Ke nānā pono nei ʻoe i kou kō koko? He mea nui ka nānā ʻana i ke kō koko no ka kaohi ʻana i ka maʻi diabetes.

Inā loaʻa iā ʻoe ka maʻi diabetes, nīnau pinepine ʻia ʻoe, "Ua nānā anei ʻoe i kou kō koko?" ʻOiai hiki ke manaʻo ʻia he pilikia i kekahi manawa, ʻo ia kekahi o nā kī koʻikoʻi loa no ka mālama ʻana i kāu maʻi diabetes. E like me ka dashboard o ke kaʻa, hōʻike ia iā ʻoe i nā mea e hana nei i loko o kou kino. ʻO ka nānā mau ʻana i kou pae kō koko e hiki ke kōkua iā ʻoe a me kāu kauka e hoʻomaopopo i ka maikaʻi o ka hana ʻana o kāu hoʻolālā lapaʻau.

No ke aha e pono ai iaʻu e nānā pinepine i koʻu kō koko?

E noʻonoʻo i kou pae kō koko he "kāleka hōʻike" no ke ʻano o kou mālama ʻana i kāu maʻi diabetes. ʻO ia wale nō ke ala e ʻike ai pehea e loli ai kou pae kō koko me nā mea e like me ka meaʻai āu e ʻai ai, ka hoʻoikaika kino āu e hana ai, nā lāʻau lapaʻau āu e lawe ai, a me ke kaumaha āu e noho nei. He mea nui loa kēia inā ʻoe e lawe ana i ka insulin.

Hiki ke loli ke kiʻekiʻe o ke kō koko ma muli o nā mea like ʻole i ko kākou ola. Hiki iā kākou ke hoʻomalu i kekahi mau mea ma o ka ʻike. Akā, he paʻakikī loa kekahi mau mea ke hoʻomalu. No laila he mea nui e nānā mau i kou kō koko, e like me ka ʻōlelo a kāu kauka.

Eia hoʻi, hiki i nā mea e like me kēia ke hoʻonui i ke kō koko:

• ʻAi ʻana i nā meaʻai i loaʻa nā kalapona: Ke ʻai ʻoe i nā meaʻai starchy e like me ka laiki, ka berena, a me ka ʻuala.
• Ke kāpae ʻana a i ʻole ka lawe ʻole ʻana i ka lāʻau lapaʻau maʻi diabetes a i ʻole ka insulin: ʻAʻole lawe i ka lāʻau i ka manawa kūpono.
• Ka nele i ka hoʻoikaika kino: Ke emi ka hoʻoikaika kino o ke kino ma mua o ka maʻamau.
• Kekahi mau lāʻau lapaʻau: ʻOi loa aku i ka wā e lawe ana i nā steroids (corticosteroids).
• Maʻi, ʻoki kino, a i ʻole ke kaumaha: I nā manawa e like me kēia, piʻi aʻe ke kiʻekiʻe o ke kō ma muli o nā loli hormonal i ke kino.
• Ka hanana wanaʻao: He mea ʻano ʻē kēia. Ua kapa ʻia ʻo ia nā loli hormonal kūlohelohe i loko o ko kākou kino e hoʻonui ai i ke kiʻekiʻe o ke kō koko i ke kakahiaka.
• Puhi paka.
• Ka maloʻo ʻana o ka wai.
• ʻŌpio: Hiki ke ʻike ʻia kēia ʻano me nā loli hormonal i nā keiki ʻōpio.

Eia kekahi, hiki i nā mea e like me kēia ke hoʻemi i kou kō koko:

• Ke hōʻalo nei i nā meaʻai.
• ʻO ka lawe ʻana i ka nui o ka lāʻau lapaʻau a i ʻole ka insulin no ka maʻi diabetes.
• Hoʻoikaika Kino: Hoʻohaʻahaʻa pinepine ka hoʻoikaika kino i nā pae kō koko.

I kekahi manawa, hiki i kou kō koko ke piʻi a haʻahaʻa . Aia ia i kou kino a me nā kumu ʻē aʻe.

• Ka maʻi ʻōpū i nā wahine.
• ʻO ka pilina ma waena o ka meaʻai a me ka manawa lawe lāʻau lapaʻau/insulin.
• Ka inu ʻana i ka waiʻona.
• Nā lāʻau lapaʻau i lawe ʻia no nā maʻi ʻē aʻe.

