Ua haʻahaʻa anei kou kō koko? (Hypoglycemia) E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

I kēia lā, e kamaʻilio ana mākou e pili ana i kahi maʻi e hiki ke hoʻopilikia i nā poʻe he nui, ʻoiai ka poʻe me ka maʻi diabetes, a i kekahi manawa ʻo ka poʻe me ka ʻole o ka maʻi diabetes. ʻO ia ke kō koko haʻahaʻa, a i ʻole ma nā huaʻōlelo lapaʻau, hypoglycemia. He mea nui e makaʻala i kēia no ka mea hiki ke lilo i mea koʻikoʻi loa.

He aha ka hypoglycemia? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, loaʻa ka hypoglycemia i ka wā e hāʻule ai kou kō koko, a i ʻole glucose, ma lalo o kahi pae olakino. Kāhea pū mākou i kēia ʻo 'ke kō koko haʻahaʻa.' He kūlana maʻamau kēia i nā poʻe me ka maʻi diabetes, ʻoiai ka poʻe me ka maʻi diabetes type 1.

Ma keʻano laulā, no kekahi kanaka me ka maʻi diabetes, ua manaʻo ʻia ka hypoglycemia ke hāʻule ka pae kō koko ma lalo o 70 mg/dL (milligrams no ka deciliter) a i ʻole 3.9 mmol/L (millimoles no ka lita). No kekahi kanaka me ka ʻole o ka maʻi diabetes, ʻo ka hypoglycemia ka wā e hāʻule ai ka pae ma lalo o 55 mg/dL (3.1 mmol/L). I kēlā mau manawa, pono ʻoe e ʻai a inu paha i kahi mea i loaʻa ke kō a i ʻole nā ​​​​kāpona i ka wā hikiwawe. Eia nō naʻe, inā lilo kēia ʻano i mea koʻikoʻi (hypoglycemia koʻikoʻi), hiki ke hoʻoweliweli i ke ola. I kēlā hihia, pono koke ka mālama ʻana i ka glucagon ulia pōpilikia a i ʻole ke kōkua lapaʻau.

No ke aha he mea nui ke 'kūkae koko' i ko mākou kino?

Loaʻa i ko kākou kino ka glucose, a i ʻole ke kō, mai ka meaʻai a kākou e ʻai ai, ʻoiai mai nā meaʻai i loaʻa nā kalapona. ʻO kēia glucose ke kumu nui o ka ikehu o ko kākou kino. Ua like ia me ka ʻaila no ke kaʻa. Lawe ʻia kēia glucose e ko kākou koko i kēlā me kēia cell o ke kino e hana i ka ikehu. He mea nui loa kēia glucose no ko kākou lolo. No ka hana pono ʻana o ka lolo, pono ia i ka lako mau o ka glucose.

Inā ʻaʻohe ou maʻi diabetes, kōkua maoli kou kino i ka mālama ʻana i kou pae kō koko i loko o kahi pae olakino ma o kekahi mau kaʻina hana. ʻO ka hormone insulin - i hana ʻia e kā mākou pancreas - ʻo ia ka mea nui e kōkua i kēia. ʻO Glucagon kekahi hormone koʻikoʻi i kēia kaʻina hana.

Eia nō naʻe, pono i ka poʻe me ka maʻi diabetes ke lawe i nā lāʻau lapaʻau maʻi diabetes waha a me ka insulin synthetic e kāohi i ko lākou pae kō koko. Pono nō hoʻi lākou e hoʻololi i ke ʻano o ka nohona. ʻO ke kō koko haʻahaʻa pinepine ʻia e ka nui o ka insulin i loko o ke kino - no ka mea ua hana maoli ʻia a i ʻole no ka mea ke lawe nui nei ʻoe i ka insulin. Hiki ke hana ʻia ke kō koko haʻahaʻa e nā pilikia hormonal a me ka metabolic ʻē aʻe.

Inā hāʻule kou pae kō koko ma lalo o kahi pae olakino, hoʻomaka ʻoe e ʻike i nā hōʻailona e like me ka haʻalulu a me ka puʻuwai wikiwiki. Inā hāʻule haʻahaʻa loa ia, hiki ke hoʻoweliweli i ke ola. No ka mea, e like me kaʻu i ʻōlelo ai ma mua, pono ka lolo i ka lako mau o ka glucose e hana pono ai. Inā ʻaʻole lawa ka glucose, ʻaʻole hiki i ka lolo ke hana.

