Diabetes (Diabetes) is a disease caused by a malfunction of hormones called ‘Insulin (Insulin)’ which is a hormone that the body needs. Serves to bring sugar in the bloodstream to the various organs of the body, but if the blood sugar level rises to a certain level Until causing the kidneys to not absorb all the sugar back This results in sugar leaking into the urine. If you let this condition happen for a long time without proper treatment Will eventually cause serious complications
Nowadays, medical facilities in Thailand often use a continuous glucose monitor. Widely used by diabetic patients to monitor blood sugar levels. For the control of blood sugar levels according to the doctor’s advice and effective treatment.
Nattakarn Mayurasakorn, MD, an endocrinologist and metabolic physician Diabetes and Metabolic Center Praram 9 Hospital said, “Diabetes is a common disease nowadays. Many diabetic patients cannot control their blood sugar levels. There is often a fluctuation in blood sugar. Often patients with diabetes hypoglycemia There is often fainting and loss of consciousness, which is a serious complication. risk of heart disease In order to prevent hypoglycemic fluctuations, it is necessary to find a way to control it.
For a continuous glucose monitor or CGM (continuous glucose monitoring), it is an electronic device that can measure sugar levels continuously all the time. The glucose level will be measured every 3 minutes for 24 hours. There is a safe metal sensor, about 7 mm long, inserted into the subcutaneous fat layer. and send data to mobile phones in real time There is a warning system when sugar levels fall. The machine is waterproof. Can take a shower easily Helping patients take care of themselves and send information through the Internet. Personal physicians can access sugar results in real time. Plan the treatment that is suitable for each patient.
The doctor will have criteria for considering patients who should use a continuous glucose monitor as follows:
• Diabetic patients whose blood sugar levels fluctuate a lot, including during high sugar levels and low sugar levels.
• Diabetics who inject insulin 3 or more times a day.
• Diabetic patients with frequent low blood sugar problems. Especially in patients with no warning symptoms, fainting, unconsciousness.
• Diabetic patients with high accumulation of sugar (HbA1C) despite taking medication regularly. Controlled diet and exercise
• Diabetic patients who want to learn their own sugar levels.
Dr. Nattakarn explain further that “Some patients often ask Dr. ‘Diabetic patients who already penetrate sugar in their fingertips. Why do you still have to stick to a continuous glucose monitor? That’s because blood sugar control is an important basis for diabetics. that help control symptoms so they don’t get worse Sticking to a continuous glucose monitor will be able to tell the trend (trend arrow) of the fluctuation of sugar levels, which cannot be detected by fingertip sugar penetration. It has the advantage of helping to adjust the medication. Diet and exercise in real time, as well as a warning application (alarm) to drink sweet water as soon as the sugar starts to fall. even while sleeping Moreover, there is a remote monitoring system from a multidisciplinary team and using the data obtained from the real-time behavior adjustment planner. To control the cumulative glucose level (estimated HbA1C or glucose management indicator; GMI) to improve in 2 weeks.
“Assessing whether diabetes can be controlled Normally, when coming to check as scheduled, we will have 2 blood drawn: one: no water, no breakfast on the day of the blood test, and two: measuring the 3-month cumulative average of sugar or HbA1C. Sometimes these 2 values are inconsistent, for example, the patient abstains. Normal food, but high accumulation of sugar or sometimes sugar still accumulates high But the patient said that during the day, the sugar dropped, the heart was palpitating, hungry and sweating, indicating that the blood sugar fluctuated, sometimes down, sometimes up.
or moreover If the patient has hypoglycaemia while sleeping It may be dangerous because the patient may not wake up to drink the sweet water and fix it in time. But if we can know the sugar level continuously It can help reduce the occurrence of complications. help to be strong and help improve the quality of life of diabetic patients,” Dr. Nattakarn concluded.
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