Wan nyu we fɔ kip trak fɔ yu shuga lɛvɛl! Ɔltin bɔt Kɔntinyu Glukɔs Monitorin (CGM) .

If yu de liv wit dayabitis, i nɔ go fayn fɔ tɔk bɔt aw i impɔtant fɔ kɔntrol di shuga we yu gɛt na yu blɔd. Fɔ tɛst yu blɔd shuga bɔku tɛm insay di de wit yu finga kin bi prɔblɛm sɔntɛnde. Bɔt naw wan nyu teknɔlɔji dɔn kɔmɔt as big sɔlv fɔ dis. Dat na di `Kɔntinyu Glukɔs Monitorin` ɔ `CGM` we. Lɛ wi tɔk bɔt am ditayli tide.

Wetin na CGM (Kɔntinyu Glukɔs Monitorin)? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, CGM na smɔl tin we de kɔntinyu fɔ wach di glukɔs (shuga) we de na yu bɔdi, we min 24 awa ɛvride. Na wan kayn teknɔlɔji we pɔsin kin wɛr. As lɔng as yu wɛr di divays, i de mɛzhɔ di glukɔs lɛvɛl na di wata we de ɔnda yu skin we dɛn kɔl di intastitial fluid ɛn gi yu data. Bɔku pipul dɛn kin yuz di akɔdin CGM fɔ dis.

Dis `CGM` divays de mεntal yusful fכ pipul dεm wae gεt shuga. Bikɔs fɔ kɔntrol dayabitis min fɔ kɔntrol di shuga we de na di blɔd. So `CGM` de gi yu rial-taym infכmeshכn bכt aw yu glukכs lεvεl de chenj. Dis rili impɔtant, bikɔs bɔku tin dɛn de we kin afɛkt wi blɔd shuga, sɔm pan dɛn wi nɔ kin ivin imajin bifo tɛm.

Bɔku kayn CGM divays dɛn de na di makit, ɛn di teknɔlɔji de chenj kwik kwik wan. Sɔm CGM divays dɛn we dɛn mek fɔ kɔnɛkt to insulin pɔmp ɛn ɔtomatik insulin delivri sistɛm. If yu wan fɔ no mɔ bɔt CGM, tɔk to yu dɔktɔ.

Wetin na `Interstitial Fluid`?

Naw yu kin de wɔnda wetin na dis `interstitial fluid`. Tink bɔt am, dis na di wata we de rawnd di sɛl dɛn na wi bɔdi. Dis wata na tin dɛn we de lik frɔm wi blɔd vesel dɛn. Glukɔs ɔ shuga kin kam insay dis wata frɔm di blɔd dis we.

di sεns we de insay CGM nכ de atak dayrekt to wan bכdi vεsεl, bכt na di intastitial fכluid we de כnda di skin. So i de mɛzhɔ di kayn glukɔs we de de.

di glukoz fכs go insay di bכdi εn afta dat i de difכs insay di intastitial fכluid. fכ dat, sכm lag kin de bitwin di glukכs lεvεl na yu bכdi εn di glukכs lεvεl na di intastitial fכluid. dis min se di glukכs ridin frכm di CGM sεns kin bi fכ minit leta pas di glukכs ridin frכm finga stik.

Aw `CGM` divays de wok?

Bɔku kayn `CGM` divays dɛn de na di makit. Dɛn ɔl de wok di sem we. Di men difrɛns de pan di tin dɛn we di divays gɛt ɛn di we aw i tan.

Bɔt ɛvri CGM gɛt tri men pat dɛn:

1. Sɛns: .Dis na smɔl tin we de mɛzhɔ di glukɔs lɛvɛl na yu intastitial fluid da tɛm de. Yu kin put dis sɛns ɔnda yu skin wit wan tin we dɛn kɔl apliketa. I de yuz nidul fɔ pank di skin. Dɔn, we dɛn pul di nidul, di sɛns de kɔntinyu fɔ de ɔnda yu skin. Dis sɛns kin las fɔ lɛk 7 to 15 dez, i kin dipen pan di brand. Sɔm CGM sistɛm dɛn kin implantable, we kin las fɔ sɔm mɔnt. Na smɔl tep we lɔng lɛk 18 milimita we dɔktɔ kin put ɔnda di skin na yu ɔp an.

