If yu gɛt dayabitis, yu go mɔs no aw i kin anɔynt ɛn sɔntɛnde i kin mek yu fil pen fɔ injɛkt yusɛf wit insulin bɔku tɛm insay di de. I nɔ izi fɔ gɛt fɔ injekt yusɛf ɛvride bifo yu it, ɛn sɔntɛnde ɔda tɛm dɛn bak. Bɔt yu go sɔprayz fɔ no se wan advans tɛknɔlɔji de we go mek yu layf izi pasmak as ɔda we fɔ yuz dis injɛkshɔn. Na da teknɔlɔji de wi kin kɔl insulin pɔmp. Tide, wi go tɔk bɔt dis ditayli ɛn rili simpul wan.
Wetin na insulin pɔmp?
Fɔ tɔk am simpul wan, insulin pɔmp na smɔl mɛrɛsin we yu kin wɛr, dat min se i kin tay pan yu bɔdi. I de wok bay we i de kɔntinyu fɔ gi di insulin we yu nid ɔnda yu skin. Dis mashin na kɔmpyuta tin we kin bi lɛk smɔl bɔks we gɛt jus ɔ wan dɛk we gɛt kad.
Fɔ di wan dɛn we nid insulin fɔ kɔntrol dɛn dayabitis, dis na bɛtɛ opshɔn pas fɔ injekt insulin bɔku tɛm insay di de wit sirinj ɔ pen (Multiple Daily Injection - MDI).
Insulin pɔmp teknɔlɔji de go bifo ɛvride. Bɔku pan di pɔmp dɛn we de tide de wok togɛda wit wan teknɔlɔji we dɛn kɔl CGM (Continuous Glucose Monitoring) , we de mɛzhɔ yu blɔd shuga ɔltɛm. Dis min se dis pɔmp kin ajɔst di insulin we yu nid ɔtomɛtik wan bay di shuga we yu gɛt na yu blɔd. Yu nɔ tink se i wɔndaful?
Aw dis smɔl mashin de wok insay di bɔdi?
Wetin dis insulin pɔmp rili de du na fɔ falamakata di we aw pɔsin we gɛt wɛlbɔdi in pankrias de mek insulin bay insɛf. Dat min se i de gi insulin di tu we dɛn we wi bɔdi nid insulin.
1. Kɔntinyu fɔ gi insulin smɔl smɔl (Basal Insulin):
Wi kin kɔl dis basal insulin . Wi bɔdi nid sɔm insulin fɔ du di men tin dɛn we wi de du, ivin we wi nɔ de it. wetin dis pכmp de du na fכ kכntinyu fכ gi di bכdi insulin insay sכm sכm sכm tεm dεm כl di de, 24 awa insay di de. di amount of dis basal insulin we wi bodi nid na difrεn tεm dεm na di de difrεn. Fɔ ɛgzampul, na mɔnin, bikɔs di ɔmon we dɛn kɔl kɔtisol de bɔku na wi bɔdi, di shuga we de na wi blɔd kin go ɔp. So, yu kin nid fɔ gɛt smɔl smɔl basal insulin na mɔnin. Tugɛda wit yu dɔktɔ, yu kin ajɔst dɛn basal amɔnt ya fɔ fit yu layf. Di advantej fɔ di nyu pɔmp dɛn na dat dɛn kin ɔtomɛtik inkrisayz ɔ ridyus dis basal amɔnt bays pan di data we dɛn gɛt frɔm di CGM.
2. Gi di amount we yu nid we yu de it ɛn we di blɔd shuga lɛvɛl go ɔp (Bolus Insulin):
Wi de kɔl disBolus insulin we dɛn kin yuz. We wi de it it, mɔ di it we gɛt kabɔhaydrɛt, di shuga we de na di blɔd kin go ɔp wantɛm wantɛm as i de dayjɛst ɛn chenj to shuga. Da tɛm de, dɛn nid mɔ insulin fɔ kɔntrol da shuga de. We yu put di amount of kabohaydrɛt na di it we yu de it ɛn yu blɔd shuga lɛvɛl da tɛm de insay di pɔmp, di pɔmp de kɔlkul ɛn tɛl yu ɔmɔs bolus insulin yu nid. Dɔn yu kin kɔnfɔm da mɔnt de ɛn gi am to yu bɔdi bay we yu push wan bɔtin.
Fɔ tɔk am simpul wan, basal tan lɛk wan layt drizzle we de kam ɔltɛm na di bakgrɔn. Bolus tan lɛk ebi ebi shawa we dɛn kin gi am nɔmɔ we nid de.
Difrɛn kayn insulin pɔmp dɛn de?
