I-OMNIPOD i-Automated Insulin Delivery System Imiyalelo

IMIYALELO YOKUSEBENZISA

1. Khuphela isixhobo somsebenzisi kuMy.Glooko.com—> Cwangcisa iisetingi zengxelo kuLuhlu ekuJoliswe ngalo 3.9-10.0 mmol/L
2. Yenza iingxelo—> iiveki ezi-2 —> Khetha: a. Isishwankathelo seCGM;
   b. Iveki View; kunye c. Izixhobo
3. Landela eli phepha lomsebenzi kwisikhokelo senyathelo nenyathelo kuvavanyo lweklinikhi, imfundo yomsebenzisi kunye nohlengahlengiso lwedosi ye-insulin.

INYATHELO 1 UMFANEKISO OMKHULU (IPATTERS)
—> INYATHELO LESI-2 UMFANEKISO OMNCINANE (IZIZATHU)
—> ISICWANGCISO SESINYATHELO 3 (IZISOMBULULO)

PHEZULUVIEW usebenzisa i-C|A|R|E|S Framework

C | IBALA NJANI

• Ukuhanjiswa kwe-insulin ye-basal ngokuzenzekelayo kubalwa kwi-insulin yemihla ngemihla, ehlaziywa ngotshintsho lwePod nganye (izinga le-basal eliguquguqukayo).
• Ibala idosi ye-insulin yonke imizuzu emi-5 ngokusekwe kumanqanaba eglucose aqikelelwe kwimizuzu engama-60 kwixesha elizayo.

A | Yintoni ONOKUYILUNGISA

• Iyakwazi ukulungelelanisa i-algorithm ye-Target Glucose (6.1, 6.7, 7.2, 7.8, 8.3 mmol / L) ye-adaptive basal rate.
• Ungandinyenyisa:Ulungelelwaniso lwe-C, izinto zokulungisa, ixesha elisebenzayo le-insulin kwiisetingi ze-bolus.
• Ayinakutshintsha imilinganiselo ye-basal (amazinga asezantsi acwangcisiweyo awasetyenziswa kwiMowudi yokuZisebenzela).

R | Xa IBUYELA kwimowudi yesandla

• Isixokelelwano sinokubuyela kwiMowudi yokuZisebenzela: Unyino (umyinge wesiseko omileyo omiselwa yinkqubo; ayisekelwanga kwi

Ixabiso leCGM/umkhwa) ngenxa yezizathu ezi-2:

1.  Ukuba i-CGM iyeka ukunxibelelana nePod i-20 min. Iza kuphinda iqalise i-automation epheleleyo xa i-CGM ibuya.
2. Ukuba i-alam ye-Automated Delivery i-alam yenzeka (ukuhanjiswa kwe-insulin kunqunyanyisiwe okanye kunikezelo olukhulu lude kakhulu). I-alam kufuneka icocwe ngumsebenzisi kwaye ufake iMowudi yeManuwali imizuzu emi-5. Ingaphinda ivule iMowudi yokuZisebenzela emva kwemizuzu emi-5.

E | UFUNDA NJANI

• I-Bolus ngaphambi kokutya, ngokufanelekileyo imizuzu eyi-10-15 ngaphambili.
• Thepha Sebenzisa i-CGM kwi-bolus calculator ukongeza ixabiso le-glucose kunye ne-trend kwi-bolus calculator.
• Nyanga i-hypoglycaemia ethambileyo kunye ne-5-10g ye-carb ukuze ugweme i-hyperglycaemia e-rebound kwaye LINDELA i-15 min ngaphambi kokunyanga kwakhona ukunika ixesha le-glucose ukuba liphakame.
• Ukungaphumeleli kwendawo yokugalela: Jonga ii-ketones kwaye ubuyisele i-Pod ukuba i-hyperglycaemia iyaqhubeka (umz. 16.7 mmol/L for > 90 min) nangona ukulungiswa kwe-bolus. Nika inaliti yesirinji yee-ketones.

