OMNIPOD Automated Insulin Delivery System Mirayiridzo

MIRAYIRIRO YEKUSHANDISA

1. Dhaunirodha mudziyo wemushandisi kuMy.Glooko.com—> Isa marongero emushumo kune Target Range 3.9-10.0 mmol/L
2. Gadzira mishumo-> mavhiki maviri -> Sarudza: a. CGM Summary;
   b. Vhiki View; uye c. Devices
3. Tevedza pepa rino rekushanda kune nhanho-ne-nhanho nhungamiro pakuongorora kwekiriniki, dzidzo yemushandisi uye insulin dosi kugadzirisa.

STEP 1 MUFANANIDZO MUKURU (MAFANANIDZO)
—> danho 2 MUFANANIDZO MUDIKI (ZVINHU ZVINHU)
—> CHITATU CHECHITATU CHIRONGWA (SOLUTIONS)

PAKUPEDZAVIEW uchishandisa C|A|R|E|S Framework

C | ZVINOITA SEI

• Otomatiki basal insulin kuendesa yakaverengerwa kubva kune yakazara zuva nezuva insulin, iyo inogadziridzwa neimwe Pod shanduko (adaptive basal rate).
• Inoverengera dose ye insulin yega yega 5 min zvichibva pamazinga eglucose akafanotaurwa 60 maminetsi mune ramangwana.

A | Zvaunogona KUCHINJA

• Inogona kugadzirisa iyo algorithm's Target Glucose (6.1, 6.7, 7.2, 7.8, 8.3 mmol/L) yeadaptive basal rate.
• Ndinogona kugadzirisa ini:C ratios, kugadzirisa zvinhu, inoshanda insulin nguva ye bolus marongero.
• Haikwanise kushandura basal rates (yakarongwa basal rates haishandiswe muAutomated Mode).

R | Kana ICHIDZOKA kune manual mode

• Sisitimu inogona kudzokera kuOtomatiki Modhi: Yakaganhurirwa (static basal mwero wakatemerwa nehurongwa; kwete kubva pa

CGM kukosha / maitiro) nekuda kwezvikonzero zviviri:

1.  Kana CGM ikamira kutaurirana nePod kwe20 min. Ichatangazve otomatiki yakazara kana CGM yadzoka.
2. Kana iyo yeAutomated Delivery Restriction alarm ikaitika (insulin kuendesa yakamiswa kana pakuburitsa max yakarebesa). Alarm inofanira kucheneswa nemushandisi uye isa Manual Mode ye5 min. Inogona kudzosera otomatiki Modhi mushure memaminitsi mashanu.

E | KUDZIDZISA sei

• Bolus usati wadya, zvakanaka 10-15 maminetsi pamberi.
• Tinya Shandisa CGM mu bolus karukureta kuti uwedzere kukosha kweglucose uye maitiro mu bolus karukureta.
• Rapa hypoglycaemia yakapfava ne5-10g carb kudzivirira rebound hyperglycaemia uye WAIT 15 min usati warapa zvakare kupa glucose nguva yekukwira.
• Infusion saiti kutadza: Tarisa ketoni uye wotsiva Podhi kana hyperglycemia ikaramba iripo (eg 16.7 mmol/L for > 90 min) zvisinei nekugadziriswa bolus. Ipa jekiseni resirinji remaketoni.

S | SENSOR/SHARE maitiro

• Dexcom G6 iyo inoda hapana calibrations.
•  Inofanirwa kushandisa G6 nharembozha pa smartphone kutanga CGM sensor (haigone kushandisa Dexcom inogamuchira kana Omnipod 5 Controller).
• Inogona kushandisa Dexcom Govera yekutarisa kure kweCGM dat

1. Tarisa pane maitiro: Kupfeka iyo CGM nguva dzose, kupa ese boluses, nezvimwe.
2. Paunenge uchigadzirisa marongero epombi ye insulin, tarisa zvakanyanya paTarget Glucose uye I: C ratios.
3. Kuita kuti sisitimu iwedzere hutsinye: Dzikisa iyo Target Glucose, kurudzira mushandisi kuti ape akawanda bolus uye simbisa bolus marongero (semuenzaniso I: C chiyero) kuwedzera yakazara yezuva nezuva insulin (iyo inotyaira kuverenga otomatiki).
4. Dzivisa kunyanya kufunga nezve automated basal delivery. Tarisa pane iyo yakazara Nguva muRange (TIR), uye optimize sisitimu yekushandisa, bolus maitiro uye bolus doses.

