It's finally here and I'm using it. The Continuous Glucose System that I blogged about six months ago arrived today. Yes, I tend to be an Early Adopter and I've gotten nailed in the past (the Glucowatch sucked) but this one may just be a winner.
终于到了，我在用。 我在六个月前写的连续葡萄糖系统今天到了。 是的，我倾向于成为早期采用者，并且在过去被钉住了( Glucowatch很烂)，但这可能只是一个赢家。
It's called the MiniMed REAL-Time System. It is an add-on (D in the picture at right) that "sips" intersitial fluid and reports an estimate of my current blood sugar to a pump that is exactly the same form factor as my existing pump. In fact, it's the same housing. I swapped my existing Paradigm 512 Pump out for this one, the controls are identical.
它称为MiniMed实时系统。 它是一个附件(如右图D所示)，可以“吸入”间隙液并向泵报告我当前血糖的估算值，该估算值与现有泵的外形尺寸完全相同。 实际上，它是相同的外壳。 我将现有的Paradigm 512 Pump换成了这一泵，其控件完全相同。
(Check out my Diabetes Explanation: The Airplane Analogy if you're not familiar with how diabetes works IMHO)
(如果您不熟悉糖尿病的工作原理，请查看我的糖尿病解释：飞机模拟)
Out of Box Experience
开箱即用的体验
Note: You should talk to your Diabetes Doctor/Endocrinologist and take a training on how to use this device before jumping in or you could hurt yourself. I am NOT a doctor - this is just one guy's experience.
注意：跳入之前，您应该与您的糖尿病医生/内分泌科医生进行交谈，并接受有关如何使用此设备的培训，否则可能会伤害自己。 我不是医生-这只是一个人的经历。
The package arrived at 10am this morning. The one containing the sensor tips said "perishable" and was packed with ice packs. I put it in the refrigerator immediately. Travelling with these will be a little tricky, as it's unclear how quickly they degrade. Presumably in about 72 hours.
包裹今天早上10点到达。 装有传感器尖端的传感器说“易腐”，并装有冰袋。 我立即将其放入冰箱。 带着它们旅行会有些棘手，因为目前还不清楚它们降解的速度。 大概在72小时内。
I transfered my settings over from my existing pump manually. The pump, glucose meter (the finger stick device) and continuous meter/transmitter (the one taped to my belly) all have unique ids. You have to tell the pump the unique id of the transmitter, as well as the unique id of the finger stick meter.
我从现有的泵中手动转移了设置。 泵，血糖仪(指棒装置)和连续式血糖仪/变送器(用胶带粘在我的腹部)都具有唯一的ID。 您必须告诉泵变送器的唯一ID，以及指棒表的唯一ID。
After attaching the new transmitter (with a big ass needle/canula) I told the pump there was a new transmitter/sensor. It starts calibrating and says to wait for 2 hours and then it'll want a finger stick. This two hour warm up happens every time you put on a new sensor - about every 72 hours. At noon, it beeped, then I did a finger stick test. You want to put on a new sensor when your blood sugar is stable. I woke up at 110mg/dl and it stayed that way for the morning. I pushed lunch out a bit to make sure it stayed that way. After the first calibration I started getting updates every 5 minutes.
装上新的变送器(带有大的屁股针/导管)后，我告诉泵有一个新的变送器/传感器。 它开始校准，并说要等待2个小时，然后才需要一根手指棒。 每次您安装新传感器时，都会发生两个小时的预热-大约每72个小时一次。 中午，它发出哔哔声，然后我进行了指尖测试。 您想在血糖稳定后换上新传感器。 我醒来时为110mg / dl，早上一直保持这种状态。 我稍微挤出午餐以确保它保持原样。 第一次校准后，我开始每隔5分钟更新一次。
Aside: You truly can't conceive of what it's like to have this 6th sense, this 6th dimension where you need a number to really know how you're doing. It's like getting a GPS when you're lost. Like fixing a speedometer in a broken car.
