Mu rwego rwo kurwanya icyorezo cya diyabete, intwaro ya ngombwa iteza imbere abarwayi ni kimwe cya kane gusa kandi irashobora kwambarwa mu nda cyangwa ku kuboko.
Ikurikiranwa ryamaraso glucose ikomeza ifite sensor ntoya ihuza munsi yuruhu, bikagabanya abarwayi gukenera intoki buri munsi kugirango barebe glucose yamaraso.Monitor ikurikirana urwego rwa glucose, ikohereza gusoma kuri terefone igendanwa yumurwayi na muganga, kandi ikaburira umurwayi mugihe gusoma ari byinshi cyangwa biri hasi cyane.
Dukurikije imibare yatanzwe n’isosiyete ishora imari Baird, abantu bagera kuri miliyoni 2 barwaye diyabete muri iki gihe, ikubye kabiri umubare wa 2019.
Nta bimenyetso bike byerekana ko gukurikirana amaraso ya glucose (CGM) bigira ingaruka nziza zo kuvura abarwayi benshi ba diyabete-inzobere mu buzima bavuga ko abantu bagera kuri miliyoni 25 bafite uburwayi bwo mu bwoko bwa 2 muri Amerika badafite inshinge za insuline kugira ngo bagenzure isukari mu maraso.Icyakora, uruganda, kimwe n’abaganga bamwe n’amasosiyete y’ubwishingizi, bavuze ko ugereranije n’ikizamini cya buri munsi cy’urutoki, igikoresho gifasha abarwayi kurwanya diyabete batanga ibitekerezo byihuse kugira ngo bahindure indyo n’imyitozo ngororamubiri.Bavuga ko ibi bishobora kugabanya ingorane zihenze z'indwara, nk'indwara z'umutima ndetse na stroke.
Umuyobozi w'ikigo cya Yale Diabete, Dr. Silvio Inzucchi, yavuze ko gukurikirana amaraso ya glucose adahoraho bidahenze ku barwayi barwaye diyabete yo mu bwoko bwa 2 badakoresha insuline.
Yavuze ko byanze bikunze gusohora igikoresho mu kuboko rimwe mu byumweru bibiri byoroshye cyane kuruta kugira inkoni nyinshi z'intoki zitwara amadorari atarenze 1 ku munsi.Ariko “ku barwayi basanzwe barwaye diyabete yo mu bwoko bwa 2, igiciro cy'ibi bikoresho nticyumvikana kandi ntigishobora gukoreshwa buri gihe.”
Hatariho ubwishingizi, igiciro cyumwaka cyo gukoresha monitor ya glucose ikomeza iri hagati y $ 1.000 na 3000.
Abantu barwaye diyabete yo mu bwoko bwa 1 (badatanga insuline) bakeneye amakuru kenshi kuri moniteur kugirango batera inshinge zikwiye za hormone synthique binyuze muri pompe cyangwa syringe.Kubera ko inshinge za insuline zishobora gutera isukari mu maraso byangiza ubuzima, ibi bikoresho kandi biraburira abarwayi mugihe bibaye, cyane cyane mugihe cyo gusinzira.
Abarwayi barwaye diyabete yo mu bwoko bwa 2 bafite indi ndwara bakora insuline kugirango igabanye kwiyongera kw'isukari mu maraso nyuma yo kurya, ariko imibiri yabo ntiyitabira cyane abantu badafite iyo ndwara.Abagera kuri 20% by'abarwayi bo mu bwoko bwa 2 baracyatera insuline kubera ko imibiri yabo idashobora kubona intungamubiri zihagije kandi imiti yo mu kanwa ntishobora kurwanya diyabete yabo.
Ubusanzwe abaganga baragira inama abarwayi ba diyabete gupima glucose murugo kugirango barebe niba bageze ku ntego zo kuvura no kumva uburyo imiti, imirire, imyitozo ngororamubiri, hamwe n'imihangayiko bigira ingaruka ku gipimo cy'isukari mu maraso.
Nyamara, isuzuma ryingenzi ryamaraso abaganga bakoresha mugukurikirana diyabete kubarwayi barwaye ubwoko bwa 2 yitwa hemoglobine A1c, ishobora gupima urugero rwisukari rwamaraso mugihe kirekire.Ntabwo gupima urutoki cyangwa monitor ya glucose yamaraso ntazareba A1c.Kubera ko iki kizamini kirimo amaraso menshi, ntigishobora gukorerwa muri laboratoire.
Ikurikiranabikorwa ryamaraso glucose ikomeza kandi ntisuzuma glucose yamaraso.Ahubwo, bapimye urugero rwa glucose hagati yinyama, arirwo rwego rwisukari iboneka mumazi hagati ya selile.
Isosiyete isa nkiyemeje kugurisha monite kubarwayi ba diyabete yo mu bwoko bwa 2 (abantu batera insuline ndetse nabantu batayitera) kuko iri ari isoko ryabantu barenga miliyoni 30.Ibinyuranye, abantu bagera kuri miliyoni 1.6 bafite diyabete yo mu bwoko bwa 1.
Kugabanuka kw'ibiciro byagiye bizamura izamuka ryibikenewe kwerekanwa.Abbott's FreeStyle Libre nimwe mubirango biza imbere kandi bihendutse.Igikoresho kigurwa US $ 70 naho sensor igura hafi US $ 75 buri kwezi, igomba gusimburwa buri byumweru bibiri.
Amasosiyete hafi ya yose yubwishingizi atanga ikurikirana ryamaraso ya glucose kubantu barwaye diyabete yo mu bwoko bwa 1, nicyatsi kibungabunga ubuzima kuri bo.Ku bwa Baird, hafi kimwe cya kabiri cy'abantu barwaye diyabete yo mu bwoko bwa 1 ubu bakoresha monitor.