Pehea ka maʻamau o ka hypoglycemia?

He mea maʻamau ka hypoglycemia no ka poʻe me ka maʻi diabetes, ʻoiai ka poʻe e hoʻohana ana i ka insulin. Ua ʻike ʻia kekahi noiʻi he 4 mai loko mai o 5 mau kānaka me ka maʻi diabetes type 1, a ma kahi o ka hapalua o ka poʻe me ka maʻi diabetes type 2 e lawe ana i ka insulin, ua hōʻike lākou he haʻahaʻa ke kō koko ma ka liʻiliʻi i hoʻokahi manawa i loko o ʻehā pule.

ʻO ka poʻe e lawe ana i nā meglitinides a i ʻole sulfonylureas no ka maʻi diabetes type 2, aia lākou i ka nui o ka pilikia o ke kō koko haʻahaʻa. Hiki iā ʻoe ke loaʻa i ka hypoglycemia ʻoiai inā ʻaʻohe ou maʻi diabetes, akā he mea kakaikahi loa ia.

He aha nā hōʻailona o ka hypoglycemia (haʻahaʻa ke kō koko)?

Hiki ke hoʻomaka koke nā hōʻailona o ka hypoglycemia. Hiki iā lākou ke ʻokoʻa mai kēlā kanaka a kēia kanaka. ʻOiai i loko o ke kanaka hoʻokahi, hiki ke ʻokoʻa nā hōʻailona mai kēlā me kēia hanana a i kekahi.

He ʻano paʻakikī kēia mau hōʻailona. Akā, hāʻawi lākou iā ʻoe i kahi ʻōlelo aʻo maikaʻi e hana ma mua o ka emi ʻana o ke kō koko. Eia kekahi o nā hōʻailona:

• He ʻano haʻalulu a haʻalulu paha.
• He kino ola ʻole.
• Ke hou nei a ke anu nei.
• Ka pōloli nui (polyphagia).
• Piʻi ka helu o ka puʻuwai.
• Ka poniuniu a i ʻole ka manaʻo o ka wili ʻana.
• Ka paʻakikī i ka noʻonoʻo ʻana a i ʻole ka huikau.
• Hopohopo mau a huhū paha.
• Ka hoʻololi ʻili (keʻokeʻo).
• Manaʻo e like me ka maneʻo o kou mau lehelehe, alelo, a i ʻole nā ​​papālina.

ʻO nā hōʻailona o ka hypoglycemia koʻikoʻi:

• ʻIke pōwehiwehi a ʻike pālua paha.
• ʻŌlelo ʻūlū.
• Ka nalowale o ke kaulike a i ʻole ka pilikia i ka hana ʻana i nā hana.
• Ke pioloke nei.
• Nā ʻōʻili.
• Ka nalowale o ka ʻike.

He mea hoʻoweliweli ke hypoglycemia koʻikoʻi i ke ola! Pono ia i ka mālama koke ʻana o ke kauka. ʻOiai he mea kakaikahi, inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka coma a me ka make.

I kekahi manawa hiki ke hāʻule kou kō koko i kou hiamoe ʻana. Kāhea mākou i kēia he hypoglycemia nocturnal. Hiki i nā hōʻailona ke komo pū me:

• ʻAʻohe hiamoe a hiamoe hoʻomaha ʻole paha.
• Ka pulu ʻana o nā lole a i ʻole nā ​​​​​​moena i ka hou.
• Ke uē nei i kou hiamoe ʻana.
• Nā moeʻuhane ʻino.
• Manaʻo nui i ka luhi, ka huikau, a i ʻole ka pioloke i ke ala ʻana.

I ka manawa hea e ʻike ʻia ai nā hōʻailona o ka hypoglycemia?

ʻOkoʻa ka pae glucose kahi e hoʻomaka ai nā hōʻailona no ka poʻe me ka maʻi diabetes mai kēlā kanaka a i kēia kanaka. ʻO ka maʻamau, hoʻomaka ka poʻe me ka maʻi diabetes e ʻike i nā hōʻailona ke hāʻule ko lākou kō koko i 70 mg/dL a i ʻole ka haʻahaʻa. Eia nō naʻe, inā hāʻule koke kou kō koko, hiki iā ʻoe ke ʻike i nā hōʻailona ma mua.