2. Transmita: Ɛvri CGM sistem gɛt transmita. Dis na wetin de sɛn di glukɔs data we di sɛns de mɛzhɔ wayales to wan divays (e.g., smartfon ap, risiva, insulin pɔmp) we yu kin si. Sɔm CGM dɛn gɛt transmita we yu kin yuz bak we yu kin kɔnɛkt to nyu sɛns. כda CGM dεm gεt transmita we de kam wit di sεns εn we dεn kin pul (a disposable sensor).

3. Smatfon ap, risiva ɔ insulin pɔmp: Dis teknɔlɔji de sho di glukɔs lɛvɛl we yu gɛt naw, ɛn bak wan grafik fɔ di glukɔs lɛvɛl we yu bin gɛt trade. I de sho yu bak if yu glukɔs lɛvɛl de go ɔp, de dɔŋ, ɛn aw i de chenj kwik kwik wan. Bɔku CGM dɛn gɛt smart fon ap fɔ si yu data. Fɔ di wan dɛn we nɔ gɛt smart fon, sɔm CGM dɛn kin kam wit smɔl hanheld risiva. sכm CGM dεm kin sεnd dis glukכs infכmeshכn bak to wan kompatibl insulin pכmp.

Na di step dɛm we CGM kin wok pan:

• yu kin put sכm sכm `sεns` כnda di skin, bכku tεm na di bכdi כ di an. Dis kin bi kwik ɛn izi wit `apliketa`. Di `sensor` de ol in ples bay wan adeziv tep.
• Neks, yu kin kɔnɛkt di CGM transmita to di sɛns, ɔ sɔntɛnde di sɛns ɛn di transmita ɔl tu kin kam bifo dɛn kɔnɛkt. Sɔm transmita dɛn nid fɔ chaj bifo dɛn kɔnɛkt to di sɛns. If yu want, yu kin yuz ɔda tep fɔ mek di transmita ɛn di sɛns tay tayt wan na yu skin.
• dipכnt pan di kayn CGM, "warm-up" tεm de bifo di sεns bigin fכ sεnd data. Dis kin bi enisay frɔm 30 minit to tu awa.
• כl di CGM dεm go כtomatכk stat fכ sεnd glukכs data afta dis "wכm-ap" tεm. Sɔm kin nid fɔ mek yu "kalibrayt" (adjɔst sɛtin) bay we yu tek finga stik sɛmpul fɔ blɔd ɛn chɛk yu glukɔs lɛvɛl bifo yu sɛn data.
• Dɔn yu kin wach di glukɔs lɛvɛl we yu gɛt naw yuz yu smart fon ap, risiva, ɔ insulin pɔmp as lɔng as di sɛns kɔnɛkt. Yu kin sɛt alam bak fɔ notis if yu glukɔs lɛvɛl go aut ɔf di rɛnj. Dɛn rɛnj ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
• We di sɛns dɔn (ɔ i stɔp fɔ wok), yu go gɛt fɔ go tru dɛn stɛp ya bak frɔm di biginin.

Yu kin dawnlod yu CGM data (trend ɛn istri) na kɔmpyuta ɛni tɛm. Sɔm CGM sistem dɛn kin sɛn data ɔltɛm. Yu kin sheb dis infɔmeshɔn bak wit yu dɔktɔ.

I izi fɔ yuz `CGM`?

CGM divays dɛn na sɔm kɔmpleks smɔl mashin dɛn. I kin tek sɔm tɛm fɔ ɔndastand dɛn tɛknikal aspek dɛn fɔs.

Fɔ ɛgzampul, yu go nid fɔ lan dɛn tin ya:

• Aw fɔ insay di `Sɛns` kɔrɛkt wan.
• If nid de, aw fɔ kalibrayt di divays bay we yu tek blɔd frɔm wan finga ɛn chɛk di glukɔs lɛvɛl.
• Aw fɔ sɛt di divays in alam.
• Aw fɔ transfa data to kɔmpyuta (fɔ lɔng tɛm analisis) ɔ to yu fon.
• Aw fɔ mek chenj to yu tritmɛnt plan bay di data we dɛn dɔn gɛda.

