Ua hele mai ʻo Asanga (38 makahiki), he luna hoʻokele kūʻai aku, i koʻu keʻena lapaʻau i ke ahiahi Pōʻalima i hala. Ua hopohopo nui ʻo ia.
"E Kauka Priya, ua inu au i ʻelua kini pia me koʻu mau hoaaloha i ka Pōʻalima i hala. Ma kahi o 20 mau minuke ma hope o ka inu ʻana, ua manaʻo wau i ka poniuniu loa a hoʻomaka koʻu kino holoʻokoʻa e haʻalulu. Me kēlā, ua pohā au i ka hou anu. Ua manaʻo wau he ʻono ikaika ia o ka waiʻona maʻamau. Akā, ʻaʻole hiki iaʻu ke hele ma ke alanui a hoʻomaka wau e hiolo. I koʻu nānā ʻana me ka glucometer a kahi hoaaloha, ua hāʻule koʻu pae kō koko i 55 mg/dL! He maʻi diabetes wau. No ke aha i hana ʻia ai kēia iaʻu, e ke kauka?" i nīnau ai ʻo Asanga.
Ua wehewehe au iā Asanga: "E Asanga, ke kū nei ʻoe i ka hypoglycemia , kahi pae kō koko haʻahaʻa loa. ʻO ka maʻamau, ke hāʻule ka pae kō o ko mākou kino, hoʻololi ke akepaʻa i ke kō i mālama ʻia, a i ʻole glycogen, i glucose a hoʻokuʻu iā ia i loko o ke koko. Akā ke inu ʻoe i ka waiʻona, pono ke akepaʻa e hoʻokau mua i ka hana o ka puhi ʻana a me ka hoʻokuʻu ʻana i ka waiʻona, he mea make ia no ke kino. I kēlā manawa, hoʻōki ke akepaʻa i ka hana ʻana i ke kō no kekahi manawa. No laila, inā inu ka mea e lawe ana i nā lāʻau maʻi diabetes i ka waiʻona ma ka ʻōpū ʻole a i ʻole me ka ʻai ʻole, e hāʻule koke ko lākou pae kō."
🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka
He nui ka poʻe e kuhihewa i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) ma hope o ka inu ʻana i ka waiʻona no nā hōʻailona o ka ʻona maʻamau (e.g., ka manaʻo poniuniu). Eia naʻe, inā loaʻa nā hōʻailona aʻe, he pilikia olakino ia a pono e mālama koke ʻia:
- Ka haʻalulu nui o ke kino a me ka hou anu i hiki ʻole ke kāohi ʻia.
- ʻŌlelo hūpō (ʻōlelo hūpō) a me ka pioloke nui.
- ʻAʻole hiki ke hele, ʻike maka pōwehiwehi, a me ka maule.
- Nā hōʻailona e like me ka nalowale o ka ʻike a i ʻole nā hōʻailona.
Pehea ka hopena o ka waiʻona i ka poʻe maʻi diabetes
Hoʻopilikia pololei ka inu ʻona i nā pae kō koko a me ke olakino ma nā ʻano penei:
1. Nā pilina lāʻau lapaʻau maikaʻi ʻole: ʻO nā lāʻau lapaʻau maʻi diabetes e like me sulfonylureas a me meglitinides e hoʻoulu i ka pancreas e hana i ka insulin hou aʻe. ʻO ka inu ʻana i ka waiʻona i ka wā e lawe ana i kēia mau lāʻau lapaʻau hiki ke hoʻemi koke i nā pae kō koko.
2. Hoʻopaneʻe ʻia ka hypoglycemia: Aia kahi pilikia o ka haʻahaʻa o ke kō koko i loko o kekahi mau minuke a hiki i 12-24 mau hola ma hope o ka inu ʻana i ka waiʻona. ʻOi loa inā inu ʻoe i ka waiʻona i ka pō a hele i ka hiamoe, hiki i kāu mau pae kō koko ke hāʻule i kou wā hiamoe.
3. Hoʻonui ʻia nā pilikia: Hoʻonui ka hoʻohana pinepine ʻana i ka waiʻona i ka pilikia o nā maʻi cardiovascular a me ka neuropathy, nā pilikia nui o ka maʻi diabetes.Ke piʻi koke nei ke kūlana.
