Txuas ntxiv mus saib xyuas cov piam thaj hauv hom 1 ntshav qab zib


Txuas ntxiv mus saib xyuas cov piam thaj hauv hom 1 ntshav qab zib

Cov kev sim tshiab sim ntawm NHS

Yog li cov xov xwm hais tias thawj thawj zaug, ntsuas cov yauv tes tsis raug kuaj – saib xyuas cov neeg ywj pheej Fre Fre Libre – nws yuav tsum muaj nyob ntawm NHS Cov Tshuaj Noj txij thaum Lub Kaum Ib Hlis 2017 tau ntsib nrog kev zoo siab. Txog tam sim no, tib neeg yuav tsum tau them nws tus kheej (ntawm tus nqi txog £ 58 rau tus nyeem ntawv thiab 2 lub hlis ntawm cov nqi hluav taws xob raug nqi kwv yees li £ 114) lossis thov rau pob nyiaj siv rau ‘kis tshwj xeeb’, hu ua Cov Nyiaj Pab Rau Ib Leeg Cov. Tab sis qhov no tsis txhais tau tias qhov kawg ntawm kev sim ntiv tes rau txhua tus, thiab yuav muaj sijhawm ua ntej rau cov neeg mob sim nkag mus.

Kev saib xyuas lub qabzib siv lub “flash” system koom nrog tso lub cim me hauv qab koj daim tawv nqaij ib zaug ib lis piam. Qhov no ntsuas cov piam thaj hauv koj cov kua dej interstitial (Cov kua dej uas nyob ncig koj lub hlwb). Txhawm rau nyeem ntawv, koj yoj ib qho cuab yeej nyeem ntawv dhau ntawm lub sensor. Qib hauv qab zib hauv koj cov kua dej interstitial poob qab ntawm koj cov piam thaj hauv ntshav los ntawm ob peb feeb, tshwj xeeb yog tias koj cov piam thaj hauv ntshav hloov pauv sai. Qhov ntawd txhais tau tias koj tseem yuav xav tau kuaj cov ntiv tes ua ntej koj yuav siv insulin lossis ntshav qabzib ntau dua rau ib qho hneev ntawm lub hauv paus ntawm kev nyeem ntawv.

Tsis yog Flash glucose xyuas xyuas qhov tsuas yog txoj kev xaiv peb tuaj yeem cia siab kom muaj nyob ntawm NHS Cov Tshuaj Phom Sij Hawm hauv xyoo (lossis ntau hlis) los tom ntej. Muaj ntau lub tuam txhab tau tsim Txoj Haujlwm Txuas Ntxiv (Glucose Monitoring) (CGM), uas tau sau cov piam thaj nyob hauv koj cov kua dej ntawm lub cev thiab xa mus rau lub saib tsis tas koj yuav ua haujlwm hla lub ntsuas. Hauv kev siv cov ntsiab lus, tej zaum qhov txawv tshaj plaws yog qhov no tso cai rau lub tswb ceeb toom teeb tsa, ceeb toom koj kom cov ntshav siab lossis ntshav qab zib tsis muaj yam koj tsis nquag nyeem ntawv. Raws li Diabetes UK, ‘Flash GM tsis yog qhov kev siv nyiaj tsawg dua rau CGM, qhov thev naus laus zis sib txawv muaj kev siv txawv rau cov pab pawg tshwj xeeb hauv qee qhov xwm txheej’.

Cov kev tsim kho no suav nrog thawj lub sijhawm ntev ua haujlwm ntawm CGM lub cev, lub Eversense XL, uas tau cog hauv qab daim tawv nqaij. Cov lus hauv qab no qhia cov ntsiab lus ntawm qhov tseem ceeb ntawm kev sib piv tseem ceeb ntawm ob thev naus laus zis.

