He huarahi hou hei aroturuki i ō taumata huka! Ngā mea katoa mō te Aroturukitanga Huka Tonu (CGM)

Mena kei te noho koe me te mate huka, kāore e kore he hiranga o te whakahaere i ō taumata huka toto. He uaua pea te whakamātautau i tō huka toto i ētahi wā i te rā ki tō maihao i ētahi wā. Engari kua puta mai he hangarau hou hei otinga pai mō tēnei. Ko te tikanga 'Continuous Glucose Monitoring', 'CGM' rānei. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha te CGM (Te Aroturukitanga Huka Tonu)? He māmā noa iho...

He whakarāpopototanga noa iho, he taputapu iti te CGM e aroturuki tonu ana i ngā taumata huka (glucose) o tō tinana, arā, 24 hāora ia rā. He momo hangarau ka taea te mau. Mēnā ka mau koe i te taputapu, ka inehia e ia ngā taumata huka i roto i te wai i raro i tō kiri e kiia nei ko te wai interstitial, ā, ka hoatu he raraunga ki a koe. He maha ngā tāngata e whakamahi ana i te kupu whakarāpopoto CGM mō tēnei.

He mea tino whai hua tēnei taputapu `CGM` mō te hunga mate huka. Nā te mea ko te whakahaere i te mate huka he tikanga mō te whakahaere i ngā taumata huka toto. Nō reira, ka hoatu e te `CGM` he mōhiohio tūturu mō te āhua o te huringa o ō taumata huka toto. He mea tino nui tēnei, nā te mea he maha ngā āhuatanga e pā ana ki ō tātou taumata huka toto, ko ētahi o aua mea kāore e taea te whakaaro i mua.

He maha ngā momo taputapu CGM kei te mākete, ā, kei te tere haere te whanaketanga o te hangarau. Ko ētahi taputapu CGM kua hangaia kia honoa ki ngā papu insulin me ngā pūnaha tuku insulin aunoa. Ki te hiahia koe ki te ako atu mō te CGM, kōrero ki tō tākuta.

He aha te 'Wai o te Waenga'?

Tērā pea kei te whakaaro koe he aha tēnei "wai i waenganui i ngā pūtau". Whakaarohia, koinei te wai e karapoti ana i ngā pūtau o tō tātou tinana. He mea hanga tēnei wai i ngā matū e turuturu mai ana i ō tātou uaua toto. Ka puta te huka, te huka rānei, ki roto i tēnei wai mai i te toto.

Kāore te pūoko i roto i te CGM e piri tika ana ki te uaua toto, engari ki te wai i waenganui i te kiri. Nō reira ka ine i te nui o te huka i reira.

Ka uru tuatahi te huka ki roto i te toto, kātahi ka horapa ki roto i te wai o waho. Nō reira, tera pea he paku whakaroa i waenganui i te taumata huka i roto i tō toto me te taumata huka i roto i te wai o waho. Ko te tikanga o tēnei, ko ngā pānui huka mai i te pūoko CGM ka roa ake pea i ētahi meneti i ngā pānui huka mai i te matimati.

Me pēhea te mahi a te taputapu 'CGM'?

He maha ngā momo taputapu 'CGM' kei te mākete. He rite tonu te mahi a rātou katoa. Ko ngā rerekētanga matua kei roto i ngā āhuatanga me te āhua o te taputapu.

Engari e toru ngā wāhanga matua o ia CGM:

1. Pūoko:He taputapu iti tēnei e ine ana i te taumata huka i roto i tō wai i waenganui i te tinana i taua wā tonu. Ka whakauruhia e koe tēnei pūoko ki raro i tō kiri me tētahi taputapu e kiia nei ko te taputapu tāpiri. Ka whakamahia he ngira hei wero i te kiri. Kātahi, ina tangohia te ngira, ka noho tonu te pūoko i raro i tō kiri. Ko te tikanga ka roa tēnei pūoko mō te 7 ki te 15 rā, i runga i te waitohu. Ka taea te whakauru i ētahi pūnaha CGM, ā, ka roa mō ngā marama. He rīpene iti tēnei, tata ki te 18 mirimita te roa, ka whakauruhia e te tākuta ki raro i te kiri o tō ringa o runga.

