[经验]

医学创新：提高糖尿病患者的生活质量

2018-10-15 08:47:36

1316 安森美 CGM

对于糖尿病患者，治疗并不容易。
糖尿病需要勤奋，持续的监测和维护，以维持稳定的血糖水平。
这可能很难做到，因为大多数糖尿病患者通过手动胰岛素注射和血糖监测（BGM）来管理这一点，通过每天几次用指尖抽取血液。
根据食物消耗，时间和运动，血糖水平可能在一天中变化很大。
即使患者在一天内对其血糖进行高达8次的采样，仍然存在患者可能不知道的测量之间的危险波动的空间。
这些波动会加剧糖尿病的急性或慢性并发症，其中许多是危及生命的。
这就是连续葡萄糖监测仪（CGM）的用武之地：它在24小时内更频繁地对血糖进行采样，有时甚至是每分钟一次。
这使得患者能够更有效地响应胰岛素治疗以维持一致的血糖水平。
从长远来看，这可以预防许多与糖尿病相关的健康并发症，例如失明。
1型糖尿病经常袭击儿童。
他被诊断出来时，我哥哥才10岁。
在那个年龄段，儿童通常不会欣赏细心治疗的长期价值，他们往往不够小心，不能始终如一地自我治疗。
CGM可以帮助年轻患者成为正在进行的血糖监测过程中的积极伙伴，在需要干预的情况下提醒他或她。
此外，CGM可以为父母或医生提供相同的血糖测量值，以便他们可以根据需要进行干预和管理治疗，直到患者年龄足以对自己负责。
一个家庭关于CGM如何挽救女儿生命的故事可以在这里找到。
CGM已存在多年，但它们传统上是更大的带式设备。
我可以想象这对于睡觉，体育运动和其他正常的日常活动来说有多么不方便。
凭借安森美半导体在我们的低功耗设计中实现的小型化和小型电池，现在可以在一个小型的身体佩戴贴片中佩戴CGM。
贴片可以无线传输血糖水平到接收器。
通常，这与自动胰岛素泵配对，以实现更好的治疗。
现代可穿戴电子设备通过使电子设备更小并尽可能地避免使用，为现代医疗提供了便利。
这将提高数百万患者的采用率和生活质量。

以上来自于谷歌翻译

以下为原文

For diabetes patients, treatment is not easy. Diabetes requires diligent, ongoing monitoring and maintenance to maintain stable blood sugar levels. This is can be difficult to do as most diabetics manage this with manual insulin injection and blood glucose monitoring (BGM) by sampling blood at their fingertips several times a day. Blood sugar levels can vary wildly through the day depending on food consumption, timing, and exercise. Even if a patient samples their blood sugars up to eight times through the day, there is still room for dangerous fluctuations between measurements which the patient may be unaware of. These fluctuations can exacerbate acute or chronic complications of diabetes, many of which are life-threatening.

This is where a Continuous Glucose Monitor (CGM) comes in: it samples the blood sugar much more often throughout the 24-hour day, sometimes as often as once per minute. This enables the patient to respond with insulin therapy much more effectively to maintain consistent blood sugar levels. In the long term, this can prevent many health complications which are associated with diabetes, such as blindness.
Type 1 diabetes often strikes children. My brother was 10 when he was diagnosed. At that age, children don’t usually appreciate the long-term value of careful treatment and they are often not careful enough to consistently self-administer therapy reliably. A CGM can help a young patient by being an active partner in the ongoing blood sugar monitoring process, alerting him or her in case intervention is needed. In addition, a CGM can provide parents or doctors with the same blood sugar measurements so they can intervene and manage therapy as needed until the patient is old enough to take responsibility for themselves. One family’s story of how CGM saved their daughter’s life can be found here.
CGMs have been around for years, but they have traditionally been larger belt-worn devices. I can imagine how inconvenient this would be for sleeping, playing sports, and other normal daily activities. With the miniaturization and small batteries that ON Semiconductor enables in our low-power designs, it is now possible to wear a CGM in a small body-worn patch. The patch can wirelessly transmit blood sugar levels to a receiver. Often this is paired with an automated insulin pump for even better therapy.
Modern wearable electronics bring convenience to modern medical therapy by making electronics smaller and as minimally evasive as possible. This will increase adoption and the quality of life for millions of patients.