Freestyle Libre qabzib tsoov tsis hnov ​​tsw

Eversense XL CGM

Ntsuas cov ntshav qabzib ntau ntau nyob hauv cov kua dej ua kua

Ntsuas cov ntshav qabzib ntau ntau nyob hauv cov kua dej ua kua

Yooj yim thiab yooj yim – ntsuas cov kua nplaum los ntawm kev co tes nyeem ntawv lub zog, tsis tas yuav tsum muaj ntiv tes ntiv tes

Yooj yim thiab yooj yim – tsis siv neeg nyeem cov piam thaj hauv xov tooj, tsis tas yuav muaj ntiv tes ntiv tes

Zaus ntau dua ntawm cov piam thaj saib xyuas – nruab nrab thaum sim 16 cov ntaub ntawv hauv ib hnub (piv rau 5.1 / hnub rau kev sim ntiv tes)

Zaus ntau zaus ntawm cov piam thaj xyuas – cov ntawv sau cia txhua 5 feeb

Tsis tas yuav tsum sim ntiv tes ntiv tes – qhov kev poob qis ntawm qhov no yog qhov tsis muaj qhov ntsuas nrog kev ntsuas lub cim

Yuav tsum mus kuaj qhov ntiv tes ob zaug txhua hnub kom ntsuas qhov ntsuas

Muaj ntawv tso cai rau cov menyuam yaus tshaj li 4 xyoos thiab laus

Muaj ntawv tso cai rau cov laus tshaj 18 xyoos

Muab cov ntsiab lus ntawm cov ntsiab lus qabzib (nce / qis / ruaj khov) + sijhawm kawg ntawm kev nyeem nrog rau txhua nyeem ntawv – yuav txo qhov kev pheej hmoo ntawm hypos thiab ntshav qab zib

Muab cov ntsiab lus ntawm cov ntsiab lus qabzib (nce / qis / ruaj khov) nrog rau txhua qhov kev nyeem ntawv – tej zaum yuav txo qhov kev pheej hmoo ntawm hypos thiab ntshav qab zib

Tsis hnov ​​lub tswb nrov – qhov taw qhia ntawm hypo yuav tsum muaj lub sensor kom raug swiped

Lub tswb nrov ceeb toom kom ceeb toom cov neeg mob (lossis niam txiv) lossis hypo. Ntse transmitter vibrates yog tias hypo txawm tias lub xov tooj tsis nyob hauv ntau

Tsis muaj lub tswb nrov

Kev kuaj pom tsawg kawg 81% ntawm teeb tsa ntshav lub cev ntshav qab zib

Sau cov kev nyeem ntawv thiab khw muag khoom rau 8 teev, xa cov ntaub ntawv no rau lub receiver thaum swiped dua nws. Yog tias sensor tsis swiped, cov ntaub ntawv los ntawm ntev dua 8 teev dhau los yog ploj

Tau synchs rau huab account 2 teev ib teev. Bluetooth sensor ntawm ntaus ntawv thiab xov tooj. Kev sib txuas txog 98% dhau 6 lub sijhawm

Ruaj ntseg nrog cov kab xev nplaum rau daim tawv nqaij nrog filament hauv qab daim tawv nqaij – bluetooth kis tau los ntawm cuab yeej rau mobile app thaum swiped

Sensor cog cog hauv qab daim tawv nqaij nrog transmitter ruaj ntseg nrog nplaum tapeto daim tawv nqaij tshaj sensor – bluetooth kis tau rau mobile app

Cov ntaub ntawv tuaj yeem sib qhia nrog tus kws kho mob

Cov ntaub ntawv tuaj yeem sib qhia nrog tus kws kho mob

Hloov pauv txhua 2 asthiv –

Yuav tsum siv lub sensor tshiab yog tias nws tshem tawm

Ntev mus txog 180 hnub

Transmitter tuaj yeem raug muab tshem tawm thiab muab rov qab rau – cov ntaub ntawv yuav ntes

Cov laj thawj feem ntau rau kev ncua nyob hauv 1st xyoo

1) Lub cev tsis yooj yim rau hnav (daig rau tawv)

2) Teeb meem ntxig (hloov txhua 2 lub lis piam, teeb tus kheej tso hauv qab tawv)

3) Qhov teeb meem nrog cov nplaum tuav sensor rau tawv nqaij

1) Xav tau yuav tsum tau tso subcutaneously

2) Qhov ua tau zoo tsis cuam tshuam yog tias muaj teeb meem nrog cov nplaum rau cov xa khoom