2. Tuku: He tuku kei ia pūnaha CGM. Koinei te mea e tuku ahokore ana i ngā raraunga huka i inehia e te pūoko ki tētahi taputapu (hei tauira, taupānga waea atamai, kaiwhiwhi, papu insulin) ka taea e koe te tiro. Kei ētahi CGM he tuku whakamahi anō ka taea e koe te hono atu ki tētahi pūoko hou. Kei ētahi atu CGM he tuku e haere tahi mai ana me te pūoko, ā, ka taea te tango (he pūoko whakakorekore).

3. Taupānga waea atamai, kaiwhiwhi, papu inikurīni rānei: E whakaatu ana tēnei hangarau i tō taumata huka o nāianei, me te kauwhata o ō taumata huka o mua. E whakaatu ana hoki mēnā kei te piki, kei te heke rānei ō taumata huka, me te tere o te huringa. He maha ngā CGM he taupānga waea atamai hei tiro i ō raraunga. Mō te hunga kāore he waea atamai, kei ētahi CGM he kaiwhiwhi ringaringa iti. Ka taea hoki e ētahi CGM te tuku i ēnei mōhiohio huka ki tētahi papu inikurīni hototahi.

Anei ngā mahi e whakamahia ana e te CGM:

• Ka whakaurua e koe tētahi 'pūoko' iti ki raro i te kiri, i te nuinga o te wā ki roto i te puku, i te ringa rānei. Ka tere, ka ngāwari hoki te mahi i tēnei mā te whakamahi i tētahi 'kaitātari'. Ka puritia te 'pūoko' ki tōna tūranga mā te rīpene piri.
• Muri iho, ka hono koe i te tuku CGM ki te pūoko, i ētahi wā rānei ka honoa kētia te pūoko me te tuku. Me utu ētahi tuku i mua i te hono atu ki te pūoko. Ki te hiahia koe, ka taea e koe te whakamahi i tētahi atu rīpene hei pupuri i te tuku me te pūoko kia mau tonu te piri ki tō kiri.
• I runga i te momo CGM, he wā "whakamahana" kei mua i te tīmatanga o te tuku raraunga a te pūoko. I te nuinga o te wā, mai i te 30 meneti ki te rua hāora tēnei.
• Ka tīmata aunoa te nuinga o ngā CGM ki te tuku raraunga huka i muri i tēnei wā "whakamahana". Ko ētahi me "whakatikatika" koe (whakatikatika i ngā tautuhinga) mā te tango i tētahi tauira toto maihao me te tirotiro i tō taumata huka i mua i te tuku raraunga.
• Kātahi ka taea e koe te aroturuki i ō taumata huka o nāianei mā te whakamahi i tō taupānga waea atamai, i tō kaiwhiwhi, i tō papu insulin rānei, mena kei te hono tonu te pūoko. Ka taea hoki e koe te whakatakoto i tētahi whakaoho hei whakamōhio atu mēnā kei waho ō taumata huka i te awhe. He rerekē ēnei awhe i ia tangata, i ia tangata.
• Ina pau te kaha o te pūoko (inā mutu rānei te mahi), me mahi anō koe i ēnei mahi mai i te tīmatanga.

Ka taea e koe te tango i ō raraunga CGM (ngā au me ngā hītori) ki te rorohiko i ngā wā katoa. Ka tukuna tonutia ngā raraunga e ētahi pūnaha CGM. Ka taea hoki e koe te tohatoha i ēnei mōhiohio ki tō tākuta.

He māmā noa iho te whakamahi i te `CGM`?

He mīhini uaua ngā taputapu CGM. He roa te wā e mārama ai ki ngā āhuatanga hangarau o aua taputapu i te tīmatanga.

