I-OMNIPOD Imiyalelo Yesistimu Yokulethwa Kwe-insulin Ezenzakalelayo

IMIYALELO YOKUSEBENZISA

1. Dawuniloda idivayisi yomsebenzisi ku-My.Glooko.com—> Setha izilungiselelo zombiko ku-Tage Range 3.9-10.0 mmol/L
2. Dala imibiko—> 2 amaviki —> Khetha: a. Isifinyezo se-CGM;
   b. Isonto View; kanye c. Amadivayisi
3. Landela leli phepha ukuze uthole isiqondiso sesinyathelo nesinyathelo ekuhlolweni komtholampilo, imfundo yabasebenzisi kanye nokulungiswa komthamo we-insulin.

ISINYATHELO 1 ISITHOMBE ESIKHULU (AMAPHETHINI)
—> ISINYATHELO 2 ISITHOMBE ESINCANE (IZIZATHU)
—> UHLELO LWESINYATHELO 3 (AMASOLUTIONS)

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

C | IBALA KANJANI

• Ukulethwa kwe-basal insulin okuzenzakalelayo kubalwa kusukela kungqikithi ye-insulin yansuku zonke, ebuyekezwayo ngoshintsho lwePod ngayinye (isilinganiso se-basal esivumelana nezimo).
• Ibala umthamo we-insulin njalo emizuzwini emi-5 ngokusekelwe kumazinga eglucose abikezelwe emizuzwini engama-60 ezayo.

A | OUNGAKULUNGILE

• Ingalungisa i-algorithm's Target Glucose (6.1, 6.7, 7.2, 7.8, 8.3 mmol/L) ngenani eliyisisekelo eliguqukayo.
• Ngingalungisa mina:Izilinganiso C, izici zokulungisa, isikhathi se-insulin esisebenzayo sezilungiselelo ze-bolus.
• Ayikwazi ukushintsha izilinganiso ze-basal (amazinga ayisisekelo ahleliwe awasetshenziswa Kumodi Ezenzakalelayo).

R | Uma IBUYELA kumodi eyenziwa ngesandla

• Isistimu ingase ibuyele kokuthi Imodi Ezenzakalelayo: Inomkhawulo (isilinganiso esiyisisekelo esimile esinqunywa isistimu; hhayi ngokususelwa ku

Inani/ithrendi ye-CGM) ngezizathu ezi-2:

1.  Uma i-CGM iyeka ukuxhumana ne-Pod imizuzu engama-20. Izoqalisa kabusha okuzenzakalelayo okugcwele lapho i-CGM ibuya.
2. Uma i-alamu Yokuvinjelwa Kokulethwa Okuzenzakalelayo ivela (ukulethwa kwe-insulin kumisiwe okwesikhashana noma lapho ukulethwa okuphezulu kuba yinde kakhulu). I-alamu kufanele isulwe ngumsebenzisi futhi ufake Imodi Yemanuwali imizuzu emi-5. Ingavula futhi Imodi Ezenzakalelayo ngemva kwemizuzu emi-5.

E | UFUNDA KANJANI

• I-Bolus ngaphambi kokudla, kuhle imizuzu eyi-10-15 ngaphambili.
• Thepha okuthi Sebenzisa i-CGM kusibali se-bolus ukuze wengeze inani le-glucose nethrendi kusibali se-bolus.
• Yelapha i-hypoglycemia emnene nge-5-10g carb ukuze ugweme i-hyperglycemia ephindaphindayo futhi LINDA imizuzu eyi-15 ngaphambi kokwelapha kabusha ukuze unikeze isikhathi sokukhuphuka kweglucose.
• Ukuhluleka kwesayithi lokumnika: Hlola ama-ketones bese ushintsha i-Pod uma i-hyperglycemia iqhubeka (isb. 16.7 mmol/L for > 90 min) naphezu kokulungiswa kwe-bolus. Nikeza umjovo wesirinji kuma-ketone.