Saib xyuas ntawm ‘Libre txuas’ – tsis yog lub sijhawm saib xyuas cov chaw taws teeb

Xa cov ntawv txheeb xyuas chaw taws teeb real-time

Nyeem tau siab yog tias tus neeg mob siv tshuaj paracetamol

Tsis nyeem zoo yog tias tus neeg mob siv tshuaj paracetamol

Tsis muaj kev txo qis hauv HbA1c hauv txoj kev tshawb fawb uas cuam tshuam nrog cov neeg mob ntshav qab zib hom 2 ntawm insulin – tab sis txo lub sijhawm hauv hypoglycaemia

 

Kev tshawb nrhiav hauv hom 1 mob ntshav qab zib – txo qis sij hawm nyob rau hauv hypoglycaemia tab sis kev hloov hauv HbA1c tsis muaj ntaub ntawv pov thawj – qhov no suav nrog cov neeg mob uas cov ntshav qabzib tau zoo

Kawm hauv hom 1 mob ntshav qab zib – nruab nrab HbA1c txo ntawm 4mmol / mol (0.35%) dhau 180 hnub nrog Eversense CGM. CGM (tsis muaj qhov hloov pauv tsis tau) – txo qis HbA1c hauv cov neeg mob uas muaj lub hauv paus HbA1c ntau dua 53 mmol / mol (7%), txo ntshav qab zib tsawg los ntawm 45%

 

 

Patient.info Saib tag nrho

Cov kev sib txuas ntawm cov ntshav qab zib thiab lub hlwb mob

Cov tsos mob hauv lub cev ntawm cov ntshav qab zib yuav tsum tau tswj 24 teev ib hnub, 7 hnub toj ib asthiv. Tshawb nrhiav tsis ntev los no …

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  • Cov kev sib txuas ntawm cov ntshav qab zib thiab lub hlwb mob

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    Carrot thiab chickpea falafels

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  • Diabulimia yog dab tsi?

    Diabulimia yog dab tsi?

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  • Vim li cas cov piam thaj hauv ntshav qis txaus ntshai dhau lawm

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Vim li cas sim ntau?

Kev mob ntshav qab zib ntau yam ua rau muaj ntau yam tsos mob suav nrog

  • Kev tshaib kev nqhis, npau taws, ntxhov siab, tshee hnyo thiab qhov muag plooj thaum ntxov
  • Tsis meej pem, tsis pom zoo tus cwj pwm, vau thiab txawm tuag nyob rau theem tom ntej.

Cov neeg uas raug kev txom nyem ntau dua li ib ‘qhov mob nyhav’ xav tau (xav tau kev pab sab nraud) ib xyoos tuaj yeem poob lawv daim ntawv tsav tsheb. Thiab cov neeg uas poob ‘kev paub txog hypo’ yog cov muaj kev pheej hmoo siab heev rau cov tsos mob hnyav. Kuv pom cov niam uas tsis xav tias muaj kev nyab xeeb saib xyuas lawv cov menyuam, thiab cov txiv neej ntshai tawm hauv tsev thaum lawv tau tsoo lub tsev.

Qhov nruab nrab, cov neeg uas mob ntshav qab zib hom 1 soj ntsuam lawv cov ntshav qab zib ntau tshaj 5 zaug hauv ib hnub. Tab sis NICE (National Institute for Health and Care Excellence) hais tias kev soj ntsuam txog 8 zaug hauv ib hnub hauv Hom Ntshav Qab Zib 1 yuav raug nqi. Qhov no yog ua raws cov pov thawj uas tau hais tias nyob rau nruab nrab, ntau dua cov txheeb xyuas cuam tshuam nrog tighter ntshav qab zib tswj thiab qis HbA1c. NICE pom zoo tias cov neeg mob ntshav qab zib hom 1 yuav tsum tau tsom mus rau HbA1c (qhov ntsuas ntawm koj cov ntshav qabzib hauv 3 lub hlis dhau los lossis ntev dua) ntawm 48mmol / mol – qib uas yuav luag zoo ib yam li ib tus neeg tsis muaj ntshav qab zib. Ntshav qab zib siab tshaj plaws muaj kev pheej hmoo ua puas rau lub raum, ob lub qhov muag thiab lub paj hlwb, ntxiv rau lub plawv nres thiab mob hlab ntsha tawg.