My sense of how my blood sugar ebbs and flows was heightened and I literally had one of the best blood sugar days of my life (since I was diagnosed at 21). It enabled me to make better food decisions and even sneak in a short walk after lunch that had substantive benefits.撇开：您真的无法想象拥有第六感，这是第六维度，您需要一个数字才能真正知道自己的状况。 这就像迷路时获取GPS。 就像在破车中固定车速表一样。 我对自己的血糖起伏的感觉增强了，从字面上看，我是一生中最好的血糖天之一(因为我被诊断出21岁)。 它使我能够做出更好的饮食决策，甚至在午餐后溜达几步，这都是有益的。
I'm loving this device. I'm sure there will be troubles and it'll be harder to get through airport security, but I suspect that this is going to change the way I manage my diabetes. There's a value called the hA1C, expressed as a percentage, that measures blood sugar control over the last 3 month period. Non-diabetics have a value between 4% and 6% indicating that their blood sugar was roughtly 100mg/dl over that period. Mine is currently between 6.3% and 6.5%, which is high normal. I believe this device, plus my use of Symlin, will get that number to the normal range, thereby limiting my chances of compliations like blindness.
我爱这个装置。 我敢肯定会有麻烦，而且很难通过机场安检，但是我怀疑这将改变我治疗糖尿病的方式。 有一个称为hA1C的值，以百分比表示，用于测量最近3个月内的血糖控制。 非糖尿病患者的值在4％至6％之间，表明在此期间他们的血糖大约为100mg / dl。 目前，该矿的比例在6.3％至6.5％之间，属于正常水平。 我相信此设备加上我对Symlin的使用将使该数字达到正常范围，从而限制了我出现失明等并发症的机会。
Nutshell
果壳
I still will check my blood sugar via a finger stick between 4 and 10 times a day. The meter will wirelessly tell the pump that I checked. The fingerstick is considered more authoritative than the continuous meter. In fact, the continuous meter is calibrated by the fingerstick.
我仍然会通过手指棒每天检查4至10次血糖。 仪表将以无线方式告知我检查过的泵。 指棒比连续仪表更具权威性。 实际上，连续仪表是通过指尖校准的。
The continous transmitter's sensor last 72 hours then the tip needs to be replaced. The larger transmitter lasts at least six months, then it needs to be replaced. It has a sealed internal battery. Additionally, it's interesting to note that the transmitter has a version number. Mine is 1.6, which tells me that they can improve the transmitter at least every 6 months and I won't need to do anything to see improvements in accuracy. The pump holds all the data and history information and includes both a 3-hour and 24-hour graph view.
连续变送器的传感器持续72小时，然后需要更换喷嘴。 较大的发射器可持续至少六个月，然后需要更换。 它具有密封的内部电池。 此外，有趣的是，该发送器具有版本号。 我的是1.6，这告诉我他们可以至少每6个月改进一次变送器，而我不需要做任何事情就能看到精度的提高。 该泵将保存所有数据和历史记录信息，并包括3小时和24小时图表视图。
You shouldn't make insulin dosing decisions based on the continuous meter - it's just a trendline that gives you an idea of what happens the other 23.5 hours that you're not sticking your figer.
您不应该根据连续式血糖仪做出胰岛素剂量决定-这只是一条趋势线，可以让您了解在其他23.5小时内您没有坚持下去的情况。
Scott's Diabetes FAQ or Everything You Always Wanted to Ask a Diabetic But Were Afraid to Ask
斯科特的糖尿病常见问题解答要么您一直想问糖尿病但又不敢问的一切
Q: When did you become diabetic? How did it happen?
问：您何时患糖尿病？ 这是怎么发生的？
A: I had the flu (or flu-like symptoms) in November of 1994. When it was over, I was peeing all day long, had lost 35 pounds (I was skin and bones) and my dad, a firefighter/paramedic said, you need to get to a doctor, ASAP. My blood sugar was clearly high and suddenly I was a Type 1 diabetic.
答：我在1994年11月得了流感(或类似流感的症状)。当结束时，我整天撒尿，失去了35磅(我的皮肤和骨头)和我的父亲，一名消防员/护理人员说，您需要尽快去看医生。 我的血糖明显很高，突然我是1型糖尿病。
Q: So that's Juvenile Diabetes, right?