S | Izici zenzwa/YABELANA

• I-Dexcom G6 engadingi ukulinganiswa.
•  Kumelwe usebenzise uhlelo lokusebenza lweselula lwe-G6 ku-smartphone ukuze uqale inzwa ye-CGM (ayikwazi ukusebenzisa isamukeli se-Dexcom noma Isilawuli se-Omnipod 5).
• Ingasebenzisa I-Dexcom Yabelana ngokuqapha okukude kwe-CGM dat

1. Gxila ekuziphatheni: Ukugqoka i-CGM ngokungaguquki, ukunikeza wonke ama-bolus, njll.
2. Lapho ulungisa izilungiselelo zephampu ye-insulin, gxila kakhulu ku-Target Glucose nezilinganiso ze-I:C.
3. Ukwenza isistimu ibe nolaka kakhulu: Yehlisa I-Glucose Eqondiwe, khuthaza umsebenzisi ukuthi anikeze ama-bolus amaningi futhi aqinise izilungiselelo ze-bolus (isb. Isilinganiso se-I:C) ukuze kwandiswe inani le-insulin yansuku zonke (eqhuba ukubala okuzenzakalelayo).
4. Gwema ukucabanga ngokweqile ngokulethwa kwe-basal okuzenzakalelayo. Gxila Kuso sonke Isikhathi Ebangeni (TIR), nokuthuthukisa ukusetshenziswa kwesistimu, ukuziphatha kwe-bolus nemithamo ye-bolus.

% Isikhathi I-CGM Isebenza:
Uma u-<90%, xoxa ngokuthi kungani:

• Izinkinga zokufinyelela izinsiza/izinzwa ezingahlali izinsuku eziyi-10?
  —>Thinta i-Dexcom ukuze uthole izinzwa ezishintshayo
• Izinkinga zesikhumba noma ubunzima bokugcina inzwa ivuliwe?
  ->Zungezisa amasayithi okufaka izinzwa (izingalo, izinqe, izinqe, isisu)
  ->Sebenzisa imikhiqizo yokuvimbela, ama-tackifiers, ama-overtapes kanye/noma isikhiphi sokunamathisela ukuvikela isikhumba

Skena KU VIEW:
pantherprogram.org/ skin-solutions

Imodi Ezenzakalelayo %:
Uma u-<90%, hlola ukuthi kungani:
Gcizelela umgomo ukusebenzisa Imodi Ezenzakalelayo ngangokunokwenzeka

Okuzenzakalelayo: Kukhawulelwe %:
Uma > 5%, hlola ukuthi kungani:

• Ngenxa yezikhala kudatha ye-CGM?
  —>Review ukubekwa kwedivayisi: gqoka i-Pod ne-CGM ohlangothini olulodwa lomzimba / "kumugqa wokubona" ​​ukuze uthuthukise ukuxhumana kwe-Pod-CGM
• Ngenxa yokuvinjelwa kokulethwa okuzenzakalelayo (ukulethwa okuncane/okukhulu) ama-alamu?
  -> Fundisa umsebenzisi ukuthi asule i-alamu, hlola i-BG njengoba kudingeka, futhi ngemva kwemizuzu engu-5 shintsha imodi ubuyele kuModi Ezenzakalelayo (ngeke ibuyele Kumodi Ezenzakalelayo)

B Ingabe umsebenzisi unikeza ama-bolus okudla?

1. Umgomo walokhu kwelashwa kabushaview ukukhulisa Isikhathi Ebangeni (3.9-10.0 mmol/L) kuyilapho unciphisa Isikhathi Esingaphansi Kwebanga (< 3.9 mmol/L)
2. Ingabe Isikhathi Esingezansi Kwebanga singaphezu kuka-4%? Uma YEBO, gxila ekwehliseni amaphethini we i-hypoglycemic coma If CHA, gxila ekwehliseni amaphethini we i-hyperglycemia

C ingabe umsebenzisi uhlangana ne-Glycemic Target?
Isikhathi Ebangeni (TIR)Umgomo ngu->70%
3.9-10.0mmol / L “Ibanga Lethagethi”
Isikhathi Esingezansi Kobubanzi (TBR)Umgomo ngu-<4%
<3.9 mmol/L “Phansi” + "Kuphansi kakhulu"

Isikhathi Ngaphezu Kwebanga (TAR)Umgomo ngu-<25%
> 10.0 mmol/L "Phezulu" + "Phezulu kakhulu"

Sebenzisa Iviki View kanye nengxoxo nomsebenzisi ukuze kutholwe izimbangela zamaphethini e-glycemic ahlonzwe KUSINYATHELO SOKU-1 (i-hypoglycemia noma i-hyperglycemia).