Leej twg thiaj tsim nyog tau txais?

NICE tau tso tawm cov qauv rau cov neeg muaj ntshav qab zib hom 1 uas yuav tsum tau txiav txim siab rau CGM, txawm tias qhov no tsis suav nrog Freestyle Libre. Lawv suav nrog:

  • Ntau dua ib qhov mob ntshav qab zib tsawg los ntawm yam tsis muaj qhov ua rau pom kiag
  • Ua tiav poob ntawm hypo tsis paub
  • Nquag muaj teeb meem hypos tsis muaj cov tsos mob ua ntej
  • Kev ntshai tshaj plaws ntawm hypos ua rau muaj teeb meem lossis kev ntxhov siab
  • Tsis tuaj yeem txais koj cov HbA1c qis dua 75mmol / mol (9%) txawm tias muaj ntshav qab zib tsawg kawg kaum zaug hauv ib hnub

Ib qho ntxiv, koj yuav tsum ua kom tiav txhua cov txheej txheem hauv qab no txhawm rau tsim nyog rau CGM:

  • Tus neeg siv npaj siab ua haujlwm rau kev siv CGM tsawg kawg 70% lub sijhawm thiab ua kom nws tsis tu ncua
  • Tus neeg siv nyob rau ntau cov tshuaj insulin txhua hnub los yog qhov kev nqus tshuaj insulin
  • Cov Pab Pawg Noj Qab Haus Huv muab CGM muaj kev tshaj lij hauv kev siv
  • Nws yuav tsum txuas ntxiv yog tias ua rau, HbA1c poob qis rau thiab qis qis dua 53 mmol / mol (7%), ntawm ir HbA1c yog txo los ntawm 27mmol / mol (2.5%)

Txawm hais tias koj ua tiav tag nrho cov kev mob no, tau txais kev nkag mus rau Freestyle Libre tsis yog muab. Firstly, muaj kev sib tham kom muaj nrog ‘kev noj qab haus huv kev noj qab haus huv hauv zos’ txog nyiaj txiag – uas txoj kev tswj hwm tau hais txog kev xaiv rho tawm. Thib ob, Kev Mob Ntshav Qab Zib UK ua rau nws paub tseeb tias ‘Flash GM tsis yog cov cuab yeej tsim nyog rau cov neeg uas tau ua tiav thiab tsis tuaj yeem tsis nco qab lawv cov ntshav qog ntshav qab zib, uas txhais tau tias lawv tsis tuaj yeem paub thaum lawv cov suab thaj nyob qis txaus. Hauv qhov piv txwv no CGM uas muab cov lus ceeb toom yog qhov tsim nyog dua. ‘Qhov no yuav muab CCGs kev zam rau kev txiav nyiaj, tsawg kawg kom txog thaum CGM muaj nyob rau ntawm NHS Cov Tshuaj Phom.

Ntxiv mus rau kab?

Ob peb lub CGM nrog lub tswb tau tsim. Txog tam sim no, tsis muaj nyob ntawm NHS Cov Tshuaj Phom. Txawm li cas los xij, nrog kev pom zoo ntawm cov khoom Freestyle thiab cov lus pom zoo ntawm NICE rau CGM, nws yog qhov muaj siab tias ntau dua yuav ua raws.

Tsis pub dhau lub xyoo tom ntej lossis ob, Kuv xav tias cov neeg mob yuav muaj kev pheej hmoo siab rau qhov ntshav qab zib tau raug xaiv los ntawm Flash GM lossis CGM, thiab hnyav dua lawv cov kev nyiam ntawm lawv tus kheej. Nws tsis nyob ntawm no, thiab tej zaum yuav muaj kev sib ntaus sib tua ua ntej – tab sis tom qab xyoo ntawm cov neeg muaj ntshav qab zib hom 2 tau txais txhua kab mob taub hau, nws zoo li yog thaum kawg tig rau cov neeg muaj hom 1.

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