Sulusin insulin (SAP) mai auna firikwensin ya hada da fasaha na insulin pump tare da mahimman kulawa da ƙwayar glucose wanda ke nuna jigilar glucose ga mutumin da ke saka na'urar. Ana la'akari da shi muhimmin mataki ne a cikin ci gaba da haɓakaccen katako.
Ta yaya Sensor-Augmented Pump daban-daban daga Tashin hankali Insulin farashin?
Pumps na insulin yayi amfani da mai amfani tare da ci gaba da gudana na insulin wanda aka nuna ya inganta glucose management a mutane da yawa.
Bugu da žari na mahimman glucose mai ci gaba don yin aiki tare tare da rumfar insulin ya zama babban ci gaba. Wannan yana ba da damar mai amfani don samun ci gaba, halayen glucose na ainihi wanda zai bunkasa ikon kulawa da glucose, musamman lokacin yin yanke shawara wanda ya ƙunshi abinci, motsa jiki, da kuma kula da rashin lafiya .
Aikin insulin na atomatik don dakatar da Hypoglycemia
Wannan yanayin ya ba da damar izinin insulin dakatar da ta atomatik har tsawon sa'o'i biyu idan mai kula da glucose na gaba ya gano cewa glucose matakin ya fadi kuma akwai hadarin hypoglycemia. Binciken da aka yi a shekara ta 2013 a Ostiraliya na marasa lafiya 95 da irin ciwon sukari guda 1 sun kammala cewa wannan ya rage ragowar hadarin hypoglycemia mai tsanani da matsakaici idan aka kwatanta da daidaitattun insulin pump. Anyi tunanin wannan mataki ne zuwa wani abu mai ban tsoro.
Bolus Calculator
Kwanan ƙwararra-ƙwanƙwasa kuma sun zo tare da wani ɓangaren da ake kira ɓangaren ƙwararrakin bolus.
Mai amfani yana nuna yawan carbohydrates wanda mai amfani ya yi niyyar ɗauka, kuma famfar ya lissafa sassan insulin wanda ya kamata ya kamata a rufe su.
Wajen Artificial Pancreas
Filaye-ƙwanƙwasa ƙwanƙwasawa wani ci gaba ne daga farashin insulin tsinkaye amma ba a kammala su ba har zuwa inda za'a iya ba da insulin ta atomatik bisa ga karatun glucose.
Wannan yana buƙatar ainihin algorithm wanda ke daidaita sadarwar tsakanin firikwensin da kuma famfo.
Masu bincike har yanzu suna aiki a kan wannan algorithm kuma suna tsammanin za a warware matsalar a cikin shekaru da yawa. Idan wannan ya auku, za mu iya samun tsarin farko na rufe-madaidaici don sarrafa manajan sukari na type 1 .
Tsarin ginin yana nufin cewa famfo zai yi aiki kamar ƙananan ƙwayar wucin gadi - zai karanta glucose kuma ya ba da ainihin kashi na insulin da ake buƙata don kula da ƙwayar glucose.
Nazarin Sensor-Ra'ayi Insulin Pump Far
Nazarin na STAR 3 ya dubi ko farar mai karfin firikwensin ya fi kyau don rage Hemoglobin A1C a cikin marasa lafiya da marasa lafiya na yara tare da ciwon sukari wanda ba tare da izini ba, ba tare da karuwa ba a cikin hypoglycemia mai tsanani. Binciken ya gano cewa kashi 1.0% na nufin rage AIC daga manya zuwa shekara guda, wanda ya fi sau hudu fiye da kyautatawa da aka gani a cikin marasa lafiya ta yin amfani da injections yau da kullum. Sakamakon ya fi kyau a cikin waɗanda suka sanya na'urorin haɗin kansu fiye da 81% na lokaci.
A lokacin ci gaba da nazarin, sun lura cewa sanya na'urar firikwensin fiye da kashi 40 cikin dari na lokacin da ake bukata don kula da amfanin A1C da aka samu. Abokan da suka fi dacewa su sa na'urar firikwensin ya fi tsayi kuma don samun ƙarin amfani na A1C.
Rawan abubuwan da suka faru na hypoglycemia mai tsanani bai bambanta tsakanin kungiyoyi ba, kuma babu wani bambanci a cikin wadata.
Sources:
Richard M. Bergenstal, MD, et. al. "Sensor-Increase Pump Far for A1C Reduction (STAR 3) Sakamakon binciken daga watanni 6 na ci gaba da ci gaba." Tsare-tsaren Kulawa Nuwamba 2011 kundi. 34 ba. 11 2403-2405.
Trang T. et. al. "Sakamakon Sensor-An Ƙaddamar da Ciwon Insulin Pump far kuma An Kama Ingancin insulin vs Cibiyar Ingancin Insulin Pump a kan Hypoglycemia a cikin Marasa lafiya tare da Type 1 Ciwon sukari A Randomed Clinical Trial." JAMA. 2013; 310 (12): 1240-1247. Doi: 10.1001 / jama.2013.277818.
Eda Cengiz, et. al. "Gudanar da ciwon sukari na sabon ƙarni: gwanin glucose - ƙara insulin pump farrapy." Kwararren Gwani Mafarki. 2011 Jul; 8 (4): 449-458.