Kōkua no ka poʻe e noho ana me ka maʻi diabetes: ʻO wai kahi loea mālama a me ka hoʻonaʻauao maʻi diabetes i hōʻoia ʻia (CDCES)?

Loaʻa iā ʻoe ka maʻi diabetes? A i ʻole aia ʻoe i ka pilikia o ka loaʻa ʻana o ka maʻi diabetes? Inā pēlā, he mea nui loa kēia ʻike iā ʻoe. He maʻi paʻakikī ka maʻi diabetes, akā inā mālama pono ʻia, ʻaʻole ia he mea keakea i ke ola kino olakino. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kanaka i aʻo kūikawā ʻia e hiki ke kōkua iā ʻoe ma kēia huakaʻi. ʻO ia ka Certified Diabetes Care and Education Specialist (CDCES) , a i ʻole Certified Diabetes Care and Education Specialist.

ʻO wai kēia CDCES? I ka pōkole...

E noʻonoʻo, pehea ka maikaʻi o ka loaʻa ʻana o kekahi e hiki ke pane i kāu mau nīnau a pau e pili ana i ka maʻi diabetes, e aʻo iā ʻoe pehea e mālama ai i kou maʻi ma ke ʻano kūpono iā ʻoe, a lilo i kou ikaika? ʻO ia ka CDCES .

I ka ʻōlelo maʻalahi, he loea mālama ola kino ka CDCES nona ka ʻike nui a me ke aʻo kūikawā i ka mālama ʻana i ka maʻi diabetes, prediabetes, a me ka pale ʻana i ka maʻi diabetes. He palapala hōʻoia kūikawā kēia. Ma mua, ua kapa ʻia lākou ʻo "Certified Diabetes Educator (CDE)". I kēia manawa, ua loli kēlā inoa i "CDCES".

No laila, ʻo wai ka mea hiki ke lilo i loea? E nānā:

• Nā Kahu Maʻi i Kāinoa ʻia (RN): ʻIke ʻoe, nā kahu maʻi e kōkua nui mai iā mākou ma nā haukapila a me nā keʻena lapaʻau.
• Nā Kahu Hānai (NP): He poʻe loea kahu hānai mākaukau loa kēia.
• Nā Kauka ʻAi Meaʻai i Kāinoa ʻia (RDNs): ʻO kēia ka poʻe e aʻo mai iā mākou e pili ana i ka meaʻai a me ka meaʻai kūpono. Ua ʻike ʻoe i ke koʻikoʻi o ka kaohi ʻana i ka meaʻai no ka maʻi diabetes.
• Nā Kauka Lapaʻau Lapaʻau (CNS): Nā kahu maʻi i ʻike nui aku e pili ana i nā maʻi kikoʻī.
• Nā Kōkua Kauka (PA): ʻO ka poʻe e kōkua i nā kauka a i kekahi manawa e mālama pū i nā maʻi.
• Nā Kauka Lāʻau Lapaʻau (PharmDs): Nā kānaka i loaʻa ka ʻike hohonu e pili ana i nā lāʻau lapaʻau. Pehea lākou e hana ai, he aha nā hopena ʻaoʻao, a pēlā aku.
• Nā Kauka Lapaʻau (MDs): No laila hiki i kā mākou mau kauka ke lilo i "CDCES" ma hope o ka loaʻa ʻana o kēia hoʻomaʻamaʻa.

ʻO ka pahuhopu nui o kēia mau mea a pau, ʻo ia ke paipai a kākoʻo iā ʻoe i ka mālama ponoʻī ʻana i kāu maʻi diabetes . Kōkua lākou iā ʻoe e hoʻonohonoho i nā pahuhopu kikoʻī a kūpono hoʻi nou iho. Ma o kēia mau pahuhopu, hiki iā ʻoe ke hōʻemi i kou pilikia o nā pilikia mai ka maʻi diabetes a hoʻomaikaʻi i kou olakino holoʻokoʻa.

He aha ka hana a kahi CDCES?

