Ke ʻike nei hoʻi ʻoe i nā piʻi ʻana o ke kō ma hope o ka ʻai ʻana? (Mealtime Sugar Spikes) - E kamaʻilio kākou e pili ana i kēia!

Inā loaʻa iā ʻoe ka maʻi diabetes, ua ʻike maopopo paha ʻoe i ke ʻano ʻē o ka ʻoluʻolu ʻole, ka luhi, a me ka hiamoe āu e ʻike ai ma hope o ka ʻai ʻana i kahi ʻai nui. ʻO ia ka mea a mākou e ʻōlelo ai i ke kamaʻilio ʻana o kēlā me kēia lā, "Manaʻo wau ua ʻai nui wau i ke kō i kēia lā." He mea maʻamau anei ke piʻi koke ʻana o ke kō koko e like me kēia ma hope o ka ʻai ʻana? He mea weliweli anei? ʻAʻole hiki iā kākou ke kāohi? ʻAe, e kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi i kēia lā.

He aha ka pilina ma waena o ka meaʻai a me ke kō koko (glucose)?

I ka ʻōlelo maʻalahi, ma hope o kā mākou ʻai ʻana, hoʻopau kā mākou ʻōnaehana hoʻoheheʻe i ka meaʻai a mākou e ʻai ai i ikehu. ʻO kēia ikehu ka mea a mākou e kapa nei he 'glucose' a i ʻole 'sugar'. Komo kēia glucose i ke koko a hele i nā ʻāpana āpau o ke kino e hāʻawi iā lākou i ka ikehu e pono ai. No laila, he mea maʻamau ka piʻi ʻana o ke kō koko i kekahi ʻano ma hope o ka ʻai ʻana.

Inā he maʻi diabetes ʻoe, aia paha iā ʻoe kahi mika glucose ma ka home e hiki ai iā ʻoe ke lawe i kahi kulu koko mai kou manamana lima a nānā i kāu kō koko. ʻŌlelo pinepine nā kauka iā ʻoe e nānā i kou pae kō koko ma mua o ka ʻai ʻana a ʻelua hola ma hope o ka hoʻomaka ʻana i ka ʻai. E hāʻawi kēia iā ʻoe i kahi manaʻo maikaʻi o ke ʻano o ka pane ʻana o kou kino i ka meaʻai.

ʻO ka maʻamau, ʻo ka pae kō koko o kahi kanaka makua olakino ma mua o ka ʻai ʻana ma waena o 80-130 mg/dL. ʻElua hola ma hope o ka ʻai ʻana, ʻoi aku ka maikaʻi o ka mālama ʻana ma lalo o 180 mg/dL.

No ke aha he mea weliweli ka lele ʻana i ke kō ma hope o ka ʻai ʻana?

Ua kapa nā kauka i kēia piʻi koke ʻana o ke kō koko ma hope o ka ʻai ʻana he 'Postprandial Hyperglycemia'. E noʻonoʻo e pili ana i ia mea, inā hana ʻia kēia i hoʻokahi a ʻelua paha manawa, ʻaʻole paha he pilikia nui. Akā, ʻo ka loaʻa ʻana o nā pae kō koko kiʻekiʻe i ka wā lōʻihi a pinepine ʻole he mea maikaʻi ʻole ia.

Hiki i kēia ke hōʻeha nui i kou mau puʻupaʻa, ʻōnaehana nerve, maka, a me ka puʻuwai . No laila, he mea nui loa ka mālama ʻana i kēia maʻi.

Pehea e ʻike ai inā kiʻekiʻe koʻu kō koko?

Inā piʻi aʻe kou pae kō koko ma luna o 200 mg/dL, loaʻa paha iā ʻoe nā hōʻailona o ke kō koko kiʻekiʻe (hyperglycemia). ʻAʻole e loaʻa i nā kānaka a pau kēia mau hōʻailona a pau, akā inā he nui kāu o lākou, pono ʻoe e hopohopo.

He aha kāu e hana ai inā piʻi koke kāu kō?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, mai hopohopo a e nānā mua i kou pae kō koko me kāu mika glucose. Inā kiʻekiʻe ia, hiki iā ʻoe ke hoʻohaʻahaʻa iki i kou pae kō koko ma ka hana ʻana i kekahi mau hoʻoikaika kino maʻalahi, e like me ka hele wāwae pōkole no 10-15 mau minuke .