% Nguva CGM Inoshanda:
Kana <90%, kurukura chikonzero nei:

• Matambudziko ekuwana zvigadzirwa / masensa asingagare mazuva gumi?
  -> Bata Dexcom yekutsiva masensa
• Matambudziko eganda kana kuomerwa nekuchengeta sensor?
  -> Tenderedza sensor yekuisa nzvimbo (maoko, chiuno, matako, dumbu)
  -> Shandisa zvigadzirwa zvinodzivirira, tackifiers, overtapes uye / kana adhesive remover kuchengetedza ganda

SCAN TO VIEW:
pantherprogram.org/ skin-solutions

Automated Mode %:
Kana <90%, ongorora chikonzero nei:
Simbisa chinangwa kushandisa Automated Mode zvakanyanya sezvinobvira

Automated: Yakakwana %:
Kana> 5%, ongorora chikonzero nei:

• Nekuda kwekukanganisa muCGM data?
  —>Review kuiswa kwemudziyo: pfeka Pod uye CGM padivi rimwe chete remuviri / mu "mutsara wekuona" kukwirisa Pod-CGM kutaurirana
• Nekuda kweotomatiki kuendesa kurambidzwa (min/max kuburitsa) maaramu?
  -> Dzidzisa mushandisi kujekesa alarm, tarisa BG sezvinodiwa, uye mushure me5 maminetsi chinja modhi kudzokera kuAutomated Mode (haizodzoke kuOtomatiki Mode)

B Ko mushandisi aripa chikafu chekudya here?

1. Chinangwa chekurapa ukuview Kuwedzera Nguva muRange (3.9-10.0 mmol/L) uchideredza Nguva iri Pazasi Range (<3.9 mmol/L)
2. Iyo Nguva Iri Pazasi Range inopfuura 4%? Kana EHE, tarisa pakuderedza mapatani e hypoglycemia If AIHWA, tarisa pakuderedza mapatani e hyperglycaemia

C ndiye mushandisi anosangana neGlycemic Targets?
Nguva muRange (TIR)Chinangwa chiri> 70%
3.9-10.0mmol / L "Target Range"
Nguva Pazasi Range (TBR)Chinangwa chiri <4%
<3.9 mmol/L “Yakaderera” + "Zvakaderera"

Nguva Inopfuura Range (TAR)Chinangwa chiri <25%
>10.0 mmol/L "Pamusoro" + "Pamusoro kwazvo"

Shandisa Vhiki View uye kukurukurirana nemushandisi kuti aone zvikonzero zvemaitiro eglycemic akaonekwa mu STEP 1 (hypoglycemia kana hyperglycemia).

Ndiyo hypoglycemia chiitiko chinoitika:

• Kutsanya / Husiku Hwose?
• Nenguva yekudya?
  (1-3 maawa mushure mekudya)
• Ndekupi kwakaderera mazinga eglucose anotevera yakakwirira glucose mazinga?
• Kutenderedza kana mushure mekurovedza muviri?

Ndiyo hyperglycaemia chiitiko chinoitika:

• Kutsanya / Husiku Hwose?
• Nenguva yekudya? (1-3 maawa mushure mekudya)
• Ndekupi kwakakwira glucose mazinga anotevera yakaderera glucose mazinga?
• Mushure mekugadzirisa bolus yakapiwa? (1-3 maawa mushure me co

Hypoglycemia		Hyperglycemia
SOLUTION	PATTERN	SOLUTION
Simudza Target Glucose (algorithm target) usiku humwe (yepamusoro i8.3 mmol/L)	Kutsanya / Husiku Hwose	Yakaderera Target Glucose husiku (yakaderera ndeye 6.1 mmol / L)
Ongorora chokwadi chekuverenga carb, bolus nguva, uye kuumbwa kwekudya. Yakanetesa I:C Reshiyo ne10-20% (eg kana 1:10g, chinja kuita 1:12g	Munguva yekudya (1-3 maawa mushure mekudya)	Ongorora kana bolus yekudya yakarasika. Kana hongu, dzidzisa kupa ese mabhosi ekudya usati wadya. Ongorora chokwadi chekuverenga carb, bolus nguva, uye kuumbwa kwekudya. Simbisa I:C Reshiyo ne10-20% (semuenzaniso kubva pa1:10g kusvika pa1:8g)
Kana nekuda kwe bolus calculator inodarika, dzidzisa mushandisi kutevedzera bolus karukureta uye kudzivirira kudarika kupa zvinopfuura zvinokurudzirwa. Panogona kunge paine yakawanda yeIOB kubva kuAID iyo mushandisi asingazive. Bolus Calculator zvinhu muIOB kubva pakuwedzera AID kana uchiverenga kururamisa bolus dose.	Apo glucose yakaderera inotevera high glucose
Yakanetesa kururamisa chinhu ne10-20% (semuenzaniso kubva pa3mmol/L kusvika 3.5 mmol/L) kana hypos maawa 2-3 mushure mekugadzirisa bolus.	Apo glucose yakakwira inotevera yakaderera glucose	Dzidzisa kurapa nyoro hypoglycaemia nemagiramu mashoma emacarbs (5-10g)
Shandisa Chiitiko chemaawa 1-2 maawa asati atanga maekisesaizi. Chiitiko chechiitiko chinoderedza kwenguva pfupi kuendesa insulin. Inogona kushandiswa panguva yekuwedzera kwengozi ye hypoglycemia. Kushandisa Chiitiko chimiro, enda kuMain Menu -> Chiitiko	Around or after exercise
	Mushure mekugadzirisa bolus yakapiwa (1-3 maawa mushure mekugadzirisa bolus)	Simbisa kururamisa chinhu (semuenzaniso kubva pa3 mmol/L kusvika 2.5 mmol/L)

