɛnea ɛte.

Nanso CGM biara wɔ afã atitiriw abiɛsa:

1. Nneɛma a ɛma wohu ade: .Eyi yɛ afiri ketewaa bi a ɛkyerɛ glucose dodow a ɛwɔ wo ntam nsu mu saa bere no. Wode afiri bi a wɔfrɛ no applicator de saa sensor yi hyɛ wo honam ani. Ɛde ade a wɔde tow honam ani. Afei, sɛ woyi ade no fi hɔ a, sensor no kɔ so tra wo honam ani. Saa sensor yi taa di bɛyɛ nnafua 7 kosi 15, a egyina brand no so. CGM nhyehyɛe ahorow bi yɛ nea wotumi de hyɛ nipadua mu, na ɛtra hɔ asram pii. Ɛyɛ teyp ketewaa bi a ne tenten bɛyɛ milimita 18 a oduruyɛfo de hyɛ wo nsa atifi were ase.

2. Transmitter: CGM nhyehyɛe biara wɔ transmitter. Eyi ne nea ɛde glucose data a sensor no susuw no kɔ afiri bi so (e.g., smartphone app, receiver, insulin pump) a wubetumi ahwɛ. CGM ahorow bi wɔ transmitter a wotumi de di dwuma bio a wubetumi de akɔ sensor foforo so. CGM afoforo wɔ transmitter a ɛka sensor no ho na wotumi yi fi hɔ (sensor a wɔtow gu).

3. Smartphone app, receiver anaa insulin pump: Saa mfiridwuma yi kyerɛ wo glucose dodow a wowɔ mprempren, ne graph a ɛkyerɛ wo glucose dodow a atwam. Ɛsan nso kyerɛ wo sɛ ebia wo glucose dodow rekɔ soro, ɛrekɔ fam, ne sɛnea ɛresakra ntɛmntɛm no. CGM pii wɔ smartphone app a wɔde hwɛ wo data. Wɔn a wonni smartphone no, CGM ahorow bi de nsa a wɔde gye nneɛma ketewaa bi ba. CGM ahorow bi nso betumi de saa glucose ho nsɛm yi akɔma insulin pɔmpɛ a ɛne no hyia.

Anamɔn a CGM taa yɛ adwuma ni:

• Wode `sensor` ketewa bi hyɛ honam ani, mpɛn pii no wɔ yafunu anaa abasa mu. Wɔde `applicator` na ɛyɛ eyi ntɛmntɛm na ɛnyɛ den. Wɔde adhesive tape na ɛkura `sensor` no mu.
• Afei, wode CGM transmitter no bata sensor no ho, anaasɛ ɛtɔ da bi a sensor ne transmitter no nyinaa di kan ba. Ɛsɛ sɛ wɔde charge hyɛ transmitters binom mu ansa na wɔde akɔ sensor no so. Sɛ wopɛ a, wubetumi de teyp foforo adi dwuma de ama transmitter ne sensor no akɔ so abata wo honam ani denneennen.
• Ɛgyina CGM su so no, "warm-up" bere bi wɔ hɔ ansa na sensor no afi ase de data amena. Mpɛn pii no eyi betumi ayɛ simma 30 kosi nnɔnhwerew abien.
• CGM dodow no ara befi ase de glucose data amena wɔn ho wɔ saa "ɔhyew" bere yi akyi. Ebinom hwehwɛ sɛ wo "calibrate" (sesa nhyehyɛe) denam nsateaa a wode bɛfa mogya a wobɛfa na woahwɛ wo glucose dodow ansa na wode data amena no so.
• Afei wubetumi de wo smartphone app, receiver, anaa insulin pump ahwɛ wo glucose dodow a ɛwɔ wo mprempren mu bere tenten a sensor no abɔ mu no. Wubetumi nso ayɛ alarm bi de abɔ wo amanneɛ sɛ wo glucose dodow kɔ akyiri a. Saa kwan ahorow yi gu ahorow wɔ onipa biara mu.
• Sɛ sensor no twam (anaasɛ egyae adwumayɛ) a, ɛsɛ sɛ wosan fa anammɔn yi mu bio fi mfiase.