问：那就是青少年糖尿病吧？
A: It's not called Juvenile Diabetes anymore, as it can happen to folks in their 30's and beyond. There are (basically) two types of Diabetics:
答：它不再被称为青少年糖尿病，因为它可能发生在30岁及30岁以上的人群中。 (基本上)有两种类型的糖尿病：
- Type I – used to be called Juvenile Diabetes or Youth-Onset or Insulin Dependant (IDDM). These folks nearly ALWAYS use Insulin. Typically these folks don’t produce any (or much) of their own insulin. If I don’t make it, I need to get it somewhere. I型–过去被称为青少年糖尿病或青年发作或胰岛素依赖(IDDM)。 这些人几乎总是使用胰岛素。 通常，这些人自己不产生任何(或很多)胰岛素。 如果我做不到，我需要把它拿到某个地方。
- Type II – also called Adult-Onset or Non-Insulin Dependant (NIDDM). They are so different, it’s a shame they are both called Diabetes. These folks typically have decreased responsiveness to their own insulin. If they aren’t using their own insulin well, they need to be made more sensitive to it. II型-也称为成人发作或非胰岛素依赖(NIDDM)。 他们是如此不同，可耻的是他们都被称为糖尿病。 这些人通常对自己的胰岛素的React性降低。 如果他们没有很好地使用自己的胰岛素，则需要使其对胰岛素更加敏感。
"Worldwide, there are about 171 million diabetics, but only about 10 percent of those have Type 1 diabetes. The vast majority have Type 2 diabetes, which is linked to obesity. In the United States, about 900,000 to 1.8 million people have Type 1 diabetes, the American Diabetes Association says."
“在全球范围内，大约有1.71亿糖尿病患者，但只有大约10％患有1型糖尿病。绝大多数患有与肥胖有关的2型糖尿病。在美国，大约90万至180万人患有1型糖尿病糖尿病，美国糖尿病协会说。”
Q: The pump makes all the decisions for you?
问：泵为您做出所有决定？
A: No, the pump is just a delivery device. It pushes insulin through a tube into small plastic needle-thing called a canula that is 9mm into my belly. I move it every 72-96 hours. The pump has a screw-drive internally that pushes a head against a syringe's piston. It's got some wizards and calculators, but it never does anything automatically, other than deliver a small background (basal) dose that I have to set myself.
答：不，泵只是输送装置。 它通过导管将胰岛素推入小的塑料针头(称为套管)，该针头进入我的腹部9毫米。 我每72-96小时移动一次。 该泵内部有一个螺旋驱动器，可将头顶向注射器的活塞。 它有一些向导和计算器，但是除了提供我必须设定的少量背景(基础)剂量外，它永远不会自动执行任何操作。
Q: Why not just stick with needles? My [uncle|sister|dad|butcher] does two shots a day and he's|she's all good...
问：为什么不只扎针？ 我的[叔叔|爸爸|屠夫]每天打两枪，他的|她都很好...
A: Taking insulin twice a day is the equivalent of going for a flight but you're only allowed to touch the flight controls twice. Better make those two turns count. Same thing with checking your blood sugar. If you check it twice a day, imagine flying from LA to New York and only checking your altitude twice.
答：每天服用两次胰岛素相当于一次飞行，但是只允许您两次触摸飞行控制器。 最好让这两个回合计数。 检查血糖也是一样。 如果您每天检查两次，请想象一下从洛杉矶飞往纽约并只检查两次您的高度。
Q: What's so great about a pump?
问：泵有什么优点？
A: I can make little adjustments on the order of a 1/10 of a Unit of insulin, while folks with needles can usually only managed 1/2 a Unit and they'd need to stick themselves each time!
答：我几乎无法调整胰岛素单位的1/10的数量级，而带针的人通常只能管理1/2单位的胰岛素，他们每次都需要自己坚持下去！
Q: Do you sleep with the pump on? Shower? What about sex?
问：您在泵打开时睡觉吗？ 淋浴？ 性别呢？
A: You can disconnect it for ~30-60mins without ill effects, but everyone is different. While it's not connected, it's not delivering, so you'll likely need to compensate. It's not waterproof. I sleep with it on and remove it at other times.
答：您可以断开连接〜30-60分钟，而不会产生不良影响，但是每个人都不一样。 虽然没有连接，但没有交付，因此您可能需要补偿。 不防水。 我睡着了，在其他时间将其删除。
Q: Is it hereditary?