Yɛs, tu men kayn insulin pɔmp dɛn de. Dat na pɔmp dɛn we gɛt tiub (kanula) ɛn pɔmp dɛn we nɔ gɛt tiub. Lɛ wi ɔndastand klia wan di difrɛns bitwin dɛn tu tin ya.
| Tin | Pɔmp dɛn we gɛt Tub | Pɔmp dɛn we nɔ gɛt tiub/Patch |
|---|---|---|
| Di we aw i tan ɛn di pat dɛn | Pɔmp mashin de ɛn wan lɔng tiub we dɛn kɔnɛkt to am. na di εnd pan di tכb na wan ‘infushכn sεt’ we de kכnekt to di skin. | No tyub nɔ de. di ‘pod’ we gεt di insulin εn di pat we dεn put insay di skin dεn tu de insay wan. Dis kin stik pan di skin lɛk plasta. |
| Aw fɔ kɔntrol | Na wan skrin ɛn bɔtin dɛn we de na di pɔmp sɛf de kɔntrol di pɔmp. Yu kin kɛr di pɔmp insay pɔkit ɔ klip am to klos. | I de kɔntrol wayales wan we yu de yuz wan sɛpret hanheld ‘kɔntrola’. |
| Mek say we dɔn pwɛl | כltu, di insulin katrij εn di infushכn sεt we de kכnekt to di skin nid fכ riples εvri 2-3 de. | Ɛvri 2-3 dez, yu nid fɔ pul di wan ol pɔd ɛn put nyu wan. |
| Wata resistans | Sɔm dɛn nɔ kin gɛt wata, bɔt bɔku tɛm, yu kin pul di pɔmp na di tiub we yu de was ɔ swim. Yu kin kɔnɛkt am bak leta. | Dɛn tin ya nɔ de mek wata pas ɔl, so yu kin shaw ɔ swim we yu wɛr dɛn. |
Di pat we de kɔnɛkt to di skin (Infusion Set/Cannula) .
Dɛn tu kayn ya de yuz wan smɔl plastic tiub we kin chenj we dɛn kɔl kanula fɔ gi insulin ɔnda di skin. Dɛn kin put dis insay di skin wit di ɛp we dɛn kin yuz smɔl nidul. Afta dɛn dɔn put di nidul, dɛn kin pul di nidul, ɛn na di saf plastic kanula nɔmɔ lɛf ɔnda di skin. Dis na di rizin we mek i nɔ kin rili pen. I kin tay na say dɛn lɛk di bɛlɛ, di ɔp an, di bɔdi, ɛn di shɔl.
Udat dis pɔmp fit fɔ?
Ɛnibɔdi we gɛt dayabitis we nid insulin, ivin yɔŋ pikin ɛn big pipul dɛn we gɛt Tayp 1 Dayabitis, ɛn sɔm pipul dɛn we gɛt Tayp 2 Dayabitis, kin yuz dis pɔmp.
Insulin pɔmp kin rili yusful fɔ yu pan dɛn tin ya:
- If i nɔ izi fɔ yu fɔ kɔntrol yu blɔd shuga ivin afta yu dɔn injɛkt yu bɔku tɛm insay di de.
- If yu want fɔ kɔntrol yu insulin doz mɔ prɛsis ɛn fleksibul .
- If yu wok awa ɛn di tɛm fɔ it kin chenj ɔltɛm .
- If di insulin we yu nid rili smɔl (dis na tru mɔ fɔ yɔŋ pikin dɛn).
- If yu gɛt wan sik we de mek yu nɔ ebul fɔ it bɛtɛ, lɛk gastroparesis .
- If yu gɛt wan sik we dɛn kɔl Dawn Phenomenon, usay di blɔd shuga de go ɔp na mɔnin.
- If yu de pripia fɔ gɛt bɛlɛ .
Wetin na di bɛnifit ɛn bad tin dɛn we insulin pɔmp gɛt?
Lɛk ɛnitin, insulin pɔmp gɛt bɛnifit ɛn bad tin dɛn. I impɔtant fɔ no bɔt dɛn tu tin ya bifo yu disayd fɔ du sɔntin.
