Mukurwisana kwenyika kurwisana nechirwere cheshuga, chombo chinodiwa chinokurudzirwa kuvarwere chinongova chikamu chimwe chete muzvina uye chinogona kupfekwa padumbu kana ruoko.
Anoenderera mberi eropa glucose monitors ane diki sensor inokwana pasi peganda, kuderedza kudiwa kwevarwere kubaya zvigunwe zvavo zuva rega rega kuti vatarise shuga yeropa.Iyo yekutarisa inochengeta iyo glucose level, inotumira kuverenga kune mbozhanhare yemurwere uye chiremba, uye inozivisa murwere kana kuverenga kwanyanya kana kuderera.
Zvinoenderana nedata kubva kukambani yekudyara Baird, vangangoita mamirioni maviri vanhu vane chirwere cheshuga nhasi, inova yakapetwa kaviri nhamba muna 2019.
Pane humbowo hushoma hunoratidza kuti kuenderera mberi kweglucose yeropa (CGM) kune kurapa kuri nani kune vazhinji vane chirwere cheshuga-nyanzvi dzehutano dzinoti vanhu vanosvika mamiriyoni makumi maviri nemashanu vane chirwere cherudzi rwechipiri muUnited States havana majekiseni e insulin kuti vadzore shuga yavo yeropa.Nekudaro, mugadziri, pamwe nevamwe vanachiremba nemakambani einishuwarenzi, vakati kana zvichienzaniswa nekuyedza zvigunwe zvemazuva ese, chishandiso chinobatsira varwere kudzora chirwere cheshuga nekupa mhinduro yekukurumidza-yekukurumidza kuchinja kudya uye kurovedza muviri.Vanoti izvi zvinogona kuderedza kudhura kuri kuita zvirwere zvakaita seheart attack and stroke.
Dr. Silvio Inzucchi, mutungamiriri weYale Diabetes Center, akataura kuti kugara uchiongorora glucose yeropa hakudhuri kune varwere vane chirwere cheshuga chechipiri vasingashandisi insulin.
Akataura kuti ichokwadi kuti kuburitsa mudziyo kubva paruoko kamwe chete masvondo maviri ega ega kuri nyore pane kuva neminwe yakawanda inodhura isingasviki $1 pazuva.Asi "kune vakajairwa vane chirwere cheshuga chechipiri, mutengo wemidziyo iyi hauna musoro uye haugone kushandiswa semazuva ese."
Pasina inishuwarenzi, mutengo wepagore wekushandisa inoenderera yeropa glucose monitor iri pakati peinoda kusvika $1,000 uye $3,000.
Vanhu vane Type 1 chirwere cheshuga (chisiri kugadzira insulin) vanoda nguva zhinji data kubva kumonitor kuitira kuti vabaye madosi akakodzera emahomoni ekugadzira kuburikidza nepombi kana sirinji.Nekuda kwekuti jekiseni re insulin rinogona kukonzera kudonha kweshuga yeropa zvinouraya, michina iyi inoyambirawo varwere kana izvi zvaitika, kunyanya panguva yekurara.
Varwere vane chirwere cheshuga chechipiri vane chimwe chirwere vanoita insulini kudzora kukwira kweshuga yeropa mushure mekudya, asi miviri yavo haipinduri zvakasimba kune vanhu vasina chirwere.Inenge 20% yevarwere verudzi rwechipiri vachiri kubaya insulin nekuti miviri yavo haigone kuwana chikafu chakakwana uye mishonga yekunwa haigone kudzora chirwere cheshuga.
Vanachiremba vanowanzokurudzira vane chirwere cheshuga kuti vaedze shuga yavo kumba kuti vaone kana vari kusvika pazvinangwa zvekurapa uye kuti vanzwisise kuti mushonga, kudya, maekisesaizi, uye kushushikana zvinokanganisa sei mazinga eshuga yeropa.
Zvisinei, kuongororwa kwakakosha kweropa kunoshandiswa nachiremba kutarisa chirwere cheshuga muvarwere vane chirwere chechipiri chinonzi hemoglobin A1c, iyo inogona kuyera mazinga ehuga kwenguva yakareba.Hapana bvunzo yemunwe kana yekutarisa glucose yeropa ichatarisa paA1c.Sezvo kuongorora uku kuchibatanidza kuwanda kweropa, hakugoni kuitwa murabhoritari.
Vanoramba vachitarisa glucose yeropa zvakare havaongorore glucose yeropa.Pane kudaro, vakayera mazinga eglucose pakati pematishu, ari iwo mazinga eshuga anowanikwa mumvura iri pakati pemasero.
Iyo kambani inoita kunge yakatsunga kutengesa iyo monitor kuti iite 2 vane chirwere cheshuga (vese vanhu vanobaya insulin nevanhu vasingaite) nekuti uyu musika wevanhu vanopfuura mamirioni makumi matatu.Kusiyana neizvi, vanhu vangangosvika miriyoni 1.6 vane Type 1 chirwere cheshuga.
Kudonha kwemitengo kwave kuwedzera kukura kwekudiwa kwezviratidziro.Abbott's FreeStyle Libre ndeimwe yemhando inotungamira uye yakaderera-mutengo.Chishandiso ichi chine mutengo kuUS $ 70 uye sensor inodhura ingangoita US $ 75 pamwedzi, iyo inofanirwa kutsiviwa mavhiki maviri ega ega.