Nā hana e hana ai inā pilikia (Rule of 15)
Inā hāʻule kou pae kō koko ma lalo o 70 mg/dL ma hope o ka inu ʻana i ka waiʻona, e hana koke i kēia mau hana:
1. E hāʻawi koke i 15 grams o ke kō i ke kino: 3-4 papa glucose, hapalua kīʻaha wai huaʻai, a i ʻole hoʻokahi punetune o ke kō i hoʻoheheʻe ʻia i ka wai a inu.
2. E kali i 15 mau minuke: E kali i 15 mau minuke me ka ʻai ʻole i kekahi mea a laila e ana hou i kou kō koko.
3. Inā ʻoi aku ka pae o ke kō ma lalo o 70 mg/dL: E hāʻawi hou i 15 grams o ke kō a ana i ka pae o ke kō i loko o 15 mau minuke ʻē aʻe.
4. ⚠️ Mea nui: Inā ua nalowale ka ʻike o ka mea maʻi a i ʻole he paʻakikī ke ale ʻana, mai hāʻawi i kekahi mea ma ka waha a lawe koke iā lākou i ka haukapila. ʻAʻole e hana nā inikini Glucagon, i hāʻawi ʻia e hoʻokiʻekiʻe i ke kō koko ma hope o ka inu ʻana i ka waiʻona (no ka mea, ke paʻahana nei ke akepaʻa i ka hoʻomaʻemaʻe ʻana i ka waiʻona).
Nā mea e pono ai a me nā mea ʻaʻole e pono ai
| ✔️ Nā mea e hana ai (Hana) | ❌ Nā mea pono ʻole |
|---|---|
| E nānā pono i kou pae kō koko ma mua a ma hope o ka inu ʻana i ka waiʻona. | Mai inu i ka waiʻona ma ka ʻōpū ʻole. E ʻai i kahi meaʻai me nā kalapona i ka wā e inu ana i ka waiʻona. |
| I ka wā e inu ana i ka waiʻona, e hoʻohana i ka soda kō ʻole, ka wai, a i ʻole nā mea hoʻohuihui meaʻai. | E hōʻalo i ka inu ʻana i nā mea inu kō, e like me ka soda, ka waina ʻono, a i ʻole ka pia. |
| E komo i kahi kāleka a kūpeʻe lima paha e hōʻike ana he maʻi diabetes kou. | Mai inu i ka waiʻona i ka pō, e nānā i kou pae kō koko, a e hiamoe me ka ʻai ʻole i kahi meaʻai māmā keu. |
❓ Kekahi mau nīnau ʻē aʻe āu e loaʻa ai (FAQ)
He aha ka palena kiʻekiʻe loa o ka waiʻona no kekahi kanaka me ka maʻi diabetes?▼
ʻO nā palena olakino he hoʻokahi mea inu (1 ʻāpana) i ka lā no nā wahine me ka maʻi diabetes a ʻelua mau mea inu (2 ʻāpana) i ka lā no nā kāne. ʻAʻole pono e ʻoi aku ka waiʻona ma mua o 14 mau ʻāpana i ka pule a he mea nui e loaʻa i kekahi mau lā ʻaʻohe waiʻona i ka pule.
Ke hoʻonui nei anei ka inu ʻana i ka pia i nā pae kō koko?
Ma muli o ke kiʻekiʻe o nā kalapona i loko o ka pia, hiki iā ia ke hoʻonui mua i nā pae kō koko. Akā i ka hoʻomaka ʻana o ke kino e wāwahi i ka waiʻona (ʻoi aku ma hope o kekahi mau hola), hoʻomaka ka emi koke ʻana o nā pae kō koko.
Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana i ka metformin ?
ʻO ka inu ʻana i ka waiʻona nui i ka wā e lawe ana i ka metformin hiki ke lilo i mea weliweli loa. Hiki iā ia ke alakaʻi i kahi maʻi kakaikahi akā make i kapa ʻia ʻo lactic acidosis, ʻo ia hoʻi ka hōʻiliʻili ʻana o nā waikawa ʻino i loko o ke kino.
Pehea e pale aku ai i ka hypoglycemia i ka pō? ▼
E hōʻoia e nānā i kou pae kō koko me ka mika glucose ma mua o ka hiamoe ʻana ma hope o ka inu ʻana i ka waiʻona. ʻOiai inā he mea maʻamau, e ʻai i kahi meaʻai māmā me nā kalapona e puhi lohi ana, e like me ka sandwich a i ʻole ka oats, ma mua o ka hiamoe ʻana.
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