ʻO ka CDCES he kanaka e hana pū me ʻoe, e hāʻawi ana iā ʻoe i ka hoʻonaʻauao, ke kākoʻo, a me ke alakaʻi āu e pono ai e hoʻokō i kāu mau pahuhopu hoʻokele. Ua like lākou me he hoaaloha lā iā ʻoe. Kōkua lākou iā ʻoe:

• No ka poʻe me ka maʻi diabetes Type 1: I kēia hihia, hana ke kino i ka insulin he kakaikahi a ʻaʻohe paha.
• No ka poʻe me ka maʻi diabetes Type 2: ʻO kēia ke ʻano maʻi diabetes maʻamau. Hana ʻia ia ke hana ʻole ke kino i ka insulin lawa a i ʻole hiki ʻole ke hoʻohana pono i ka insulin āna e hana ai.
• No ka poʻe me ka Latent Autoimmune Diabetes of Adults (LADA): Ua like iki kēia me ka maʻi diabetes type 1, akā ʻike ʻia ia i ka wā makua.
• No ka poʻe me ka maʻi diabetes gestational: He maʻi diabetes no ka manawa pōkole a kekahi mau makuahine e loaʻa ai i ka wā hāpai.
• No nā poʻe me nā ʻano maʻi diabetes ʻē aʻe: No ka laʻana, (Type 3c diabetes) a me (MODY - Maturity-Onset Diabetes of the Young).

Kōkua pū lākou i nā poʻe me ka prediabetes e pale iā ia mai ka ulu ʻana i ka maʻi diabetes type 2. Hiki i kahi CDCES ke hāʻawi iā ʻoe i ke aʻo ʻana pākahi a i ʻole ke aʻo ʻana hui.

E like me ka inoa e hōʻike nei, he poʻe loea ʻo CDCES i ka mālama ʻana i ka maʻi diabetes a me ka hoʻonaʻauao ʻana . E aʻo lākou iā ʻoe e pili ana i:

• Nā kumu a me nā hōʻailona o ka maʻi diabetes: Pehea ka nui o ka ʻike ʻana i kēia mau mea? I hiki iā ʻoe ke hoʻomaopopo koke inā loli kekahi mea.
• Nā hoʻolālā e pale aku ai i ka prediabetes, ka maʻi diabetes type 2, a me ka maʻi diabetes gestational: "ʻOi aku ka maikaʻi o ka pale ʻana i ka maʻi ma mua o ka ulu ʻana ma mua o ka ʻeha ʻana ma hope o ka ulu ʻana, ʻeā?"
• Pehea e mālama ai i nā pae kō koko kiʻekiʻe (hyperglycemia) a me nā pae kō koko haʻahaʻa (hypoglycemia): Hiki ke hana kēia i kēlā me kēia manawa i kahi kanaka me ka maʻi diabetes. He mea nui e ʻike i ka mea e hana ai me ka ʻole o ka hopohopo.
• Nā pilikia o ka maʻi diabetes a me kā lākou mau hōʻailona: Hiki ke hoʻopilikia ʻia nā ʻōpū e like me nā maka, nā puʻupaʻa, nā aʻalolo, a me ka puʻuwai. Inā ʻike ʻoe iā lākou, hiki iā ʻoe ke ʻike koke iā lākou a loaʻa ka lāʻau lapaʻau.
• Pehea ka hopena o ka meaʻai a me ka hana kino i nā pae kō koko: "Pehea ka hopena o ka mea a mākou e ʻai ai a me ka hoʻoikaika kino a mākou e hana ai i ko mākou pae kō?" Ke hoʻomaopopo pololei ʻia kēia, e maʻalahi ka hoʻokele ʻana.
• Pehea e hoʻāʻo ai i ke kō koko a me nā ala e nānā ai: Pehea e nānā ai i kāu kō ma ka home, a me nā mea e hoʻomaopopo ai mai kēlā mau heluhelu.
• Nā lāʻau lapaʻau like ʻole no ka maʻi diabetes: nā lāʻau lapaʻau waha no ka maʻi diabetes, nā lāʻau injectable (e.g. GLP-1 agonists).
• Pehea e hoʻohana ai i ka insulin: pehea e hoʻokomo pono ai, pehea ka lōʻihi o kona noho ʻana i loko o ke kino, a pēlā aku.
• Nā hoʻāʻo maʻi diabetes: No ka laʻana, ka hoʻāʻo (A1C). Hōʻike kēia iā ʻoe i ka mea e ʻōlelo ʻia nei e pili ana i kāu mālama ʻana i ka maʻi diabetes.
• ʻO ka ʻenehana hoʻokele maʻi diabetes o kēia manawa: Nā mea e like me ka Continuous Glucose Monitoring (CGM) a me nā pamu Insulin.

