Free Mp3 Ringtones

[defgf24uw]

Insulin pump therapy in diabetic patients and nursing care


Key words insulin pump; diabetes treatment; application; nursing  diabetes occurs mainly due to obstacles to islet function, islet β cells can not produce enough insulin or can not play in the target cells of insulin normal physiological role, resulting in elevated blood sugar. Experimental Diabetes Control and Complications (DCCT) and the United Kingdom Prospective Diabetes Study (UKPDS) show that diabetic patients on intensive insulin therapy, the long-term maintenance of near normal blood glucose levels, can effectively prevent and delay the occurrence of chronic complications of diabetes and development of . Conventional subcutaneous insulin treatment is 1 to 4 times a day, which played an important role in lowering blood glucose, but this method can not provide the body under normal physiological conditions in the basal insulin demand, on the other hand a lot of need for insulin therapy The injection is not only painful for patients, but also carry injection materials, to the daily life and work of inconvenience, but also to bring some psychological pressure on patients. The world's best means of intensive treatment of diabetes is an insulin pump.  1 clinical data  our department from February 2006 to February 2008 insulin pump therapy,[link widoczny dla zalogowanych], 30 patients with diabetes, including 20 males and 10 females, aged 14 to 65 years, type 1 diabetes 8 cases, 22 cases of type 2 diabetes with the pump time of 7 d ~ 4 years.  2  2.1 Clinical indications for the use of insulin pumps and significance  2.1.1 1 diabetes nearly all patients with type 1 diabetes have insulin pump therapy indications . In addition, patients with type 1 diabetes than most of the young age of onset of diabetes in itself would not only seriously affect child development,[link widoczny dla zalogowanych], it will also deeply affect the child's mental health. With pump, the child can resume a normal life, can be physically and mentally healthy growth.  2.1.2 newly diagnosed type 2 diabetes in newly diagnosed patients with type 2 diabetes islet function part of the forfeiture is only replenish a certain amount of insulin, can make a patient's own islet off to some extent, a time, with the potential to restore function.  2.1.3 dawn phenomenon frequently in patients with hypoglycemia and nocturnal hypoglycemia in patients with diabetes are complex, difficult to smooth control,[link widoczny dla zalogowanych], insulin infusion pump can be adjusted based on the characteristics, so that users can be insulin requirements and the amount of insulin infusion was matched up very well to reduce the high incidence of hypoglycemia during the night, the basis for transfusions, increasing the amount of insulin during the dawn so that good blood glucose control and stability.  2.1.4 glycosylated hemoglobin (GHbA1c) levels in patients with poorly controlled DCCT has confirmed that the incidence of retinopathy and progression of the most important risk factor is GHbA1c the baseline level, each lower GHbA1c 1%, retinopathy progress in reducing the risk to about 40%.  2.1.5 gestational diabetes, the characteristics of patients using insulin pumps, blood glucose control during pregnancy is not only beneficial, and help long-term stability of blood sugar after delivery.  2.1.6 live, work irregular diabetes can always adjust the amount of insulin infusion without insulin injections as the injection time and as planned peak of insulin action and other complicated things, from this point to consider, pumps more suitable those who travel, work or frequent changes in the level of regular physical activity changes in patients.  2.2 How to install debug strong first insulin pump, making the basic settings are correct. Check whether the failure of insulin, and place it ahead of time at room temperature. With a special device to extract the required insulin storage insulin drug side by side to make the air inside the drug reservoir. Select the appropriate injection site, often choose the lower abdomen from the umbilical 4 ~ 5 cm away from the waistband area and a new infusion site location to the last infusion of 2 ~ 3 cm or more apart. Insulin pump installation, the installer clean hands, touched storage devices and the use of drugs Yasuji iodine disinfection of infusion site from the inside out, the natural drying will puncture needle into the skin, covered with sterile sticking properly fixed pump tube and a fixed pump waist.  2.3 set volume and meal bolus based on the majority of patients using insulin pump therapy at the beginning of the insulin pump than the pump before the total amount to be reduced by about 25%,[link widoczny dla zalogowanych], long-term stability, the reduction of 15% ~ 17%. Generally calculated as 50% of the total base quantity, the other 50% of the amount of times an additional infusion of fasting. If the patients have sustained high blood sugar or low blood sugar before and consider the total daily dose pump error,[link widoczny dla zalogowanych], they should start by patients based on the amount of body mass estimates. According to initial total daily 0.5 U / (kg ? d) calculations. 
More articles related to topics：


[link widoczny dla zalogowanych]

[link widoczny dla zalogowanych]

[link widoczny dla zalogowanych]