Hei tauira, me ako koe i ēnei mea:

• Me pēhea te whakauru tika i te `Sensor`.
• Mena e tika ana, me pēhea te whakatikatika i te taputapu mā te tango toto mai i te maihao me te tirotiro i te taumata o te huka.
• Me pēhea te whakarite i te whakaoho o te taputapu.
• Me pēhea te whakawhiti raraunga ki te rorohiko (mō te tātaritanga roa) ki tō waea pūkoro rānei.
• Me pēhea te hanga huringa ki tō mahere maimoatanga i runga i ngā raraunga kua kohia.

He wā, he manawanui hoki te mea e hiahiatia ana kia mārama ai koe ki te mahi a te taputapu CGM. Engari kāore koe e hiahia ki te mahi ko koe anake. Kia whakatau koe ki te tiki CGM me te tiki rongoā mōna, ka ako koe i tētahi tohunga whai tohu ki te whakamahi haumaru. Ka tūtohu pea tō tākuta kia haere koe ki tētahi akomanga mātauranga mate huka, kia kōrero rānei ki tētahi Tohunga Tiaki me te Mātauranga Mate Huka Whaimana (CDCES).

Me tango tonu rānei he toto mai i tōku maihao hei tirotiro i te huka ina whakamahi ana i te 'CGM'?

Mā te whakamahi i te CGM ka tino whakaiti i te maha o ngā wā e hiahiatia ana e koe ki te whakamātautau i tō huka toto ki te rākau matimati. Heoi anō, he mea nui tonu kia mau tonu he mita rākau matimati me ngā taputapu. Mēnā ka mutu te mahi a tō CGM, ka taka rānei, ka taea tonu e koe te aroturuki i ō taumata huka toto ki te mita rā anō kia whiwhi koe i tētahi pūoko hou.

Waihoki, mā te whakamātautau maihao ka āwhina i te whakaū i ngā hua o te CGM. Nā te mea, pērā i ngā hangarau katoa, ka hē pea ngā CGM. Mena he ahua whakapae te pānui CGM, he mea pai tonu kia whakamātauria he toto mai i tō maihao hei whakaū . Hei tauira, ki te whakaatu tō CGM kei te piki, kei te heke rānei tō huka toto engari kāore koe e rongo, he mea pai kia whakamātauria he toto mai i tō maihao. Waihoki, ki te kore koe e pai te āhua engari e whakaatu ana tō CGM kei roto ō taumata huka i te awhe noa, mā te whakamātautau maihao ka taea e koe te whiwhi i te hua pai rawa atu.

Ko ētahi taputapu CGM me whakatikatika (me whakarerekē i ngā tautuhinga) me whakamātautau i ngā maihao.

Ka taea e te hunga kāore he mate huka te whakamahi i te `CGM`?

Ko ngā CGM he mea hanga mō te hunga mate huka. Heoi anō, ka tūtohu pea ngā tākuta i ngā CGM mō ētahi atu āhuatanga e pā ana ki ngā taumata huka. Hei tauira:

• Te mate huka i mua i te mate.
• Te momonatanga.
• Ko ētahi o ngā 'mate rokiroki glycogen' e tohuhia ana e ngā wā e iti pinepine ai te huka toto.
• He momo pukupuku onge te Insulinoma e nui rawa ana te insulin e whakaputa ana, ka tino heke ai te taumata huka toto.

Ki te whakaaro koe he pai te CGM mō tō hauora, kōrero ki tō tākuta.

He aha ngā painga o te whakamahi i te CGM hei whakahaere i te mate huka?

Mā te whakamahi i tētahi taputapu CGM ka māmā ake te whakahaere i te mate huka. He maha ngā rangahau kua whakaatu he iti ake ngā wā huka toto iti me ngā taumata A1C iti iho i te hunga mate huka Momo 1 me te Momo 2 ina whakamahi rātou i te CGM.