ʻAʻole wale kēlā, kōkua pū lākou iā ʻoe e hoʻomaopopo i kāu mau kauka ʻē aʻe e pili ana i nā pilikia me kāu hoʻolālā lapaʻau a me nā mea keakea iā ʻoe i ka mālama pono ʻana i kāu maʻi diabetes (e.g., nele i ke kākoʻo, nele i nā lako maʻi diabetes).

"Ua like ka CDCES me kekahi kanaka e paʻa ana i kou lima, e hōʻike ana iā ʻoe i ke ala kūpono, a hāʻawi iā ʻoe i ka ikaika ma kāu huakaʻi me ka maʻi diabetes."

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Ma hea kahi e hana ai kahi CDCES?

Hiki i kēia mau loea ke hana ma nā wahi like ʻole:

• Ma nā haukapila
• Nā hana kauka pilikino
• Nā lawelawe olakino lehulehu
• Nā lawelawe olakino home
• Nā papahana olakino
• Nā keʻena lapaʻau kaiāulu

Hana pū lākou me nā mea lawelawe mālama ola kino ʻē aʻe, e like me kāu kauka ʻohana (Primary Care Physicians - PCPs) a me nā loea maʻi diabetes (Endocrinologists), e hāʻawi iā ʻoe i ka mālama maikaʻi loa.

Āhea wau e hālāwai ai me kahi CDCES?

Inā paha ua ʻike hou ʻia ʻoe me ka maʻi diabetes a i ʻole ua loaʻa iā ʻoe ka maʻi diabetes no nā makahiki , e kōkua kahi CDCES iā ʻoe e hoʻomaka i kou wahi. ʻO ia hoʻi, hiki iā ʻoe ke hālāwai me lākou i kēlā me kēia manawa.

He maʻi paʻakikī loa ka maʻi diabetes e hoʻopilikia ana i nā ʻano he nui o kou ola. ʻO ka hoʻokō ʻana a me ka mālama ʻana i kāu mau pahuhopu hoʻokele e pono ai ka ʻike a me ka ʻike ma nā kumuhana like ʻole. E noʻonoʻo i kēia mau mea:

• ʻO nā meaʻai nui i loko o ka meaʻai ((Carbohydrates), (Protein), (Fat)) - a pehea lākou e hui pū ai - e hoʻopilikia i kou pae kō koko.
• Pehea e pili ai nā ʻano hana kino like ʻole i kou pae kō koko.
• Pehea e hana ai nā lāʻau lapaʻau like ʻole no ka maʻi diabetes .
• Pehea e nānā ai i kou olakino no nā pilikia e pili ana i ka maʻi diabetes .
• Pehea e hoʻoponopono ai i nā pilikia e kū mai ana i ka mālama ʻana i ka maʻi diabetes.
• Pehea ka hopena o ka maʻi diabetes i nā kūlana olakino ʻē aʻe āu i loaʻa ai - a me ke ʻano ʻē aʻe.
• Nā hoʻomohala hou i ka ʻenehana mālama maʻi diabetes .
• Pehea e hoʻokomo ai i ka mālama ʻana i ka maʻi diabetes i kou ola o kēlā me kēia lā .

He mea paʻakikī ke aʻo a hoʻololi i kēia mau mea a pau ma kāu iho, ʻeā? ʻO ia kahi e komo mai ai kahi CDCES e kōkua iā ʻoe. I ka loli ʻana o kou ola, pono e loli pū kāu hoʻokele maʻi diabetes me ia. ʻO ka hālāwai ʻana me kahi CDCES i ka manawa o ka hōʻoia ʻana a ma kou ola holoʻokoʻa e lilo ia i mea kōkua nui i ka hoʻokō ʻana i kāu huakaʻi.

Pehea e lilo ai i CDCES? E ʻike iki kākou e pili ana i kēlā.

ʻOiai inā ʻaʻole pili pololei kēia iā ʻoe, he mea maikaʻi ke ʻike i ke ʻano o nā mākaukau o kahi CDCES. Ma kēlā ala e ʻoi aku kou hilinaʻi iā lākou.