S | UMBONO/UKWABELANA iimpawu

• I-Dexcom G6 engafuni milinganiselo.
•  Kufuneka usebenzise i-app yeselula ye-G6 kwi-smartphone ukuqala i-sensor ye-CGM (ayinakusebenzisa umamkeli we-Dexcom okanye i-Omnipod 5 Controller).
• Unokusebenzisa i-Dexcom Share yokubekwa esweni okude kwe-CGM dat

1. Gxininisa ekuziphatheni: Ukunxiba iCGM ngokungaguqukiyo, ukunika zonke iiboluses, njl.
2. Xa uhlengahlengisa izicwangciso zempompo ye-insulin, gxininisa ngokukodwa kwi-Target Glucose kunye ne-I: C ratios.
3. Ukwenza inkqubo ibe ndlongondlongo ngakumbi: Yehlisa iGlucose ekuJoliswe kuyo, khuthaza umsebenzisi ukuba anike iiboluses ezininzi kwaye aqinise useto lwe-bolus (umz. I:C ratio) ukunyusa i-insulin yemihla ngemihla iyonke (eqhuba ubalo oluzenzekelayo).
4. Kuphephe ukucinga ngokugqithisileyo ukuhanjiswa kwe-basal okuzenzekelayo. Gxininisa kwixesha elipheleleyo kwiRange (TIR), kunye nokuphucula ukusetyenziswa kwenkqubo, ukuziphatha kwe-bolus kunye ne-bolus doses.

% Ixesha i-CGM iyasebenza:
Ukuba <90%, xoxa ngokuba kutheni:

• Iingxaki zokufikelela kwizibonelelo/izivamvo ezingahlali iintsuku ezili-10?
  —>Qhagamshelana ne-Dexcom ukuze ufumane ezinye izinzwa
• Iingxaki zolusu okanye ubunzima bokugcina inzwa?
  ->Jikelezisa indawo yokufaka isivamvo (iingalo, isinqe, iimpundu, isisu)
  -> Sebenzisa iimveliso zomqobo, izithinteli, ii-overtapes kunye / okanye isisusa esincamathelayo ukukhusela ulusu

Skena KU VIEW:
pantherprogram.org/ izisombululo zesikhumba

Imo Ezenzekelayo %:
Ukuba <90%, vavanya ukuba kutheni:
Gxininisa injongo kukusebenzisa iMowudi eSebenzayo kangangoko kunokwenzeka

NONE
Ukuba > 5%, vavanya ukuba kutheni:

• Ngenxa yezithuba kwidatha yeCGM?
  —>Review Ukubekwa kwesixhobo: nxiba iPod kunye neCGM kwicala elinye lomzimba / "kumgca wokubona" ​​ukwenza unxibelelwano lwePod-CGM
• Ngenxa yesithintelo sonikezelo oluzenzekelayo (min/ukuhanjiswa okukhulu) ii-alam?
  -> Fundisa umsebenzisi ukucima i-alam, jonga i-BG njengoko kufuneka, kwaye emva kwemizuzu emi-5 tshintsha imowudi ubuyele kwiMowudi yokuSebenza (ayiyi kubuyela kwiMowudi ezenzekelayo ngokuzenzekelayo)

B Ngaba umntu oyisebenzisayo unika iibholusi zokutya?

1. Injongo yolu nyango review kukwandisa ixesha kwiRange (3.9-10.0 mmol / L) ngelixa unciphisa ixesha elingaphantsi kweRange (< 3.9 mmol / L)
2. Ngaba ixesha elingezantsi koluhlu lungaphezulu kwe-4%? Ukuba EWE, gxininisa ekunciphiseni iipateni ze i-hypoglycemia If HAYI, gxininisa ekunciphiseni iipateni ze hyperglycaemia

C yintlanganiso yomsebenzisi kwiiThagethi zeGlycemic?
Ixesha kuluhlu (TIR)Injongo yi> 70%
3.9-10.0mmol/L “Uluhlu ekujoliswe kulo”
Ixesha elingezantsi koluhlu (TBR)Injongo yi <4%
ngaphantsi kwe-3.9 mmol/L “Phantsi” + “Iphantsi kakhulu”

Ixesha elingaphezu koluhlu (TAR)Injongo yi <25%
ngaphaya kwe-10.0 mmol/L "Phezulu" + "Phezulu kakhulu"

Sebenzisa iVeki View kunye nengxoxo kunye nomsebenzisi ukuchonga izizathu zeepateni ze-glycemic ezichongiweyo kwi-STEP 1 (i-hypoglycemia okanye i-hyperglycemia).