Wubetumi atwe wo CGM data (trends ne abakɔsɛm) akɔ kɔmputa so bere biara. CGM nhyehyɛe ahorow bi de data mena bere nyinaa. Wubetumi nso de saa nsɛm yi akyerɛ wo duruyɛfo.

So ɛyɛ mmerɛw sɛ wode `CGM` bedi dwuma?

CGM mfiri yɛ mfiri nketewa a ɛyɛ den kakra. Egye bere kakra ansa na yɛate wɔn mfiridwuma afã horow no ase mfiase no.

Sɛ nhwɛso no, ebehia sɛ wusua nneɛma yi:

• Sɛnea wɔde `Sensor` no bɛhyɛ mu yiye.
• Sɛ ɛho hia a, sɛnea wɔbɛkari afiri no denam mogya a wobegye afi nsateaa mu na wɔahwɛ glucose dodow so.
• Sɛnea wobɛhyehyɛ afiri no alarm.
• Sɛnea wode data bɛkɔ kɔmputa so (de ayɛ nhwehwɛmu bere tenten) anaa wo fon so.
• Sɛnea wobɛgyina nsɛm a wɔaboaboa ano so ayɛ nsakrae wɔ w’ayaresa nhyehyɛe no mu.

Egye bere ne boasetɔ na woate sɛnea CGM mfiri yɛ adwuma ase. Nanso ɛnsɛ sɛ wo nkutoo na woyɛ. Sɛ wusi gyinae sɛ wubenya CGM na woanya nnuru a wɔakyerɛw ama wo a, oduruyɛfo bi a ɔfata bɛkyerɛ wo sɛnea wode bedi dwuma dwoodwoo. Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ kɔ asikreyare ho adesua adesua anaasɛ wo ne Certified Diabetes Care and Education Specialist (CDCES) nkasa.

So ɛho da so ara hia sɛ migye mogya fi me nsateaa mu de hwɛ me asikre bere a mede `CGM` redi dwuma no?

Ɛsɛ sɛ CGM a wode bedi dwuma no tew mpɛn dodow a ɛsɛ sɛ wode nsateaa a wɔde sɔ wo mogya mu asikre hwɛ no so kɛse . Nanso, ɛda so ara hia sɛ wode nsateaa mita ne nneɛma a wode bɛkɔ no sie wo nsam. Sɛ wo CGM gyae adwumayɛ mpofirim anaasɛ ɛhwe ase a, wubetumi de nsateaa mita ahwɛ wo glucose dodow so kosi sɛ wubetumi anya sensor foforo.

Afei nso, nsateaa a wɔde sɔ hwɛ betumi aboa ma wɔasi nea efi CGM mu ba no so dua. Efisɛ, te sɛ mfiridwuma nyinaa no, CGM ahorow betumi ayɛ nea ɛnteɛ. Sɛ ɛte sɛ nea wo CGM akenkan no yɛ nea adwenem naayɛ wom a, ɛbɛyɛ papa bere nyinaa sɛ wobɛyɛ mogya mu nhwehwɛmu afi wo nsateaa so de asi so dua . Sɛ nhwɛso no, sɛ wo CGM kyerɛ sɛ asikre a ɛwɔ wo mogya mu no rekɔ soro anaasɛ ɛrekɔ fam nanso wonte nka a, ɛbɛyɛ papa sɛ wode wo nsateaa bɛkɔ akɔyɛ mogya mu nhwehwɛmu. Afei nso, sɛ wo ho nyɛ wo den nanso wo CGM kyerɛ sɛ wo glucose dodow wɔ nea ɛfata mu a, nsateaa mu nhwehwɛmu betumi ama woanya nea eye sen biara.

