Pankhondo yadziko lonse yolimbana ndi mliri wa shuga, chida chofunikira chomwe chimalimbikitsidwa kwambiri kwa odwala ndi gawo limodzi mwa magawo atatu ang'onoang'ono ndipo chitha kuvala pamimba kapena mkono.
Ma glucometer osalekeza amakhala ndi kachipangizo kakang'ono komwe kamalowa pansi pakhungu, kumachepetsa kufunika kwa odwala kuti azibaya zala zawo tsiku lililonse kuti awone shuga.Woyang'anira amayang'anira kuchuluka kwa shuga, kutumiza zowerengera ku foni yam'manja ya wodwalayo ndi dokotala, ndikudziwitsa wodwalayo ngati kuwerengako kwakwera kwambiri kapena kutsika kwambiri.
Malinga ndi zomwe kampani yopanga ndalama ya Baird ipeza, anthu pafupifupi 2 miliyoni ali ndi matenda a shuga masiku ano, omwe ndi owirikiza kawiri mu 2019.
Pali umboni wochepa wosonyeza kuti kuyang'anira shuga wamagazi mosalekeza (CGM) kumakhala ndi chithandizo chabwino kwambiri kwa odwala ambiri odwala matenda ashuga-akatswiri a zaumoyo amati pafupifupi anthu 25 miliyoni omwe ali ndi matenda amtundu wa 2 ku United States alibe jakisoni wa insulin kuti azitha kuyendetsa shuga wawo wamagazi.Komabe, wopanga, komanso madotolo ndi makampani a inshuwaransi, adanena kuti poyerekeza ndi kuyesa kwa chala cha tsiku ndi tsiku, chipangizochi chimathandiza odwala matenda a shuga mwa kupereka ndemanga zapafupi kuti asinthe zakudya ndi masewera olimbitsa thupi.Iwo ati izi zingathandize kuchepetsa mavuto okwera mtengo a matenda monga matenda a mtima ndi sitiroko.
Dr. Silvio Inzucchi, yemwe ndi mkulu wa bungwe la Yale Diabetes Center, ananena kuti kuwunika kwa shuga m’magazi mosalekeza sikuwononga ndalama zambiri kwa odwala matenda amtundu wa 2 amene sagwiritsa ntchito insulin.
Iye ananena kuti n’zosakayikitsa kuti kutulutsa chipangizocho m’manja kamodzi pakatha milungu iwiri iliyonse n’kosavuta kusiyana ndi kukhala ndi timitengo tambirimbiri tomwe timawononga ndalama zosakwana $1 patsiku.Koma "kwa odwala matenda a shuga amtundu wa 2, mtengo wa zidazi ndi wopanda pake ndipo sungagwiritsidwe ntchito mwachizolowezi."
Popanda inshuwaransi, mtengo wapachaka wogwiritsa ntchito glucometer mosalekeza uli pakati pa $1,000 ndi $3,000.
Anthu omwe ali ndi matenda a shuga a mtundu woyamba (wosapanga insulini) amafunikira chidziwitso pafupipafupi kuchokera kwa wowunikira kuti abaye mlingo woyenera wa mahomoni opangira kudzera papampu kapena syringe.Chifukwa jakisoni wa insulin angayambitse kutsika kwa shuga m'magazi, zidazi zimachenjezanso odwala izi zikachitika, makamaka akagona.
Odwala omwe ali ndi matenda a shuga a mtundu wa 2 omwe ali ndi matenda ena amapanga insulini kuti athetse kukwera kwa shuga m'magazi atatha kudya, koma matupi awo samayankha mwamphamvu kwa anthu omwe alibe matendawa.Pafupifupi 20% ya odwala amtundu wa 2 amabayabe jakisoni wa insulin chifukwa matupi awo satha kupeza chakudya chokwanira komanso mankhwala amkamwa sangathe kuwongolera matenda awo a shuga.
