Yu dɔn yɛri bɔt wan nyu we fɔ yuz insulin fɔ di wan dɛn we gɛt dayabitis? (Insulin Pɔmp) .

If yu de liv wit Dayabitis, fɔ tek insulin bɔku tɛm insay di de, sɔntɛnde kin mek yu gɛt prɔblɛm smɔl, nɔto so? Yu kin ivin taya fɔ gi injɛkshɔn ɔ tek am wit pen. Bɔt, yu bin no, nyu, rili izi we dɛn de fɔ du dis naw. Wan pan dɛn we ya na di insulin pɔmp . Wi go tɔk mɔ bɔt am tide?

Wetin na Insulin Pɔmp?

Fɔ tɔk am simpul wan, na smɔl mɛrɛsin we pɔsin kin wɛr we kin gi smɔl insulin ɔnda yu skin, ɛn i kin lɛf smɔl fɔ lɛ i kɔntinyu fɔ de. Tink bɔt am lɛk smɔl bɔks we gɛt jus ɔ wan dɛk we gɛt kad dɛn. Bɔku pɔmp dɛn gɛt kɔmpyuta.

Dis na rili gud ɔda we fɔ yuz bɔku injɛkshɔn ɛvride (MDI) we yu de yuz sirinj ɔ pen. Dis kin fayn mɔ fɔ di wan dɛn we rili nid insulin.

Insulin pɔmp teknɔlɔji we de na di makit de go bifo kwik kwik wan. Lɛk ɔl di pɔmp dɛn we de naw na Amɛrika, dɛn mek dɛn fɔ wok wit CGM (Continuous Glucose Monitoring) teknɔlɔji, we na wan tin we de kɔntinyu fɔ mɛzhɔ yu blɔd shuga. Dis min se dɛn nyu pɔmp ya kin ajɔst di insulin we yu nid da tɛm de, bay di shuga we yu gɛt na yu blɔd.

Aw dis (Insulin Pump) de wok?

Dis insulin pɔmp de wok bay we i de falamakata di we aw wi pankrias de pul insulin bay insɛf. I de gi insulin to yu bɔdi tu men we dɛn:

1. Fɔ Mit di Basal Insulin Nid dɛn

Wetin kin apin na dat yu bɔdi kin gɛt smɔl smɔl insulin ɔltɛm ɔlsay na di de, awa to awa. Wi kin kɔl dis ‘basal insulin’ . Dis na wetin de kɔba di bɛsis insulin we yu bɔdi nid.

yu no se di amount of basal insulin we wi bodi nid kin difrεn difrεn tεm dεm na di de? Fɔ ɛgzampul, bɔku pipul dɛn nid smɔl mɔ basal insulin na mɔnin pas ivintɛm. Dis na bikɔs wi bɔdi kin kɔmɔt mɔ pan di ɔmon we dɛn kɔl kɔtisol na mɔnin. Dis kɔtisol de mek wi blɔd shuga go ɔp smɔl.

Yu fɔ tɔk to yu dɔktɔ ɛn wok aut wan ‘basal rate’ we fit yu, dat na ɔmɔs insulin yu nid fɔ wan awa. As tεm de go, as yu bכdi de chenj εn yu de abit dεm de chenj, yu go nid fכ chenj dis ‘basal rεt’. bכku pכmp dεm naw gεt di abiliti fכ כtomatכk ajɔst dis basal rεt bays pan di data we de kכmכt frכm yu (CGM). Yu kin sɛt am bak ‘manual’, dat na, yu kin yuz wan rit we yu ɛn yu dɔktɔ dɔn wok aut togɛda.

2. Insulin we dɛn kin gi fɔ it ɛn we di blɔd shuga lɛvɛl go ɔp (Bolus Insulin) .

Dis na di sɛkɔn we. We yu it wan it, ɔ we yu blɔd shuga pas di wan we dɛn se fɔ it, dɛn kin gi yu di insulin we yu nid wan tɛm . Dɛn kɔl dis ‘bolus insulin’ .

we yu put di כmכnt כf kabohaydret dεm na di it we yu de it εn yu bכdi shuga lεvεl da tεm de insay di pכmp, i de kכlkul εn tεl yu di כmכnt כf ‘bolus’ insulin we yu nid. Bɔku tɛm, di pɔmp insɛf go sho di rayt mɔnt. Yu kin chɛk am fɔ si if i rayt, mek smɔl chenj dɛn if nid de, ɛn kɔnfirm se yu want fɔ gi insulin.

