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Inwendige insulinepomp en inwendige glucosesensor: de oplossing van een groot probleem? Henk Bilo 16 maart 2011
WHO gegevens DM in Nederland ,[object Object],[object Object],[object Object],[object Object]
WHO gegevens DM in Nederland ,[object Object],[object Object],[object Object],[object Object],[object Object]
WHO gegevens DM in Nederland ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type 1 diabetes mellitus  ,[object Object],[object Object],[object Object]
Type 1 diabetes mellitus  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Behandelingsmogelijkheden - 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Behandelingsmogelijkheden - 2 Combinatie uitwendige pomp  en uitwendige glucosesensor
Udelsman et al. Surgery 1997;122:1005-11 Behandelingsmogelijkheden - 3 10
IP Insuline pompen ,[object Object],[object Object],[object Object],[object Object],[object Object],17
Implanteerbare Insuline Pomp (MMT-2007)
Voorbereiding vóór implantatie
Chirurgische techniek 11
Insuline pomp na implantatie Udelsman et al. Surgery 1997;122:1005-11
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Schade et al. Metabolism 1979;28:195-7 Schade et al. Diabetologia 1980;19:35-9 Oskarsson et al. Diabetes metab 2000;26:118-24 Giacca et al. J Clin Endocrinol Metab 1993;77:738-42 Hanaire-Broutin et al. Diabetes Care 1995;18:388-92 Intraperitoneale insuline toediening 8
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renard.  Minim Invasive Ther Allied Technol 2004;13:328-35 Intraperitoneale insuline toediening 9
Selectie criteria CIPII ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Nederlandsche Internisten Vereeniging. Statement CIPII. Juni 2007 37 CIPII: continue Intraperitoneale insuline infusie
Implantable Glucose Monitoring System (IGMS)
 
The Medtronic MiniMed artificial pancreas project Remote control Implantable Pump Continuous  sensor
Huidige situatie - 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Huidige situatie - 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Huidige situatie - 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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Health Valley Event Presentatie Henk Bilo

Notas del editor

  1. Monitor: Monitor can store up to 14 days of data. Event markers(insulin, meals, exercise) and blood fingersticks are entered into the monitor by the patient. Sensor: Sensor signals are sent to the monitor every 10 seconds and an average glucose measurement is stored every 5 minutes. Sensors must be refrigerated and have a shelf-life of 6 mos. Calibrated 4x daily against blood meter fingersticks. Interstitial fluid and blood glucose measurements can vary by up to 10 minutes on average when blood glucose is rising or falling rapidly. Software: Com-stations must be used in order to download the CGMS and obtain graphs. Graphs include 24-hour midnight to midnight trending. Updated software (submitted Aug. 01 ) providing smoothed data results is under review by the FDA as a PMA Supplement. Training: Setup per patient requires 15mins – 30 mins typically. Download and interpretation with physician requires 30mins – 1 hour typically.
  2. Only one model availalbl nowadays There were more companies into the production business.