Madokotala nthawi zambiri amalangiza odwala matenda a shuga kuti ayeze shuga wawo kunyumba kuti awone ngati akukwaniritsa zolinga za chithandizo komanso kumvetsetsa momwe mankhwala, zakudya, masewera olimbitsa thupi, komanso kupsinjika zimakhudzira shuga wamagazi.
Komabe, kuyezetsa magazi kofunika kwambiri komwe madokotala amagwiritsa ntchito kuwunika matenda a shuga mwa odwala omwe ali ndi matenda amtundu wa 2 kumatchedwa hemoglobin A1c, yomwe imatha kuyeza kuchuluka kwa shuga m'magazi kwa nthawi yayitali.Ngakhale kuyezetsa kwachala kapena kuwunika kwa shuga m'magazi sikungayang'ane A1c.Popeza kuti kuyezetsa kumeneku kumaphatikizapo magazi ochuluka, sikungachitidwe m’ma laboratories.
Ma glucometer osalekeza samayesanso shuga wamagazi.M'malo mwake, anayeza milingo ya glucose pakati pa minofu, yomwe ndi milingo ya shuga yomwe imapezeka m'madzi apakati pa ma cell.
Kampaniyo ikuwoneka kuti yatsimikiza kugulitsa zowunikira kwa odwala omwe ali ndi matenda a shuga amtundu wa 2 (onse omwe amabaya insulini ndi omwe samatero) chifukwa uwu ndi msika wa anthu opitilira 30 miliyoni.Mosiyana ndi zimenezi, anthu pafupifupi 1.6 miliyoni ali ndi matenda a shuga a mtundu woyamba.
Kutsika kwamitengo kwakulitsa kukula kwa kufunikira kwa zowonetsera.Abbott's FreeStyle Libre ndi imodzi mwazinthu zotsogola komanso zotsika mtengo kwambiri.Chipangizocho ndi mtengo wa US $ 70 ndipo sensa imawononga pafupifupi US $ 75 pamwezi, yomwe iyenera kusinthidwa milungu iwiri iliyonse.
Pafupifupi makampani onse a inshuwaransi amapereka zowunikira mosalekeza za shuga wamagazi kwa anthu omwe ali ndi matenda a shuga 1, omwe ndi udzu wopulumutsa moyo kwa iwo.Malinga ndi a Baird, pafupifupi theka la anthu omwe ali ndi matenda a shuga a mtundu woyamba tsopano amagwiritsa ntchito zowunikira.
Makampani a inshuwaransi ochepa koma omwe akuchulukirachulukira ayamba kupereka inshuwaransi yachipatala kwa odwala amtundu wa 2 omwe sagwiritsa ntchito insulin, kuphatikiza UnitedHealthcare ndi Maryland-based CareFirst BlueCross BlueShield.Makampani a inshuwaransiwa adati adachita bwino poyambira kugwiritsa ntchito oyang'anira ndi othandizira azaumoyo kuti athandizire kuwongolera omwe ali ndi matenda a shuga.
Mmodzi mwa maphunziro owerengeka (omwe amalipidwa kwambiri ndi opanga zipangizo, komanso pamtengo wotsika) adaphunzira zotsatira za owunika pa thanzi la odwala, ndipo zotsatira zake zasonyeza zotsatira zotsutsana pakuchepetsa hemoglobin A1c.
Inzucchi adati ngakhale izi zidachitika, wowunikirayo adathandizira odwala ake ena omwe safuna insulin komanso sakonda kuboola zala kuti asinthe kadyedwe kawo ndikuchepetsa shuga m'magazi.Madokotala adanena kuti alibe umboni wosonyeza kuti zowerengerazo zingapangitse kusintha kosatha m'madyedwe a odwala ndi masewera olimbitsa thupi.Akuti odwala ambiri omwe sagwiritsa ntchito insulin ndi bwino kupita ku makalasi ophunzitsa matenda a shuga, kupita ku malo ochitira masewera olimbitsa thupi kapena kukaonana ndi akatswiri azakudya.