Us ɔda tin dɛn de we de de?

Ɛvri kayn insulin pɔmp, ɛvri brand, gɛt difrɛn tɛknikal ficha ɛn sɛtin. Na sɔm ɛgzampul dɛn ya:

• di ebul fכ wok wit (CGM) tεknכlכji fכ כtomatכk inkrεs, dכn, כ stכp insulin dεlivεri fכ sכm tεm bays pan di blכd shuga lεvεl.
• di ebul fכ inkrεs כ dכn di ‘Basal Rate’ fכ sכm tεm, lεk aw yu want (fכ egzampl, we yu de du εksεsayz).
• Alarm de fɔ tin dɛn lɛk we di bateri dɔn smɔl ɔ we di insulin rizɔva dɔn lɛf smɔl fɔ ɛmti.
• If dɛn kɔnɛkt di CGM to pɔmp, i go tɛl yu bak if yu blɔd shuga lɛvɛl go ausayd di say we dɛn dɔn tɔk bɔt.
• Fɔ ebul fɔ kɔnɛkt to fon ap ɛn ɔda smat divays dɛn.

Di kayn Insulin Pɔmp dɛn we dɛn kin yuz

Tu men kayn insulin pɔmp de: di wan dɛn we gɛt tub ɛn di wan dɛn we nɔ gɛt tub.

1. Tub Insulin Pɔmp dɛn

As di nem sho, dis pɔmp gɛt wan lɔng, tin tiub we dɛn tay pan am. dis tכb na di wan we de kכri insulin frכm di pכmp to wan sכm sכm tכb we dεn kכl ‘kanula’ כnda yu skin. Lɛ wi luk sɔm pan in pat dɛn:

• Mashin ɛn teknɔlɔji fɔ pamp:Dɛn mek dis pɔmp wit plastic ɛn mɛtal. I gɛt skrin fɔ si ɛn pik difrɛn sɛtin dɛn, data. I gɛt katrij ɔ rizɔva we ful-ɔp wit insulin. Dipen pan di brand, i kin bi bateri we yu kin chenj ɔ we yu kin chaj bak. di amount of insulin we dεn kin put insay dis rεsכva kin difrεn frכm wan pכmp to di כda pכmp. Bɔt yu kin jɔs ful-ɔp am wit di mɔni we yu kin yuz fɔ tu to tri dez. Yu kin put dis pɔmp na yu pɔkit ɔ klip am pan klos lɛk yu pant.
• di tכb εn infushכn sεt: Dis na fכ inch lכng tכb we de kכri insulin frכm di insulin rεsכva na di pכmp to di infushכn sεt we dεn put כnda yu skin. di infuzhכn sεt de atak di skin wit adhesive tep εn i gεt wan sכmכl, fleksibul plastic tyub (kanula) we de go כnda di skin. Di kanula na jɔs sɔm milimita lɔng. Yu kin injekt di infushɔn sɛt wit yu an, ɔ yu kin yuz smɔl tin we de kam wit am. Di kanula gɛt nidul we de go tru di skin ɛn go insay di nidul. Dɔn dɛn kin pul di nidul, ɛn na di kanula nɔmɔ lɛf ɔnda di skin. Yu kin mek dɛn du dis na yu ɔp an, yu bɛlɛ, yu hip, yu bɔdi, ɔ yu shɔl.

Bɔku tɛm, di rizɔva ɛn di infushɔn sɛt nid fɔ chenj ɛvri tu to tri dez. If di insulin dɔn, dɛn fɔ chenj di say we dɛn de kip am. Yu fɔ yuz nyu infushɔn sɛt, rizɔva, ɛn tubing ɛvri tɛm. Bɔt bɔku tɛm, dɛn kin yuz di pɔmp fɔ sɔm ia.

Pan ɔl we sɔm tiub pɔmp dɛn nɔ kin mek wata pas, bɔku pipul dɛn kin pul dɛn kɔmɔt na di infushɔn sɛt we dɛn de was ɔ dayv. Dɔn dɛn kin kɔnɛkt dɛn bak. Sɔm dɛn kin jɔs mek wata nɔ go insay, ɛn dɛn nɔ kin mek wata pas ɔl.

