连续血糖监测的简介与临床运用.pptVIP

* Third, REAL-Time Trend Arrows. One arrow up or down indicates a change of 1-2 mg/dl/min in the last 20 minutes. Two arrows up or down indicate a change of more than 2 mg/dl/min in the last 20 minutes. Arrows are only displayed if there has been at least a 1 mg/dl/min change in the last 20 minutes. Patients should think about where glucose may be in 20 minutes if it continues at the same rate. * Third, REAL-Time Trend Arrows. One arrow up or down indicates a change of 1-2 mg/dl/min in the last 20 minutes. Two arrows up or down indicate a change of more than 2 mg/dl/min in the last 20 minutes. Arrows are only displayed if there has been at least a 1 mg/dl/min change in the last 20 minutes. Patients should think about where glucose may be in 20 minutes if it continues at the same rate. * CGM insert Diet SMBG Data download Data reading/ TX Follow up Physician ? ? ? ??? ? Nurse ??? ?? ? ?? ??? ?? ??? Dietitian ? ??? ?? ??? ?? ??? 連續性血糖監測的團隊運作 Patient 病患 Nurse 護理師 Physician 醫師 Dietitian 營養師 SMBG, Operation of CGM Diet education: Dietary record Adjust clinical management On call Reading 判讀 連續血糖監測與即時性連續血糖監測工具 可輔助SMBG不足之處 收集一整天的血糖變化 幫助臨床處置的調整 幫助病患學習飲食、活動藥物與血糖的關係與調整 幫助訂定SMBG的計畫 必須由血糖機校正 血糖機和感應值可能不同 感應值錯誤不會提出警訊 會有延遲反應時間 不能以讀數直接調整處置 需判斷趨勢，非單一數值 要有合理的期望 需要完整的衛教與追蹤 * * * * * * This slides provides an example how Guardian RT and glucose meter readings can be different. The blue line shows the patient’s blood glucose over time – here in the morning between 6AM and 9AM. The patient has breakfast around 7AM and boluses accordingly. At 7.25AM, his Guardian RT indicates a sensor glucose of 95mg/dl. The patient then immediately takes a finger stick, and his BG meter indicates a BG of 120mg/dl. If the patient would have measured his BG at the doctor’s office at that time, the lab glucose would have been 100 mg/dl. Explanation: Sensor glucose and meter glucose differ in this patient. Because this is just after breakfast, this patient’s BG is increasing fast, and a differenc