Guncel Diyabet Yonetimi

Geçmişten Günümüze İnsülin Pompa Tedavisi
Insulin Pump Therapy Past to Today
Barış Önder PAMUKa, Gülseren PAMUKb
aEndokrinoloji ve Metabolizma Hastalıkları Kliniği,
bAile Hekimliği Kliniği, İzmir Kâtip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi, İzmir, TÜRKİYE
Pamuk BÖ, Pamuk G. Geçmişten günümüze insülin pompa tedavisi. Ünsal Avdal E, editör. Güncel Diyabet Yönetimi. 1. Baskı. Ankara: Türkiye Klinikleri; 2019. p.34-8.
Article Language: TR
ÖZET
Otuz yılı aşkın bir süredir insülin pompaları diyabetik hastaların tedavilerinde kullanılmaktadırlar. Teknolojinin ilerlemesiyle birlikte pompalara da her geçen gün yeni özellikler eklenilmekte, gerçek zamanlı glikoz ölçümü yapan sensörler ile pompaların birlikte kullanılmasıyla yapay pankreas geliştirilmesi yönünde önemli adımlar atılmıştır. Birçok yeni kabiliyete rağmen, insülin pompalarının güvenilirliğini ve güvenliğini geliştirmek için daha fazla iyileştirmeye ihtiyaç vardır. Klinik uygulamada, insülin pompaları sıklıkla optimal olmayan bir şekilde yapılandırılmaktadır (örneğin, karbonhidrat faktörleri, düzeltme faktörleri ve insülin eylemi süresi sıklıkla ayarlanmaktadır ve hiç değişmemiştir). Bu nedenle, mevcut glikoz dinamiği bağlamında pompa ayarlarının standart periyodik denetimleri gereklidir. Doğru, kanıta dayalı bilgiler ışığında insülin pompa teknolojisinin ilerlemesi diyabetik hastaların tedavisinde yeni bir çağı başlatmıştır.

Anahtar Kelimeler: Diabetes mellitus; tedavi; insülin pompası; tıp tarihi
ABSTRACT
More than thirty years old insulin pumps are used in the treatment of diabetic patients. With the progress of the technology, new features have been added to the pump every day. Significant steps have been taken towards the development of artificial pancreas by using sensors together with real time glucose measurement sensors and pumps. Despite many new possibilities, further improvements are needed to improve the safety and safety of insulin pumps. In clinical practice, insulin pumps are often undeclared (eg, carbohydrate factors, correction factors, and the duration of insulin action are frequently adjusted and have not changed at all). For this reason, standard periodic inspections of the pump settings in the context of the present glucose dynamics are required. True, in the light of evidence-based information, the progression of insulin pump technology has initiated a new era in the treatment of diabetic patients.

Keywords: Diabetes mellitus; therapy; insulin pump; history of medicine

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30.03.2014

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