OMNIPOD Automated Insulin Delivery System Malangizo

MALANGIZO OGWIRITSA NTCHITO

1. Tsitsani chipangizo cha ogwiritsa ntchito ku My.Glooko.com—> Khazikitsani zokonda za lipoti kukhala 3.9-10.0 mmol/L
2. Pangani malipoti-> masabata awiri -> Sankhani: a. Chidule cha CGM;
   b. Mlungu View; ndi c. Zipangizo
3. Tsatirani tsamba ili kuti mupeze malangizo pang'onopang'ono pakuwunika kwachipatala, maphunziro a ogwiritsa ntchito komanso kusintha kwa mlingo wa insulin.

CHOCHITA 1 CHITHUNZI CHACHIKULU (PATTERNS)
-> CHOCHITA 2 CHITHUNZI CHECHE (ZIFUKWA)
-> STEPI 3 PLAN (ZOTHANDIZA)

ZATHAVIEW pogwiritsa ntchito C|A|R|E|S Framework

C | | ZIMENE ZINACHITIKA

• Kutumiza kwa basal insulin yodziyimira kumawerengedwa kuchokera ku insulin ya tsiku ndi tsiku, yomwe imasinthidwa ndikusintha kulikonse kwa Pod (adaptive basal rate).
• Amawerengera mlingo wa insulin mphindi 5 zilizonse kutengera kuchuluka kwa shuga komwe kunenedweratu mphindi 60 zamtsogolo.

A | Zomwe mungasinthe

• Itha kusintha ma algorithm's Target Glucose (6.1, 6.7, 7.2, 7.8, 8.3 mmol/L) pamlingo wosinthika wa basal.
• Ndikhoza kusintha ine:Magawo a C, zowongolera, nthawi yogwira ya insulin yokhazikika pamakonzedwe a bolus.
• Sitingasinthe ma basal rates (mitengo yoyambira yokhazikika siyigwiritsidwa ntchito mu Automated Mode).

R | | Pamene IKUBWERA ku mode manual

• Dongosolo litha kubwerera ku Automated Mode: Limited (static basal rate yotsimikiziridwa ndi system; osatengera

CGM mtengo/mayendedwe) pazifukwa 2:

1.  Ngati CGM yasiya kuyankhulana ndi Pod kwa mphindi 20. Idzayambiranso zokha CGM ikabweranso.
2. Ngati ma alarm a Automated Delivery Restriction achitika (kutumiza kwa insulin kuyimitsidwa kapena kuperekedwa kwanthawi yayitali kwambiri). Alamu iyenera kuchotsedwa ndi wogwiritsa ntchito ndikulowetsa Manual Mode kwa 5 min. Itha kuyatsanso Mawonekedwe Odzichitira pakadutsa mphindi 5.

E | M'MOMWE MUNGAPHUNZITSIRA

• Bolus musanadye, makamaka 10-15 mphindi zisanachitike.
• Dinani Gwiritsani ntchito CGM mu chowerengera cha bolus kuti muwonjezere mtengo wa shuga ndikusintha mu chowerengera cha bolus.
• Chitani hypoglycemia yocheperako ndi 5-10g carb kuti mupewe hyperglycemia yomwe ikubweranso ndipo ADIKANI mphindi 15 musanachirenso kuti mupatse nthawi yokwera shuga.
• Kulephera kwa tsamba la infusion: Yang'anani matupi a ketoni ndikusintha Pod ngati hyperglycemia ipitilira (monga 16.7 mmol/L kwa> 90 min) ngakhale mutawongolera bolus. Perekani jakisoni wa syringe wa ma ketoni.

S | Mawonekedwe a SENSOR/SHARE

• Dexcom G6 yomwe imafunikira ma calibrations.
•  Muyenera kugwiritsa ntchito pulogalamu yam'manja ya G6 pa foni yam'manja kuti muyambitse CGM sensor (sangagwiritse ntchito Dexcom wolandila kapena Omnipod 5 Controller).
• Mutha kugwiritsa ntchito Dexcom Share pakuwunika kwakutali kwa CGM dat

1. Yang'anani pa khalidwe: Kuvala CGM nthawi zonse, kupereka ma bolus onse, ndi zina zotero.
2. Mukasintha masinthidwe a pampu ya insulin, yang'anani makamaka pa Target Glucose ndi I:C ratios.
3. Kuti dongosolo likhale laukali: Chepetsani Glucose Amene Mukufuna, limbikitsani wogwiritsa ntchito kuti apereke ma bolus ambiri ndikuwonjezera machulukidwe a bolus (monga I:C chiŵerengero) kuti achulukitse insulin ya tsiku ndi tsiku (yomwe imayendetsa mawerengedwe a automation).
4. Pewani kuganiza mopambanitsa za kuperekedwa kwa basal. Yang'anani pa Nthawi Yonse mu Range (TIR), ndikuwongolera kugwiritsa ntchito kachitidwe, machitidwe a bolus ndi milingo ya bolus.