2. Insulin Pɔmp dɛn we nɔ gɛt tiub / Patch pɔmp dɛn

dis pכmp dεm gεt bak wan fleksibul plastic tכb (wan ‘kanula’) we de go כnda di skin. כltu di insulin rεsכva εn di ‘kanula' de insay di sem ‘pכd’, we na sכm pat we lεk pat. Dis kin tay pan di skin wit wan pat we de adhesive. No tyub nɔ de we pɔsin kin si. Dɔn dɛn kin kɔntrol am wayales wit wan ‘kɔntrola’ we dɛn kin ol wit an.

Na wan tɛm nɔmɔ dɛn kin yuz ɛni ‘Pod’. Lɛk pɔmp we gɛt tiub, dɛn nid fɔ chenj am ɛvri tu to tri dez. I fɔ chenj if di insulin dɔn dɔn.

Bifo yu put di Pod, yu ful-ɔp di rizɔva wit insulin ɛn ataya di adhesive strip to yu skin. Dɔn, we yu prɛs wan bɔtin, di nidul we de insay di kanula we de na di Pɔd de kɔmɔt, i de chuk di skin, ɛn go bak insay di Pɔd. Na di kanula nɔmɔ de lɛf ɔnda di skin. Yu kin put am bak na yu ɔp an, yu bɛlɛ, yu hip, yu bɔdi, ɔ yu shɔl.

Di spɛshal tin na dat, dɛn pɔmp dɛn ya we nɔ gɛt tiub nɔ de mek wata pas, so yu kin wɛr dɛn we yu de swim ɔ we yu de go insay di wata.

Us kayn insulin pɔmp dɛn de na di makit?

Difrɛn kayn insulin pɔmp dɛn de na difrɛn kɔntri dɛn ɔlsay na di wɔl. Na sɔm pan di pɔpul kayn dɛn we de naw na di Amɛrikan makit:

• iLet® Bayonic Pancreas System (wan pɔmp we gɛt tiub) .
• Medtronic MiniMedTM (sɔm kayn lid pɔmp dɛn) .
• Omnipod® (sɔm kayn pɔmp dɛn we nɔ gɛt lid) .
• Tandem® t:slim (sɛvɛra kayn lid pɔmp dɛn) .

Wan ɔda pɔmp de we nɔ gɛt tiub we dɛn kɔl Accu-Chek® Solo Micropump System we de na di UK, we de wet fɔ aprɔval frɔm di US (FDA - Food and Drug Administration). Sɔm pan dɛn ɔ ɔda nyu kayn dɛn ya kin de na Sri Lanka bak. Di bɛst tin fɔ du na fɔ aks yu dayabitis dɔktɔ bɔt dis.

Udat de yuz dis insulin pɔmp?

Ɛni sikman we gɛt dayabitis we nid fɔ tek insulin fɔ mek i yuz insulin pɔmp. Dis min se:

• Fɔ di wan dɛm wae gɛt Tayp 1 Dayabitis - dat min ɔl tu yɔŋ pikin dɛm ɛn big pipul dɛm.
• Fɔ sɔm pipul dɛm wae gɛt Tayp 2 Dayabitis.
• Pɔmp kin fayn bak fɔ pipul dɛn we gɛt Tayp 3c Dayabitis ɔ ‘Monogenic’ Dayabitis.

Ɛni kayn pɔmp gɛt di ej we dɛn fɔ yuz, we di ɛjɛnshi dɛm lɛk di FDA dɔn gri fɔ. Sɔm pɔmp dɛn we dɛn dɔn gri fɔ yuz fɔ pikin dɛn we ol lɛk 2 ia. Bɔku ɔda wan dɛn we dɛn dɔn gri fɔ yuz fɔ pipul dɛn we dɔn pas 7 ia.

