Kumlo wesizwe wokulwa nesifo seswekile, isixhobo esifunekayo esikhuthazwa ngokunyanisekileyo kwizigulane sisinye kwikota encinci kwaye sinokugqithwa kwisisu okanye ingalo.
Iimonitha ze-glucose eziqhubekayo zixhotyiswe ngenzwa encinci ehambelana phantsi kwesikhumba, ukunciphisa imfuno yokuba izigulane zihlabe iminwe yazo yonke imihla ukujonga i-glucose yegazi.Imonitha igcina umkhondo wenqanaba le-glucose, ithumela ukufundwa kwiselfowuni yesigulana kunye nogqirha, kwaye ilumkise isigulana xa ukufundwa kuphezulu kakhulu okanye kuphantsi kakhulu.
Ngokwedatha evela kwinkampani yotyalo-mali iBaird, phantse abantu abazizigidi ezi-2 banesifo seswekile namhlanje, eliphinda kabini inani ngo-2019.
Kukho ubungqina obuncinane bokuba i-blood glucose monitoring eqhubekayo (CGM) inesiphumo esingcono sonyango kwizigulane ezininzi zesifo seswekile-iingcali zempilo zithi abantu abaqikelelwa kwi-25 yezigidi abane-type 2 yesifo e-United States abanalo iinaliti ze-insulin zokulawula iswekile yegazi.Nangona kunjalo, umenzi, kunye noogqirha abathile kunye neenkampani ze-inshurensi, wathi xa kuthelekiswa novavanyo lweminwe yemihla ngemihla, isixhobo sinceda izigulana ukulawula isifo seswekile ngokubonelela ngempendulo esondeleyo ngokukhawuleza ukutshintsha ukutya kunye nokuzilolonga.Bathi oku kunokunciphisa ubunzima bezifo, ezifana nokuhlaselwa yintliziyo kunye ne-stroke.
UGqr. Silvio Inzucchi, umlawuli weZiko leSishukela saseYale, wathi iimonitha eziqhubekayo zeglucose yegazi azibizi kakhulu kwizigulane ezine-type 2 yeswekile ezingasebenzisi i-insulin.
Uthe kuqinisekile ukuba ukuphuma kwesixhobo engalweni kanye kwiiveki ezimbini kulula kakhulu kunokuba neminwe emininzi exabisa ngaphantsi kwe-1 yeedola ngosuku.Kodwa "kwizigulana eziqhelekileyo zesifo seswekile zesi-2, ixabiso lezi zixhobo alikho ngqiqweni kwaye alinakusetyenziswa rhoqo."
Ngaphandle kwe-inshurensi, iindleko zonyaka zokusebenzisa i-monitor ye-glucose yegazi eqhubekayo iphakathi kwe-$ 1,000 kunye ne-3,000 yeedola.
Abantu abanesifo seswekile sohlobo loku-1 (engavelisi i-insulin) bafuna idatha rhoqo kwimonitha ukuze batofe iidosi ezifanelekileyo zeehomoni zokwenziwa ngempompo okanye isirinji.Ngenxa yokuba iinaliti ze-insulin zinokubangela ukwehla kweswekile ebeka ubomi babo esichengeni, ezi zixhobo zikwalumkisa izigulana xa oku kusenzeka, ngakumbi ngexesha lokulala.
Izigulane ezinesifo seswekile esinesinye isifo zenza i-insulin ukulawula ukunyuka kweswekile yegazi emva kokutya, kodwa imizimba yabo ayiphenduli ngamandla kubantu abangenaso isifo.Ngokumalunga ne-20% yezigulane ze-2 zisafaka i-insulin ngenxa yokuba imizimba yabo ayikwazi ukufumana izondlo ezaneleyo kwaye amayeza omlomo akakwazi ukulawula isifo seswekile.