Ingaba i i-hypoglycemia ipateni eyenzekayo:

• Ukuzila ukutya / ngobusuku?
• Ngexesha lokutya?
  (iiyure ezi-1-3 emva kokutya)
• Apho amanqanaba eglucose aphantsi alandela amanqanaba aphezulu eglucose?
• Ngokujikeleza okanye emva kokuzivocavoca?

Ingaba i hyperglycaemia ipateni eyenzekayo:

• Ukuzila ukutya / ngobusuku?
• Ngexesha lokutya? (iiyure ezi-1-3 emva kokutya)
• Apho amanqanaba aphezulu eglucose alandela amanqanaba eglucose aphantsi?
• Emva kokuba ibolus yolungiso inikwe? (1-3 iiyure emva co

I-Hypoglycemia		I-Hyperglycemia
ISISOMBULULO	UMBONISO	ISISOMBULULO
Phakamisa iGlucose ekuJoliswe kuyo (ithagethi ye-algorithm) ngobusuku (eyona iphezulu yi-8.3 mmol/L)	Ukuzila ukutya / ngobusuku	IGlucose ekuJoliswe kuyo ebusuku (eyona nto iphantsi yi-6.1 mmol/L)
Vavanya ukuchaneka kokubala kwe-carb, ixesha le-bolus, kunye nokwakhiwa kokutya. Yenza buthathaka i-I:C Retiations nge-10-20% (umzekelo ukuba 1:10g, tshintshela ku-1:12g	Ngexesha lokutya (iiyure eziyi-1-3 emva kokutya)	Vavanya ukuba i- meal bolus yaphoswa na. Ukuba ewe, fundisa ukunika zonke iiboluses zokutya phambi kokutya. Vavanya ukuchaneka kokubala kwe-carb, ixesha le-bolus, kunye nokwakhiwa kokutya. Yomeleza i-I:C Retiions nge-10-20% (umz. ukusuka ku-1:10g ukuya ku-1:8g)
Ukuba kungenxa yokubhala ngaphezulu kwe-bolus calculator, fundisa umsebenzisi ukuba alandele i-bolus calculator kwaye akuphephe ukugqithisela ukunika ngaphezu kokucetyiswayo. Kusenokubakho i-IOB eninzi evela kwi-AID angayaziyo umsebenzisi. Izinto zokubala ze-Bolus kwi-IOB ukusuka kwi-AID eyongeziweyo xa ubala ukulungiswa kwe-bolus dose.	Apho iswekile ephantsi ilandela iswekile ephezulu
Ukunciphisa ukulungiswa kwe-10-20% (umzekelo ukusuka kwi-3mmol / L ukuya kwi-3.5 mmol / L) ukuba i-hypos iiyure ezingama-2-3 emva kokulungiswa kwe-bolus.	Apho iswekile ephezulu ilandela iswekile ephantsi	Fundisa ukunyanga i-hypoglycaemia ethambileyo ngeegrem ezimbalwa zeekhabhothi (5-10g)
Sebenzisa uphawu loMsebenzi kwiiyure ezi-1-2 phambi kokuba kuqaliswe umthambo. Inqaku lomsebenzi liyakunciphisa ukuhanjiswa kwe-insulin okwethutyana. Ingasetyenziswa ngexesha lokunyuka kwengozi ye-hypoglycemia. Ukusebenzisa isici soMsebenzi, yiya kwi-Main Menu —> Umsebenzi	Ngokujikeleza okanye emva kokuzivocavoca
	Emva kokuba i-bolus yolungiso inikwe (iiyure eziyi-1-3 emva kokulungiswa kwe-bolus)	Yomeleza umba wokulungisa (umzekelo ukusuka kwi-3 mmol/L ukuya kwi-2.5 mmol/L)