Akā , aia kekahi ʻōlelo aʻo koʻikoʻi loa ma ʻaneʻi.

Inā kiʻekiʻe loa kou pae kō koko, e like me 240 mg/dL, pono ʻoe e nānā i kou kino no nā ketones ma mua o ka hoʻoikaika kino. ʻO nā Ketones kahi ʻano waikawa i hana ʻia ke hiki ʻole i ke kino ke loaʻa ka ikehu mai ka glucose a puhi i ka momona no ka ikehu. Inā hoʻoikaika kino ʻoe me nā pae kiʻekiʻe o nā ketones i loko o kou koko, hiki iā ia ke hoʻonui i ke kō koko, e alakaʻi ana i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo diabetic ketoacidosis.

Hiki iā ʻoe ke nānā i kāu mau pae ketone ma ka home me nā ʻāpana hoʻāʻo mimi a i ʻole kekahi mau mika glucose hou. Inā ʻike ʻoe i nā ketones, mai hoʻoikaika kino no kekahi kumu . Pono ʻoe e kamaʻilio koke me kāu kauka a loaʻa i ka lāʻau lapaʻau e pono ai.

I kekahi manawa, inā lilo kou pae kō i mea hiki ʻole ke kāohi ʻia a manaʻo ʻoe he ʻoluʻolu ʻole loa, mai kānalua e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. Ma laila, e hāʻawi ʻia ʻoe i nā lāʻau lapaʻau e pono ai, e like me ka saline a me ka insulin, e kāohi i ke kūlana.

Pehea ʻoe e pale ai i nā piʻi ʻana o ke kō e like me kēia?

"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, aia kekahi mau mea hiki iā mākou ke hana e pale aku ai i ka piʻi pinepine ʻana o ke kō. E kamaʻilio kākou e pili ana i ʻekolu mau ala nui.

1. E lawe i kāu lāʻau lapaʻau me ke kūpono, i ka manawa kūpono.

Inā ua kuhikuhi kāu kauka i nā inikini insulin a i ʻole nā ​​​​lāʻau maʻi diabetes e like me ka metformin, mai hōʻalo iā lākou. He mea nui loa ka lawe ʻana i ka nui kūpono i ka manawa kūpono. I kekahi manawa pono e hoʻololi ʻia kāu nui lāʻau. No laila, inā kiʻekiʻe mau kāu kō, e kamaʻilio me kāu kauka e pili ana i ia mea a hoʻoponopono hou i kāu hoʻolālā lapaʻau.

2. E makaʻala i ka meaʻai a me ka mea inu.

ʻO kēia ka mea nui loa. Aia kekahi mau meaʻai e hoʻoulu ai i ka piʻi koke ʻana o ke kō koko. No ka laʻana, ka berena, nā mea inu kō, a me nā keke. ʻO nā meaʻai ʻē aʻe (e laʻa me nā kuki, ka laiki bran, a me nā mea kanu) e hoʻoulu ai i ka piʻi mālie ʻana o ke kō koko. Kāhea mākou i kēia ʻo ka Glycemic Index (GI). ʻO ke koho ʻana i nā meaʻai me ka GI haʻahaʻa e hiki ke kōkua i ka pale ʻana i ka piʻi koke ʻana o ke kō koko. E nīnau i kāu kauka a i ʻole he meaʻai meaʻai ma kahi haukapila aupuni e pili ana i kēia.

3. E hoʻoikaika kino i kēlā me kēia lā

ʻO ka hoʻoikaika kino kou hoaaloha maikaʻi loa i ka wā e pili ana i ka mālama ʻana i ka maʻi diabetes. Ke hoʻoikaika kino ʻoe, e maʻalahi ia no kou mau ʻiʻo ke omo i ka glucose (kō) mai kou koko. ʻO ke ʻano kēia ua kāohi maoli ʻia kou mau pae kō koko. Kōkua pū ka hoʻoikaika kino iā ʻoe e kāohi i kou kaumaha a hoʻomaikaʻi i kou kahe koko. E hoʻāʻo e hana i kahi mea e like me ka hele wāwae wikiwiki, ka holo paikikala, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā. Akā e hoʻomanaʻo, ma mua o kou hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i nā hoʻoikaika kino kūpono iā ʻoe.