CGM mfiri binom hwehwɛ sɛ wɔyɛ calibration (nsiesiei mu nsakrae) ne nsateaa a wɔde sɔ hwɛ.

So nnipa a wonni asikreyare betumi de `CGM` adi dwuma?

Wɔayɛ CGM ahorow ama nnipa a wɔwɔ asikreyare titiriw. Nanso, ebia nnuruyɛfo nso bɛkamfo CGM akyerɛ wɔ tebea afoforo a ɛka glucose dodow ho. Nhwɛsoɔ:

• Asikreyare a edi kan.
• Obolo.
• `Glycogen akoraeɛ nyarewa` binom yɛ nea ɛda adi wɔ mogya mu asikre a ɛtaa ba fam.
• Insulinoma yɛ akisikuru a ɛntaa nsi a ɛma insulin pii ba, na ɛma asikre dodow a ɛwɔ mogya mu no so tew kɛse.

Sɛ wususuw sɛ CGM betumi aboa w’akwahosan a, wo ne wo duruyɛfo nkasa.

Mfaso bɛn na ɛwɔ CGM a wɔde bedi dwuma de adi asikreyare ho dwuma so?

Sɛ wode CGM mfiri di dwuma a, ebetumi ama asikreyare ho dwuma a wobedi no ayɛ mmerɛw. Nhwehwɛmu pii ada no adi sɛ nnipa a wɔwɔ asikreyare a ɛto so 1 ne 2 no asikre a ɛba fam wɔ mogya mu no sua na A1C dodow so tew bere a wɔde CGM di dwuma no.

`CGM` mfiri bi de mfaso horow yi ma:

• Ɛma wuhu sɛnea asikreyare ka wo no ho mfonini kɛse: CGM susuw wo glucose dodow simma kakraa biara. Data no ma wunya sɛnea wo glucose dodow resakra bere a bere kɔ so no ho mfonini a edi mũ. Saa nsɛm yi betumi aboa wo ne wo duruyɛfo ma woate sɛnea nneɛma te sɛ aduan, apɔw-mu-teɛteɛ, adwennwen, ne yare ka wo glucose dodow ase yiye.
• Ɛde ɔhwɛ a ɛfa ankorankoro ho kɛse ba: CGM nka sɛnea asikreyare rehaw wo ho asɛm no nyinaa. Bere a wo glucose dɔɔso anaasɛ ɛba fam nkutoo na ɛkyerɛ wo, na ɛnyɛ nea enti a ɛte saa. Nanso wo ne wo duruyɛfo betumi atwe data afi wo CGM mfiri no so na woahwehwɛ nhwɛso ne nneɛma a ɛrekɔ so. Saa kwan no so no, mubetumi abom ayɛ adwuma de agyina nea musua so ayɛ mo hwɛ sɛnea wopɛ.
• Ɛbɔ wo kɔkɔ wɔ nneɛma a ɛkɔ soro ne nea ɛba fam ho: CGM mfiri pii de kɔkɔbɔ mena wo sɛ wo glucose dodow kɔ soro dodo anaasɛ ɛba fam dodo a. Sɛ wode saa nsɛm yi di dwuma a, wubetumi ayɛ nsakrae ntɛm. Wubetumi asa asikre a ɛdɔɔso wɔ mogya mu anaa asikre a ɛba fam wɔ mogya mu no ho yare anaa asiw ano ansa na abɛyɛ ɔhaw a emu yɛ den.
• Ɛtew mpɛn dodow a ɛsɛ sɛ woyɛ nsateaa mogya mu nhwehwɛmu so: Sɛ wode `CGM` di dwuma a, wubetumi atew mpɛn dodow a ɛsɛ sɛ woyɛ nsateaa mogya mu nhwehwɛmu da biara no so kɛse.

So `CGM` ho hia ma asikreyare ho dwumadie?