Insulin pɔmp na jɔs wan tritmɛnt opshɔn fɔ manej dayabitis – na pɔsin in yon disizhɔn. Yu (ɔ yu pikin) kin tink bɔt pɔmp if:

• If yu gɛt prɔblɛm fɔ kɔntrol yu blɔd shuga lɛvɛl ivin afta yu dɔn tek injɛkshɔn (MDI) bɔku tɛm insay di de.
• If yu want fɔ ajɔst di insulin we yu de gi mɔ kɔrɛkt wan, to wetin yu lɛk.
• If yu na pɔsin we de chenj ɔltɛm, we nɔ ebul fɔ du yu wok dɛn ɛvride ɔ di tɛm we yu de it.
• If dɛn nid smɔl insulin. Bɔku tɛm dis kin apin to yɔŋ pikin dɛn ɛn bebi dɛn we gɛt dayabitis.
• If yu gɛt gastroparesis (we min se di it kin slo fɔ digest ɛn absɔb).
• If yu gɛt di ‘Dawn Phenomenon’ (dat na if yu blɔd shuga jɔs de go ɔp na mɔnin).
• If yu de op fɔ gɛt bɛlɛ.

Udat nɔ fit fɔ gɛt insulin pɔmp?

Insulin pɔmp nɔto di bɛst opshɔn fɔ ɔlman – bɔku rizin dɛn de we mek pɔmp nɔ kin fit yu ɔ yu pikin fayn, lɛk:

• If i nɔ izi fɔ yu fɔ yuz yu an ɛn finga dɛn: Yu nid fɔ yuz yu an ɛn finga fɔ ful-ɔp di insulin rizɔva ɛn prɛs di pɔmp bɔtin dɛn. If yu gɛt prɔblɛm fɔ yuz yu an, ilɛksɛf na bikɔs ɔf wan sik lɛk at at sik ɔr nyuropathy, fɔ wok wit pɔmp kin bi prɔblɛm.
• If yu nɔ de si fayn ɔ yu blaynd: If yu nɔ de si fayn, yu opshɔn dɛn wit Pɔmp teknɔlɔji kin smɔl. Yu go nid fɔ tink bɔt tin dɛn lɛk di sayz fɔ di Pɔmp skrin, di we aw di tɛks klia, di sayz fɔ di lɛta ɛn nɔmba dɛn, ɛn di baklayt.
• If yu gɛt prɔblɛm fɔ ol di pɔmp: Fɔ ɛgzampul, if yu ɔ yu pikin gɛt prɔblɛm wit in sɛns, ɔ i gɛt siriɔs alɛji na di skin, pɔmp nɔ go fayn bikɔs i nid fɔ mek yu ol am na in ples ɔltɛm.

Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i yuz insulin pɔmp?

Bɔku bɛnifit dɛn de fɔ yuz insulin pɔmp pas fɔ tek bɔku injɛkshɔn (MDI) bɔku tɛm insay di de:

• di ebul fכ ajɔst di כmכnt כf insulin we dεn gi (insay sכm pכmp dεm) fכ mach difrεn it dεm εn εksεsayz. Dis kin mek dɛn ebul fɔ gi insulin mɔ prɛsis.
• Insulin delivri kin kam togɛda wit CGM teknɔlɔji.
• Fɔ ebul fɔ ‘dɔwnlod’ data. Dis go ɛp yu ɛn yu dayabitis dɔktɔ (Endocrinologist) fɔ bɛtɛ tayla yu tritmɛnt plan.
• Bɛtɛ kɔntrol di blɔd shuga. Stɔdi dɛn we dɛn dɔn du pan big pipul ɛn pikin dɛn dɔn sho se di wan dɛn we de yuz pɔmp fɔ lɔng tɛm kin gɛt bɛtɛ kɔntrol pan di blɔd shuga pas di wan dɛn we de yuz MDI.
• Wan tin we bɔku pipul dɛn we kin chenj frɔm MDI to insulin pɔmp kin tɔk na dat dɛn kwaliti fɔ liv dɔn rili impɔtant .
• Di frɛkuɛns we dɛn kin gi insulin injɛkshɔn kin go dɔŋ.

Bɔku pipul dɛn we sabi bɔt dayabitis (Endocrinologists) kin ɛnkɔrej fɔ yuz dis pɔmp bikɔs dɛn dɔn pruv se i gɛt bɛnifit.

Ɛni bad tin de fɔ insulin pɔmp?