I tek tɛm ɛn peshɛnt fɔ ɔndastand aw CGM divays de wok. Bɔt yu nɔ nid fɔ du am yu wan. Wae yu disayd fɔ gɛt CGM ɛn gɛt prɛskrishɔn fɔ am, wan kwalifay pɔshɔnal go tich yu aw fɔ yuz am sef wan. Yu dɔktɔ kin tɛl yu fɔ tek wan dayabitis ɛdyukeshɔn klas ɔ tɔk to wan Sɛtifiket Dayabitis Keya ɛn Ɛdyukeshɔn Spɛshal (CDCES).

A stil nid fɔ tek blɔd na mi finga fɔ chɛk mi shuga we a de yuz `CGM`?

If yu yuz CGM , i fɔ ridyus di nɔmba fɔ di tɛm we yu nid fɔ tɛst yu blɔd shuga wit finga stik bad bad wan. Bɔt i stil impɔtant fɔ kip finga stik mita ɛn di sapɔt dɛn nia yu. If yu CGM stɔp fɔ wok wantɛm wantɛm ɔ fɔdɔm, yu kin stil wach yu glukɔs lɛvɛl wit fingastik mita te yu ebul fɔ gɛt nyu sɛns.

Dɔn bak, finga stik tɛst kin ɛp fɔ kɔnfɔm di rizɔlt fɔ wan CGM. Bikɔs, lɛk ɔl di teknɔlɔji dɛn, CGM dɛn kin nɔ kɔrɛkt. If i tan lɛk se yu CGM ridin de sɔprayz, i go fayn ɔltɛm fɔ mek yu tek blɔd tɛst frɔm yu finga stik fɔ kɔnfɔm . Fɔ ɛgzampul, if yu CGM sho se yu blɔd shuga de go ɔp ɔ dɔŋ bɔt yu nɔ fil am, i go fayn fɔ mek yu tek blɔd tɛst frɔm yu finga stik. Dɔn bak, if yu nɔ de fil fayn bɔt yu CGM sho se yu glukɔs lɛvɛl de na di nɔmal rɛnj, finga stik tɛst kin gi yu di bɛst rizɔlt.

Sɔm CGM divays dɛn nid fɔ kalibreshɔn (adjɔstmɛnt fɔ di sɛtin dɛn) ɛn fingastik tɛst.

Pipul wae nɔr gɛt dayabitis kin yuse `CGM`?

Dɛn kin mek CGM mɔ fɔ pipul dɛn we gɛt dayabitis. Bɔt dɔktɔ dɛn kin se bak fɔ mek dɛn yuz CGM fɔ ɔda tin dɛn we kin afɛkt di glukɔs lɛvɛl. Fɔ ɛgzampul:

• Prediabetes we yu gɛt.
• Fat.
• sכm `Glycogen storage diseases` dεn kin kכl dεn lכw bכdi shuga episod dεm fכ plεnti tεm.
• Insulinoma na wan kayn tumbu we nɔ kin bɔku ɛn we kin mek bɔku insulin, we kin mek di blɔd shuga nɔ bɔku bad bad wan.

If yu tink se CGM kin bɛnifit yu wɛlbɔdi, tɔk to yu dɔktɔ.

Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i yuz CGM fɔ mɛn sik dɛn we gɛt dayabitis?

If yu yuz CGM divays, i kin mek i izi fɔ mɛn di sik we dɛn kɔl dayabitis. Bɔku stɔdi dɛn dɔn sho se pipul dɛn we gɛt Tayp 1 ɛn Tayp 2 dayabitis nɔ kin gɛt bɛtɛ blɔd shuga ɛn dɛn kin gɛt smɔl A1C lɛvɛl we dɛn de yuz CGM.