Hiki i kekahi poʻe maʻi diabetes ke ʻike i nā hōʻailona o ka hypoglycemia ʻoiai ma nā pae glucose kiʻekiʻe. ʻO kēia no ka mea ke kiʻekiʻe nā pae kō koko no ka manawa lōʻihi (hyperglycemia mau), ua maʻa ke kino i nā pae i manaʻo ʻia he 'maʻamau'. Hoʻololi ka pae e ʻike ʻia ai nā hōʻailona o ke kō koko haʻahaʻa.

He haʻahaʻa ke kō koko o kekahi poʻe akā ʻaʻole lākou e ʻike i nā hōʻailona, ​​a ʻaʻole paha lākou e ʻike iā lākou. Ua kapa nā kauka i kēia hypoglycemia he unawareness . ʻOi aku ka nui o ka loaʻa ʻana o kēia poʻe i ka hypoglycemia koʻikoʻi a ʻoi aku ka nui o ka pono o ke kōkua lapaʻau.

Hiki ke ʻike ʻole ʻia ka hypoglycemia i nā poʻe maʻi diabetes i loaʻa i nā pae kō koko haʻahaʻa no ka manawa lōʻihi. Hoʻōki ko lākou kino i ka hōʻike ʻana i nā hōʻailona ke hāʻule ko lākou pae kō koko.

Inā loaʻa iā ʻoe ka ʻike ʻole i ka hypoglycemia, he mea nui e haʻi aku i kou mau hoaaloha a me kou ʻohana e pili ana i ia mea i hiki iā lākou ke kōkua iā ʻoe inā haʻahaʻa loa kou kō koko. Hiki paha iā ʻoe ke ʻike he kōkua kēia mau mea:

• Ke hoʻohana nei i kahi hāmeʻa Hoʻomau Glucose Monitoring (CGM) e hoʻomaopopo iā ʻoe i ka wā e haʻahaʻa ai kou kō koko.
• E nānā pinepine i kou pae kō koko me ka lima.
• ʻĪlio makaʻala maʻi diabetes - Ua hoʻomaʻamaʻa kūikawā ʻia kēia mau ʻīlio e hoʻomaopopo iā ʻoe i ka wā e haʻahaʻa ai kou kō koko.

He aha nā pilikia e hiki mai ana ma muli o ke kō koko haʻahaʻa?

ʻO ka hypoglycemia koʻikoʻi e mau ana no ka manawa lōʻihi hiki ke hoʻoweliweli i ke ola. Hiki iā ia ke alakaʻi i nā pilikia e like me:

• Ka hāʻule ʻana o nā ʻōkana he nui.
• Nā arrhythmias puʻuwai.
• Paʻa ka puʻuwai.
• Ka pōʻino mau loa o ka lolo.
• Mokuʻāina koma.
• Ka make.

Eia kekahi, ʻo ka hoʻohana ʻana i nā mīkini kaumaha, e like me ka hoʻokele kaʻa ʻana, i ka wā e haʻahaʻa ai kou kō koko he mea weliweli loa ia. ʻOi aku ka nui o kou loaʻa ʻana i kahi ulia. Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā mau i kou pae kō koko ma mua o ka hoʻohana ʻana i nā mīkini kaumaha.

He aha ke kumu o ka hypoglycemia (haʻahaʻa ke kō koko) i nā poʻe me ka maʻi diabetes?

Hiki mai ka hypoglycemia ke hāʻule kou pae kō koko ma lalo o kahi pae olakino. Hiki ke hana ʻia kēia no kekahi mau kumu no ka poʻe me ka maʻi diabetes. Hiki ke loaʻa ka hypoglycemia inā ʻaʻole kaulike kāu ʻai, hoʻoikaika kino, a me nā lāʻau lapaʻau maʻi diabetes.