ʻAʻohe ala hoʻokahi e lilo ai i CDCES. Koho kekahi poʻe loea olakino i kā lākou ʻoihana me ka pahuhopu o ka loaʻa ʻana o kēia palapala hōʻoia. Loaʻa i kekahi poʻe kēia palapala hōʻoia ma hope o nā makahiki he nui o ka lawelawe ʻana.

Na ka Papa Hōʻoia no nā Kauka Mālama a me ka Hoʻonaʻauao Maʻi Diabetes (CBDCES) e hoʻopuka a mālama i ka palapala hōʻoia CDCES. Hoʻoholo pū lākou i nā pae kūpono.

No ke noi ʻana no ka hoʻokolohua CDCES a loaʻa ka palapala hōʻoia, pono ʻoe e hoʻopau i kēia mau mea:

• Pono e loaʻa kahi laikini loea olakino o kēia manawa . No ka laʻana, hiki iā ʻoe ke lilo i kahu maʻi i hoʻopaʻa inoa ʻia, meaʻai i hoʻopaʻa inoa ʻia, a i ʻole kōkua kauka. Ua papa inoa ka pūnaewele CBDCES i kēia mau ʻoihana kūpono āpau.
• Pono e loaʻa i ʻelua mau makahiki o ka ʻike hoʻomaʻamaʻa ʻoihana maʻamau - ma o ka hana a i ʻole ka hana manawaleʻa.
• 1000 mau hola o ka ʻike ma ka hoʻonaʻauao ʻana i ka maʻi diabetes i loko o ka palena kiʻekiʻe o ʻehā mau makahiki .
• Pono e hoʻopau i 15 mau hola o ka hoʻonaʻauao hoʻomau e pili ana i ka maʻi diabetes (CE) i loko o nā makahiki ʻelua i hala .

Inā lākou e hala i ka hoʻokolohua CDCES, e loaʻa iā lākou ka palapala hōʻoia CDCES. Pono e hoʻohou hou ʻia kēia palapala hōʻoia i kēlā me kēia ʻelima makahiki. ʻO ia hoʻi, ua hoʻohou mau ʻia lākou me ka ʻike hou.

Hiki iā ʻoe ke lilo i kumu aʻo maʻi diabetes me ka ʻole o ka lilo ʻana i kahu maʻi? Ua hoʻolauna pū ka CBDCES i kahi ala kūikawā i kapa ʻia ʻo Unique Qualifications Pathway (UQP). He mea ʻano ʻē kēia, akā he ala ia e lilo ai i CDCES. Inā ʻaʻohe ou laikini loea olakino kūpono e like me ke kahu maʻi i kākau inoa ʻia, hiki paha iā ʻoe ke hoʻohana i ke ala UQP. No kēia, pono ʻoe e loaʻa i kahi kekelē laeoʻo ma kahi kahua pili olakino (e.g., Clinical Social Work) mai ke kulanui a i ʻole ke kulanui ma ʻAmelika Hui Pū ʻIa. No ka lilo ʻana i CDCES ma lalo o kēia ala, pono ʻoe e ʻae mua ʻia e ka CBDCES.

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

Hiki i ka mālama ʻana i ka maʻi diabetes ke lilo i mea kaumaha i kekahi manawa. Nui nā mea e aʻo ai a hoʻomaopopo. I ka loli ʻana o kou ola, pono e loli pū kāu hoʻolālā mālama.

Akā, e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Hiki i kahi "CDCES," he loea mālama a me ka hoʻonaʻauao maʻi diabetes i hōʻoia ʻia, ke kōkua iā ʻoe e aʻo e pili ana i nā pilikia o ka maʻi diabetes a hoʻoikaika iā ʻoe e hoʻokele ponoʻī iā ia.

E kamaʻilio me kāu kauka a nīnau e pili ana i ka hālāwai ʻana me kahi CDCES. Ua mākaukau lākou a makemake e kōkua iā ʻoe. Aia kou olakino ma kou mau lima. Mai kāohi i ka loaʻa ʻana o ka ʻike a me ke kākoʻo āu e pono ai.

ʻO ka maʻi diabetes, CDCES, Hoʻonaʻauao maʻi diabetes, Mālama maʻi diabetes, Kō koko, Insulin, Nā ʻōlelo aʻoaʻo olakino