Wan `CGM` divays de gi dɛn bɛnifit ya:

• I de gi yu big pikchɔ bɔt aw dayabitis kin afɛkt yu: CGM kin mɛzhɔ yu glukɔs lɛvɛl ɛvri sɔm minit. di data de gi yu wan komplit pikchכ fכ aw yu glukכs lεvεl de chenj ova tεm. Dis infɔmeshɔn kin ɛp yu ɛn yu dɔktɔ fɔ ɔndastand mɔ bɔt aw tin dɛn lɛk it, ɛksesaiz, strɛs, ɛn sik kin afɛkt yu glukɔs lɛvɛl.
• Lid to mɔr pɔrsin in kia: CGM nɔr de tɛl di ɔl stori bɔt aw dayabitis de afɛkt yu. I de tɛl yu nɔmɔ we yu glukɔs bɔku ɔ smɔl, nɔto wetin mek. Bɔt yu ɛn yu dɔktɔ kin dawnlod data frɔm yu CGM divays ɛn luk fɔ patɛns ɛn tren. Da we de, una kin wok togɛda fɔ mek una kia fɔ yusɛf bay wetin una lan.
• I de wɔn yu bɔt di ay ɛn lɔw: Bɔku CGM divays dɛn kin sɛn alert to yu if yu glukɔs lɛvɛl go tu ay ɔ tu lɔw. Wit dis infɔmeshɔn, yu kin mek chenj kwik kwik wan. Yu kin trit ɔr nɔr gɛt bɔrku shuga na yu blɔd ɔr yu blɔd shuga smɔl bifo dɛn bi siriɔs prɔblɛm.
• Ridyus di nɔmba fɔ di tɛm we yu nid fɔ tek finga stik blɔd tɛst: Wit `CGM`, yu kin ridyus di nɔmba fɔ di tɛm we yu nid fɔ tek finga stik blɔd tɛst fɔ wan de bad bad wan.

Yu tink se `CGM` impɔtant fɔ mɛn di sik we dɛn kɔl dayabitis?

Yu kin chɛk yu blɔd glukɔs lɛvɛl ɔltɛm bay we yu tek finga stik ɛn yuz glukɔs mita. Na dat bɔku pipul dɛn kin du.

Bɔt we yu de tɛst di finga stik, i jɔs de no di glukɔs we de na yu blɔd da tɛm de . I tan lɛk se yu de rid wan pej na buk. Di mɔ fingastik dɛn we yu de tɛst, na di mɔ yu de gɛt infɔmeshɔn, we kin gi yu tin dɛn fɔ no wetin de apin to yu blɔd shuga lɛvɛl.

Bɔku pan di wan dɛn we sabi bɔt dayabitis kin se dɛn fɔ yuz CGM fɔ mɛn di sik we dɛn kɔl dayabitis, bikɔs i kin gi bɔku mɔ infɔmeshɔn bɔt di tin dɛn we de apin na di blɔd shuga pas fɔ tɛst finga stik.

Wetin na di limiteshɔn dɛm fɔ `CGM`?

CGM na divays dɛn we rili yusful, bɔt dɛn gɛt sɔm tin dɛn bak we dɛn nɔ ebul fɔ du. Lɛk ɔl di teknɔlɔji dɛn, CGM sistem dɛn kin gɛt prɔblɛm, nɔ wok fayn, ɔ ivin stɔp fɔ wok. Di pɔsin we de tich yu bɔt CGM go tich yu bɔt dɛn prɔblɛm ya we kin apin ɛn aw fɔ fɛn sɔlv fɔ dɛn.

Sɔm mɛrɛsin ɛn sɔpɔtmɛnt dɛn kin afɛkt bak di akkuracy fɔ sɔm CGM sɛns dɛm. Fɔ ɛgzampul:

• Asetaminofɛn (e.g. Taylɛnɔl® ɔ Panadol®) .
• Hydroxyurea (na mɛrɛsin fɔ sikɛl sɛl anemia) .
• Vitamin C (`Vitamin C` - Askorbik Asid) .

Dɛn mɛrɛsin ɛn sɔpɔtmɛnt ya kin mek yu CGM ridin tan lɛk se i ay ɔ smɔl pas aw i rili bi. I impɔtant fɔ aks di wan we mek yu CGM bɔt wetin kin afɛkt di kɔrɛkt we aw yu divays de wok.

Wetin na di bad tin dɛn we pɔsin kin du we i yuz `CGM`?