ʻO kēia nā kūlana maʻamau e hiki ai i ka poʻe me ka maʻi diabetes ke loaʻa i ka hypoglycemia:

• Ke lawe nei i ka nui o ka insulin, ke lawe ʻana i ke ʻano insulin kūpono ʻole, a i ʻole ke komo ʻana i ka insulin i loko o nā ʻiʻo ma kahi o ka ʻiʻo momona.
• ʻAʻole i hoʻonohonoho pono i ka manawa o ka insulin a me ka lawe ʻana i nā carbohydrate (no ka laʻana, ke kali lōʻihi loa e ʻai ma hope o ka lawe ʻana i ka insulin no ka ʻai ʻana).
• ʻO ka lawe ʻana i ka nui loa o ka lāʻau lapaʻau maʻi diabetes a ʻoi aku paha ma mua o ka nui i kuhikuhi ʻia.
• ʻOi aku ka ʻeleu (hoʻoikaika kino) ma mua o ka maʻamau.
• Ka inu ʻana i ka waiʻona me ka ʻai ʻole.
• Ka ʻai lohi ʻana a i ʻole ka hōʻalo ʻana i ka ʻai ʻana.
• ʻAʻole i loko o nā meaʻai kahi kaulike o ka momona, ka protein, a me ka fiber.

Inā hāpai ʻoe a loaʻa iā ʻoe ka maʻi diabetes type 1, ʻoi aku ka nui o kou ʻike ʻana i ke kō koko haʻahaʻa i ka wā o ka trimester mua ma muli o nā loli hormonal.

He aha ke kumu o ka hypoglycemia i nā kānaka me ka ʻole o ka maʻi diabetes?

ʻElua ʻano nui o ka hypoglycemia i nā poʻe me ka ʻole o ka maʻi diabetes: ka hypoglycemia reactive a me ka hypoglycemia hoʻokē ʻai.

Hypoglycemia Reactive

ʻO ka hypoglycemia reactive ka haʻahaʻa o ke kō koko ma hope o ka ʻai ʻana. ʻO ka maʻamau, hiki mai ia i loko o ʻelua a ʻehā hola o ka ʻai ʻana.

ʻAʻole maopopo loa i nā kānaka noiʻi ke kumu o kēia, akā manaʻo lākou no ka mea ʻo ka ʻai ʻana i kekahi mau meaʻai, ʻoiai hoʻi nā kalapona maʻalahi e like me ka laiki keʻokeʻo, ka ʻuala, ka berena, nā keke, a me nā mea ʻono, ke kumu o ka piʻi koke ʻana o ke kō koko, a ukali ʻia e ka emi koke ʻana.

Eia kekahi, hiki i kekahi mau ʻoki pohō kaumaha (ʻoki bariatric) ke hana i ka hypoglycemia reactive. Ma hope o nā ʻoki e like me ke ʻoki bypass gastric, omo koke ke kino i ke kō. Hoʻonui kēia i ka hana ʻana o ka insulin. Hiki i kēia ke hana i ka hypoglycemia.

Hoʻoponopono pinepine ke kino i kēia kūlana iā ia iho, akā ʻo ka ʻai ʻana i kekahi mau kalapona hiki ke hōʻemi koke i nā hōʻailona.

Hypoglycemia hoʻokē ʻai

ʻAʻole ʻike ka hapa nui o ka poʻe me ka maʻi diabetes i ka hypoglycemia ma hope o ka hoʻokē ʻai ʻana no ka manawa lōʻihi. ʻO kēia no ka mea ʻo nā hormones o ke kino a me ka glucose i mālama ʻia e kaohi i nā pae kō koko.

Eia nō naʻe, hiki i kekahi mau maʻi a me nā kūlana ke hoʻoulu i ka hypoglycemia hoʻokē ʻai i ka poʻe me ka ʻole o ka maʻi diabetes. ʻO kēia mau mea:

