Glucose Self-Monitoring

Kakaretso ea lefu la tsoekere mellitus
Diabetes Mellitus ke boemo bo sa foleng ba metabolic, bo khetholloang ke tlhahiso e sa lekaneng kapa tšebeliso ea insulin e laolang tsoekere kapa tsoekere ea mali.Palo ea batho ba phelang le lefu la tsoekere lefatšeng ka bophara e ntse e eketseha ka potlako 'me ho lebelletsoe hore e tla hola ho tloha ho limilione tse 463 ka 2019 ho isa ho limilione tse 700 ka 2045. Li-LMIC li jara moroalo o sa lekaneng le o ntseng o hola oa mafu, a etsang karolo ea 79% ea batho ba nang le lefu la tsoekere (limilione tse 368). ka 2019 mme re lebelletse ho fihla ho 83% (588 milione) ka 2045.
Ho na le mefuta e 'meli ea mantlha ea lefu la tsoekere:
• Mofuta oa 1 oa lefu la tsoekere (mofuta oa 1 oa lefu la tsoekere): O tšoauoa ka ho ba sieo kapa ho haella ha lisele tsa beta ka har'a manyeme ho lebisang ho hlokeng 'mele ho hlahisa insulin.Mofuta oa 1 oa lefu la tsoekere o hlaha hangata ho bana le bacheng, 'me o bakela linyeoe tse hakanyetsoang ho limilione tse robong lefatšeng ka bophara.
• Mofuta oa 2 oa lefu la tsoekere (mofuta oa 2 oa lefu la tsoekere): Le tšoauoa ka hore 'mele ha o khone ho sebelisa insulin e hlahisoang.Mofuta oa 2 oa lefu la tsoekere o fumanoa hangata ho batho ba baholo mme o ikarabella bakeng sa maemo a mangata a lefu la tsoekere lefatšeng ka bophara.
Ntle le ho sebetsa ha insulin, 'mele o ke ke oa fetola tsoekere hore e be matla, e leng se lebisang ho phahamiseng maemo a tsoekere maling (a tsejoang e le 'hyperglycemia'). Ha nako e ntse e ea, hyperglycemia e ka baka tšenyo e mpe, ho kenyelletsa lefu la pelo, ho senyeha ha methapo (neuropathy), tšenyo ea liphio ( nephropathy), le tahlehelo ea pono / bofofu (retinopathy).Ka lebaka la ho sitoa ha 'mele ho laola tsoekere, batho ba nang le lefu la tsoekere ba noang insulin le/kapa litlhare tse ling tse nooang, le bona ba kotsing ea ho ba le boemo bo tlase haholo ba tsoekere ea mali (e tsejoang ka "hypoglycemia') - eo maemong a matla haholo e ka bakang sethoathoa, tahlehelo ea tsoekere ea mali. kelello, esita le lefu.Mathata ana a ka lieha kapa a thibeloa ka ho laola maemo a tsoekere ka hloko, ho kenyeletsoa le ka lihlahisoa tsa ho itlhahloba ka glucose.

Lihlahisoa tsa Glucose Self-Monitoring
Ho itlhahloba ka glucose ho bolela tloaelo ea batho ho itlhahloba boemo ba bona ba tsoekere kantle ho lits'ebeletso tsa bophelo.Ho itlhahloba ha glucose ho tataisa liqeto tsa batho mabapi le phekolo, phepo e nepahetseng, le boikoetliso ba 'mele, 'me ka ho khetheha e sebelisetsoa (a) ho lokisa litekanyetso tsa insulin;(b) etsa bonnete ba hore moriana o nooang o laola maemo a tsoekere ka mokhoa o lekaneng;le (c) ho lekola liketsahalo tse ka bang teng tsa hypoglycemic kapa hyperglycemic.
Lisebelisoa tsa ho itlhahloba ka glucose li oela tlas'a lihlopha tse peli tsa mantlha tsa sehlahisoa:
1. Boiketsi ba hoglucometer ea mali, tse 'nileng tsa sebelisoa ho tloha lilemong tsa bo-1980, li sebetsa ka ho phunya letlalo ka lancet e lahloang le ho sebelisa sampole ea mali mothapong oa tlhahlobo o lahloang, o kenngoeng ka har'a sebali se nkehang (ka mokhoa o mong, se bitsoang meter) ho hlahisa ntlha ea - ho bala ka hloko boemo ba motho ka mong maling.
2. Tsoelang peleMonyetla oa glucoseSistimi e qalile ho hlaha e le mokhoa o ikemetseng oa SMBG ka 2016, mme e sebetsa ka ho epa sensor ea microneedle e sa feleng ka tlas'a letlalo e tsamaisang lipalo tseo transmitter e li romellang ntle le waelese ho metha e nkehang (kapa smartphone) e bonts'ang lipalo tse tloaelehileng tsa tsoekere ka mor'a 1- Metsotso e 5 hammoho le data ea boemo ba tsoekere.Ho na le mefuta e 'meli ea CGM: ea nako ea sebele le ea nakoana (e tsejoang hape e le lisebelisoa tsa flash glucose monitoring (FGM)).Le ha lihlahisoa tsena ka bobeli li fana ka maemo a tsoekere ka nako e telele, lisebelisoa tsa FGM li hloka hore basebelisi ba hlahlobe sensor ka boomo ho fumana lipalo tsa tsoekere (ho kenyeletsoa le ho bala ho etsoang ke sesebelisoa nakong ea tlhahlobo), ha nako ea 'nete e ntse e tsoela pele.ho hlahloba tsoekere ea maliLitsamaiso li fana ka likhakanyo tsa tsoekere ka bohona le ka mokhoa o tsoelang pele.