Na sɔm pan di tin dɛm we yu kin si as bad tin we yu de yuz `CGM`:

• Prays: CGM divays ɛn sapɔt kin dia pas fingastik blɔd tɛst. Dis prayz go difrɛn difrɛn wan fɔ yu wɛlbɔdi inshɔrans plan.
• Infɔmeshɔn ɔvalod: Pan ɔl we di bɔku bɔku infɔmeshɔn we CGM dɛn de gi kin rili ɛp, i kin rili ɛp bak. Fɔ sɔm, dis kin mek dɛn gɛt mɔ prɔblɛm wit dayabitis ɔ dɛn kin bɔn. I kin mek bak i nɔ de it fayn.
• Alam taya: Dipen pan yu sɛtin, yu CGM kin alam yu bɔku tɛm insay di de. Dis kin mek yu strɛs ɛn mek yu taya. I kin ambɔg yu slip bak.
• Ɔltɛm yu fɔ wɛr am: Ɛvri CGM na ɔda tin we yu kin wɛr na yu bɔdi. Dis kin tek sɔm tɛm fɔ mek yu yus to am. If yu want, bɔku we dɛn de fɔ ayd dɛn tin ya so dat wi nɔ go si dɛn.
• Prɔblɛm dɛn we adhesive kin kam wit: Sɔm pipul dɛn kin gɛt alɛji fɔ di skin adhesives we dɛn kin yuz na CGM divays dɛn.

If yu de fes dis chalenj, tink bɔt fɔ mit wit CDCES. Dɛn kin tich yu tips ɛn trik fɔ ɛp yu fɔ yuz CGM izi wan.

Ustɛm a fɔ kɔntak mi dɔktɔ?

If yu gɛt ɛni kwɛstyɔn bɔt aw fɔ yuz CGM divays sef wan, kɔl yu dayabitis wɛlbɔdi prɔvayda.

I fayn fɔ mek di blɔd shuga lɛvɛl tumɔs ɔ tu smɔl.If dɛn nɔ trit am fɔ lɔng tɛm, i kin denja. If i bad bad wan, i kin mek i gɛt sik, i kin mek i nɔ gɛt kɔma, ɔ i kin ivin day. Yu kin avɔyd dɛn prɔblɛm ya bay we yu kip yu blɔd shuga lɛvɛl na di wɛlbɔdi rɛnj. If yu gɛt ɛni sayn we de wɔri yu, tɔk to yu dɔktɔ.

A kin gɛt CGM we a nɔ gɛt dɔktɔ?

Naw, wan CGM de we de ova di kɔwnta (OTC). Dis min se yu nɔ nid dɔktɔ ɔ prɛskrishɔn fɔ gɛt am. Ɔda CGM manifakta dɛn de insay di prɔses fɔ divɛlɔp di sem kayn OTC CGM dɛn.

Bɔt, OTC CGM nɔ kin fayn fɔ pipul dɛn we de manej dɛn dayabitis wit insulin ɔ we gɛt bɔku smɔl blɔd shuga lɛvɛl. Bifo yu yuz OTC CGM, mek shɔ se yu ɔndastand gud gud wan wetin dɛn ebul fɔ du ɛn wetin dɛn nɔ ebul fɔ du.

Sɔmari ɛn tin dɛn fɔ mɛmba

Fɔ manej dayabitis tan lɛk fɔ shot pan target we de muv – i at fɔ du frɔm di biginin. We yu jɔs tek blɔd sɛmpul frɔm yu finga, i tan lɛk se dɛn tay yu yay te di sɛkɔn we yu shot di aro. Bɔt wit CGM, i tan lɛk se yu de wach di target de muv – in dairekshɔn, aw fast i de go, ɛn if i de muv – bifo yu shot am.

CGM na wan rili pawaful tul fɔ gɛt na yu dayabitis mɛnejɛmɛnt tulbɔks.

If yu want fɔ no mɔ bɔt aw fɔ yuz CGM, tɔk to yu dɔktɔ. Dɛn kin ɛp yu fɔ disayd us we go fayn fɔ yu.

` CGM, dayabitis, blɔd glukɔs, sɛns, insulin, wɛlbɔdi tɛknɔlɔji, glukɔs monitarin