Ingabe i i-hypoglycemic coma iphethini eyenzekayo:

• Ukuzila ukudla/Ubusuku bonke?
• Ngesikhathi sokudla?
  (Amahora angu-1-3 ngemva kokudla)
• Lapho amazinga eglucose ephansi elandela amazinga aphezulu eglucose?
• Ngaphakathi noma ngemva kokuzivocavoca?

Ingabe i i-hyperglycemia iphethini eyenzekayo:

• Ukuzila ukudla/Ubusuku bonke?
• Ngesikhathi sokudla? (Amahora angu-1-3 ngemva kokudla)
• Lapho amazinga eglucose ephezulu elandela amazinga eglucose aphansi?
• Ngemuva kokunikezwa i-bolus yokulungisa? (Amahora angu-1-3 ngemva kwe-co

I-Hypoglycemia		I-Hyperglycemia
ISIXAZULULO	I-PATTERN	ISIXAZULULO
Yenyusa i-Target Glucose (target algorithm) ngobusuku bonke (iphezulu ngu-8.3 mmol/L)	Ukuzila ukudla / ebusuku	I-Lower Target Glucose ngobusuku bonke (eliphansi liyi-6.1 mmol/L)
Hlola ukunemba kokubala kwe-carb, isikhathi se-bolus, nokwakheka kokudla. Yenza buthaka I:C Izilinganiso ngo-10-20% (isb uma 1:10g, shintshela ku-1:12g	Ngesikhathi sokudla (amahora angu-1-3 ngemva kokudla)	Hlola ukuthi i- meal bolus igejiwe yini. Uma kunjalo, fundisa ukunikeza wonke ama-bolus okudla ngaphambi kokudla. Hlola ukunemba kokubala kwe-carb, isikhathi se-bolus, nokwakheka kokudla. Qinisa I:C Izilinganiso ngo-10-20% (isb ukusuka ku-1:10g ukuya ku-1:8g)
Uma ngenxa yokukhishwa kwesibali se-bolus, fundisa umsebenzisi ukuthi alandele isibali se-bolus futhi agweme ukubhala ngaphezulu ukuze anikeze okungaphezu kokunconyiwe. Kungase kube nenqwaba ye-IOB evela ku-AID umsebenzisi angayazi. Izici zokubala ze-Bolus ku-IOB zisuka ku-AID eyengeziwe lapho kubalwa umthamo we-bolus wokulungisa.	Lapho i-glucose ephansi ilandela i-glucose ephezulu
Yenza buthakathaka isici sokulungisa ngo-10-20% (isb. kusuka ku-3mmol/L kuya ku-3.5 mmol/L) uma i-hypos emahoreni angu-2-3 ngemva kokulungiswa kwe-bolus.	Lapho i-glucose ephezulu ilandela i-glucose ephansi	Fundisa ukwelapha i-hypoglycemia emnene ngamagremu ambalwa wama-carbohydrate (5-10g)
Sebenzisa isici somsebenzi amahora angu-1-2 ngaphambi kokuthi kuqale ukuvivinya umzimba. Isici somsebenzi sizonciphisa ukulethwa kwe-insulin okwesikhashana. Ingasetshenziswa ngezikhathi zokukhuphuka kwengozi ye-hypoglycemia. Ukusebenzisa isici somsebenzi, yiya ku-Main Menu —> Umsebenzi	Cishe noma ngemva kokuzivocavoca
	Ngemuva kokuthi i-bolus yokulungisa inikezwe (amahora angu-1-3 ngemva kokulungiswa kwe-bolus)	Qinisa isici sokulungisa (isb. ukusuka ku-3 mmol/L kuye ku-2.5 mmol/L)

