Inā loaʻa iā ʻoe ka maʻi diabetes, ehia mau manawa i ka lā e pono ai ʻoe e hou i kou manamana lima e nānā i kou pae kō koko? I kekahi manawa hiki ke like kēia me kahi pilikia iki, ʻeā? Akā ua ʻike ʻoe i ke koʻikoʻi o ka hoʻokele pono ʻana, ʻo ia hoʻi, ka kaohi ʻana, i kou maʻi. Ma ka nānā pono ʻana i kou pae kō koko hiki iā ʻoe ke ʻike pono i ka nui o ka insulin e pono ai kou kino.
No ke aha mākou e hopohopo nui ai e pili ana i nā pae kō koko?
I ka ʻōlelo maʻalahi, ʻaʻole maikaʻi nā pae kō koko e loli pinepine ana no ko kākou kino. Inā kiʻekiʻe ke pae kō koko no ka manawa lōʻihi, hiki iā ia ke hōʻino i nā ʻōpū koʻikoʻi e like me ko kākou mau maka, nā puʻupaʻa, nā aʻalolo, a me ka puʻuwai. Eia kekahi, he mea weliweli ka emi koke ʻana o ke pae kō koko. Inā ʻaʻole mālama ʻia i ka manawa kūpono, hiki ke hoʻoweliweli i ke ola.
He maʻi ka maʻi diabetes e hoʻopilikia ana i kēlā me kēia kanaka i nā ʻano like ʻole. ʻO ke ʻano o kāu ʻai ʻana, inu ʻana, lawe ʻana i nā lāʻau lapaʻau, a me ka hoʻoikaika kino e hiki ke hoʻopilikia i kou pae kō koko hiki ke ʻokoʻa loa mai ke ʻano o ko lākou hoʻopilikia ʻana i kekahi. I kekahi manawa hana ko mākou kino i nā ʻano a mākou i manaʻo ʻole ai. No laila he mea nui e nānā mau i kou pae kō koko.
Ua ʻike mākou a pau i ke ʻano hana 'fingerstick'.
ʻO kēia ke ʻano hana a ka poʻe he nui e hoʻohana ai e kāohi i kā lākou maʻi diabetes. Hoʻokomo kahi mea liʻiliʻi i ka piko o ka manamana lima me kahi nila liʻiliʻi, kau ʻia kahi kulu koko ma kahi kaha, a ana ʻia ke kiʻekiʻe o ke kō koko me ka mika glucose. He ʻano hana maikaʻi kēia, akā he palena iki kona.
ʻO ia hoʻi, me kēia ʻano hana hiki iā mākou ke ʻike wale i ka nui o ke kō i loko o ke koko i ka manawa i lawe ʻia ai ke koko . Ua like ia me ke kiʻi i lawe ʻia i hoʻokahi manawa.
He mea paʻakikī ke kiʻi i kahi kiʻi piha o ke ʻano o ka loli ʻana o kou pae kō koko i ka lā a pau, ma hope o ka ʻai ʻana, a i kou wā e hiamoe ana. ʻO ia ke kumu e ʻōlelo ai nā kauka e nānā i kou kō koko i nā manawa he nui i ka lā.
No laila he aha kēia CGM? (Continuous Glucose Monitor)
ʻO CGM kahi pōkole no "Continuous Glucose Monitor." E like me ka inoa e hōʻike nei, ke ana mau nei kēia hāmeʻa a hōʻike i kāu mau pae kō koko i ke ao, ke ao a me ka pō, me ka ʻole o ke hou ʻana i kou manamana lima.
E noʻonoʻo, ma kahi o ka pono e hou i kou manamana lima a nānā i kou kō koko i 4 mau manawa i ka lā, hiki i kēia mea hana CGM ke hāʻawi iā ʻoe ma kahi o 288 mau heluhelu i ka lā! ʻO ia hoʻi, hiki iā ʻoe ke ʻike i ke ʻano o kāu pae kō i kēlā me kēia 5 mau minuke.
ʻO ka pōmaikaʻi nui o kēia , ʻo ia ka hiki iā ʻoe ke ʻike maopopo ʻaʻole wale i kou pae kō i ka manawa hoʻokahi, akā, i nā ʻano a me nā ʻano o kou pae kō e piʻi ana a e hāʻule ana i ka lā a pau.Eia kekahi laʻana, hiki iā ia ke hahai i ka ʻike waiwai e like me ka wikiwiki o ka piʻi ʻana o ke kō koko ma hope o ka ʻai ʻana i kahi meaʻai, inā paha e hāʻule ana ke kō koko i ka pō i kou hiamoe ʻana, a me nā mea e hana ʻia ke hoʻoikaika kino ʻoe. Hiki iā ʻoe a me kāu kauka ke nānā i kēia ʻike, hiki ke kōkua iā ʻoe e hoʻoholo i nā hoʻoholo lapaʻau.