• Ka inu nui ʻana i ka waiʻona:Hoʻopaʻa ka waiʻona i ka hiki o ke kino ke hana i nā hunaola glucose hou (gluconeogenesis). Inā ʻaʻole ʻoe e ʻai pono no kekahi mau lā a inu nui, hiki i kou kino ke hoʻopau i kāna glucose i mālama ʻia (glycogen). Hiki i kēia ke hana i ka hypoglycemia, ʻo ia ka wā ʻaʻole hiki i kou kino ke hoʻoponopono pono i kāu mau pae kō koko.
• Maʻi koʻikoʻi: Hiki ke loaʻa ka hypoglycemia i nā maʻi koʻikoʻi, e like me ka maʻi ate hope loa, sepsis, hoʻokē ʻai, a i ʻole ka hāʻule ʻana o nā puʻupaʻa. ʻO kēia no ka mea hoʻohana koke kou kino i ka glucose e kū nei no ka ikehu ma mua o ka hiki ke hana i ka glucose hou mai ka meaʻai āu e ʻai ai.
• ʻAdrenal insufficiency: Ma kēia kūlana, ʻoi aku ka haʻahaʻa o nā pae cortisol ma mua o ka maʻamau. ʻOiai ke kōkua nei ka cortisol i ka hoʻomalu ʻana i ke kō koko ma ka hoʻonui ʻana iā ia, hiki i nā pae cortisol haʻahaʻa ke alakaʻi i ka hypoglycemia.
• ʻO ka hypoglycemia tumor cell non-islet (NICTH): He kūlana kakaikahi kēia akā koʻikoʻi. Ma kēia kūlana, hoʻokuʻu kahi tumor i ka nui o ka hormone i kapa ʻia ʻo Insulin-like Growth Factor 2 (IGF-2). Hana kēia hormone e like me ka insulin. Ke kiʻekiʻe ka IGF-2, loaʻa ka hypoglycemia. Hiki ke hana ʻia ʻo NICTH e nā ʻano tumors benign (noncancerous) a me malignant (cancerous).
• ʻInsulinoma: He maʻi ʻaʻai laha ʻole kēia e ulu ana i loko o ka pancreas. Hoʻopuka ia i ka nui o ka insulin, kahi e hoʻoulu ai i ka hypoglycemia - pinepine i ke kakahiaka nui.

ʻOiai he mea kakaikahi, hiki ke hana ʻia ka hypoglycemia e nā lāʻau lapaʻau e pili ʻole ana i ka maʻi diabetes, e like me nā beta-blockers a me kekahi mau antibiotics.

Inā loaʻa iā ʻoe ka hypoglycemia me ka ʻole o ka maʻi diabetes, he mea nui e ʻike i ke kauka.

Pehea e ʻike ai ka poʻe me ka maʻi diabetes i ka hypoglycemia?

ʻO ke ala wale nō e ʻike pono ai inā loaʻa iā ʻoe ka hypoglycemia, ʻo ia ke hoʻāʻo i kou pae kō koko me kahi glucometer. Hoʻohana ka hapa nui o kēia mau mea hana i kahi nila liʻiliʻi i kapa ʻia he lancet e lawe i kahi kulu koko mai ka piko o kou manamana lima.

He mea hana maikaʻi loa ka hāmeʻa nānā glucose hoʻomau (CGM) e kōkua iā ʻoe e ʻike a pale i ke kō koko haʻahaʻa. No ka mea hiki iā ʻoe ke hoʻonohonoho iā ia e hoʻomaopopo iā ʻoe i ka wā e haʻahaʻa ai kou kō koko. He mea pono loa kēia mau hoʻomaopopo CGM i nā kūlana kahi e hiki ai i ke kō koko haʻahaʻa ke hoʻoweliweli, e like me kou hiamoe ʻana a i ʻole ke kalaiwa ʻana.

Inā loaʻa iā ʻoe nā hōʻailona o ka hypoglycemia, akā ʻaʻohe ala e nānā ai i kāu kō koko, e mālama i ka hypoglycemia.

Pehea e ʻike ai ka poʻe me ka ʻole o ka maʻi diabetes i ka hypoglycemia?

Inā kānalua kāu kauka he hypoglycemia kou, e nānā paha ʻo ia i kou kō koko i kēlā me kēia mau hola ʻoiai ʻoe e hoʻokē ʻai ana no kekahi mau lā. Hiki ke hana ʻia nā hoʻokolohua ʻē aʻe e ʻike ai i ke kumu o ka hypoglycemia. No ka laʻana, hiki ke hana ʻia nā hoʻokolohua kiʻi e ʻike ai inā ʻo ke kanesa ke kumu o ke kō koko haʻahaʻa.

