thudarchayaaya glucose monittar

pramehamulla insulin aavasyamulla aalukalkk rakthathile glucose nirantharam nireekshikkaan upayogikkunna upakaranamaan thudarchayaaya glucose monittar (cgm).jii. type I, type II prameham allengil mattu tharatthilulla pramehamulla aalukal (udha.jii. garbhaavasthayile prameham). oru thudarchayaaya glucose monittaril moonnu bhaagangalunda charmmathinu keezhil sthaapichirikkunna oru cheria electrode, krithyamaaya edavelakalil (oro 5 muthal 15 minitt vare) readingukal ayaykkunna oru traansmittar, oru prathyeka reseiver. nilavil amgeekrithamaaya cgmukal oru ensaimatik saankethikavidya upayogikkunnu, ithu intersteeshyal draavakathile glucose thanmaathrakalumaayi prathipravartthichu vaidyuthadhaara srishtikkunnu. eee vaidyutha pravaham (glucose saandrathaykku aanupaathikamaayi) censoril gadippichirikkunna oru traansmittaril ninnu oru readerilake rile cheiyunnu, athu daatta rogiykku pradarshippikkunnu.
rakthathile glucosinte alavu oru ghattathil alakkunna parambaraagatha viraladayala parisodhana. sii. jii. emm upayogam rakthathile glucosinte pravanathakal kaalakramena pradarshippikkaan anuvadikkunnu. chila sii. jii. emm upakaranangal parambaraagatha rakthathile glucose alavukalulla upayokthaakkal idaykkide kaalibrett cheyyendathundu, chilathinu upayokthru calibration aavasyamilla.
pramehamullavarkku gunangal undennu theliyikkunna vardhichuvarunna saankethikavidyayaanu cgm. chila padanangal hypoglycemy chelavazhikkunna samayam kurachathaayi allengil kuranja glycated haemoglobin, anukoolamaaya phalangal enniva theliyichittundu.
kuttikal, muthirnnavar allengil mosham niyantritha pramehamulla rogikalil thudarchayaaya glucose nireekshana samvidaanangalude falapraapthiyekkurichu parimithavum vairudhyamullathumaaya thelivukal undennu oru cochrain chittayaya avalokanam kandethi. ennirunnaalum, thudarchayaaya glucose monittarukalude upayogam haemoglobin haemoglobin alavu kuraykkunnathaayi thonnunnu, capillary rakthaparishodhanayiloode nireekshikkunnathinekkaal kooduthal, prathyekichu mosham niyantritha pramehamulla vyakthikal oru samyojitha insulin pambil upayogikkumbol. ennirunnaalum, pradhana parimithikalundu prameha chikilsayude saadhaarana paarshwafalamaaya hypoglycemia kandethunnathinu sii. jii. emm samvidaanangal vendathra krithyamalla. hypoglycemic episodukalekkurichu munnariyipp nalkunnathinu chila upakaranangal alaram functionukal vaagdaanam cheiyunnathinaal aalukal aaa alaarangale aashrayikkunnathinaal ithu prathyekichum prasnakaramaanu. ennirunnaalum, mukalil soochippicha cochrain chittayaya avalokanathil, thudarchayaaya glucose monittarukalude upayogam hypoglycemia allengil keetto acidosis saadhyatha vardhippichilla. chila nirmmathaakkal cgm-alavukale maathram aashrayikkunnathaayi upayokthaakkalkk munnariyipp nalkunnu, koodaathe rakthathile glucosinte alavu viraladayala parishodhanayiloode hypoglycemic moolyangal saadhookarikkaan naashanal instittyoott phoor health aandu cair exalance shupaarsha cheiyunnu.
glucosinte alavu rakthathil ninnu edukkunnathinekkaal intersteeshyal draavakathil ninnaan edukkunnathu ennathaanu mattoru parimiti. rakthapravaahathil ninnu intersteeshyal draavakathilekku glucose sanjarikkaan samayamedukkunnathinaal, nilavile rakthathile glucose nilaykkum cgm alakkunna nilaykkum pinnil oru antharleenamaaya kaalathaamasamund. eee kaalathamasam samayam vyakthiyeyum upakaranatheyum adisthaanamaakki vyathyaasappedunnu, ithu saadhaaranayaayi 5-20 minittaan.
flash glucose nireekshanam.