Wubetumi ahwɛ wo mogya mu glucose dodow daa denam nsateaa a wobɛfa ne glucose mita a wode bedi dwuma so. Saa na nnipa dodow no ara yɛ.

Nanso, nsateaa mu nhwehwɛmu kyerɛ glucose dodow a ɛwɔ wo mogya mu saa bere no nkutoo . Ɛte sɛ nea worekenkan nhoma bi kratafa biako. Dodow a wosɔ nsateaa pii hwɛ no, dodow no ara na wunya nsɛm pii, na ebetumi ama woanya nea ɛrekɔ so wɔ asikre dodow a ɛwɔ wo mogya mu no ho nsɛnkyerɛnne.

Asikreyare ho abenfo dodow no ara kamfo kyerɛ sɛ wɔmfa CGM nni dwuma mfa nni asikreyare ho dwuma, efisɛ ɛma wonya asikre dodow a ɛkɔ mogya mu ho nsɛm pii kɛse sen nsateaa a wɔde yɛ nhwehwɛmu.

Dɛn ne anohyeto ahorow a ɛwɔ `CGM` mu?

CGM yɛ mfiri a mfaso wɔ so kɛse, nanso ɛwɔ anohyeto ahorow bi nso. Te sɛ mfiridwuma nyinaa no, CGM nhyehyɛe ahorow betumi anya ɔhaw ahorow, anyɛ adwuma yiye, anaasɛ agyae adwumayɛ mpo. Onipa a ɔkyerɛkyerɛ wo CGM ho ade no bɛkyerɛ wo ɔhaw ahorow a ebetumi aba yi ne sɛnea wobɛhwehwɛ ano aduru.

Nnuru ne nnuru a wɔde ka ho bi nso betumi aka sɛnea CGM sensor ahorow bi yɛ pɛpɛɛpɛ no. Nhwɛsoɔ:

• Acetaminophen (sɛ nhwɛso no, Tylenol® anaa Panadol®) .
• Hydroxyurea (aduru a wɔde sa mogya a ɛtɔ kɔ nipadua mu wɔ sickle cell mu) .
• Vitamin C (`Vitamin C` - Ascorbic Acid) a ɛwɔ nipadua no mu.

Saa nnuru ne nnuru a wɔde ka ho yi betumi ama wo CGM akenkan ayɛ te sɛ nea ɛkorɔn anaasɛ ɛba fam sen sɛnea ɛte ankasa. Ɛho hia sɛ wubisa nea ɔyɛɛ wo CGM no nea ebetumi aka wo mfiri no pɛpɛɛpɛyɛ ho asɛm.

Dɛn ne ɔhaw ahorow a ɛwɔ `CGM` a wɔde bedi dwuma no mu?

Nneɛma a ebia wubehu sɛ ɛyɛ ɔhaw bere a wode `CGM` redi dwuma no bi ni:

• Bo: CGM mfiri ne nneɛma a wɔde yɛ adwuma no bo betumi ayɛ den asen nsateaa mu mogya mu nhwehwɛmu. Saa bo yi bɛsono a egyina w’akwahosan ho insurance nhyehyɛe so.
• Nsɛm a ɛboro so: Bere a nsɛm pii a CGM ahorow de ma no betumi aboa kɛse no, ebetumi ayɛ nea ɛboro so nso. Wɔ ebinom fam no, eyi betumi ama asikreyare ho ahoyeraw anaa ɔhyew a ɛkɔ soro. Ebetumi nso ama obi adi adidi a ɛnteɛ.
• Alarm fatigue: Ɛdenam wo nhyehyɛe so no, wo CGM betumi abɔ wo alarm mpɛn pii da biara. Eyi betumi ayɛ adwennwen na ama wabrɛ. Ebetumi asɛe wo nna nso.
• Ɛsɛ sɛ wohyɛ bere nyinaa: CGM biara yɛ mfiri foforo a wohyɛ wɔ wo nipadua so. Eyi betumi agye bere bi a yɛde bɛyɛ ne su. Sɛ wopɛ a, akwan pii wɔ hɔ a wobɛfa so de eyinom asie ma enti wontumi nhu.
• Ɔhaw ahorow a nneɛma a wɔde nkata ho de ba: Ebia nnipa binom ho bɛtɔ wɔn wɔ honam ani aduru a wɔde nkata ho a wɔde di dwuma wɔ CGM mfiri mu no ho.