Inā loaʻa iā ʻoe ka hypoglycemia reactive, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻāʻo i kapa ʻia ʻo Mixed-Meal Tolerance Test (MMTT). Ma kēia MMTT, inu mua ʻoe i kahi mea inu kūikawā i loaʻa ka protein, ka momona, a me ke kō. Hoʻokiʻekiʻe kēia mea inu i kou pae glucose koko, a laila e hoʻoulu ai i kou kino e hana i ka insulin hou aʻe. A laila, nānā ke kauka i kou pae glucose koko i nā manawa he nui i nā hola ʻelima e hiki mai ana.

Pehea e mālama ʻia ai ka hypoglycemia (haʻahaʻa ke kō koko)?

Hoʻōla ʻia ka hypoglycemia māmā a me ka hypoglycemia kaulike ma ka ʻai ʻana a inu ʻana paha i kahi mea i loaʻa ke kō (nā kalapona).

Ua paipai ka ʻAhahui Diabetes ʻAmelika i ka "rule 15-15" e mālama i kahi hanana hypoglycemia akahai a kaulike paha:

• E ʻai a inu paha i 15 grams o nā kalapona hana wikiwiki e hoʻonui i kou pae kō koko.
• Ma hope o 15 mau minuke, e nānā i kou pae kō koko.
• Inā ma lalo o 70 mg/dL, e lawe hou i 15 grams o nā kalapona hana wikiwiki.
• E hana hou i kēia a hiki i ka pae kō o kou koko ma ka liʻiliʻi he 70 mg/dL.

No ka ʻike ʻana i ka nui o nā kalapona i loko o nā meaʻai āu e ʻai ai, e heluhelu i nā lepili meaʻai. Eia kekahi mau meaʻai i loaʻa ma kahi o 15 grams o nā kalapona hana wikiwiki:

• He ʻāpana hua liʻiliʻi, e like me ka hapalua o ka maiʻa.
• 4 auneke (hapalua kīʻaha) o ka wai huaʻai a i ʻole ka mea inu palupalu maʻamau (ʻaʻole ka meaʻai).
• He punetune o ke kō, ka meli a i ʻole ka syrup.
• He ʻōmole o ka gel glucose koke (e nānā i nā kuhikuhi).
• 3 a i ʻole 4 mau papa glucose (e nānā i nā kuhikuhi).

Inā loaʻa iā ʻoe nā hōʻailona o ka hypoglycemia, akā ʻaʻohe ala e nānā ai i kāu kō koko, e hoʻohana i ka lula 15-15 a hiki i kou ʻoluʻolu.

Pono paha nā keiki ʻōpio i kahi liʻiliʻi o nā kalapona e mālama ai i ka hypoglycemia. E nīnau i ke kauka o kāu keiki e pili ana i kēia.

Pehea e mālama ʻia ai ka hypoglycemia koʻikoʻi?

Pono ka hypoglycemia koʻikoʻi i kahi lāʻau lapaʻau ʻokoʻa ma mua o ka hypoglycemia ʻoluʻolu a i ʻole ka hypoglycemia waena. Inā loaʻa i kekahi āu i ʻike ai ka hypoglycemia a ke ʻōlelo mālie nei, ke huikau nei, a nalowale paha ka ʻike,Mai hāʻawi iā lākou i ka meaʻai a i ʻole nā ​​​​wai. Hiki iā lākou ke ʻāʻī.

I nā hihia o ka hypoglycemia koʻikoʻi, pono e hoʻohana ʻia ka glucagon ulia pōpilikia. He ʻano glucagon synthetic kēia. Ma muli o ke ʻano, hiki ke hāʻawi ʻia ma ke ʻano he injection a i ʻole he pauka ihu (spray ihu maloʻo). Hōʻailona ka glucagon synthetic i kou akepaʻa e hoʻokuʻu i ka glucose i mālama ʻia. ʻO kēia ke kumu e piʻi ai kou pae kō koko.

Inā he inikini ka glucagon, e inikini iā ​​ia i loko o kona puʻupuʻu, lima, a ʻūhā paha e like me nā kuhikuhi ma ka pahu hana. Inā he pauka ihu ka glucagon, e hoʻokomo i loko o kekahi puka ihu e like me nā kuhikuhi ma ka pūʻolo.