Ko ēnei ngā painga o tētahi taputapu 'CGM':

• Mā tēnei ka kitea he tirohanga whānui ake mō te pānga o te mate huka ki a koe: Ka inehia e te CGM ō taumata huka i ia meneti torutoru. Mā ngā raraunga ka kitea he tirohanga whānui mō te huringa o ō taumata huka i roto i te wā. Mā ēnei mōhiohio koe me tō tākuta e āwhina kia mārama ake ki te pānga o ngā mea pēnei i te kai, te whakakori tinana, te ahotea, me te mate ki ō taumata huka.
• Ka ārahi ki te tiaki whaiaro ake: Kāore a CGM e kōrero i te pūrākau katoa mō te pānga o te mate huka ki a koe. Ka kōrero noa ia ki a koe i te wā e tiketike ana, e iti ana rānei tō huka toto, ehara i te take. Engari ka taea e kōrua ko tō tākuta te tango raraunga mai i tō pūrere CGM me te rapu i ngā tauira me ngā au. Pērā ai, ka taea e kōrua te mahi tahi ki te whakawhaiaro i tō tiaki i runga i ngā mea kua akohia e kōrua.
• Ka whakatūpato i a koe ki ngā taumata tiketike me ngā taumata iti: He maha ngā taputapu CGM e tuku whakatūpato ana ki a koe mēnā ka tino tiketike, ka tino iti rānei ō taumata huka. Mā ēnei mōhiohio, ka taea e koe te hanga huringa tere. Ka taea e koe te rongoā, te ārai rānei i ngā huka toto tiketike, i ngā huka toto iti rānei i mua i te noho hei raruraru nui.
• Ka whakaiti i te maha o ngā wā e hiahiatia ana e koe ki te whakamātautau toto maihao: Mā te `CGM`, ka tino whakaitihia e koe te maha o ngā wā e hiahiatia ana e koe ki te whakamātautau toto maihao ia rā.

He mea nui te 'CGM' mō te whakahaere i te mate huka?

Ka taea e koe te tirotiro i tō taumata huka toto i ia wā mā te whakamahi i tētahi rākau matimati me te mita huka toto. Koinei te mahi a te nuinga o te tangata.

Heoi, ko te whakamātautau matimati ka ine noa i te taumata huka i roto i tō toto i taua wā tonu . He rite ki te pānui i tētahi whārangi o tētahi pukapuka. Ka nui ake ngā matimati ka whakamātautauhia e koe, ka nui ake ngā mōhiohio ka riro mai i a koe, ā, ka taea e ēnei te hoatu tohu ki a koe mō te āhua o te huka i roto i tō toto.

Ko te nuinga o ngā tohunga mate huka e taunaki ana kia whakamahia te CGM hei whakahaere i te mate huka, nā te mea he nui ake ngā mōhiohio e homai ana mō ngā au o te huka toto i te whakamātautau matimati.

He aha ngā herenga o te `CGM`?

He tino whai hua ngā taputapu CGM, engari he iti anō hoki ō rātou herenga. Pērā i ngā hangarau katoa, ka raru pea ngā pūnaha CGM, ka hē te mahi, ka mutu rānei te mahi. Mā te tangata e whakaako ana i a koe mō te CGM koe e whakaako mō ēnei raruraru pea me pēhea te kimi otinga mō aua raruraru.

Ka pā pea ētahi rongoā me ētahi tāpiringa ki te tika o ētahi pūoko CGM. Hei tauira:

• Acetaminophen (hei tauira, Tylenol®, Panadol® rānei)
• Hydroxyurea (he rongoā mō te anemia pūtau mariao)
• Huaora C (`Huaora C` - Waikawa Ascorbic)

Ka taea e ēnei rongoā me ngā tāpiringa te mea kia teitei ake, kia iti iho rānei te āhua o ō pānui CGM i tō rātou āhua tūturu. He mea nui kia pātai atu koe ki te kaihanga o tō CGM mō ngā mea ka pā ki te tika o tō taputapu.

He aha ngā ngoikoretanga o te whakamahi i te `CGM`?