2015 ll abot diabetis cair avatharippicha yadhaartha freestail libre monittar "flash glucose monittaring" cheiyunnathaayi vivarikkapettu, charmmathinu keezhil dispossible 14 divasathe sensor probe (mattu cgm sensarukalilethupole), pakshe viral-stikku glucose testinethire calibration aavasyamillaathe factory-kaalibrett cheythu. intersteeshyal draavakangalude glucose nila (rakthathile panchasaarayude alavu) sensor thudarchayaayi alakkunnu; oro 15 minitt kaalayalavilum sharashari ettu manikkoor vare eee readingukal sensor yoonittil sambharikkunnu, mattu mikka cgm sisttangalil ninnu vyathyasthamayi, oro readingin oru wireless link (saadhaaranayaayi blutooth) oru baahya upakaranathilekku upayogikkunnu. censoril sambharichirikkunna daatta aavashyamullappol sensor yoonittinte onno rando centimeterinullil sookshichirikkunna oru "readerilake" kaimar, niyar-feeld communication (enfc) saankethikavidya upayogikkunnu. ettu manikkoor moolyamulla daatta maathrame sambharikkaan kazhiyoo ennathinaal, daunlodukal ettu manikkooril kooduthal akalam paalikkaruth.
thudarchayaaya glucose nireekshanatthe" apekshichu "flash glucose nireekshanatthe" anukoolikkunna us insurance parirakshayile vyathyaasangal abottinte chelavu kuranja samvidaanam neratthe sweekarikkunnathinulla oru nettamaayirunnu. yukeyil, flash glucose monittarukalum censorukalum deseeya aarogya sevanathil (enhs) nirakkillathe niravadhi rogikalkku labhyamaan.
abbottinte upakaranathinte pilkkala freestail libre 2 pathipp vyathyasthavum poruthappedaathathumaaya censorukal upayogikkunnu. kuranja rakthathile panchasaara (hypoglycemia) allengil uyarnna panchasaara munnariyipp aduthulla upakaranathilekku blutooth vazhi kaimaran ithu prograam cheyyaam. thaazhepparayunna freestail libre 3 cheruthaanu, mattu meterukaleppole blutooth vazhi athinte readingukal kaimarunnu; ithu flash monittaring ennu visheshippichitla.
charithram.
america.
aadyathe sii. jii. emm samvidaanam 1999-ll eph. dii. eiii amgeekarichu. thudarchayaaya vikasanam censorukal dharikkan kazhiyunna samayadairkhyam, daatta sweekarikkunnathinum vaayikkunnathinumulla oopshanukal, uyarnnathum thaazhnnathumaaya glucose alavu upayokthaakkalkk munnariyipp nalkunnathinulla krameekaranangal enniva vipuleekarichu.
medtronic minimedinte aadya aavarthanam oro patthu secondilum glucose readingukal edukkukayum oro anchu minittilum sharashari readingukal report cheyyukayum cheythu. censorukal 72 manikkoor vare dharikkan kazhiyum.
dexcom vikasippicha randaamathe samvidaanam 2006 ll amgeekarikkappettu. sensor 72 manikkoor vare upayogikkaan amgeekaaram nalki, daatta kaimarunnathinu reseiver anchu adiyinullil aayirikkanam.
2008ll, moonnaamathe model, abbot laborattarikalude freestail naavigettar amgeekarichu. censorukal anchu divasam vare dharikkan kazhiyum.
2012ll dexcom oru puthiya upakaranam puratthirakki, athu censorine ezhu divasam dharikkan anuvadikkukayum 20 adii transmission dooravum anuvadikkukayum cheythu. dexcomil ninnu censoril ninnulla daatta iphonilekku kaimaran anuvadikkunna oru aapp pinneedu avatharippichu. 2015ll eee samvidaanam pediatric upayogathinaayi amgeekarichu.