Oogqirha bahlala becebisa abanesifo seswekile ukuba bavavanye i-glucose yabo ekhaya ukuze balandele ukuba ngaba bafikelela kwiinjongo zonyango kunye nokuqonda indlela amayeza, ukutya, umthambo kunye noxinzelelo oluchaphazela ngayo amanqanaba eswekile yegazi.
Nangona kunjalo, uvavanyo lwegazi olubalulekileyo olusetyenziswa ngoogqirha ukujonga isifo seswekile kwizigulane ezinesifo sohlobo lwe-2 lubizwa ngokuba yi-hemoglobin A1c, enokulinganisa amanqanaba eswekile yegazi ixesha elide.Akukho luvavanyo lwencam yomnwe okanye isijongi seswekile yegazi siya kujonga kwi-A1c.Ekubeni olu vavanyo lubandakanya isixa esikhulu segazi, alunakwenziwa elabhoratri.
Iimonitha zeswekile yegazi eziqhubekayo nazo aziyivavanyi iswekile yegazi.Endaweni yoko, balinganisa amanqanaba eglucose phakathi kwezicubu, ezingamanqanaba eswekile afumaneka kulwelo oluphakathi kweeseli.
Inkampani ibonakala izimisele ukuthengisa imonitha ukuchwetheza abaguli abanesifo seswekile esi-2 (bobabini abantu abatofa i-insulin kunye nabantu abangayenziyo) kuba le yintengiso yabantu abangaphezu kwezigidi ezingama-30.Ngokwahlukileyo koko, malunga ne-1.6 yezigidi zabantu banesifo seswekile.
Ukuhla kwamaxabiso kuye kwanyusa ukukhula kwemfuno yemiboniso.I-Abbott's FreeStyle Libre yenye yezona zinto ziphambili kwaye zinexabiso eliphantsi.Isixhobo sixabisa i-US$70 kwaye isivamvo sixabisa malunga ne-US$75 ngenyanga, ekufuneka itshintshwe qho kwiiveki ezimbini.
Phantse zonke iinkampani ze-inshorensi zibonelela ngokuqhubekayo ngabahloli be-glucose yegazi kubantu abanesifo seswekile se-1, eyona nto isebenzayo esindisa ubomi babo.Ngokutsho kukaBaird, phantse isiqingatha sabantu abanesifo seswekile sohlobo loku-1 ngoku basebenzisa iimonitha.
Inani elincinci kodwa elikhulayo leenkampani ze-inshurensi sele ziqalile ukubonelela nge-inshurensi yezonyango kwezinye izigulane ze-2 ezingasebenzisi i-insulin, kuquka i-UnitedHealthcare kunye ne-Maryland-based CareFirst BlueCross BlueShield.Ezi nkampani ze-inshorensi zithi ziphumelele impumelelo yokuqala ekusebenziseni iimonitha kunye nabaqeqeshi bezempilo ukuze bancede ukulawula amalungu abo esifo sikashukela.
Esinye sezifundo ezimbalwa (ezininzi zihlawulwa ngumenzi wezixhobo, kwaye ngexabiso eliphantsi) uye wafunda impembelelo yabahloli kwimpilo yezigulane, kwaye iziphumo zibonise iziphumo eziphikisanayo ekunciphiseni i-hemoglobin A1c.
U-Inzucchi uthe ngaphandle koku, lo mkhangeli uncede abanye babaguli bakhe abangayifuniyo i-insulin kunye nabangakuthandiyo ukugqobhoza iminwe yabo ukuze batshintshe indlela abatya ngayo kwaye banciphise amanqanaba eswekile yegazi.Oogqirha bathi abanabo ubungqina bokuba ukufundwa kunokwenza utshintsho oluhlala luhlala kwizigulane zokutya kunye nemikhwa yokuzivocavoca.Bathi izigulana ezininzi ezingasebenzisi i-insulin zingcono ukuba ziye kwiiklasi zokufundisa ngesifo seswekile, ukuya kwindawo yokuzivocavoca okanye ukubona ingcali yezondlo.