Apat frɔm di bɛnifit dɛn, sɔm bad tin dɛn kin de. We yu kɔmpia am wit injɛkshɔn (MDI), wan pan di big prɔblɛm dɛn we insulin pɔmp kin gɛt na di prɔblɛm dɛn we kin apin we dɛn de put insulin insay di bɔdi.

Prɔblɛm dɛn we kin apin we dɛn de tek insulin:

Dɛn tin ya kin bi bikɔs ɔf difrɛn rizin dɛn:

• di kanula kin kin ɔ fɔ stɔp: di kanula kin kink ɔ stɔp bikɔs ɔf di prɛshɔn we di tisu we de ɔnda di skin kin gɛt. Dis kin mek di insulin nɔ go insay di bɔdi.
• Insulin Krɔs: Insay sɔm dez, insulin kin krɔs insay di kanula ɔ tiub. Dis kin mek yu nɔ gɛt di rayt insulin. Na dat mek dɛn kin se dɛn fɔ chenj bɔku infushɔn sɛt ɛn pɔmp dɛn we nɔ gɛt tiub ɛvri tu to tri dez.
• Infushɔn Sɛt Diskɔnekshɔn: If yu de yuz pɔmp wit tiub, di tiub kin kɔmɔt na di infushɔn sɛt we yu nɔ no. Dis go mek insulin lik kɔmɔt na di tiub instead fɔ go insay yu bɔdi.
• Swel ɔ blɔd kɔlɛkshɔn (Hematoma) na di say we dɛn put am: If bad bad swel de nia di kanula, ɔ if blɔd klɔt, di insulin nɔ go tek di insulin fayn fayn wan.
• Tubing we brok ɔ klos: Di tubing we de na di pɔmp kin tan ɔ brok (fɔ ɛgzampul, yu animal kin chew di tubing). Ivin da tɛm de, insulin nɔ go de na di bɔdi.
• Prɔblɛm dɛn we de na di Adhesive Tape: Dɛn kin tay Infusion Set ɛn Tubeless Pumps na di skin wit adhesive. Dɛn tin ya kin kɔmɔt we yu nɔ bin want ɔ bifo tɛm. Dɛn kin yuz ɔda adeziv fɔ mek dis nɔ apin.
• Pɔmp nɔ de wok fayn: Sɔntɛm, yu insulin pɔmp kin brok ɔ i nɔ kin wok fayn. Di batri kin dɔn bak.

Sɔntɛnde, yu pɔmp go detekt wan ɔklushɔn ɛn notis yu fɔ chenj ɛni wan pan di pɔmp ɔ di infushɔn sɛt. Bɔt ɔda tɛm dɛn, fɔ ɛgzampul, if di tub kɔmɔt na di sɛt, di pɔmp nɔ kin no di prɔblɛm. If yu yuz CGM, yu go notis se yu blɔd shuga de bɔku we yu nɔ bin de ɛkspɛkt, we kin sho se yu gɛt prɔblɛm wit di we aw yu de gi yu insulin.

Di tin we impɔtant pas ɔl: If yu nɔ gɛt insulin fɔ sɔm tɛm – bɔku tɛm fɔ sɔm awa – yu kin gɛt mɔ risk fɔ gɛt aypa glycemia ɛn wan sik we kin mek yu layf de pan denja we dɛn kɔl dayabitik ketoacidosis (DKA) .

Bikɔs ɔf dɛn insulin delivri prɔblɛm ya, if yu yuz pɔmp, i rili impɔtant fɔ gɛt bak-ap plan ɔltɛm. I kin tan lɛk dis:

• We yu de kɔmɔt na os, tek insulin ɛn tin dɛn we gɛt fɔ du wit pɔmp wit yu.
• Kip insulin, sirinj, ɔ insulin pen nia yu fɔ injɛkshɔn.
• Kip di kɔstɔma savis nɔmba fɔ di kɔmni we mek di pɔmp na yu an so dat yu go gɛt ɛp kwik if yu gɛt tɛknikal prɔblɛm.

Fɔ mek yu nɔ gɛt ɔ no dɛn prɔblɛm ya kwik, mek am yu abit fɔ chɛk yu pɔmp ɛn/ɔ infushɔn sɛt wan tɛm insay di de. I rili impɔtant bak fɔ chɛk yu blɔd shuga ɔltɛm.

Ɛni ɔda bad tin dɛn de we kin apin?