Ke hoʻi hou ʻo ia i ka ʻike (maʻamau i loko o 5 a 15 mau minuke), hiki iā ia ke manaʻo i ka luaʻi a me ka luaʻi. Inā e moe ana ʻo ia, e hoʻohuli iā ia ma kona ʻaoʻao e pale aku i ka ʻū ʻana inā e luaʻi ʻo ia.

Mai kānalua e kāhea i ka 911 no ke kōkua. Inā ua poina kekahi, ʻaʻohe ona glucagon, a ʻaʻole paha ʻoe i ʻike pehea e hoʻohana ai, e kāhea koke i ka 911.

Hiki ke pale ʻia ke kō koko haʻahaʻa?

ʻO ka mea pōʻino, he paʻakikī ke pale loa i ke kō koko haʻahaʻa ke loaʻa iā ʻoe ka maʻi diabetes. Akā hiki iā ʻoe ke hoʻāʻo e hoʻololi i kāu hoʻolālā hoʻokele maʻi diabetes e hōʻemi i ka helu o nā hanana hypoglycemic āu e ʻike ai.

Hiki ke hana maʻalahi i kēia ke maopopo iā ʻoe a me kāu kauka ke kumu o kou kō koko haʻahaʻa. E hāʻawi i kāu kauka i ka kikoʻī e like me ka hiki e pili ana i kāu mau hanana kō koko haʻahaʻa. ʻO kahi mea maʻalahi e like me ka hoʻololi ʻana i ka manawa āu e lawe ai i kāu lāʻau lapaʻau, ʻai, a me ka hoʻoikaika kino e hiki ke hoʻoponopono i ka pilikia.

Hiki i kēia mau hana ke kōkua i ka pale ʻana i ke kō koko haʻahaʻa:

• E lawe i kāu mau lāʻau lapaʻau a pau e like me ke kauoha.
• E hahai i nā ʻōlelo aʻo a kāu kauka e pili ana i ka ʻai a me ka hoʻoikaika kino.
• E hoʻohana i kahi mea nānā glucose hoʻomau (CGM), a i ʻole e nānā pinepine i kou pae kō koko - ma mua a ma hope o ka ʻai ʻana, ma mua a ma hope o ka hoʻoikaika kino, a ma ka wā hiamoe.
• Ma hope o kou mālama ʻana i kahi hanana kō koko haʻahaʻa, e kākau i lalo i nā kikoʻī o ka hanana. E hoʻokomo i nā kikoʻī e like me ka manawa, nā mea āu i ʻai ai i hala koke aku nei, inā paha ua hoʻoikaika kino ʻoe, he aha kāu mau hōʻailona, ​​a me kou mau pae glucose. E kōkua kēia iā ʻoe a me kāu kauka e hoʻomohala i kahi hoʻolālā hoʻokele e pale aku i ke kō koko haʻahaʻa i ka wā e hiki mai ana.

He aha ka mea e hana inā loaʻa iaʻu ka hypoglycemia?

ʻO ke ʻano o ka hypoglycemia i ka poʻe me ka ʻole o ka maʻi diabetes e pili ana i ke kumu kumu. Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i ka hypoglycemia pinepine ke lilo i mea weliweli. Hiki iā ia ke alakaʻi i ka ʻike ʻole o ka hypoglycemia. ʻO ke ʻano kēia ʻaʻole paha ʻoe e ʻike i nā hōʻailona hōʻailona o ke kō koko haʻahaʻa.Inā he haʻahaʻa pinepine kou kō koko, he mea nui loa ia e ʻimi i ke kauka nāna e kōkua iā ʻoe e mālama i kāu maʻi diabetes.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole kekahi maʻi ʻē aʻe e hoʻoulu ai i ka hypoglycemia, e ʻaʻahu i kahi lei makaʻala lapaʻau a kūpeʻe lima paha, a lawe pū me ʻoe i kahi kāleka ID lapaʻau i ʻike ai nā poʻe ʻē aʻe pehea e kōkua ai iā ʻoe i kahi pilikia.

