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用技术管理2型糖尿病
根据我的经验,患有2型糖尿病可能会感觉像是一生的科学实验。
您必须跟踪饮食,然后测量食物对血糖水平的影响。如果服用胰岛素,则必须计算正确的金额,以补偿您吃过的碳水化合物的数量。如果您锻炼身体,则需要将其考虑到其中。
存在各种可以帮助您管理所有这些技术的技术和设备,并且可以产生很大的不同。
The most important device for someone with diabetes to have is a glucose meter, also called a glucometer. After a quick finger stick, you’ll know your blood sugar level at that particular point in time.
即使您使用连续的葡萄糖显示器(CGM),您仍然需要偶尔使用仪表。选择血糖仪时需要考虑的几件事:
- 您的保险计划会涵盖测试条吗?仪表通常是免费的;测试条没有。
- Is the display easy to read? Does it light up so you can take a reading in the dark?
- Are the buttons intuitive and easy to push?
- Is the meter a good size for you?
- Can you easily share data with your healthcare providers?
- Can you track other things like insulin, carb intake, and exercise?
- 您可以用每读物做笔记吗?
Decide what’s most important to you and select a meter accordingly. The most important things to me are cost, data sharing, and the ability to make notes.
There truly are apps for everything these days. In the diabetes world, apps can:
- 跟踪您的血糖水平并显示趋势
- 监测您的饮食
- 记录您的运动
- provide a peer support community
- 让训练有素的糖尿病教育者和健身教练
By far, the app I’ve used the most to help manage my diet ismyfitnesspal。I can enter my own recipes, track how many carbs I eat in a day, and log my exercise. The app失去它!提供类似的功能。
现在我有一个CGM,我也开始使用该应用程序LibreLink很多。很快,我将尝试GlucoseZone, which promises tailored workouts. YouTube provides all types of exercise videos too.
Twitter,Facebook和Instagram等社交媒体应用程序将我与其他患有糖尿病的人联系起来,因此我可以向他们学习。我所提到的其他有趣的应用程序是Diabetes:M和mySugr。两者似乎都为糖尿病管理提供了一种更全面的方法,但我没有亲自使用任何一种。
My ideal app would integrate the food-related features of LoseIt! and MyFitnessPal, the blood sugar monitoring of LibreLink, the fitness tracking and exercise advice of MyFitnessPal and GlucoseZone, and the peer support available on social media.
我的终极梦想是能够在餐厅挥舞我的手机,并立即知道我的盘子上有多少碳水化合物。(应用程序开发人员,您在听吗?)
After hearing about CGMs like those from Dexcom and Medtronic from members of my support group, I finally asked my doctor about them. A huge fan of the FreeStyle Libre, he said the device had allowed many of his patients with type 2 diabetes to dramatically improve their A1C.
自由泳的自由泳分为两个部分:传感器和读者。传感器固定在手臂背面。您可以在传感器上挥舞读者以获取血糖读数。
除非您服用胰岛素,否则大多数保险计划都会覆盖CGM,因此您可能需要从口袋里付款。读者是一次性的购买 - 对我来说,这是65美元 - 但是您每14天需要一个新的传感器。我能够以75美元的价格获得两个传感器。您的定价可能会有所不同。
Wearing a CGM has worked well for me so far. I totally forget I’m wearing it, and I love having access to all of the data and graphs it provides. I check my blood sugar a lot more often, and I can even take a reading with my phone.
The biggest thing I’ve learned so far? When I cook at home, my blood sugar quickly spikes and then comes back down within an hour or two. When I eat out, even when I think I’m making good food choices, my blood sugar goes up and stays up for several hours.
如果您不明白为什么您的A1C比您想要的高,请不要经常检查血糖,因为您讨厌手指棒,或者就像分析数据一样,我强烈建议您如果适合您的预算。
您可能会发现对糖尿病管理有用的其他技术和设备包括药物笔,胰岛素泵和健身追踪器。
Pens allow injected medications to be delivered conveniently and accurately. Insulin pumps deliver insulin 24 hours a day via a catheter inserted under the skin. Fitness trackers are basically wearable minicomputers that log how much you move during the day. Some of them monitor your heart rate and how well you sleep too.
You can make your never-ending type 2 diabetes science project easier by using devices and technology that work for you. Don’t be afraid to try new things. You just might find something that makes managing your condition more convenient and less daunting.
Shelby Kinnaird, author of糖尿病食谱用于电压炊具和糖尿病的口袋碳水化合物柜台指南, publishes recipes and tips for people who want to eat healthy at糖尿病美食家, a website often stamped with a “top diabetes blog” label. Shelby is a passionate diabetes advocate who likes to make her voice heard in Washington, DC and she leads two糖尿病人弗吉尼亚州里士满的支持小组。自1999年以来,她成功地管理了2型糖尿病。