Sɛ worehyia saa asɛnnennen yi a, susuw ho sɛ wo ne CDCES behyia. Wobetumi akyerɛkyerɛ wo afotu ne akwan horow a ɛbɛboa wo ma wode CGM adi dwuma ntɛm.

Bere bɛn na ɛsɛ sɛ me ne me duruyɛfo di nkitaho?

Sɛ wowɔ nsɛmmisa bi fa sɛnea wode CGM mfiri bedi dwuma dwoodwoo ho a, kɔ wo asikreyare akwahosan ho ɔyaresafo nkyɛn.

Ɛnyɛ hwee sɛ asikre dodow a ɛwɔ mogya mu no bɛkɔ soro dodo anaasɛ ɛbɛkɔ fam dodo.Sɛ wɔansa bere tenten a, ebetumi ayɛ asiane. Wɔ tebea horow a enye koraa mu no, ebetumi ama obi anya akisikuru, akɔda, anaa owu mpo. Wubetumi asiw nsɛnnennen yi ano denam asikre dodow a ɛwɔ wo mogya mu a wobɛma ayɛ nea ɛfata so. Sɛ wowɔ sɛnkyerɛnne bi a ɛhaw wo a, wo ne wo duruyɛfo nkasa.

So metumi anya CGM a minni oduruyɛfo?

Mprempren, CGM bi wɔ hɔ a wobetumi anya wɔ counter (OTC) so. Eyi kyerɛ sɛ wunhia oduruyɛfo anaa nnuru a wɔakyerɛw ama wo ansa na woanya. CGM ayɛfo afoforo reyɛ OTC CGM ahorow a ɛte saa ara.

Nanso, ebia OTC CGM ahorow no mfata mma nnipa a wɔde insulin redi wɔn asikreyare ho dwuma anaasɛ asikre dodow a ɛwɔ wɔn mogya mu no so tew kɛse. Ansa na wode OTC CGMs bedi dwuma no, hwɛ hu sɛ wobɛte wɔn tumi ne wɔn anohyeto ahorow ase yiye .

Nsɛm a wɔaboaboa ano ne nneɛma a ɛsɛ sɛ wɔkae

Asikreyare a wobɛhwɛ so no te sɛ nea wobɛtow tuo akɔ botae a ɛrekɔ so – ɛyɛ den sɛ wobɛyɛ fi mfiase. Sɛ wofa mogya fi wo nsateaa mu kɛkɛ a, ɛte sɛ nea wɔakata w’ani kosi nea ɛto so abien a wobɛtow agyan no. Nanso sɛ wode CGM di dwuma a, ɛte sɛ nea worehwɛ sɛnea botae no retu – ne kwankyerɛ, sɛnea ɛrekɔ ntɛmntɛm, ne sɛ ebia ɛretu – ansa na woatow no.

CGM yɛ adwinnade a tumi wom yiye a ɛsɛ sɛ wunya wɔ wo asikreyare ho dwumadie adwinnadeɛ adaka mu.

Sɛ wopɛ sɛ wusua pii fa CGM a wode bedi dwuma ho a, wo ne wo duruyɛfo nkasa. Wobetumi aboa wo ma woahu ɔkwan a eye ma wo.

` CGM, asikreyare, mogya mu glucose, sensor, insulin, akwahosan ho mfiridwuma, glucose a wɔhwɛ so