Umubare muto ariko ugenda wiyongera mubigo byubwishingizi byatangiye gutanga ubwishingizi bwubuvuzi kubarwayi bamwe bo mu bwoko bwa 2 badakoresha insuline, harimo UnitedHealthcare na CareFirst BlueCross BlueShield ikorera muri Maryland.Izi sosiyete z’ubwishingizi zavuze ko zageze ku ntsinzi ya mbere mu gukoresha abagenzuzi n’abatoza b’ubuzima mu rwego rwo gufasha kurwanya abanyamuryango ba diyabete.
Bumwe mu bushakashatsi buke (ahanini bwishyuwe nuwakoze ibikoresho, kandi ku giciro gito) bwize ku ngaruka za moniteur ku buzima bw’abarwayi, kandi ibisubizo byagaragaje ibisubizo bivuguruzanya mu kugabanya hemoglobine A1c.
Inzucchi yavuze ko nubwo bimeze bityo, moniteur yafashije bamwe mu barwayi be badakenera insuline kandi badakunda gutobora intoki zabo kugira ngo bahindure imirire kandi bagabanye urugero rw'isukari mu maraso.Abaganga bavuze ko nta kimenyetso bafite cyerekana ko gusoma bishobora guhindura impinduka zirambye mu mirire y’abarwayi no mu myitozo ngororamubiri.Bavuga ko abarwayi benshi badakoresha insuline ari byiza kwitabira amasomo yo kwigisha diyabete, kwitabira siporo cyangwa kubona inzobere mu mirire.
Dr. Katrina Donahue, umuyobozi w’ubushakashatsi mu ishami ry’ubuvuzi bw’umuryango muri kaminuza ya Carolina y’Amajyaruguru, yagize ati: “Nkurikije ibimenyetso byacu bihari, nizera ko CGM nta gaciro ifite muri aba baturage.”Ati: "Ntabwo nzi neza abarwayi benshi., Niba ikoranabuhanga ryinshi ari igisubizo kiboneye. ”
Donahue ni umwe mu banditsi b'ubushakashatsi bwibanze muri JAMA Medicine Internal Medicine mu 2017. Ubushakashatsi bwerekanye ko nyuma y'umwaka, ikizamini cy'urutoki cyo gusuzuma buri gihe urugero rw'amaraso glucose y'abarwayi barwaye diyabete yo mu bwoko bwa 2 ntabwo ari ingirakamaro mu kugabanya hemoglobine A1c.
Yizera ko, mu gihe kirekire, ibi bipimo bitahinduye imirire y’umurwayi ndetse n’imyitozo ngororamubiri-kimwe gishobora no kuba ku bagenzuzi ba glucose bakomeza amaraso.
Veronica Brady, impuguke mu bijyanye na diyabete mu kigo cy’ubumenyi cy’ubuzima cya kaminuza ya Texas akaba n’umuvugizi w’ishyirahamwe ry’inzobere mu kwita ku barwayi ba diyabete n’uburezi, yagize ati: “Tugomba kwitondera uburyo twakoresha CGM.”Yavuze ko niba abantu Aba bagenzuzi bumvikana mu byumweru bike iyo bahinduye imiti ishobora kugira ingaruka ku isukari mu maraso, cyangwa ku badafite ubushobozi buhagije bwo kwipimisha urutoki.
Icyakora, abarwayi bamwe na bamwe nka Trevis Hall bemeza ko monite ishobora kubafasha kurwanya indwara zabo.
Umwaka ushize, muri gahunda yo gufasha kurwanya diyabete ye, gahunda y’ubuzima ya Hall “United Healthcare” yamuhaye monitori ku buntu.Yavuze ko guhuza monite mu nda kabiri mu kwezi bitazatera ikibazo.
Amakuru yerekana ko Hall, 53, ukomoka i Fort Washington, muri Maryland, yavuze ko glucose ye izagera ku rwego rushimishije ku munsi.Yavuze ku gutabaza ko igikoresho kizohereza kuri terefone: “Ubwa mbere byari biteye ubwoba.”
Mu mezi make ashize, ibyo bisomwa byamufashije guhindura imirire ndetse nimyitozo ngororamubiri kugirango yirinde iyo mitwe no kurwanya indwara.Muri iyi minsi, bivuze kugenda vuba nyuma yo kurya cyangwa kurya imboga nimugoroba.
Aba bahinguzi bakoresheje amamiliyoni y’amadolari yo gusaba abaganga kwandika monitor ikomeza y’amaraso glucose, kandi bamenyesheje abarwayi mu buryo bweruye kuri interineti na televiziyo, harimo no muri Super Bowl y’uyu mwaka n’umuririmbyi Nick Jonas (Nick Jonas).Jonas) akina mubyamamaza bizima.
Kevin Sayer, umuyobozi mukuru wa Dexcom, umwe mu bayobozi bambere berekana ibicuruzwa, yabwiye abasesenguzi umwaka ushize ko isoko yo mu bwoko bwa insuline yo mu bwoko bwa 2 ari ejo hazaza.Ati: “Ikipe yacu ikunze kumbwira ko iyo iri soko ryateye imbere, rizaturika.Ntabwo izaba nto, kandi ntizatinda ”.
Yongeyeho ati: “Njye ku giti cyanjye ndatekereza ko abarwayi bazajya babikoresha ku giciro gikwiye kandi kiboneye igisubizo.”
Igihe cyo kohereza: Werurwe-15-2021