UGqr. Katrina Donahue, umlawuli wophando weSebe lezaNyango zeNtsapho kwiYunivesithi yaseNorth Carolina, wathi: "Ngokusekelwe kubungqina bethu obukhoyo, ndikholelwa ukuba i-CGM ayinalo ixabiso elongezelelweyo kweli lizwe."“Andiqinisekanga ngezigulane ezininzi., Nokuba iteknoloji engakumbi iyimpendulo echanekileyo.”
U-Donahue ungumbhali-mbhali wesifundo esibalulekileyo kwi-JAMA Internal Medicine kwi-2017. Uphononongo lubonise ukuba emva konyaka, uvavanyo lweminwe ukujonga rhoqo izinga legazi le-glucose yezigulane ezinesifo sikashukela sohlobo lwe-2 ayinanzuzo ekunciphiseni i-hemoglobin A1c.
Ukholelwa ukuba, ekuhambeni kwexesha, le milinganiselo ayitshintshanga ukutya kwesigulana kunye nemikhwa yokuzilolonga-okufanayo kunokuba yinyani kwiimonitha zeglucose eziqhubekayo.
UVeronica Brady, ingcali yemfundo yesifo seswekile kwiZiko leSayensi yezeMpilo yeYunivesithi yaseTexas kunye nesithethi soMbutho weeNgcali zeSekile kunye neeNgcali zeMfundo, wathi: “Simele siyilumkele indlela yokusebenzisa iCGM.”Uthe ukuba abantu Aba bahloli benza ingqiqo kwiiveki ezimbalwa xa betshintsha amayeza anokuthi achaphazele amanqanaba eswekile yegazi, okanye abo bangenaso saneleyo sokwenza iimvavanyo zeminwe.
Nangona kunjalo, ezinye izigulana ezifana neTrevis Hall zikholelwa ukuba iliso linokubanceda ukulawula isifo sabo.
Kulo nyaka uphelileyo, njengenxalenye yesicwangciso sokunceda ukulawula isifo seswekile, isicwangciso sezempilo seHolo “United Healthcare” sambonelela simahla.Uthe ukudibanisa imonitha kwisisu kabini ngenyanga akuyi kubangela ukuphazamiseka.
Idatha ibonisa ukuba iHolo, i-53, esuka e-Fort Washington, eMaryland, yathi i-glucose yakhe iya kufikelela kumanqanaba ayingozi ngosuku.Uthe nge-alam esiza kuyithumela efowunini: “Yayiyothusa ekuqaleni.”
Kwiinyanga ezimbalwa ezidlulileyo, oku kufundwa kuye kwamnceda ukuba atshintshe indlela atya ngayo kwaye enze iipatheni zokuzilolonga ukuthintela ezi spikes kunye nokulawula isifo.Le mihla, oku kuthetha ukuhamba ngokukhawuleza emva kokutya okanye ukutya imifuno kwisidlo sakusihlwa.
Aba benzi baye bachitha izigidi zeerandi ukuba babongoze oogqirha ukuba banike iimonitha zeglucose eziqhubekayo, kwaye babhengeza izigulane ngokuthe ngqo kwiintengiso ze-intanethi kunye ne-TV, kuquka ne-Super Bowl yalo nyaka yimvumi uNick Jonas (uNick Jonas).Jonas) ehamba phambili kwiintengiso eziqhubekayo.
U-Kevin Sayer, i-CEO ye-Dexcom, omnye wabavelisi abahamba phambili bemiboniso, uxelele abahlalutyi kunyaka ophelileyo ukuba i-non-insulin yohlobo lwe-2 yemakethe yikamva.“Iqela lethu lisoloko lindixelela ukuba xa le marike ikhula, iza kugqabhuka.Ayizukuba ncinci, kwaye ayizukucotha,” utshilo.
Wongeze wathi: "Ndicinga ukuba izigulana ziya kuhlala ziyisebenzisa ngexabiso elifanelekileyo kunye nesisombululo esifanelekileyo."
Ixesha lokuposa: Mar-15-2021