1. IGlucose ekujoliswe kuyo (kwizinga le-basal eliguquguqukayo) Iinketho: 6.1, 6.7, 7.2, 7.8, 8.3 mmol/L Can program di!erent targets for di!
2. I:C ulungelelwaniso Kuxhaphakile ukufuna i-I:C Retios eyomeleleyo ne-AID
3. ULungiso lweFactor kunye neXesha le-Insulin eSebenzayo Ezi ziyakuphembelela kuphela iidosi zesibali se-bolus; ayinampembelelo kwi-insulin ezenzekelayo Ukutshintsha useto, cofa i icon yemenyu ephambili kwikona ephezulu ngasekhohlo yesilawuli se-Omnipod 5: -> Useto -> Bolus

NGAPHAMBI kokwenza utshintsho kwiisetingi zokuhanjiswa kwe-insulin, nceda uqinisekise useto lwe-insulin ngaphakathi kwesilawuli se-Omnipod 5 somsebenzisi.

Umsebenzi omkhulu usebenzisa i-Omnipod 5

Ukusebenzisa le nkqubo kunokukunceda ufezekise iinjongo zakho zesifo seswekile.
I-American Diabetes Association icebisa ukuba i-70% ye-glucose yakho ibe phakathi kwe-3.9-10.0 mmol / L, ebizwa ngokuba yi-Time in Range okanye i-TIR. Ukuba okwangoku awukwazi ukufikelela kwi-70% ye-TIR, ungatyhafi! Qala ukusuka apho ukhoyo kwaye ubeke iinjongo ezincinci zokwandisa i-TIR yakho. Nakuphi na ukwanda kwe-TIR yakho kunenzuzo kwimpilo yakho yonke!
KHUMBULA...
Sukucinga kakhulu ngento eyenziwa yi-Omnipod 5 ngasemva.
Nikela ingqalelo kwizinto okwaziyo ukuzenza. Jonga iingcebiso eziluncedo ngezantsi...

IINGCEBISO zeOmnipod 5

• IHYPERGLYCAEMIA>16.7 mmol/L ngeyure ezi-1-2? Jonga ii-ketones kuqala!
  Ukuba iiketoni, nika inaliti yesirinji ye-insulin kwaye ubuyisele iPod.
• Bolus ngaphambi kokutya, ngokufanelekileyo i-10-15 imizuzu ngaphambi kokuba zonke izidlo kunye ne-snacks.
• Musa ukubhala ngaphezulu i-bolus calculator: Ukulungiswa kweedosi ze-bolus zinokuba ncinci kunezilindelweyo ngenxa ye-insulin ebhodini ukusuka kwireyithi ye-basal eguqukayo.
• Yenza ulungiso lwe-bolus kwi-hyperglycemia: Thepha Sebenzisa i-CGM kwi-bolus calculator ukongeza ixabiso le-glucose kunye ne-trend kwi-bolus calculator.
• Nyanga i-hypoglycemia ethambileyo nge-5-10g ye-carb ukunqanda i-hyperglycemia ephindayo kwaye LINDELA i-15 min ngaphambi kokuba uphinde uphathe ukunika i-glucose ixesha lokunyuka. Isistim iya kuba ne-insulin emisiweyo, ekhokelela kwi-insulin encinci ebhodini xa i-hypoglycaemia isenzeka.
• Nxiba iPod kunye neCGM kwicala elifanayo lomzimba ukuze bangaphulukani nonxibelelwano.
• Sula ii-alamu zoMthintelo ngokukhawuleza, lungisa ingxaki ye-hyper/hypo, qinisekisa ukuchaneka kweCGM kwaye utshintshe umva kwiMowudi eSebenzayo.

Unemibuzo malunga neyakho CGM?
dexcom-intl.custhelp.com
Dexcom inkxaso kubathengi
0800 031 5761
Dexcom inkxaso yobuchwephesha
0800 031 5763

Amaxwebhu / Izibonelelo

I-OMNIPOD i-Automated Insulin Delivery System [pdf] Imiyalelo Inkqubo yokuhanjiswa kwe-insulin ngokuzenzekelayo, iNkqubo yokuThuthwa kwe-insulin, iNkqubo yoThutho, iNkqubo

Iimbekiselo

• Incwadi yokusebenzisa