OMNIPOD Ntuziaka Sistemụ Nnyefe Insulin akpaghị aka

Ntuziaka maka ojiji

1. Budata ngwaọrụ onye ọrụ gaa na My.Glooko.com—> Tọọ ntọala akụkọ na oke ebumnuche 3.9-10.0 mmol/L
2. Mepụta akụkọ—> izu abụọ —> Họrọ: a. Nchịkọta CGM;
   b. Izu View; na c. Ngwaọrụ
3. Soro akwụkwọ anamachọihe a ka ị nweta ntụzịaka site n'otu n'otu maka nyocha ụlọ ọgwụ, agụmakwụkwọ onye ọrụ na mmezi dose insulin.

Nzọụkwụ 1 Nnukwu FOTO (PATTERNS)
—> Nzọụkwụ 2 Obere foto (Ihe kpatara)
—> ATỤMATỤ NKWUKWU 3 (ỤZỌ)

GỤKWUOVIEW iji C|A|R|E|S Framework

C | Ka o si agbakọ

• A na-agbakọ nnyefe insulin basal akpaghị aka site na ngụkọta insulin kwa ụbọchị, nke a na-emelite site na mgbanwe Pod ọ bụla (ọnụego basal na-agbanwe agbanwe).
• Na-agbakọ dose nke insulin kwa nkeji 5 ọ bụla dabere na ọkwa glucose buru amụma nkeji 60 n'ọdịnihu.

A | Ihe ị nwere ike ịgbanwe

• Nwere ike hazie algọridim's Target Glucose (6.1, 6.7, 7.2, 7.8, 8.3 mmol/L) maka ọnụego basal na-agbanwe agbanwe.
• Enwere ike ịhazi m:Oke C, ihe ndozi, oge insulin na-arụ ọrụ maka ntọala bolus.
• Enweghị ike ịgbanwe ọnụego basal (anaghị eji ọnụego basal emebere na ọnọdụ akpaaka).

R | Mgbe ọ na-atụgharị na ụkpụrụ ntuziaka

• Sistemu nwere ike ịlaghachi na ọnọdụ akpaaka: Oke (ọnụego basal static nke sistemu siri kpebie; ọ dabereghị na

Uru/ụkpụrụ CGM) maka ebumnuche abụọ:

1.  Ọ bụrụ na CGM kwụsịrị ịkọrọ Pod maka nkeji 20. Ga-amaliteghachi akpaaka zuru oke mgbe CGM ga-alọghachi.
2. Ọ bụrụ na oti mkpu mmachi nnyefe akpaaka emee (nnyefe insulin kwụsịtụrụ ma ọ bụ na nnyefe kacha ogologo ogologo). Onye ọrụ ga-ehichapụrịrị oti mkpu wee banye Ọnọdụ ntuziaka maka nkeji 5. Nwere ike ịgbanwuo ọnọdụ akpaaka azụ ka nkeji 5 gachara.

E | Otu esi akụziri

• Bolus tupu iri nri, dị mma 10-15 nkeji tupu.
• Kpatụ Jiri CGM na mgbako bolus ka ịgbakwunye uru glucose na omume na mgbako bolus.
• Jiri carb 5-10 g na-agwọ hypoglycemia dị nro ka ịzenarị hyperglycemia na-eweghachite ma chere nkeji 15 tupu ọgwụgwọ ọzọ iji nye oge glucose na-ebili.
• Ọdịda saịtị infusion: Lelee ketones ma dochie Pod ma ọ bụrụ na hyperglycemia na-aga n'ihu (dịka 16.7 mmol/L maka> 90 min) n'agbanyeghị bolus mgbazi. Nye ntụtụ sirinji maka ketones.

S | Njirimara SENSOR/KEWA

• Dexcom G6 nke na-achọghị calibrations.
•  Ga-eji ngwa mkpanaaka G6 na ama ka ịmalite ihe mmetụta CGM (enweghị ike iji nnata Dexcom ma ọ bụ Omnipod 5 Controller).
• Nwere ike iji Dexcom Share maka ime nlekota nke CGM dat

1. Lekwasị anya na omume: Yiri CGM mgbe niile, na-enye boluses niile, wdg.
2. Mgbe ị na-edozi ntọala mgbapụta insulin, lekwasị anya na ebumnuche Glucose na nha I: C.
3. Iji mee ka sistemụ na-eme ihe ike: Wedata glucose Target, gbaa onye ọrụ ume ka ọ nyekwuo boluses wee kwalite ntọala bolus (dịka I: C ratio) iji mụbaa mkpokọta insulin kwa ụbọchị (nke na-eme ka mgbako akpaaka).
4. Zere ịtụgharị uche na nnyefe basal akpaghị aka. Lekwasị anya na oge mkpokọta n'ime oke (TIR), yana ịkwalite ojiji sistemu, omume bolus na usoro bolus.