Anei ētahi o ngā āhuatanga ka kitea pea e koe he ngoikoretanga ina whakamahia te 'CGM':

• Utu: Ka nui ake te utu o ngā taputapu me ngā taonga CGM i ngā whakamātautau toto matihao. Ka rerekē tēnei utu i runga i tō mahere inihua hauora.
• Te nui rawa o ngā mōhiohio: Ahakoa he tino āwhina te nui o ngā mōhiohio e whakaratohia ana e ngā CGM, ka taea hoki te taumaha rawa. Ki ētahi, ka piki ake te mamae o te mate huka, te ngenge rānei. Ka taea hoki e ia te arahi ki te kai koretake.
• Ngenge o te whakaoho: I runga i ō tautuhinga, ka whakaoho pea tō CGM i a koe i ngā wā maha i te rā. Ka pāngia pea koe e te ahotea, ka ngenge hoki. Ka taea hoki e ia te whakararuraru i tō moe.
• Me mau tonu: He taputapu tāpiri ia CGM ka mau ki tō tinana. Tērā pea ka roa te wā e taunga ai koe ki tēnei. Ki te hiahia koe, he maha ngā huarahi hei huna i ēnei kia kore ai e kitea.
• Ngā raruraru i puta mai i ngā piripiri: Tērā pea ka pāngia ētahi tāngata e ngā mate pāwera ki ngā piripiri kiri e whakamahia ana i roto i ngā taputapu CGM.

Mena kei te pāngia koe e tēnei wero, whakaarohia te hui ki tētahi CDCES. Ka taea e rātou te whakaako i a koe i ngā tohutohu me ngā mahi tinihanga hei āwhina i a koe ki te whakamahi i te CGM me te ngāwari ake.

Āhea ahau me whakapā atu ki taku tākuta?

Mena he pātai āu mō te whakamahi haumaru i tētahi taputapu CGM, whakapā atu ki tō kaiwhakarato hauora mate huka.

Kāore he aha mēnā ka tino tiketike rawa, ka tino iti rawa rānei te taumata o te huka toto.Ki te kore e rongoatia mō te wā roa, ka tūpono he morearea. I ngā wā tino kino, ka pā mai he mate haurangi, he koma, he mate rānei. Ka taea e koe te ārai i ēnei raruraru mā te pupuri i ō taumata huka toto ki te awhe hauora. Ki te pā mai ētahi tohu e āwangawanga ana koe, kōrero ki tō tākuta.

Ka taea e au te tiki CGM me te kore he tākuta?

I tēnei wā, kei te wātea he CGM e kore e hiahiatia he rongoā (OTC). Ko te tikanga, kāore koe e hiahia ki tētahi tākuta, ki tētahi whakahaunga rānei hei tiki. Kei te whakawhanake ētahi atu kaihanga CGM i ngā CGM OTC rite tonu.

Heoi, kāore pea ngā CGM OTC e pai mō te hunga e whakahaere ana i tā rātou mate huka me te insulin, he tino iti rānei te taumata huka toto. I mua i te whakamahi i ngā CGM OTC, kia tino mārama koe ki ō rātou kaha me ngā herenga.

Whakarāpopototanga me ngā mea hei maumahara

He rite te whakahaere i te mate huka ki te pupuhi i tētahi ūnga e neke ana – he uaua ki te mahi mai i te tīmatanga. Ina tangohia he tauira toto mai i tō maihao, me te mea kei te hipokihia ō kanohi tae noa ki te wā e pupuhi ai koe i te pere. Engari ki te CGM, me te mea kei te mātakitaki koe i te nekehanga o te ūnga – tōna ahunga, tōna tere, me te mea kei te neke – i mua i te pupuhi.

He taputapu tino whai mana te CGM hei whakauru ki roto i tāu pouaka taputapu whakahaere mate huka.

Ki te hiahia koe ki te ako atu mō te whakamahi i te CGM, kōrero ki tō tākuta. Ka taea e rātou te āwhina i a koe ki te whakatau ko tēhea tikanga te mea pai mōu.

` CGM, mate huka, huka toto, pūoko, insulin, hangarau hauora, aroturuki huka