1. Target Glucose (ye-adaptive basal rate) Sarudzo: 6.1, 6.7, 7.2, 7.8, 8.3 mmol/L Inogona kuronga di!
2. I:C Ratios Zvakajairika kuda yakasimba I:C Ratios neAID
3. Correction Factor & Active Insulin Time Izvi zvinongopesvedzera bolus calculator doses; haina kukanganisa pa automated insulin Kuti uchinje marongero, tora iyo huru menyu icon mukona yepamusoro-kuruboshwe yeOmnipod 5 controller: -> Settings -> Bolus.

USATI waita shanduko kumagadzirirwo ekuunza insulin, ndapota simbisa insulin marongero mukati memushandisi Omnipod 5 controller.

Basa rakakura kushandisa Omnipod 5

Kushandisa iyi system kunogona kukubatsira kuzadzisa zvinangwa zvako zvechirwere cheshuga.
Sangano reAmerican Diabetes Association rinokurudzira kuti 70% yeglucose yako ive pakati pe3.9-10.0 mmol/L, inonzi Time in Range kana TIR. Kana iwe parizvino usingakwanise kusvika 70% TIR, usaore moyo! Tanga kubva pauri uye isa zvibodzwa zvidiki kuti uwedzere TIR yako. Chero kuwedzera kweTIR yako kunobatsira kune hutano hwako hwese!
RANGARIRA...
Usafunge zvakanyanya zviri kuitwa neOmnipod 5 kumashure.
Isa pfungwa pane zvaunogona kuita. Ona matipi anobatsira pazasi…

MAZANO eOmnipod 5

• HYPERGLYCAEMIA>16.7 mmol/L kwemaawa 1-2? Tarisa ketoni kutanga!
  Kana maketone, ipa jekiseni jekiseni re insulin uye kutsiva Podhi.
• Bolus vasati vadya, zvakanaka 10-15 maminetsi pamberi pekudya kwese uye svutugadzike.
• Usapfuure iyo bolus Calculator: Kugadzirisa bolus doses inogona kunge idiki pane yaitarisirwa nekuda kwe insulin pabhodhi kubva kune inogadzirisa basal rate.
• Ipa kururamisa bolus kune hyperglycemia: Tinya Shandisa CGM mu bolus karukureta kuti uwedzere kukosha kweglucose uye maitiro mu bolus karukureta.
• Rapa hypoglycemia yakapfava ne5-10g carb kudzivirira rebound hyperglycemia uye IMIRA 15 min usati warapa zvakare kupa glucose nguva yekusimuka. Sisitimu inogona kunge yakamisa insulin, zvichikonzera insulin shoma mubhodhi kana hypoglycemia ikaitika.
• Pfeka Pod uye CGM kune rimwe divi remuviri saka havarasikirwe nekubatana.
• Bvisa Delivery Restriction alarms pakarepo, troubleshoot hyper/hypo, simbisa CGM kurongeka uye dzokera kuAutomated Mode.

Iva nemibvunzo pamusoro pako CGM?
dexcom-intl.custhelp.com
Dexcom mutengi rutsigiro
0800 031 5761
Dexcom technical support
0800 031 5763

Zvinyorwa / Zvishandiso

OMNIPOD Automated Insulin Delivery System [pdf] Mirayiridzo Automated Insulin Delivery System, Insulin Delivery System, Delivery System, System

References

• User Manual