2017 septambaril, viraladayaalam alakkunna calibration aavashyamillaatha aadyathe cgm, freestail libre, fda amgeekarichu. libre oru "flash monittaring" sisttamaayi (fgm) kanakkaakkappedunnu, athinaal oru yadhaartha ("thalsamaya") cgm sistamalla. eee upakaranam patthu divasam vare dharikkan kazhiyumenkilum vaayana aarambikkaan 12 manikkoor vendivarum. thudarnnu 14 divasam vare dharikkan kazhiyunna oru update cheytha upakaranam, oru puthiya sensor aarambikkaan oru manikkoor maathrame vendivannulloo. freestail libre 2 europil 2018 octoberil amgeekarikkappedukayum glucose paridikk purathaayirikkumbol alerttukalude krameekaranam praapthamaakkukayum cheythu.
2018 juunil, pramehamulla 18 vious athil kooduthalumulla aalukalil upayogikkunnathinulla eversense cgm samvidaanathinu fda amgeekaaram nalki. glucose kandethunnathinayi poornnamaayum implaantabil sensor ulppeduthunna aadyathe fda-amgeekritha cgm aanith, ithu 90 divasam vare dharikkan kazhiyum. eee samvidaanathinte 180 divasathe pathippaya eversense exl 2017 octoberil europil amgeekarikkappettu.
chaina.
chaina sii. jii. emm samvidaanangal vikasippikkukayum uthppaadippikkukayum cheiyunnu. europian union amgeekaaram labhicha aadyathe sii. jii. emm samvidaanam medrum saankethikavidyakalaanu nirmmikkunnath. sensarinte uddeshicha upayogam 14 divasam vareyaanu, oru smartphone aaplikkeshan vazhi oro 2 minittilum glucosinte alavu alakkunnu. 2008 ll sthaapithamaaya medrum chainayile shanghoy aasthaanamaakkiyaanu pravartthikkunnathu.
2017 avasaanathode, medrum 14 divasam vare intersteeshyal draavakathile glucosinte alavu alakkunna touch cair eiii6 cgm (pinneedu chila rajyangalil eiii7 allengil slim) avatharippichu. remot view aaplikkeshan ulppedeyulla mobail aaplikkeshanukalumaayaan touch cair samvidaanam varunnath. touch cair systethinu glucose alerttukal undu, koodaathe oro 24 manikkoorilum calibration aavasyamaanu.
2021 avasaanathode medrum naano prakhyaapichu, calibration aavashyamillaatha valare melinja upakaranam, ishtaanusritha glucose alerttukal upayogichu 14 divasam vare upayogikkaan amgeekaaram nalki. 
medtrum cgm, insulin pambukal nirmmikkunnu, randum oru smartphone aaplikkeshan niyanthrikkunnu, ithu glucosinte alavu nireekshikkaanum clossed-lupe sisttathil insulin vitharanam aarambhikkaanum upayokthaavine prapthamaakkunnu.
yunaittad kingdom.
2022 maarchil englandilum veyilsilum enhsinaayi avatharippicha yuke nalla maargganirddeshangal ellah type 1 prameha rogikalkkum flash glucose monittaring allengil cgm nalkanamennu upadeshikkunnu. type 2 pramehamulla aalukalkk divasathil rando athiladhikamo thavana insulin upayogikkukayo divasathil ettu thavana viral chulikkaan nirddeshikkukayo aavarthichullatho kadinamaayatho aaya hypoglycemia undengil, hypoglycemia avabodham thakararilaayaal allengil avarude rakthathile panchasaarayude alavu nireekshikkaan kazhiyaathe vannal flash glucose monittaring allengil cgm nalkanam, pakshe avarco oru paricharanakkaarano oru scanning upakaranam upayogikkaam. skotlandilum vadakkan irelandilum vishadaamshangal vyathyasthamaan.
clossed-lupe sisttam.
type I prameha chikilsaykkaayi oru "clossed-lupe" sisttathinte vikasanathile oru pradhana gadakamaanu cgm. oru clossed-lupe sisttam rakthathile glucosine cgm upayogichu nireekshikkukayum upayokthaavinte edapedalillaathe insulin kanakkakkikkondu vitharanam cheiyunnathinaayi oru insulin pambilekku daatta ayaykkukayum cheiyunnu. niravadhi insulin pambukal nilavil oru "oottoo mooad" vaagdaanam cheiyunnundenkilum ithu ithuvare poornnamaayum adacha lupe samvidaanamalla. krithrima pancreas samvidaanavum ooppan sozhs ooppanappukalum ulppede niravadhi nadappaakkalukalund.

