I.
b Harley Street diabetes clinics.
t u. Ib lub twj tso kua mis insulin muaj ib lub twj tso kua mis zoo li lub raj insulin, n, t.
a?
u, Cov twj tso kua mis hauv khw loj li ib lub pager qauv.
n?
t (a) w (m) Qhov kawg uas insulin dhau mus. Lub cannula no muab tso rau hauv qab tawv nqaij, Feem ntau ntawm plab. Lub raj hloov txhua ob hnub. Lub raj tuaj yeem tshem tawm ntawm lub twj thaum ntxuav cev lossis da dej. Lub twj tso kua mis siv rau kev xa insulin txuas ntxiv, 24 Teev ib hnub. Qhov ntau ntawm insulin raug teeb tsa thiab muab raws li tus nqi ruaj khov (Basal rate). Feem ntau, Qhov ntau ntawm insulin uas xav tau thoob plaws lub sijhawm 24 Teev hloov raws li yam xws li kev ua si, Qib kev ua si, Thiab pw tsaug zog.
Lub twj insulin tso cai rau tus neeg siv teeb tsa ntau yam nqi basal sib txawv kom haum rau kev hloov pauv hauv lub neej. Tsis tas li ntawd, Tus neeg siv tuaj yeem teeb tsa lub twj tso kua mis kom xa ib qho bolus (ntau tshuaj insulin) thaum noj mov kom npog qhov xav tau ntau dhau ntawm kev noj carbohydrate.
Lub twj insulin nrov npaum li cas?
Ntau dhau 50,000 cov neeg muaj mob qog ntshav qab zib thoob ntiaj teb tab tom siv ib qho u. Tus naj npawb no tab tom nce sai heev raws li cov cuab yeej no me dua thiab yooj yim siv dua. Cov twj insulin tso cai rau kev tswj ntshav qab zib kom nruj thiab hloov tau yooj yim hauv kev ua neej thaum txo qhov cuam tshuam ntawm ntshav qab zib qis (hypoglycemia). Tam sim no, lub twj yog lub cuab yeej ze tshaj plaws hauv kev lag luam rau pancreas cuav. Nyob rau lub sijhawm tsis ntev los no, cov qauv tshiab ntawm lub twj tau tsim uas tsis xav tau tubing, Tiag tiag – lub cuab yeej xa insulin raug muab tso ncaj qha rau ntawm tawv nqaij thiab txhua qhov kev kho uas tsim nyog rau kev xa insulin ua los ntawm ib qho cuab yeej zoo li PDA uas yuav tsum khaws cia hauv ib qho 6 foot range of the insulin delivery device, and can be worn in a pocket, kept in a purse, or on a tabletop when working.
Probably the most exciting innovation in pump technology is the ability to use the pump in tandem with newer glucose sensing technology. Glucose sensors have improved dramatically in the last few years, and are an option for patients to gain further insight into their patterns of glucose response to tailor a more individual treatment regimen. The newest generation of sensors allows for a real time glucose value to be given to the patient. The implantable sensor communicates wirelessly with a pager-sized device that has a screen. The device is kept in proximity to the sensor to allow for transfer of data, txawm li ntawd los, it can be a few feet away and still receive transmitted information. Depending on the model, the screen displays the blood glucose reading, a thread of readings over time, and a potential rate of change in the glucose values. The sensors can be programmed to produce a “beep” if blood sugars are in a range that is selected as too high or too low. Some can provide a warning beep if the drop in blood sugar is occurring too quickly.
To take things one step further, there is one particular sensor that is new to the market that is designed to communicate directly with the insulin pump. While the pump does not yet respond directly to information from the sensor, it does “request” a response from the patient if there is a need for adjustments according to the patterns it is programmed to detect. The ultimate goal of this technology is to “close the loop” by continuously sensing what the body needs, and then responding by providing the appropriate dose of insulin. While this technology is a few more years in the making, the strides in this direction continue to grow.