% Nthawi CGM Yogwira:
Ngati <90%, kambiranani chifukwa chake:

• Mavuto opeza / zoseweretsa zosatha masiku 10?
  -> Lumikizanani ndi Dexcom kuti mulowetse masensa
• Mavuto a pakhungu kapena kuvutika kusunga sensa?
  -> Sinthani malo oyika sensa (mikono, m'chiuno, matako, pamimba)
  -> Gwiritsani ntchito zotchinga, zotchingira, zotchingira ndi/kapena zomatira kuti muteteze khungu

SIMANI KWA VIEW:
pantherprogram.org/skin-solutions

Makina Okhazikika %:
Ngati <90%, yesani chifukwa chake:
Tsindikani cholinga ndikugwiritsa ntchito Automated Mode momwe mungathere

Zopanga zokha: Zochepa %:
Ngati> 5%, yesani chifukwa chake:

• Chifukwa cha mipata mu data ya CGM?
  ->Review kuyika kwa chipangizo: valani Pod ndi CGM mbali imodzi ya thupi / "mzere wamaso" kuti mukwaniritse kulumikizana kwa Pod-CGM
• Chifukwa cha ma alarm oletsa kutumiza (min/max delivery)?
  -> Phunzitsani wosuta kuti achotse alamu, yang'anani BG ngati ikufunika, ndipo pakatha mphindi 5 sinthani mawonekedwe kubwerera ku Automated Mode (sidzabwerera ku Automated Mode)

B Kodi wogwiritsa ntchito akupereka bolus chakudya?

1. Cholinga cha mankhwala ichi review Kuchulukitsa kwa Nthawi (3.9-10.0 mmol/L) ndikuchepetsa Nthawi Yotsika (<3.9 mmol/L)
2. Kodi Nthawi Yotsika Ndi Yoposa 4%? Ngati INDE, kuyang'ana pa kuchepetsa machitidwe a hypoglycaemia If AYI, kuyang'ana pa kuchepetsa machitidwe a hyperglycemia

C ndi omwe amakumana ndi Zolinga za Glycemic?
Nthawi mu Range (TIR)Cholinga ndi> 70%
3.9-10.0mmol / L "Target Range"
Nthawi Yotsika (TBR)Cholinga ndi <4%
Pansi pa 3.9 mmol / L "otsika" + "Zochepa kwambiri"

Nthawi Yokwera (TAR)Cholinga ndi <25%
> 10.0 mmol / L "Wamkulu" + "Wamkulu kwambiri"

Gwiritsani Ntchito Sabata View ndi kukambirana ndi wogwiritsa ntchito kuti adziwe zomwe zimayambitsa mikhalidwe ya glycemic yodziwika mu STEPI 1 (hypoglycemia kapena hyperglycemia).

Ndi hypoglycaemia chochitika chikuchitika:

• Kusala / Usiku?
• Pafupifupi nthawi yachakudya?
  (maola 1-3 mutatha kudya)
• Kodi milingo yotsika ya glucose imatsata bwanji kuchuluka kwa glucose?
• Pozungulira kapena pambuyo pa masewera olimbitsa thupi?

Ndi hyperglycemia chochitika chikuchitika:

• Kusala / Usiku?
• Pafupifupi nthawi yachakudya? (maola 1-3 mutatha kudya)
• Kodi kuchuluka kwa glucose kumatsatira kutsika kwa glucose?
• Pambuyo pokonza bolus anapatsidwa? (Maola 1-3 pambuyo pa co

Hypoglycemia		Hyperglycemia
THANDIZO	CHITSANZO	THANDIZO
Kwezani Mlingo wa Glucose (chandamale cha algorithm) usiku wonse (okwera kwambiri ndi 8.3 mmol / L)	Kusala kudya / Usiku	Glucose otsika kwambiri usiku (otsika kwambiri ndi 6.1 mmol / L)
Onani kuchuluka kwa ma carb, nthawi ya bolus, komanso kuchuluka kwa chakudya. Kuchepetsa I:C Magawo ndi 10-20% (monga ngati 1:10g, sinthani kukhala 1:12g	Pafupifupi nthawi ya chakudya (maola 1-3 mutatha kudya)	Onani ngati bolus ya chakudya idaphonya. Ngati inde, phunzitsani kupereka ma bolus onse a chakudya musanadye. Onani kuchuluka kwa ma carb, nthawi ya bolus, komanso kuchuluka kwa chakudya. Limbikitsani Magawo a I:C ndi 10-20% (monga kuyambira 1:10g mpaka 1:8g)
Ngati chifukwa cha kuchuluka kwa makina owerengera a bolus, phunzitsani wogwiritsa ntchito kutsatira chowerengera cha bolus ndikupewa kupitilira kuti apereke zambiri kuposa zomwe akulimbikitsidwa. Pakhoza kukhala zambiri za IOB kuchokera ku AID zomwe wosuta sadziwa. Zinthu zowerengera za Bolus mu IOB kuchokera pakuwonjezeka kwa AID powerengera mlingo wa bolus wowongolera.	Pomwe glucose otsika amatsata kuchuluka kwa glucose
Kuchepetsa kuwongolera ndi 10-20% (mwachitsanzo, kuchoka pa 3mmol/L mpaka 3.5 mmol/L) ngati kutsika kwatsika patatha maola 2-3 mutakonza bolus.	Pomwe kuchuluka kwa glucose kumatsatira kutsika kwa glucose	Phunzitsani kuchiza hypoglycemia yofatsa ndi magalamu ochepa a carbs (5-10g)
Gwiritsani ntchito gawo la Zochita maola 1-2 musanayambe masewera olimbitsa thupi. Zochita zolimbitsa thupi zimatha kuchepetsa kutulutsa kwa insulin kwakanthawi. Itha kugwiritsidwa ntchito panthawi yachiwopsezo chowonjezereka cha hypoglycemia. Kuti mugwiritse ntchito gawo la Ntchito, pitani ku Main Menyu —> Ntchito	Pozungulira kapena pambuyo pa masewera olimbitsa thupi
	Pambuyo pokonza bolus (maola 1-3 mutatha kukonza bolus)	Limbikitsani kuwongolera (mwachitsanzo, kuchokera 3 mmol/L mpaka 2.5 mmol/L)

