He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻoe he maʻi diabetes kou. Akā ʻo ka mea maikaʻi loa, aia nā lāʻau lapaʻau ʻoi aku ka maikaʻi i loaʻa i kēia lā ma mua o ka wā ma mua e kōkua iā ʻoe e hoʻokele i kāu maʻi diabetes a ola i kahi ola olakino. E hui pū ʻoe a me kāu kauka e hoʻomohala i kahi hoʻolālā e kōkua iā ʻoe e hoʻokele i kāu mau pae glucose koko a mālama i kahi kaumaha olakino.
I kekahi manawa, ʻaʻole lawa paha hoʻokahi lāʻau lapaʻau e mālama i kou pae kō koko maʻamau. I ia mau hihia, hiki i kāu kauka ke hoʻohui i nā lāʻau lapaʻau ʻē aʻe. E kamaʻilio kākou e pili ana i kēia mau lāʻau lapaʻau pākahi.
Nā lāʻau lapaʻau waha
Hoʻomaka ka hapa nui o ka poʻe me ka Type 2 Diabetes i ka mālama ʻana me kahi lāʻau i kapa ʻia ʻo Metformin. Hana nui kēia ma ka hoʻemi ʻana i ka nui o ke kō i hana ʻia e kou ake. Kōkua pū ʻo Metformin i kou mau ʻiʻo e omo maikaʻi i ka hormone insulin, kahi e kōkua ai i kou kino e hoʻohana i ke kō i loaʻa iā ia.
ʻO ka maʻamau, lawe ʻia kēia lāʻau lapaʻau i ʻelua manawa i ka lā. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia pila me ka meaʻai. Hiki i kēia ke hōʻemi nui i nā hopena ʻaoʻao e like me ka ʻeha o ka ʻōpū, ʻoiai ka maʻi diarrhea.
Inā ʻaʻole hiki i ka metformin wale nō ke kaohi i kou pae kō koko, hiki i kāu kauka ke hoʻonui i kāu mahele lāʻau a hoʻohui paha i kahi ʻano lāʻau hou. E nānā kākou i kēia mau lāʻau ʻē aʻe.
E hoʻomanaʻo, pono e hoʻohana ʻia kēia mau lāʻau lapaʻau a pau ma lalo o ke aʻo a kāu kauka. ʻAʻole pono ʻoe e lawe wale iā lākou no ka mea ke hoʻohana nei kekahi hoaaloha iā lākou, no ka mea, he ʻokoʻa ke ʻano o ke kino o kēlā me kēia kanaka.
| ʻAno lāʻau lapaʻau a me ka wehewehe maʻalahi | Nā laʻana (nā inoa lama) |
|---|---|
| Nā mea hoʻopaʻa i ka Alpha-glucosidase Hana kēia mau mea ma ke kāohi ʻana i ke kino mai ka wāwahi ʻana i nā meaʻai starchy a mākou e ʻai ai, e like me ka berena a me ka ʻuala, a laila e hōʻemi ana i ka piʻi koke ʻana o ke kō koko. | ʻAcarbose (Precose), Miglitol (Glyset) |
| Nā mea hoʻopaʻa waikawa bile He mau lāʻau lapaʻau kēia e hoʻohaʻahaʻa i ka cholesterol maikaʻi ʻole (LDL cholesterol) i loko o ke kino. Akā ua ʻike ʻia hoʻi e hoʻohaʻahaʻa lākou i nā pae kō koko. He palekana paha kēia no ka poʻe hiki ʻole ke lawe i nā lāʻau lapaʻau maʻi diabetes ʻē aʻe ma muli o ka maʻi akepaʻa. | ʻO Colesevelam (Welchol) |
| Nā mea hoʻopaʻa DPP-4 Kōkua kēia i ka kaohi ʻana i ka maʻi diabetes ma ka hoʻohaʻahaʻa ʻana i nā pae kō koko. | ʻAlogliptin (Nesina), Linagliptin (Tradjenta), Saxagliptin (Onglyza), Sitagliptin (Januvia) |
| Nā agonists receptor GLP-1 Ke haʻi aku nei kēia i ke kino e hana i ka insulin hou aʻe. Hoʻolohi pū lākou i ka wikiwiki o ka ʻai ʻana a hoʻomāʻona iā ʻoe. Loaʻa kekahi o kēia mau mea ma ke ʻano he inikini. | ʻO Dulaglutide (Trulicity), Exenatide (Byetta), Liraglutide (Victoza), Semaglutide (Ozempic, Rybelsus) |
| ʻO ka agonist receptor GIP a me GLP-1 He ʻano lāʻau lapaʻau hou kēia. Kōkua kēia i ka hoʻonui ʻana i ka hana ʻana o ka insulin ke kiʻekiʻe ke kiʻekiʻe o ke kō koko. | ʻO Tirzepatide (Mounjaro) |
| Nā Meglitinides Kōkua kēia i ke kino e hana i ka insulin hou aʻe. Lawe pinepine ʻia kēia mau lāʻau lapaʻau ma mua o nā ʻai nui. | ʻO Nateglinide (Starlix), Repaglinide (Prandin) |
| Nā mea pale SGLT2 He mea kūikawā loa kēia ʻano lāʻau lapaʻau. Hana ia ma ka wehe ʻana i ke kō keu mai kou koko ma o kou mau puʻupaʻa a me ka mimi. Kōkua kekahi mau lāʻau lapaʻau (e like me Empagliflozin) i ka hōʻemi ʻana i ka pilikia o nā hōʻeha puʻuwai i ka poʻe me ka maʻi puʻuwai. | ʻO Canagliflozin (Invokana), Dapagliflozin (Farxiga), Empagliflozin (Jardiance) |
| Nā Sulfonylureas Hoʻoulu kēia i kāu pancreas e hana i ka insulin hou aʻe. | ʻO Glimepiride (Amaryl), Glipizide (Glucotrol), Glyburide (Diabeta) |
| ʻO nā Thiazolidinediones (TZDs) ʻO ka hana a kēia mau mea, ʻo ia ka hoʻonui ʻana i ka pane ʻana o nā ʻiʻo a me nā momona i ka insulin. ʻO ia hoʻi, hoʻonui lākou i ka pono o ka insulin. | Pioglitazone (Actos), Rosiglitazone (Avandia) |
Ka mālama ʻana i ka insulin
He hormone koʻikoʻi ka insulin i hana ʻia e ko mākou kino ponoʻī e kōkua ai i ka hoʻoneʻe ʻana i ke kō i loko o ke koko i loko o nā ʻāpana e hoʻohana ʻia no ka ikehu.