He aha nā ala e nānā ai i ke kō koko ma ka home?

Hiki iā ʻoe ke nānā i kāu kō koko ma ka home ma nā ʻano nui ʻelua.

1. Ke hoʻohana ʻana i ka mika glucose a me nā ʻāpana hoʻāʻo: ʻO kēia ka mea a mākou e kapa nei he "finger stick check." ʻO ke ʻano hana e pili ana i ke hou ʻana i kou manamana lima me kahi nila a lawe i kahi kulu koko.

2. Ke hoʻohana ʻana i kahi Monitor Glucose Hoʻomau (CGM): He ʻano hana hou kēia no ka nānā ʻana i nā pae kō i 24 mau hola o ka lā ma o kahi sensor liʻiliʻi i hoʻokomo ʻia ma lalo o ka ʻili.

Inā ʻoe e koho i kekahi a i ʻole nā ​​​​​​ʻano ʻelua, he mea ia e kūkākūkā ai me kāu kauka. Aia kekahi mau mea e hoʻohuli i kēia. No ka laʻana, ke kumukūʻai o nā lako, ke ʻano o ka maʻi diabetes āu, a me ka pinepine o kāu kauka e ʻōlelo ai e nānā iā ʻoe.

Nā mika glucose a me nā ʻāpana hoʻāʻo

ʻO kēia ke ʻano kuʻuna a kākou a pau i ʻike a hoʻohana ai. Hoʻo hou ʻoe i kou manamana lima me kahi nila liʻiliʻi i kapa ʻia he lancet a lawe i kahi kulu koko. A laila, kau ʻoe i kēlā kulu koko ma kahi kaha hoʻāʻo ma ka mika glucose. I loko o kekahi mau kekona, hōʻike ʻia ka waiwai o kāu kō koko ma ka pale o ka mika.

Ma muli o ka hāʻawi wale ʻana o kēia ʻano hana i ka waiwai i ka wā o ka nānā ʻana, pono kekahi poʻe, ʻoiai ka poʻe e lawe ana i ka insulin, e nānā i kēia ʻano i nā manawa he nui i ka lā.

CGM (Mea Nānā Glucose Hoʻomau)

He ʻenehana hou kēia. Ua like ia me ke kau ʻana i kahi sensor liʻiliʻi i kou kino a me ka nānā ʻana i kou pae kō koko i 24 mau hola o ka lā. Hiki iā ʻoe ke ʻike pehea e loli ai kou pae kō koko i ka lā holoʻokoʻa ma kahi pakuhi.

Akā e hoʻomanaʻo, ʻoiai pehea ka maikaʻi o kēia ʻenehana, hiki iā ia ke hāʻawi i nā heluhelu pololei ʻole. Inā manaʻo ʻoe e loaʻa ana iā ʻoe nā hōʻailona o ke kō koko haʻahaʻa, akā ke hōʻike nei kāu CGM i kahi heluhelu maʻamau, e hōʻoia e lawe i kahi manamana lima a nānā hou me kahi mika maʻamau.

ʻO ke kaʻina hana kūpono no ka nānā ʻana i ke kō koko

I ke nānā ʻana i kou kō koko me ka mika glucose, e hahai maʻamau i kēia mau ʻanuʻu.

1. ʻO ka mea mua, e holoi pono i kou mau lima me ke kopa a me ka wai. Inā lepo kou mau manamana lima me nā ʻāpana meaʻai, hewa paha nā hopena. E holoi i kou mau manamana lima me ke kopa a me ka wai a i ʻole kahi ʻūlū waiʻona.

2. E hoʻokomo i kahi ʻāpana hoʻāʻo i loko o ka mika.

3. E hou i ka ʻaoʻao o kou manamana lima me kahi mea lancet.ʻOi aku ka ʻeha o ka hoʻokomo ʻana ma ka ʻaoʻao ma mua o ka ʻeha ma waena.

4. E hoʻopā i ke kulu o ke koko i ka piko o ke kaha hoʻāʻo. E huki koke ka mika i ka nui o ke koko e pono ai.

5. E ʻike ʻia ka hopena ma ka pale i loko o kekahi mau kekona.

Āhea ʻoe e nānā ai i kou kō koko?