1. I-Glucose eqondiwe (yezinga eliyisisekelo eliguquguqukayo) Izinketho: 6.1, 6.7, 7.2, 7.8, 8.3 mmol/L Ingakwazi ukuhlela okuhlosiwe okuhlukile ngezikhathi ezahlukene zosuku
2. I:C Izilinganiso Kujwayelekile ukudinga izilinganiso ze-I:C ezinamandla ne-AID
3. Isici Sokulungisa Nesikhathi Se-insulin Esebenzayo Lokhu kuzothonya kuphela imithamo yokubala ye-bolus; ayinamthelela ku-insulin ezenzakalelayo Ukuze ushintshe izilungiselelo, cindezela isithonjana semenyu enkulu ekhoneni eliphezulu kwesokunxele lesilawuli se-Omnipod 5: —> Izilungiselelo —> I-Bolus

NGAPHAMBI kokwenza izinguquko kuzilungiselelo zokulethwa kwe-insulin, sicela uqinisekise izilungiselelo ze-insulin ngaphakathi kwesilawuli somsebenzisi se-Omnipod 5.

Umsebenzi omuhle usebenzisa i-Omnipod 5

Ukusebenzisa lolu hlelo kungase kukusize ufinyelele izinhloso zakho zesifo sikashukela.
I-American Diabetes Association iphakamisa ukuthi kuhloswe ukuthi u-70% wamazinga akho eglucose abe phakathi kuka-3.9-10.0 mmol/L, okubizwa ngokuthi i-Time in Range noma i-TIR. Uma okwamanje ungakwazi ukufinyelela ku-70% TIR, ungadangali! Qala lapho ukhona futhi ubeke imigomo emincane yokwandisa i-TIR yakho. Noma yikuphi ukwanda kwe-TIR yakho kunenzuzo empilweni yakho yonke!
KHUMBULA...
Ungacabangi ngokweqile ukuthi i-Omnipod 5 yenzani ngemuva.
Gxila kulokho ongakwenza. Bona amathiphu awusizo ngezansi...

AMACEBISO e-Omnipod 5

• I-HYPERGLYCAEMIA>16.7 mmol/L amahora angu-1-2? Hlola ama-ketones kuqala!
  Uma ama-ketones, nikeza umjovo wesirinji we-insulin bese ubuyisela iPod.
• Bolus ngaphambi kokudla, kuhle imizuzu eyi-10-15 ngaphambi kwakho konke ukudla nokudla okulula.
• Ungasikhiphi isibali se-bolus: Imithamo ye-bolus yokulungisa ingase ibe mincane kunokulindelekile ngenxa ye-insulin ebhodini ukusuka kuzinga le-basal eliguquguqukayo.
• Nikeza ama-bolus okulungiswa kwe-hyperglycemia: Thepha okuthi Sebenzisa i-CGM kusibali se-bolus ukuze wengeze inani le-glucose nethrendi kusibali se-bolus.
• Yelapha i-hypoglycemia emnene nge-5-10g carb ukuze ugweme i-hyperglycemia ephindayo futhi LINDA imizuzu engu-15 ngaphambi kokwelapha kabusha ukuze unikeze isikhathi se-glucose sokukhuphuka. Isistimu izobe imise i-insulin, okuholela ekutheni kungene i-insulin encane lapho kwenzeka i-hypoglycemia.
• Gqoka i-Pod ne-CGM ohlangothini olulodwa lomzimba ukuze bangalahlekelwa ukuxhumana.
• Sula ama-alamu Omkhawulo wokulethwa ngokushesha, xazulula inkinga nge-hyper/hypo, qinisekisa ukunemba kwe-CGM bese ubuyela ku-Automated Mode.

Unemibuzo mayelana nawe CGM?
dexcom-intl.custhelp.com
Ukwesekwa kwamakhasimende e-Dexcom
0800 031 5761
Ukusekelwa kwezobuchwepheshe kwe-Dexcom
0800 031 5763

Amadokhumenti / Izinsiza

I-OMNIPOD Automated Insulin Delivery System [pdf] Iziyalezo I-Automated Insulin Delivery System, Uhlelo Lokulethwa Kwe-insulin, Uhlelo Lokulethwa, Uhlelo

Izithenjwa

• Imaniwali yosebenzisayo