Hygiene Pharmacy and Pharmacy Administration 公共衛生藥學暨藥事管理 藥師與血糖自我監測 杏一醫療用品虎尾若瑟門市藥師徐士傑 摘要 pharmacists self monitoring of blood glucose (SMBG) 壹 前言 N a t i o n a l D i a b e t e s I n f o r m a t i o n Clearinghouse (NDIC) 2005-2008 6526.9%12 20-6417.4% 1 2010 2500 2 2000-2009 70%35% 20-59 200560 1 1% 3 1% 40% 1 67% 4 貳 血糖自我監測 5,6 一 裝扎血針 ( ) 二 啟動血糖機 ( ) 294 藥學雜誌第 117 冊 139
公共衛生藥學暨藥事管理 Hygiene Pharmacy and Pharmacy Administration 三 手指消毒 ( ) 四 扎血取樣 ( ) 5 五 記錄整理 1 表一血糖機操作之病人教育重點 / () - / / / 8 2 2 (HbA1c) 120 3 4-6%7% 7 140 THE JOURNAL OF TAIWAN PHARMACY Vol.29 No.4
7 表二糖尿病人血糖控制目標建議 * (%) < 7% (mg/dl) 80-120 2 (mg/dl) < 140 * 參 藥師在血糖自我監測中的角色 一 協助病人選對與用對血糖機 0970304727 10% 二 血糖機之校正 保養與維修 8,9 肆 血糖機不良事件通報 FDA MedWatch 294 藥學雜誌第 117 冊 141
公共衛生藥學暨藥事管理 Hygiene Pharmacy and Pharmacy Administration http:// medwatch.fda.gov.tw ADR 98 (2013,Mar., Vol. 41) ADR 92-95 ADR 91-99 93 ADR ADR 10 93 77 10 伍 結語 11 12 (App) 參考資料 : 1. National Diabetes Information Clearinghouse(www. diabetes.niddk.nih.gov), Statistics, Diabetes in U.S. populations. http://www.diabetes.niddk.nih.gov/dm/pubs/ america/index.aspx.2013/4/15 2. Wild S, Roglic G, Green A, et al: Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004; 27:1047-1053. 3. Yi-Der Jiang, Chia-Hsuin Chang, Tong-Yuan Tai, Jung- Fu Chen et al: Incidence and prevalence rates of diabetes mellitus in Taiwan: Analysis of the 2000-2009 Nationwide Health Insurance database. JFMA 2012, 111(11): 599-604. 4. Burge MR. Lack of compliance with home blood glucose monitoring predicts hospitalization in diabetes. Diabetes Care. 2001;24:1502-1503. 5. Ulbrich T, Krinsky D. Self care components of selected chronic disorders. In: Krinsky D, Berardi R, Ferreri S, et al, eds. Handbook of Nonprescription Drugs. 17th ed. Washington, DC: American Pharmacists Association; 2012. 6. Checking your blood glucose. American Diabetes Association website. www.diabetes.org/living-with-diabetes/ treatment-and-care/blood-glucose-control/checking-yourblood-glucose.html.2013/4/15 7. http://homepage. vghtpe.gov.tw/~meta/hospital/teach1.htm#1 2013/4/15 8. Asuncion MM, Shaheen M, Ganesan K, et al: Increase in hypoglycemic admissions: California hospital discharge data. Ethn Dis. 2007;17:536-540. 9. EyeSense. About us. www.eyesense.com/en/ueber.htm 2013/4/15 10. (http://medwatch.fda.gov.tw) ADR http://medwatch.fda.gov.tw/adr-med/main05.htm 2013/4/15 11. Amir O, Weinstein D, Zilberman S. Continuous noninvasive glucose monitoring technology based on "occlusion spectroscopy." J Diabetes Sci Technol. 2007;1:463-469. 12. American Diabetes Association. Standards of medical care in diabetes-2012. Diabetes Care. 2012;35(suppl. 1):S11- S63. 142 THE JOURNAL OF TAIWAN PHARMACY Vol.29 No.4
Pharmacists and Self Monitoring of Blood Glucose Shih-Chieh Hsu St. Joseph Branch, Medfirst Healthcare Service Inc Abstract The prevalence of diabetes continues to rise. This paper investigates the use of blood glucose self-monitoring device, as well as the role and function of the pharmacists in this care behavior. Also, recommend the implementation of monitoring of blood glucose and other medical equipment, hoping to improve self-monitoring of blood glucose. 高鈉血症 (Hypernatremia) 145 meq/l (hypovolemic) (euvolemic) (central diabetes insipius) (hypervolemic) 專有名詞介紹 0.9% NaC 0.45% NaCl 5% dextrose desmopressin 5% dextrose furosemide <0.5 meq/l/hr // 294 藥學雜誌第 117 冊 143