Pehea e hoʻokele palekana ai me ka maʻi diabetes?

No nā kānaka he nui ma ko kākou ʻāina, he ʻāpana o ke ola o kēlā me kēia lā ka hoʻokele kaʻa. No laila, inā he maʻi diabetes kou, ua loaʻa paha iā ʻoe nā nīnau e like me, "Hiki iaʻu ke hoʻokele?" "Palekana anei?" ʻO ka ʻoiaʻiʻo, hiki i nā kānaka he nui me ka maʻi diabetes ke hoʻokele palekana me ka ʻole o nā pilikia. Eia nō naʻe, aia kekahi mau mea e pono ai kākou e noʻonoʻo a makaʻala ma mua o ka hoʻokele ʻana. ʻO ia ka mea a kākou e kamaʻilio nei i kēia lā. He mea nui loa kēia mau mea no kou palekana a me ka palekana o nā poʻe ʻē aʻe ma ke alanui.

ʻElua mau ala nui e pili ai ka maʻi diabetes i ka hoʻokele kaʻa

I ka wā e hoʻokele ana, pono i ka mea me ka maʻi diabetes ke makaʻala i ʻelua mau pilikia nui.

1. Ka emi koke ʻana o ke kō koko (Hypoglycemia)

ʻO kēia ka mea nui loa e makaʻala ai. Inā ʻoe e lawe ana i ka insulin e kāohi i kāu maʻi diabetes, a inā ʻoe e lawe ana i nā lāʻau lapaʻau e like me sulfonylureas a i ʻole meglitinides , hiki i kou pae kō koko ke hāʻule koke ma lalo o ka pae i ʻōlelo ʻia. ʻO kēia ka mea a mākou e kapa nei he hypoglycemia. E noʻonoʻo i ka mea e hana ʻia inā hana ʻia kēia i kou wā e hoʻokele ana?

• Ke paʻakikī nei ʻoe e kālele i ke alanui.
• ʻAʻole hiki iā ʻoe ke hoʻoholo wikiwiki a pane koke paha i nā mea e hana nei ma ke alanui.
• Ke hoʻomaka nei ka ʻike e pohihihi.
• Inā lilo ke ʻano i mea koʻikoʻi, hiki paha iā ʻoe ke nalowale ka ʻike i ka wā e hoʻokele ana.

Ua maopopo paha iā ʻoe i kēia manawa ka pōʻino o kēia. Inā ʻaʻole ʻoe maopopo inā hiki i kāu lāʻau lapaʻau maʻi diabetes ke hoʻohaʻahaʻa i kou kō koko, e nīnau i kāu kauka . (I kekahi manawa, hiki ke pōʻino ke hoʻokele i ka wā kiʻekiʻe loa kou kō koko, akā he mea kakaikahi. He manaʻo maikaʻi ke nīnau i kāu kauka e pili ana i kēlā.)

2. Nā pilikia lōʻihi i hoʻokumu ʻia e ka maʻi diabetes

Ke loaʻa ka maʻi diabetes no ka manawa lōʻihi, hiki iā ia ke hoʻopilikia i nā ʻāpana ʻē aʻe o ko mākou kino. Hiki i kēia mau mea ke hoʻopilikia i ka hoʻokele kaʻa.

• Ka hōʻino ʻana o ke aʻalolo: Hiki ke hōʻino ʻia ke aʻalolo, ʻoiai ma nā wāwae a me nā wāwae. Hiki i kēia ke alakaʻi i ka nalowale o ka ʻike ma nā pedals o ke kaʻa (accelerator, brake). He mea weliweli loa kēia, ʻeā?
• Nā pilikia ʻike: Hiki i ka maʻi diabetes ke hōʻino i nā kīʻaha koko palupalu i kou mau maka. Hiki iā ia ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā cataracts , hiki ke hoʻopilikia mālie i kou ʻike.

He mea nui kēia hoʻomākaukau ma mua o ka hele ʻana i kahi huakaʻi!

Me ka hoʻomākaukau iki ʻana, hiki iā kākou ke pale aku i kahi ulia nui ma ke alanui. E hoʻomaʻamaʻa i kēia mau mea ma mua o kou lawe ʻana i nā kī kaʻa.