Anenge ese makambani einishuwarenzi anopa anoenderera eropa glucose monitors kune vanhu vane Type 1 chirwere cheshuga, chinova chinoshanda chinoponesa hupenyu huswa kwavari.Maererano naBaird, inenge hafu yevanhu vane chirwere cheshuga chorudzi rwokutanga vava kushandisa mamonitor.
Nhamba shoma asi iri kukura yemakambani einishuwarenzi atanga kupa inishuwarenzi yekurapa kune vamwe varwere verudzi rwechipiri vasingashandisi insulin, kusanganisira UnitedHealthcare uye Maryland-based CareFirst BlueCross BlueShield.Makambani einishuwarenzi aya akati akawana budiriro yekutanga mukushandisa mamonitor uye varairidzi vehutano kubatsira kudzora nhengo dzavo dzechirwere cheshuga.
Imwe yezvidzidzo zvishoma (inonyanya kubhadharwa nemugadziri wezvigadzirwa, uye nemutengo wakaderera) yakadzidza kukanganisa kwevatariri pahutano hwevarwere, uye zvigumisiro zvakaratidza migumisiro inopesana mukuderedza hemoglobin A1c.
Inzucchi akati zvisinei neizvi, mucherechedzo uyu wakabatsira vamwe vevarwere vake vasingade insulini uye vasingafarire kuboora zvigunwe kuti vachinje madyiro avanoita uye kuderedza huwandu hweshuga muropa.Vanachiremba vakati havana humbowo hwekuti kuverenga kwacho kunogona kuita shanduko dzechigarire mukudya kwevarwere nekuita maekisesaizi.Vanoti varwere vazhinji vasingashandisi insulin vari nani kuti vaende kumakirasi edzidzo yechirwere cheshuga, kuenda kunzvimbo dzekurovedza muviri kana kunoona chiremba.
Dr. Katrina Donahue, mutungamiriri wekutsvakurudza weDhipatimendi reMishonga yeMhuri paYunivhesiti yeNorth Carolina, akati: "Kubva pauchapupu hwedu huripo, ndinotenda kuti CGM haina humwe hunokosha muhuwandu hwevanhu."“Handina chokwadi nezvevarwere vakawanda., Kana tekinoroji yakawanda ndiyo mhinduro chaiyo.”
Donahue ndiye munyori-munyori wekuongorora kwakakosha muJAMA Internal Medicine muna 2017. Chidzidzo chacho chakaratidza kuti gore rakatevera, kuongorora kwemunwe kutarisa nguva dzose yeropa glucose level yevarwere vane chirwere cheshuga 2 haibatsiri kuderedza hemoglobin A1c.
Anotenda kuti, nekufamba kwenguva, zviyero izvi hazvina kuchinja kudya kwemurwere uye maitiro ekurovedza muviri-zvakafanana zvinogona kunge zviri zvechokwadi kune vanoramba vachitarisa glucose yeropa.
Veronica Brady, nyanzvi yezvidzidzo zvechirwere cheshuga paUniversity of Texas Health Sciences Center uye mutauriri weSangano reDiabetes Care and Education Experts, akati: “Tinofanira kungwarira mashandisiro atinoita CGM.”Akataura kana vanhu Mamonitor aya ane musoro kwemavhiki mashoma pakuchinja mishonga inogona kukanganisa huwandu hweshuga muropa, kana kune avo vasina kukwana zvakakwana kuita ongororo yeminwe.
Nekudaro, vamwe varwere vakaita seTrevis Hall vanotenda kuti cheki chinogona kuvabatsira kudzora chirwere chavo.
Gore rakapera, sechikamu chechirongwa chekubatsira kudzora chirwere chake cheshuga, chirongwa chehutano chaHall "United Healthcare" chakamupa mamonitor mahara.Akataura kuti kubatanidza monitor mudumbu kaviri pamwedzi hazvikonzerese kusagadzikana.
Dhata inoratidza kuti Hall, makumi mashanu nenhatu, anobva kuFort Washington, Maryland, akati glucose yake ichasvika mazinga ane njodzi pazuva.Akataura nezve alarm iyo mudziyo uchatumira kurunhare: "Zvaityisa pakutanga."
Mumwedzi mishoma yapfuura, kuverenga uku kwakamubatsira kuti achinje kudya kwake uye maitiro ekurovedza muviri kudzivirira maspikes aya uye kudzora chirwere.Mazuva ano, izvi zvinoreva kufamba nekukurumidza mushure mekudya kana kudya miriwo pakudya kwemanheru.
Vagadziri ava vakashandisa mamiriyoni emadhora kukurudzira vanachiremba kuti varambe vachivapa mishonga inoongorora shuga muropa, uye vakashambadza varwere zvakananga paInternet neTV, kusanganisira muSuper Bowl yegore rino yakaitwa nemuimbi Nick Jonas (Nick Jonas).Jonas) ichitamba mukushambadzira kwepamoyo.
Kevin Sayer, CEO weDexcom, mumwe wevanotungamira vagadziri vezviratidziro, akaudza vaongorori gore rapfuura kuti isiri-insulin mhando 2 musika inguva yemberi.“Chikwata chedu chinogarondiudza kuti musika uyu ukasimukira unoputika.Hazvizove zvishoma, uye hazvinonoke,” akadaro.
Akawedzera kuti: "Ini pachangu ndinofunga kuti varwere vachagara vachiishandisa nemutengo chaiwo uye nemhinduro chaiyo."
Nguva yekutumira: Mar-15-2021