Pehea e hana ai kahi CGM?
ʻAʻole kēia i paʻakikī e like me kou manaʻo. ʻEkolu mau ʻāpana nui.
1. Mea ʻike: He mea liʻiliʻi, lahilahi, e like me ke nila kēia. Hoʻokomo pinepine ʻia ia ma lalo o ka ʻili o kou lima luna a i ʻole ka ʻōpū. ʻAʻole ia he ʻeha. Ke ana mau nei kēia mea ʻike i ka pae glucose i loko o ke wai ma lalo o kou ʻili.
2. Mea hoʻoili: He mea liʻiliʻi kēia i hoʻopili ʻia i ka sensor. Hoʻouna ʻia ka ʻikepili pae kō i ana ʻia e ka sensor me ke kelepona ʻole i ka ʻāpana aʻe ma o kēia mea hoʻoili.
3. Mea hoʻokipa a polokalamu kelepona paha: ʻO kēia kahi e hōʻike ʻia ai ka ʻikepili i hoʻouna ʻia mai ka mea hoʻouna. Hiki ke lilo i mea liʻiliʻi kaʻawale (mea hoʻokipa), a i ʻole he polokalamu ma kāu kelepona. Loaʻa i kekahi poʻe kahi pamu insulin, a hiki nō hoʻi i kēlā ke loaʻa i kēia ʻikepili.
Hiki iā ʻoe ke nānā i ka ʻikepili āu e loaʻa ai i kēia ala i kēlā me kēia manawa. Hiki ke hoʻonohonoho ʻia kekahi mau ʻōnaehana CGM e hoʻouna i ka ʻike iā ʻoe a me kāu kauka ma ke ʻano maʻamau.
| Hiʻona | Lāʻau manamana lima | Ke ʻano hana CGM |
|---|---|---|
| Pehea e hāʻawi ai i ka ʻikepili | Hōʻike wale ʻia ka pae kō i hoʻokahi manawa. | Hōʻike i nā pae kō i ka lā (i kēlā me kēia 1-5 mau minuke). |
| Ka nui o ka ʻikepili | Heluhelu ʻana i nā manawa he nui i ka lā (e.g. 2-4 mau manawa). | 288 a ʻoi aku paha nā heluhelu i kēlā me kēia lā. |
| Nā ʻano hoʻohālike a me nā ʻano hou | He paʻakikī ke ʻike. | Hōʻike maopopo i nā ʻano a me nā loli i nā pae kō. |
| Nā ʻŌlelo Aʻo | ʻAʻole. Hiki iā ʻoe ke ʻike ma ka nānā wale ʻana. | Aia nā pono hana hoʻāla ma mua o ka piʻi ʻana o ke kō i ke kiʻekiʻe loa a i ʻole ka haʻahaʻa loa. |
| Ka maʻalahi | Pono ʻoe e pā i kou manamana lima i kēlā me kēia manawa. | Ua lawa ka hoʻololi ʻana i ke sensor i kēlā me kēia mau lā a i ʻole i kēlā me kēia 1-2 pule. |
Pono anei au e hoʻololi i kahi CGM?
He nīnau maikaʻi loa kēia. ʻOiai he ʻenehana ʻo CGM hiki ke kōkua nui i ka mālama ʻana i ka maʻi diabetes, ʻaʻole paha ia he mea pono a kūpono paha no nā mea āpau. ʻOi aku ke kumukūʻai o kēia mau mea hana ma mua o ka mika glucose maʻamau.
No laila, ʻo ke kanaka maikaʻi loa e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe ʻo kāu kauka lapaʻau. He mea naʻauao ke kūkākūkā me ia i ka nui o ka pono o kahi CGM iā ʻoe, me ka noʻonoʻo ʻana i nā kumu he nui, e like me kou kūlana maʻi diabetes, kou nohona, a me kāu kālā.
Leka Lawe-Home
- He mea nui ka nānā mau ʻana i ke kō koko no ka kaohi ʻana i ka maʻi diabetes.
- ʻO ke ʻano kuʻuna o ka lāʻau manamana lima e hāʻawi wale i ka pae kō koko i kēlā manawa.
- Hiki i kahi hāmeʻa CGM (Continuous Glucose Monitor) ke nānā i nā loli o kāu pae kō i ke ao a me ka pō.
- Hiki i ka ʻikepili mai kahi CGM ke kōkua iā ʻoe a me kāu kauka e ʻike i nā ʻano ma kāu mau pae kō a hoʻokele maikaʻi i kāu maʻi diabetes.
- E kamaʻilio mau me kāu kauka no ka ʻōlelo aʻo ma mua o ka hana ʻana i kekahi mau hoʻololi i kāu papa hana lapaʻau a i ʻole ka hoʻohana ʻana i kahi mea hana hou e like me CGM.
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