% Oge CGM Na-arụ ọrụ:
Ọ bụrụ <90%, kparịta ihe kpatara ya:

• Nsogbu ịnweta akụrụngwa/sensọ anaghị adịru ụbọchị 10?
  ->Kpọtụrụ Dexcom maka ihe mmetụta nnọchi
• Nsogbu akpụkpọ ma ọ bụ ihe isi ike idobe ihe mmetụta?
  -> Gbanwee saịtị ntinye ihe mmetụta (ogwe aka, hips, buttocks, afo)
  ->Jiri ngwaahịa mgbochi, tackifiers, overtape na/ma ọ bụ ihe nrapado iji chebe akpụkpọ ahụ.

Nyochaa TO VIEW:
pantherprogram.org/ skin-solutions

Ụdị akpaaka %:
Ọ bụrụ <90%, chọpụta ihe kpatara ya:
Kwado ihe mgbaru ọsọ bụ iji ọnọdụ akpaaka dịka o kwere mee

Akpaaka: Oke %:
Ọ bụrụ> 5%, chọpụta ihe kpatara ya:

• N'ihi oghere dị na data CGM?
  —>Review ntinye ngwaọrụ: yi Pod na CGM n'otu akụkụ ahụ / na "ahịrị anya" iji kwalite nkwurịta okwu Pod-CGM.
• N'ihi mmachi nnyefe akpaaka (nnyefe nkeji/max) mkpu?
  -> Kụziere onye ọrụ ka ọ kpochapụ mkpu, lelee BG ka ọ dị mkpa, ma mgbe nkeji 5 gachara, gbanwee ọnọdụ azụ na ọnọdụ akpaaka (agaghị alaghachi na ọnọdụ akpaaka na-akpaghị aka)

B Onye ọrụ na-enye nri nri?

1. Ebumnuche nke ọgwụgwọ a review bụ ịbawanye oge na oke (3.9-10.0 mmol/L) ka ị na-ebelata oge dị n'okpuru oke (<3.9 mmol/L)
2. Oge dị n'okpuru ọ bụ karịa 4%? Ọ bụrụ EE, lekwasị anya na mbenata ụkpụrụ nke hypoglycemia If Mba, lekwasị anya na mbenata ụkpụrụ nke hyperglycaemia

C onye ọrụ ọ na-ezute ebumnuche Glycemic?
Oge na nso (TIR)Ebumnuche bụ>70%
3.9-10.0 mmol / L "Oghere Ezubere"
Oge n'okpuru oke (TBR)Ebumnuche bụ <4%
<3.9 mmol/L “dị ala” + “Dị nnọọ ala”

Oge n'elu oke (TAR)Ebumnuche bụ <25%
> 10.0 mmol / L "Elu" + "Elu"

Jiri izu View yana mkparịta ụka gị na onye ọrụ iji chọpụta ihe kpatara usoro glycemic achọpụtara na Nzọụkwụ 1 (hypoglycemia ma ọ bụ hyperglycemia).

Ọ bụ hypoglycemia ụkpụrụ na-eme:

• Ibu ọnụ/abali?
• Gburugburu oge nri?
  (1-3 awa mgbe nri)
• Kedu ebe ọkwa glucose dị ala na-eso ọkwa glucose dị elu?
• Gburugburu ma ọ bụ mgbe mgbatị ahụ gasịrị?

Ọ bụ hyperglycaemia ụkpụrụ na-eme:

• Ibu ọnụ/abali?
• Gburugburu oge nri? (1-3 awa mgbe nri)
• Ebee ka ọkwa glucose dị elu na-eso ọkwa glucose dị ala?
• Ka enyechara bolus mgbazi? (1-3 awa mgbe Co

Hypoglycemia		Hyperglycemia
Ngwọta	Ụkpụrụ	Ngwọta
Welite Glucose Target (atụmatụ algorithm) n'otu abalị (kachasị bụ 8.3 mmol / L)	Ibu ọnụ / abalị	Glucose dị ala n'otu abalị (nke kacha nta bụ 6.1 mmol / L)
Nyochaa izi ezi ịgụta carb, oge bolus na ihe mejupụtara nri. Oke I:C adịghị ike site na 10-20% (dịka ọmụmaatụ ma ọ bụrụ 1:10g, gbanwee gaa na 1:12g	N'oge nri (1-3 awa mgbe nri)	Nyochaa ma ọ bụrụ na agbagharaghị bolus nri. Ọ bụrụ ee, kụziere ịnye nri nri niile tupu iri nri. Nyochaa izi ezi ịgụta carb, oge bolus na ihe mejupụtara nri. Mee ka oke I:C sie ike site na 10-20% (dịka site na 1:10g ruo 1:8g)
Ọ bụrụ n'ihi mgbako bolus gabigara, kụziere onye ọrụ ka ọ soro mgbako bolus wee zere ịfefe inye karịa ka akwadoro. Enwere ike inwe ọtụtụ IOB sitere na AID nke onye ọrụ amaghị. Ihe mgbako Bolus dị na IOB sitere na ụbara AID mgbe ị na-agbakọ dose bolus mgbazi.	Ebe glucose dị ala na-esote nnukwu glucose
Ihe mgbazi adịghị ike site na 10-20% (dịka ọmụmaatụ site na 3mmol/L ruo 3.5 mmol/L) ma ọ bụrụ na hypos 2-3 awa mgbe mgbazi bolus.	Ebe glucose dị elu na-esote obere glucose	Kuziere maka ọgwụgwọ hypoglycemic dị nro na obere gram nke carbohydrates (5-10g)
Jiri atụmatụ mmemme 1-2 awa tupu mgbatị ahụ amalite. Njirimara ọrụ ga-ebelata nnyefe insulin nwa oge. Enwere ike iji ya n'oge enwere nnukwu ihe ize ndụ nke hypoglycemia. Ka ijiri njirimara mmemme, gaa na isi NchNhr —> Ọrụ	Gburugburu ma ọ bụ mgbe mgbatị ahụ gasịrị
	Mgbe emechara bolus mgbazi (1-3 awa mgbe mgbazi bolus)	Mee ka ihe mgbazi dị ike (dịka site na 3 mmol/L ruo 2.5 mmol/L)