问：是遗传性的吗？
A: Some Type 1 diabetes is, and many Type 2's are, but it all depends. I'm the only Type 1 in my family going back many years, but I know a girl who's entire family, brothers and sisters are all Type 1. Z has a 2% chance of being a Type 1 Diabetic, which is roughly the chance anyone has with one Type 1 parent.
答：有些是1型糖尿病，很多是2型糖尿病，但这要视情况而定。 我是我家族中唯一的一种Type 1糖尿病患者，但我知道整个家庭，兄弟姐妹都是Type 1的女孩。Z有2％的可能性成为Type 1糖尿病患者，这大概是一种机会任何人都有一个1型父母。
Q: Can you eat cake?
问：可以吃蛋糕吗？
A: I can eat whatever I like, it's how long I want to chase my blood sugar afterwards that dictates what I eat. It's all about the Glycemic Index - the speed that the food hits you. For example, an apple with the skin on it will raise blood sugar slightly slower than an apple with the skin off. Brown rice is often slower than white. White bread is satan. Going back to the airplane analogy, a food with a high GI will "pull back harder on the stick, making it more difficult to steady the plane later."
答：我可以随便吃什么，之后要追逐血糖的时间决定了我要吃什么。 一切都与血糖指数有关-食物击中您的速度。 例如，有皮肤的苹果比没有皮肤的苹果的血糖升高速度稍慢。 糙米通常比白米慢。 白面包是撒旦。 回到飞机的类比，高GI的食物会“更硬地向后拉，使以后稳定飞机变得更加困难”。
Q: Does it suck?
问：它吸吗？
A: Big time. But what other choice do I have?
A：很开心。 但是我还有其他选择吗？
Q: Will it kill you?
问：会杀死你吗？
A: Very likely. Diabetic typically die of diabetes before other things. Disability insurance is hard to get, as is life insurance, although the latter is easier than the former. However, the key is maintaining as normal blood sugars as possible. I know diabetics who've been diabetic for 50 years, and they didn't have 1/10th the tools and knowledge we have today. I figure if I can stick it out another 10 years, maybe 20, there will be a cure.
答：很有可能。 糖尿病通常会先于其他疾病而死于糖尿病。 伤残保险和人寿保险很难获得，尽管后者比前者更容易。 但是，关键是保持尽可能正常的血糖。 我知道糖尿病患者已经有50年的糖尿病了，他们所拥有的工具和知识还不到我们今天的1/10。 我认为，如果我能再坚持10年，也许20年，将会有治愈的方法。
Before 1922 - Certain Death. A childhood friend of my 90 year old grandmother was diabetic, was fed only lettuce and quickly died.
1922年之前- 一定的死亡。 我90岁的祖母的一个儿时朋友患有糖尿病，只吃过生菜，很快就死了。
1944 - Insulin is derived from Beef and Pork. Standard insulin syrunge is developed. Folks boil and reuse their needles. Blood sugar is tested by peeing on a stick and matching colors. Accuracy is +/-100mg/dl.
1944年-胰岛素来源于牛肉和猪肉。 开发了标准胰岛素注射器。 人们烧开并重复使用针头。 通过在小便上撒尿并匹配颜色来测试血糖。 准确度为+/- 100mg / dl。
1959 - Diabetes is divided into Type 1 and Type 2.
1959年-糖尿病分为1型和2型。
1974 - First Insulin Pump/Backpack
1974年-第一个胰岛素泵/背包
1983 - Biosynthetic Human Insulin is created. (Ya, seriously, this just happened in '83)
1983年-生物合成人胰岛素诞生。 (是的，严重的是，这只是在83年发生的)
1990 - Digital Insulin Pumps the size of a pager, finger stick tests take 45 seconds.
1990年-寻呼机大小的数字胰岛素泵，指尖测试需要45秒。
2006 - Finger stick tests take 5 seconds, insulin pump communicates wirelessly with continuous meter.
2006年-指尖测试需要5秒钟，胰岛素泵与连续仪表进行无线通信。
2007 - ?
2007年？
Soon I shall eat cake.
很快我会吃蛋糕。
(If you have other questions, post them and I'll answer them in the comments)
(如果您还有其他问题，请发表，我会在评论中回答)
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