Eia nā hana i hiki iā ʻoe ke hana e pale aku i ka hypoglycemia koʻikoʻi:

• E mālama mau i nā meaʻai māmā me ʻoe ma ka home a i kou wā e hele ai i waho - nā mea e like me nā meaʻai huaʻai, nā ʻāpana glucose, a i ʻole nā ​​​​pahu wai hua.
• E wehewehe i ka poʻe āu e launa pū ai e pili ana i ka hypoglycemia a me ka hypoglycemia koʻikoʻi, a pehea e hiki ai iā lākou ke kōkua iā ʻoe inā loaʻa iā ʻoe kahi ulia.
• E lawe mau i ka glucagon ulia pōpilikia. E aʻo i kāu poʻe aloha pehea a me ka manawa e hoʻohana ai.

Inā loaʻa iā ʻoe ka maʻi diabetes, mai hoʻāʻo e mālama nui i kāu kō koko ma ka ʻai ʻana i nā kalapona he nui. Hiki i kēia ke hoʻonui i ke kō koko. Hiki ke paʻakikī ke hoʻōki i ka ʻai nui ʻana ma muli o ka pane "hakakā a lele paha" o kou kino. Ma hope o kou mālama ʻana iā ʻoe iho me 15 grams o nā kalapona, e hoʻonohonoho i kahi uaki no 15 mau minuke ma mua o ka ʻai ʻana i ke kō hou.

Āhea wau e ʻike ai i kaʻu kauka e pili ana i ka hypoglycemia?

Inā loaʻa iā ʻoe ka maʻi diabetes a ke loaʻa pinepine nei ʻoe i nā hanana kō koko haʻahaʻa, e kamaʻilio me ke kauka nāna e kōkua iā ʻoe e hoʻokele i kāu maʻi diabetes. Hiki iā ia ke kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā hoʻokele. Hiki i kēia ke komo pū me nā hoʻololi i kāu papa hana lāʻau, ka papa ʻai, a i ʻole ka hana hoʻoikaika kino.

Inā he haʻahaʻa kou kō koko me ka ʻole o ka maʻi diabetes, e kamaʻilio me kāu kauka. Pono ʻo ia e hana i nā hoʻokolohua e ʻike ai i ke kumu kumu. I kekahi mau hihia, hiki ke koʻikoʻi ke kūlana kumu. No laila, he mea nui loa e ʻike i kāu kauka.

He aha ka ʻokoʻa ma waena o ka hypoglycemia a me ka hyperglycemia?

I ka ʻōlelo maʻalahi, ʻo ka hypoglycemia ka haʻahaʻa o ke kō koko. ʻO ke ʻano o 'Hypo-' ʻo ia hoʻi 'haʻahaʻa'. ʻO ka Hyperglycemia ke kō koko kiʻekiʻe. ʻO ke ʻano o 'Hyper-' ʻo ia hoʻi 'kiʻekiʻe' a i ʻole 'keu'.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi maʻamau ka hypoglycemia e hoʻopilikia ana i ka poʻe me ka maʻi diabetes. Inā ʻaʻole mālama koke ʻia, hiki ke hoʻoweliweli i ke ola. He mea nui e aʻo i kāu mau hōʻailona lapaʻau pilikino a e hoʻāʻo pinepine i kou pae kō koko e pale aku i ka hypoglycemia koʻikoʻi.Inā he haʻahaʻa pinepine kou kō koko, e hana pū me kāu kauka e hoʻomohala i kahi hoʻolālā hoʻokele maʻi diabetes. ʻO ka nui o kou ʻike e pili ana i ke kumu o kāu mau hanana, ʻoi aku ka maʻalahi o ka hoʻomohala ʻana i kāu hoʻolālā.

Inā he haʻahaʻa kou kō koko me ka ʻole o ka maʻi diabetes, pono ʻoe e ʻike i ke kauka. ʻOiai he mea kākaʻikahi ke kumu o ke kumu e lilo i mea koʻikoʻi, hiki ke hana ʻia. No laila, ʻoi aku ka maikaʻi o ka hoʻāʻo koke ʻana ma mua o ka wā ma hope. E mālama i kou olakino!

ʻO ka hypoglycemia, ke kō koko haʻahaʻa, ka maʻi diabetes, ka glucose koko haʻahaʻa, nā hōʻailona, ​​ka lāʻau lapaʻau, glucagon