| Bɛnifit dɛn | Disavantej & Risk dɛn |
|---|---|
| Bɛtɛ kɔntrol: Dɛn kin kɔntrol di blɔd shuga lɛvɛl fayn fayn wan. Dɛn kin ajɔst di insulin fɔ fit difrɛn it dɛn ɛn fɔ du ɛksɛsayz. | Stɔp fɔ gi insulin: Di we aw di insulin de gi di bɔdi kin ambɔg bikɔs ɔf tin dɛn lɛk we di kanula kin kin, we i kin blok, ɔ we i kin kɔmɔt na di say we i de. |
| Fכ injεkshכn: Insted fכ injεkt bכku tεm insay di de, yu kin jכs chenj di kanula εvri 2-3 de. | Risk fɔ DKA: If dɛn stɔp di insulin fɔ sɔm awa, di blɔd shuga kin go ɔp tumɔs (haypa glycemia), we kin mek pɔsin gɛt wan sik we dɛn kɔl Dayabitik Kɛtoacidosis (DKA) , we kin mek pɔsin in layf de pan denja. |
| Di kwaliti fɔ liv bɛtɛ: Bɔku pipul dɛn se dɛn layf bin izi fɔ dɛn ɛn dɛn bin fil fri afta dɛn dɔn chenj to pɔmp. | Dia: Di pɔmp ɛn di spay pat dɛn we dɛn nid fɔ am kin dia pas di we aw dɛn kin injɛkshɔn am ɔltɛm. |
| Data analisis: We yu ɔplod data frɔm di pɔmp to kɔmpyuta, yu ɛn yu dɔktɔ go ebul fɔ ɔndastand mɔ bɔt aw yu blɔd shuga lɛvɛl de. | Ɔltɛm on: Bikɔs dis divays nid fɔ de na di bɔdi ɔltɛm, i nɔ kin izi fɔ sɔm pipul dɛn. |
| Kɔnɛkshɔn wit CGM: We dɛn kɔnɛkt am to CGM we de kɔntinyu fɔ mɛzhɔ di blɔd shuga lɛvɛl, i kin kɔntrol insulin ɔtomɛtik wan. | Skin alɛji dɛn:Sɔm pipul dɛn kin gɛt alɛji fɔ di plasta we de ataya di pɔmp ɔ infushɔn we dɛn dɔn sɛt na di skin. |
I rili impɔtant: If yu de yuz insulin pɔmp, i impɔtant fɔ gɛt bak-ap plan ɔltɛm if ɛnitin apin . Kip insulin pen ɔ sirinj nia yu if di pɔmp stɔp fɔ wok ɔ di insulin saplai stɔp. Mek shɔ se yu go to yu dɔktɔ bɔt dis.
Aw a go pik pɔmp we go fayn fɔ mi?
Dis na big tin fɔ disayd. So i impɔtant fɔ du yu risach ɛn tɔk to yu dɔktɔ bifo yu disayd fɔ du sɔntin. Bifo yu pik pɔmp, yu kin aks yusɛf dɛn kwɛstyɔn ya.
- A nid wan we gɛt tiub ɔ wan we nɔ gɛt tiub? Wetin na di gud ɛn bad tin dɛn we dɛn ɔl tu gɛt?
- Wetin na di sayz, wet, ɛn aw di pɔmp tan? A go ebul fɔ liv wit am fayn fayn wan?
- Aw bɔku dis kin kɔst? Yu tink se mi inshɔrans go kɔba dis?
- Aw yu de tich aw fɔ yuz dis? Yu kin gɛt gud trenin?
- Dis de wok wit CGM teknɔlɔji?
- Yu tink se di pɔmp nɔ gɛt wata?
- Wetin na di alam dɛn we de pan dis? Dɛn kin yɛri ɔ dɛn kin shek shek?
- A kin si di skrin klia wan? Yu tink se i izi fɔ yuz?
- Us kayn smat divays dɛn i kin kɔnɛkt to? (e.g. fon ap)
Tɔk to yu dɔktɔ bɔt ɔl dis opin wan. I go ɛp yu fɔ pik di pɔmp we go fayn fɔ yu wɛlbɔdi ɛn layf.
Fɔ dɔn, insulin pɔmp na fayn fayn tɛknɔlɔji we de mek bɔku pipul dɛn we gɛt dayabitis, izi ɛn fridɔm. Bɔt i nɔ fayn fɔ ɔlman. Ɛn i nɔ de sote go. If yu gɛt pɔmp ɛn si se i nɔ izi fɔ yu, yu kin chenj bak to injɛkshɔn ɔltɛm. Di tin we impɔtant pas ɔl na fɔ mek dɛn no bɔt di tritmɛnt we bɛtɛ fɔ yu ɛn disayd fɔ du di bɛst tin bay di advays we dɔktɔ gi yu.
Mɛsej we dɛn kin kɛr go na os
- Insulin pɔmp na fayn, advans ɔda we fɔ injekt yusɛf bɔku tɛm insay di de.
- dis de wok lεk yu bכdi in pankrias, we de gi di rayt insulin we yu nid am (as basal εn bolus).
- Tu men kayn dɛn de, we gɛt tiub ɛn we nɔ gɛt tiub (patch pɔmp). Yu kin pik wan akɔdin to wetin i izi fɔ yu.
- Pan ɔl we fɔ yuz pɔmp kin ɛp fɔ kɔntrol di shuga we de na di blɔd bɛtɛ bɛtɛ wan, risk de fɔ mek dɛn nɔ gɛt di insulin we dɛn de gi am.
- So, ɔltɛm kip insulin pen ɔ sirinj nia yu if ɛnitin apin.
- Bifo yu pik di pɔmp we fayn fɔ yu, tek tɛm tɔk bɔt di bɛnifit dɛn, di bad tin dɛn we i gɛt, di kɔst, ɛn di izi we aw i de yuz wit yu dɔktɔ.
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