1. Glucose Wandanda (pa 6.1, 6.7, 7.2, 7.8, 8.3 mmol/L)
2. Magawo a I:C Ndi zachilendo kufuna Magawo amphamvu a I:C ndi AID
3. Zowongolera & Nthawi Yogwiritsa Ntchito Insulin Izi zimangokhudza milingo ya bolus calculator; ilibe mphamvu pa insulin yodziyimira payokha Kuti musinthe makonda, dinani chizindikiro chachikulu pakona yakumanzere kwa olamulira a Omnipod 5: -> Zikhazikiko -> Bolus.

Musanasinthe masinthidwe operekera insulin, chonde tsimikizirani zosintha za insulin mkati mwa wowongolera wa Omnipod 5.

Ntchito yabwino kugwiritsa ntchito Omnipod 5

Kugwiritsa ntchito njirayi kungakuthandizeni kukwaniritsa zolinga zanu za shuga.
Bungwe la American Diabetes Association likulingalira kuti 70% ya milingo yanu ya shuga ikhale pakati pa 3.9-10.0 mmol/L, yotchedwa Time in Range kapena TIR. Ngati panopa simungathe kufika 70% TIR, musataye mtima! Yambirani komwe muli ndikukhazikitsa zolinga zing'onozing'ono kuti muwonjezere TIR yanu. Kuwonjezeka kulikonse kwa TIR yanu kumakhala kopindulitsa ku thanzi lanu lonse!
KUMBUKIRANI...
Musaganize mopambanitsa zomwe Omnipod 5 ikuchita kumbuyo.
Muziganizira kwambiri zimene mungachite. Onani malangizo othandiza pansipa…

MFUNDO ZA Omnipod 5

• Hyperglycemia> 16.7 mmol/L kwa maola 1-2? Yang'anani ma ketones poyamba!
  Ngati ma ketoni, jakisoni wa syringe wa insulin ndikusintha Pod.
• Bolus musanadye, makamaka mphindi 10-15 musanayambe kudya ndi zokhwasula-khwasula.
• Osapitilira chowerengera cha bolus: Mlingo wowongoleredwa wa bolus ukhoza kukhala wocheperako kuposa momwe amayembekezeredwa chifukwa cha insulin yomwe ili m'bwalo kuchokera pamlingo wosinthika wa basal.
• Perekani zowongolera zowongolera hyperglycemia: Dinani Gwiritsani ntchito CGM mu chowerengera cha bolus kuti muwonjezere mtengo wa shuga ndikusintha mu chowerengera cha bolus.
• Chitani hypoglycemia yofatsa ndi 5-10g carb kuti mupewe kuyambiranso kwa hyperglycemia ndipo DIKIRANI mphindi 15 musanamwerenso kuti mupatse nthawi yoti glucose adzuke. Mankhwalawa amatha kuyimitsa insulini, zomwe zimapangitsa kuti pakhale insulin yochepa m'magazi ikayamba hypoglycemia.
• Valani Pod ndi CGM mbali imodzi ya thupi kotero kuti asataye kulumikizana.
• Chotsani ma alarm Oletsa Kutumiza nthawi yomweyo, thetsani hyper/hypo, tsimikizirani kulondola kwa CGM ndikubwerera ku Automated Mode.

Khalani ndi mafunso anu CGM?
dexcom-intl.custhelp.com
Thandizo la makasitomala a Dexcom
0800 031 5761
Thandizo laukadaulo la Dexcom
0800 031 5763

Zolemba / Zothandizira

OMNIPOD Automated Insulin Delivery System [pdf] Malangizo Makina Operekera Insulin, Njira Yoperekera Insulin, Njira Yoperekera, Njira

Maumboni

• Buku Logwiritsa Ntchito