Dr. Katrina Donahue, wotsogolera kafukufuku wa Dipatimenti ya Family Medicine pa yunivesite ya North Carolina, anati: “Malinga ndi umboni umene ulipo, ndikukhulupirira kuti CGM ilibe phindu lowonjezereka mwa anthu ameneŵa.”“Sindikudziwa za odwala ambiri., Kaya luso lazopangapanga ndi yankho lolondola.”
Donahue ndiye wolemba nawo kafukufuku wodziwika bwino mu JAMA Internal Medicine mu 2017. Kafukufukuyu adawonetsa kuti patatha chaka chimodzi, kuyezetsa kwachala kwanthawi zonse kuti muwone kuchuluka kwa shuga m'magazi a odwala omwe ali ndi matenda amtundu wa 2 sikuli kopindulitsa pakutsitsa hemoglobin A1c.
Amakhulupirira kuti, m'kupita kwanthawi, miyeso iyi sinasinthe kadyedwe kake komanso machitidwe olimbitsa thupi - zomwezo zitha kukhala zowona kwa oyang'anira magazi mosalekeza.
Veronica Brady, katswiri wa zamaphunziro a shuga ku University of Texas Health Sciences Center komanso mneneri wa Association of Diabetes Care and Education Experts, anati: “Tiyenera kusamala ndi mmene tingagwiritsire ntchito CGM.”Anati ngati anthu Oyang'anirawa amakhala omveka kwa milungu ingapo posintha mankhwala omwe angakhudze kuchuluka kwa shuga m'magazi, kapena kwa omwe alibe mphamvu zokwanira zoyesa zala.
Komabe, odwala ena ngati Trevis Hall amakhulupirira kuti chowunikiracho chingawathandize kuthana ndi matenda awo.
Chaka chatha, monga gawo la dongosolo lothandizira kuwongolera matenda a shuga, dongosolo laumoyo la Hall "United Healthcare" linamupatsa zowunikira kwaulere.Iye adanena kuti kulumikiza polojekitiyo pamimba kawiri pamwezi sikungabweretse vuto.
Zambiri zikuwonetsa kuti Hall, wazaka 53, waku Fort Washington, Maryland, adati shuga yake ifika pamlingo wowopsa patsiku.Ananena za alamu yomwe chipangizocho chidzatumiza ku foni: "Zinali zodabwitsa poyamba."
M’miyezi ingapo yapitayo, kuŵerenga kumeneku kwamuthandiza kusintha kadyedwe kake ndi machitidwe ochita masewero olimbitsa thupi kuti apewe ma spikes ndi kulamulira matendawa.Masiku ano, izi zikutanthauza kuyenda mofulumira mutatha kudya kapena kudya masamba pa chakudya chamadzulo.
Opanga amenewa awononga ndalama zokwana madola mamiliyoni ambiri kulimbikitsa madokotala kuti azipereka mankhwala oti azionetsetsa kuti magazi awo n’ngosalekeza, ndipo amalengeza odwala pa Intaneti ndi pa TV, kuphatikizapo mu Super Bowl ya chaka chino yolembedwa ndi woimba Nick Jonas (Nick Jonas).Jonas) akuchita nawo malonda amoyo.
Kevin Sayer, CEO wa Dexcom, m'modzi mwa otsogola opanga zowonetsera, adauza akatswiri chaka chatha kuti msika wamtundu wa 2 wopanda insulin ndi tsogolo.“Timu yathu nthawi zambiri imandiuza kuti msikawu ukadzakula umaphulika.Sichidzakhala chaching'ono, ndipo sichidzachedwa," adatero.
Ananenanso kuti: "Ineyo ndikuganiza kuti odwala azizigwiritsa ntchito pamtengo woyenera komanso njira yoyenera."
Nthawi yotumiza: Mar-15-2021