Gumcose monitoring (CGM) na'urorin sune FDA-yarda su samar da ainihin lokacin glucose karanta 24 hours a rana, saboda haka barin marasa lafiya da iri 1 ko type 2 ciwon sukari don bi da hankali matakan glucose da kuma trends. Yawancin lokaci, CGM ta bada rahotancin matakan jini sau ɗaya a kowane minti 5, don haka yana samar da 288 glucose a kowace rana. Kodayake an fara gabatar da CGM a shekara ta 2006, ci gaban fasaha ya sa ya ƙara zama abin dogara kuma amfani da shi ya karu a yau.
Idan kuna la'akari da CGM, ku koyi game da shi sannan a tuntuɓi masu sana'a na kiwon lafiya don ganin ko yana da kyau a gare ku. A madadin haka, likitanku na iya bada shawarar yin amfani da na'urar CGM don taimaka muku wajen sarrafa ciwon sukari. A wannan yanayin, kafin kayi amfani da ɗaya, fahimtar yadda wanda zaiyi aiki zai taimaka.
Ta yaya CMG na'urori ke aiki?
A al'ada, na'urorin CGM sun ƙunshi sassa 3:
- A s ensor cewa matakan matakan subcutaneous glucose matakan
- Mai watsawa wanda ke saman saman firikwensin, wanda ya aika da bayanai ta hanyar rawanin rediyo zuwa mai karɓar
- Mai farfadowa mai sauƙi, wanda shine a baya wani nau'in kulawa mara waya mara kyau marar kyau wanda ya nuna nauyin glucose da yanayin.
Amfani da fasaha na bluetooth, sababbin na'urori akan kasuwa, kamar Dexcom 5, ya bada izinin samun glucose jini daga mai aikawa ƙarƙashin fata don aikawa da kai tsaye zuwa na'urori mai basira masu dacewa, ciki har da iPhones da iPads. Wadanda suka yi gunaguni game da yawan abubuwan da aka tsara a cikin CGM na al'ada za su sami farin ciki ta hanyar karin sababbin sababbin sifofi.
Gannun CMG kamar Dexcom 5 sun hada da haɗin ƙirar mai amfani da samfurin mai amfani. Lokacin da bayanai na glucose na jini suka karbi ta hanyar na'urar mai kaifin baki, to ana daukar shi ta hanyar girgije har zuwa 5 mabiya. Bayan haka za'a iya samun bayanai a asibitin likita, gudanarwa da nazarin dabi'u da kuma nuna yanayin cikin siffar zane.
Ƙayyadaddun na'urorin CGM
Yin amfani da CGM har yanzu yana da mahimmanci, tare da wadata da kaya da aka kayyade a kasa.
Ƙayyadewa sun haɗa da:
- Kodayake CGM na bayar da layin glucose a jini a cikin gajeren lokaci, ana buƙatar ƙiraren yatsu kullum don buƙatar CGM.
- Ayyukan CGM suna samar da ƙananan glucose lokacin da aka kwatanta da glucose jini, lokacin da sugars ke tashi da sauri.
- Mutane da yawa suna jayayya cewa amfana na gaskiya yana samuwa ne a gano magungunan hypoglycemic. Duk da haka, bayanai sun bada shawarar cewa CGM na iya zama da rashin daidaituwa a ma'aunin glucose.
- Gidajen CGM suna da tsada, tare da farashin farko na tsakanin $ 1,000 da $ 2,000, kuma suna samuwa ne kawai ta hanyar takardar izini kawai. Bugu da ƙari, kuɗin da ake yi tsakanin $ 300 da $ 450 a kowace wata, ciki har da na'urorin da za a maye gurbin kowane 3 zuwa 7 days.
Amfanin na'urorin CGM
Amfanin yin la'akari sun hada da:
- Cibiyar CGM tana taimakawa wajen gano halin da ake ciki a cikin glucose na jini, koda ma ma'aunin ba daidai ba ne. Alal misali, CGM zai iya taimakawa wajen nuna alamar kututture ko jinin glucose a wasu lokuta idan yawancin mutane ba su duba sugars akai-akai.
- CGM zai iya taimakawa wajen bayyana yadda tasirin abinci da motsa jiki akan matakan jini.
- Masu amfani za su iya saita ƙararrawa don faɗakar da su a yayin da matakan glucose sun yi yawa ko maɗaukaki.
- A wasu gwaje-gwaje masu yawa, CGM ta saukar da hawan haemoglobin A1C ta 0.3 zuwa kashi 0.5 cikin dari idan aka kwatanta da ƙwayoyin glucose na gargajiya.
- A cikin waɗannan gwaje-gwajen, CGM dan kadan ya rage yawan tasirin hypoglycemia.
Ana iya amfani da CGM tare da insulin pump farrapy. Fuskatu mai ƙararrawa (SAP) ya haɗu da fasaha na insulin pump tare da maimaita glucose mai ci gaba . Nazarin yanzu suna kimanta tasiri na tsarin da aka samar da isar din din akan bayanan CGM.
Wane ne CGM For?
Zabin mai haƙuri yana da mahimmin hanyar don amfani da CGM nasara. Endocrin Society Guidelines bayar da shawarar CGM ga marasa lafiya marasa lafiya da irin ciwon sukari 1 tare da matakan A1C ≥7 waɗanda suka nuna cewa zasu iya amfani da waɗannan na'urori kusan kowace rana.
Bugu da ƙari, yana da mahimmanci cewa marasa lafiya da aka zaɓa sun nuna fahimtar fasaha ta CGM don samun amfanin da ya fi dacewa. Yin amfani da CGM na yau da kullum yana iya dacewa ga marasa lafiya da rashin tsinkayewa na yau da kullum ko rashin fahimta (hypoglycemic ignorance) (rashin iyawar gano kansa hypoglycemia). Zai iya zama mahimmanci ga marasa lafiya da masu ciwon sukari na 2 wadanda ke da jima'i ko jima'i ko jimawa ko rashin saninsa.
Sources:
Klonoff DC. Ci gaba da kulawa da glucose: hanya ta hanyar ciwon ciwon sukari na 21st century. Ciwon sukari Care 2005; 28: 1231.
Hirsch IB. Bincike na asibiti: Tsammani mai kyau da amfani da ci gaba da kula da glucose don endocrinologist. J Clin Endocrinol Metab 2009; 94: 2232.