1. Ebumnuche Glucose (maka ọnụego basal na-agbanwe agbanwe) Nhọrọ: 6.1, 6.7, 7.2, 7.8, 8.3 mmol/L nwere ike ịhazi ebumnuche dị iche iche maka oge dị ogologo ụbọchị.
2. I:C Ratios Ọ bụ ihe a na-ahụkarị ịchọ oke I:C siri ike site na enyemaka enyemaka
3. Ihe ndozi & Oge Insulin na-arụ ọrụ Ndị a ga-emetụta naanị usoro mgbako bolus; enweghị mmetụta na insulin akpaghị aka Ka ịgbanwee ntọala, kpatụ akara ngosi menu dị n'akụkụ aka ekpe nke Omnipod 5 njikwa: —> Ntọala —> Bolus

Tupu ịme mgbanwe na ntọala nnyefe insulin, biko kwado ntọala insulin n'ime njikwa Omnipod 5 nke onye ọrụ.

Ezigbo ọrụ na-eji Omnipod 5

Iji usoro a nwere ike inyere gị aka imezu ebumnuche shuga gị.
Ndị otu ọrịa shuga Amerịka na-atụ aro ịtụ anya ka 70% nke ọkwa glucose gị dị n'etiti 3.9-10.0 mmol/L, nke a na-akpọ Time in Range ma ọ bụ TIR. Ọ bụrụ na ị nweghị ike iru 70% TIR ugbu a, adala mbà! Malite na ebe ị nọ wee setịpụ ihe mgbaru ọsọ dị nta iji bulie TIR gị. Mmụba ọ bụla na TIR gị bara uru maka ahụike ogologo ndụ gị!
Cheta…
Echefula ihe Omnipod 5 na-eme n'azụ.
Lekwasị anya n'ihe ị nwere ike ime. Hụ ndụmọdụ na-enye aka n'okpuru…

NDỤMỌDỤ maka Omnipod 5

• HYPERGLYCAEMIA>16.7 mmol/L maka awa 1-2? Lelee ketones mbụ!
  Ọ bụrụ ketones, nye insulin sirinji ma dochie Pod.
• Bolus tupu eri nri, kacha mma 10-15 nkeji tupu nri na nri niile.
• Ebugharịla ihe mgbako bolus: Ngwọta bolus mmezi nwere ike ịdị ntakịrị karịa ka a tụrụ anya ya n'ihi insulin n'ime ụgbọ ahụ site na ọnụego basal na-agbanwe agbanwe.
• Nye boluses mgbazi maka hyperglycemia: + Kpatụ Jiri CGM na mgbako bolus ka ịgbakwunye uru glucose na omume na mgbako bolus.
• Jiri carbohydrates 5-10 g na-agwọ hypoglycemia dị nro ka ị ghara ịmaliteghachi hyperglycemia na Chere 15 min tupu emegharịa ọgwụgwọ iji nye oge glucose bilie. Usoro ahụ nwere ike kwụsịtụrụ insulin, nke na-ebute obere insulin n'ime mmiri mgbe hypoglycemia pụtara.
• Yiri Pod na CGM n'otu akụkụ ahụ ka ha ghara ida njikọ.
• Kpochapụ mmachi mmachi nnyefe ozugbo, nsogbu hyper/hypo, gosi izi ezi CGM wee tụgharịa laghachi na ọnọdụ akpaaka.

Nwee ajụjụ gbasara gị CGM?
dexcom-intl.custhelp.com
Nkwado ndị ahịa Dexcom
0800 031 5761
Nkwado teknụzụ Dexcom
0800 031 5763

Akwụkwọ / akụrụngwa

OMNIPOD Sistemụ Nnyefe Insulin akpaghị aka [pdf] Ntuziaka Sistemụ nnyefe insulin na-akpaghị aka, sistemụ nnyefe insulin, sistemụ nnyefe, sistemụ

Ntụaka

• Akwụkwọ ntuziaka onye ọrụ