• E nānā i kou pae kō koko: Ma mua o kou hoʻomaka ʻana e hoʻokele, e nānā i kou pae kō koko me ka mika kō koko . Pono ia ma ka liʻiliʻi he 80 mg/dL . Inā haʻahaʻa ia ma mua o kēlā, e ʻai i kahi meaʻai māmā me kahi 15 grams o nā kalapona (e.g., ʻelua a ʻekolu paha biscuits, kahi ʻāpana hua), e kali i 15 mau minuke, a nānā hou.
• E mālama i nā meaʻai māmā i loko o ke kaʻa: E mālama i kahi mea hiki iā ʻoe ke ʻai koke inā e hoʻomaka ana kāu kō koko e hāʻule. He mea nui loa ia e mālama mau i kahi mea i loko o ke kaʻa, e like me nā papa glucose, gel, kahi mea inu kō (ʻaʻole nā ​​​​mea inu ʻai !), kahi pahu wai huaʻai, kahi toffee, a i ʻole kahi ʻeke biscuits.
• E lawe pū me ʻoe i kāu mika: Pono paha ʻoe e nānā i kou kō koko i kou wā e hele ana. Akā e hoʻomanaʻo, mai waiho i kāu mika i loko o ke kaʻa i kou wā e kū ana. Hiki i ka wela nui a i ʻole ke anu ke hōʻino iā ia.
• E komo i kahi palapala hōʻoia lapaʻau: He mea nui loa ke komo i kahi kāleka hōʻoia a i ʻole ke kūpeʻe lima e hōʻike ana he maʻi diabetes kou. I ka wā o kahi pilikia, e kōkua ia i nā mea pane mua a me nā limahana lapaʻau e ʻike koke i kou kūlana.
• E nānā i kou mau maka: Mai poina i nā hoʻokolohua maka maʻamau. He mea nui no kou palekana e ʻike mua inā ua hōʻino ʻia kou ʻike e ka maʻi diabetes.

E akahele i ka wā e hoʻokele ana.

Inā hoʻomaka ʻoe e ʻike i kekahi o nā hōʻailona ma lalo nei i kou wā e hoʻokele ana, he hōʻailona paha ia ua haʻahaʻa kou kō koko. I kou ʻike ʻana i kēia hōʻailona, ​​e hoʻōki i ke kaʻa ma kahi palekana a hoʻopau i ka ʻenekini . A laila, e ʻai i kahi meaʻai māmā me ke kō (papa glucose, toffee, wai) āu e lawe nei. E kali i 15 mau minuke a nānā hou i kou kō koko. Inā haʻahaʻa mau ke kiʻekiʻe, e ʻai i kahi meaʻai māmā ʻē aʻe a kali hou i 15 mau minuke. Mai hoʻomaka hou i ka hoʻokele a hiki i ka hoʻi ʻana o kou pae kō koko i ka maʻamau. A laila, e ʻai i kahi meaʻai maikaʻi me ka protein i ka hikiwawe loa. Inā ʻoe e hele ana i kahi huakaʻi lōʻihi, he mea maikaʻi ke hoʻōki i ke kaʻa a nānā i kou pae kō koko i kēlā me kēia mau hola.

Ke kō koko haʻahaʻa me ka ʻole o nā hōʻailona (Hypoglycemia Unawareness)

ʻOiai hiki i ka hapa nui o ka poʻe me ka maʻi diabetes ke hoʻokele palekana, aia kekahi poʻe e pono e makaʻala loa. ʻO ka poʻe me ke ʻano i kapa ʻia ʻo "Hypoglycemia Unawareness". I ka ʻōlelo maʻalahi, ʻo ia hoʻi, hāʻule koke kou pae kō koko i lalo me ka ʻole o kahi hōʻike a i ʻole nā ​​​​hōʻailona. E noʻonoʻo inā nalowale koke ʻoe i ka ʻike me ka ʻole o kahi hōʻike? He kūlana weliweli loa kēia no ka mea hoʻokele. Inā ua loaʻa iā ʻoe kēia ʻike, e kamaʻilio me kāu kauka e pili ana i ia mea. Aia paha he mau ala e hiki ai iā ʻoe ke hoʻomaʻamaʻa hou iā ʻoe iho e ʻike i nā hōʻailona o ke kō koko haʻahaʻa. Akā na kāu kauka e hoʻoholo. Maʻi diabetes, hoʻokele, hoʻokele, kō koko, hypoglycemia, palekana, maʻi diabetes sinhala