I kēia manawa, inā pono ʻoe e lawe i kahi inikini insulin, mai noʻonoʻo, "Auē, e nalowale ana koʻu mana i koʻu maʻi." ʻAʻole ia ka hihia. He ʻokoʻa ke kino o kēlā me kēia kanaka. Malia paha inā ua loaʻa iā ʻoe ka maʻi diabetes no ka manawa lōʻihi, inā kiʻekiʻe loa kou kō koko, a inā he mau pilikia olakino ʻē aʻe kāu e paʻakikī ai ke kāohi i kou kō koko me nā pila wale nō, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hoʻohana i ka insulin me nā pila.
Hoʻokomo ka hapa nui o ka poʻe i ka insulin i loko o ka papa momona ma lalo o ka ʻili. Na kāu kauka e hoʻoholo i ka nui āu e pono ai i kēlā me kēia lā.
Aia kekahi ʻano insulin like ʻole.
- Hana wikiwiki: Hana kēia i loko o nā minuke o ke komo ʻia ʻana a mau no kekahi mau hola.
- Hana pōkole: Hoʻomaka ka hopena i loko o ka hapalua hola a mau no 3-6 mau hola.
- Hana waena: Hoʻomaka ka hopena i loko o 2-4 mau hola a mau no 12-18 mau hola.
- Hana lōʻihi: Kōkua kēia i ka mālama ʻana i nā pae kō koko i ka lā a pau.
Hiki iā ʻoe ke loaʻa ka insulin me kahi syringe, kahi peni i hoʻopiha mua ʻia, a i ʻole kahi mea liʻiliʻi i hoʻokomo ʻia ma lalo o ka ʻili (pamu insulin). E haʻi pololei kāu kauka iā ʻoe pehea e hana ai i kēia.
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
ʻO kēia ka ʻāpana koʻikoʻi loa.
- E hahai i nā ʻōlelo a kāu kauka: E lawe i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa a me ka nui i kauoha ʻia. Pono e lawe ʻia kekahi mau lāʻau lapaʻau me ka meaʻai e hōʻemi i nā hopena ʻaoʻao. E hōʻoia e hahai i kēlā mau ʻōlelo aʻoaʻo.
- Ka mālama ʻana i kāu lāʻau lapaʻau: E aʻo aku kāu kauka a kauka lāʻau paha iā ʻoe pehea e mālama ai i kāu lāʻau lapaʻau. ʻO nā mea e like me ka insulin, pono e mālama ʻia i ka mahana kūpono. E kōkua kēia i ka mālama ʻana i ka maikaʻi o ka lāʻau lapaʻau.
- E makaʻala i ka waiʻona:ʻAʻole ʻōlelo ʻia ka inu ʻana i ka waiʻona i ka wā e lawe ana i kekahi mau lāʻau lapaʻau, e like me ka metformin. ʻOi aku ka maʻalahi o ka poʻe me ka maʻi diabetes i nā hopena o ka waiʻona ma mua o nā poʻe ʻē aʻe. No laila e makaʻala loa inā ʻoe e inu i ka waiʻona. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He maʻi hiki ke hoʻokele ʻia ka maʻi diabetes, no laila mai makaʻu nui.
- E hana pū me kāu kauka e hoʻomohala i ka hoʻolālā lapaʻau maikaʻi loa nāu. Mai makaʻu e nīnau inā he mau nīnau kāu.
- Hoʻomaka ka nui o ka poʻe i ka lāʻau lapaʻau me kahi pila i kapa ʻia ʻo metformin. Hiki i ka lawe ʻana me ka meaʻai ke hōʻemi i nā hopena ʻaoʻao.
- ʻAʻole manaʻo ka hoʻohana ʻana i ka insulin ua pau kou maʻi i ke kaohi ʻia. He lāʻau lapaʻau pono a maikaʻi loa ia.
- He mea nui loa e lawe i ka lāʻau lapaʻau i kauoha ʻia e ke kauka, i ka manawa kūpono, ma ke ana kūpono, a e like me ke kauoha.
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