Apat frɔm di men bad tin dɛn we wi dɔn tɔk bɔt, sɔm ɔda tin dɛn de we yu go si se nɔ fayn:

• Kɔst: Insulin pɔmp ɛn sapɔt kin dia pas insulin tɛrapi (MDI). Dis kɔst go difrɛn difrɛn wan fɔ yu wɛlbɔdi inshɔrans plan.
• Yu fɔ no yu bɔdi ɔltɛm: Ɛvri pɔmp na ɛkstra tin we yu kin tay pan yu bɔdi. Bɔku kleva we dɛn de fɔ yuz dɛn, bɔt dɛn kin tek sɔm tɛm fɔ yus to.
• di kwantiti fכ di tin dεm we dεn nid: We yu kכmpεr am wit MDI, insulin pכmp dεm nid bכku mכr tin dεm – "stכf" – pas insulin pכmp. Dɛn nid ples fɔ kip dɛn na os, ɛn yu fɔ kɛr ɛkstra bag dɛn we yu de travul, mɔ we yu de travul fɔ lɔng tɛm.
• Alɛji fɔ adhesive: Sɔm pipul kin gɛt alɛji fɔ di adeziv we dɛn kin yuz pan insulin pɔmp ɛn infushɔn sɛt.

Wetin fɔ tink bɔt we yu de pik insulin pɔmp?

Fɔ pik insulin pɔmp na big tin fɔ disayd. Ɛn bɔku tin dɛn de we wi fɔ tink bɔt. Di gud nyus na dat, pɔmp kɔmni dɛn gɛt bɔku infɔmeshɔn bɔt dis, ɛn dɛn gɛt trena dɛn fɔ ansa yu kwɛstyɔn dɛn. Yu dɔktɔ we gɛt dayabitis bak na big tin fɔ ɛp yu.

Na sɔm tin dɛn we yu fɔ tink bɔt ɛn aks we yu de pik pɔmp:

• Yu want pɔmp we gɛt tiub ɔ pɔmp we nɔ gɛt tiub? Wetin na di gud ɛn bad tin dɛn we ɛni wan pan dɛn gɛt?
• Wetin na di wet, saiz, ɛn aw di pɔmp de luk?
• Us pɔmp dɛn yu wɛlbɔdi inshɔrans de kɔba, wetin na di kɔst dɛn we gɛt fɔ du wit dɛn, ɛn ɔmɔs i de kɔst fɔ wan ia?
• Aw di kastoma savis de frɔm di kɔmni we de mek di pɔmp?
• Aw yu kin gɛt trenin?
• Aw dis pɔmp fit in wit CGM teknɔlɔji?
• Aw kwik a go ebul fɔ chenj to nyu pɔmp?
• I nɔ de mek wata pas/we nɔ de mek wata pas?
• Us kayn insulin delivri sɛtin ɛn program dɛn de?
• Us kayn alam ɛn alert dɛn de? Dɛn kin mek sawnd ɔ dɛn kin shek shek?
• Yu kin rid di pɔmp skrin dɛn klia wan?
• Us smat divays dɛn we dɛn kin kɔnɛkt?
• Aw i izi fɔ yuz (intuitive)?
• Us softwe program dɛn de fɔ dawnlod data we yu kin sheb wit yu dɔktɔ?

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

So, insulin pɔmp na fleksibul ɛn fayn opshɔn fɔ bɔku pipul dɛn fɔ tek insulin. Bɔku pipul dɛn we gɛt dayabitis kin si se insulin pɔmp izi pas injɛkshɔn.

Di impɔtant tin na dat insulin pɔmp nɔ de fɔ ɔltɛm. If yu bigin fɔ yuz pɔmp ɛn yu nɔ lɛk am, yu kin chenj bak to injɛkshɔn ɛnitɛm.

Fɔ pik bitwin di bɔku difrɛn kayn pɔmp dɛn we de na di makit kin rili tranga. Bɔt mɛmba se yu dɔktɔ we gɛt dayabitis go ɛp yu fɔ disayd fɔ du di rayt tin fɔ yu. So, tɔk to yu dɔktɔ bɔt dis mɔ.

` Insulin pɔmp, dayabitis, insulin, blɔd shuga, CGM, basal insulin, bolus insulin