Na kāu kauka e hoʻoholo i ka pinepine a me ka manawa o ka lā e pono ai ʻoe e nānā i kāu kō koko. He ʻokoʻa ia mai kēlā kanaka a kēia kanaka. Eia nō naʻe, he mea nui e nānā i kāu kō koko i kēlā me kēia manawa āu e ʻike ai i nā hōʻailona o ke kō koko haʻahaʻa a kiʻekiʻe paha.

E kōkua ka papa ma lalo nei iā ʻoe e hoʻomaopopo i ke koʻikoʻi o ka nānā ʻana i kou kō koko i nā manawa like ʻole o ka lā.

He aha ke ʻano o kēia mau helu?

ʻO kou pae kō koko olakino (pae target) he mea kū hoʻokahi ia iā ʻoe. Pono e hoʻoholo ʻia ma ke kamaʻilio ʻana me kāu kauka. Aia ia i nā mea he nui, e like me kou mau makahiki, pehea ka lōʻihi o kou loaʻa ʻana i ka maʻi diabetes, a inā he mau maʻi ʻē aʻe kāu.

Eia nō naʻe, eia nā waiwai maʻamau i ʻōlelo ʻia e ka American Diabetes Association no nā pākeke hāpai ʻole:

• Ma mua o ka ʻai ʻana: Ma waena o 80 - 130 mg/dL.
• 1-2 mau hola ma hope o ka ʻai ʻana: Ma lalo o 180 mg/dL.

Inā hāʻule kou pae kō koko (Hypoglycemia)

ʻO ka maʻamau, hiki mai kēia ʻano ke hāʻule nā ​​pae kō koko ma lalo o 70 mg/dL. Hiki ke lilo i mea weliweli kēia, no laila he mea nui e hana koke i ka wā e ʻike ai ʻoe i nā hōʻailona.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻai koke i kahi mea me kahi kō liʻiliʻi (e like me ka glucose toffee, ka maiʻa, kahi wai huaʻai). Inā hāʻule haʻahaʻa loa kou kō koko, hiki paha iā ʻoe ke nalowale ka ʻike. He pilikia kēia.

Inā piʻi aʻe ke kō koko (Hyperglycemia)

ʻO ka maʻamau, hiki mai kēia ʻano ke ʻoi aku ka nui o ke kō koko ma mua o 180 mg/dL. Eia nō naʻe, hoʻomaka ka nui o ka poʻe e ʻike i nā hōʻailona ke ʻoi aku lākou ma mua o 250 mg/dL.

Inā ʻoe e lawe ana i ka insulin, pono ʻoe e lawe i ka nui o ka insulin e like me ke kuhikuhi a kāu kauka. I kekahi manawa, inā hele pū nā hōʻailona e like me ka luaʻi a me ka luhi nui me ke kō koko kiʻekiʻe, hiki ke lilo i kūlana weliweli i kapa ʻia ʻo Diabetic Ketoacidosis (DKA). Inā hana ʻia kēia, e kelepona koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

ʻO nā pilikia i hoʻokumu ʻia e kēia a me kā lākou hoʻonā

ʻOiai he nui nā pono o ka nānā ʻana i ke kō koko, hiki iā ia ke hoʻopilikia i kekahi poʻe.

• ʻEha ka piko o ka manamana lima: Hiki ke loaʻa ka ʻeha o ka piko o ka manamana lima ke hou pinepine ʻoe i kou manamana lima. No ka hoʻoponopono ʻana i kēia, e hou i kou manamana lima ma ka ʻaoʻao ma kahi o ka waena. Eia kekahi, mai hoʻohana hou i ka lancet like (nila) i nā manawa he nui, akā e hoʻohana mau i kahi mea hou.
• Kumukūʻai: Hiki i kekahi poʻe ke paʻakikī ke kūʻai i ke kumukūʻai o nā ʻāpana hoʻāʻo a me nā ʻōnaehana CGM. E kamaʻilio me kāu kauka e pili ana i kēia. Hiki paha iā ia ke aʻo iā ʻoe i nā ala e hōʻemi ai i ke kumukūʻai.
• Ka hopena noʻonoʻo: He mea maʻamau ke kaumaha, huhū, a hoʻonāukiuki paha i ka ʻike ʻana i kou pae kō koko i kekahi mau lā.