Inā ʻoe e noho nei me ka Diabetes Mellitus, ʻike paha ʻoe i ke koʻikoʻi o ka kaohi ʻana i kou pae kō koko. Akā he aha kāu e hana ai e pili ana i ka piʻi koke ʻana o ke kō koko ma hope o ka ʻai ʻana? He pilikia maoli kēia no nā poʻe he nui. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia 'postprandial' blood glucose. ʻO ia hoʻi, ka pae kō koko ma hope o ka ʻai ʻana. Mai hopohopo, ma ka hahai ʻana i kekahi mau ʻanuʻu maʻalahi, hiki iā ʻoe ke kaohi maikaʻi i kēia kūlana a pale iā ʻoe iho mai nā pilikia olakino e hiki mai ana.
No ke aha lā mākou e mālama nui ai i kēia?
Ke piʻi koke kou pae kō koko ma hope o ka ʻai ʻana, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. E noʻonoʻo e pili ana i ia mea, me he mea lā ua noe kou poʻo, ʻaʻole hiki iā ʻoe ke noʻonoʻo pono, a he pilikia kou i ka noʻonoʻo ʻana. Hiki iā ʻoe ke manaʻo i ka nāwaliwali, ka luhi, ka huhū, a me kahi manaʻo ʻē i loko o kou puʻuwai. ʻO kēia nā hōʻailona maʻamau o ke kō koko kiʻekiʻe.
ʻAʻole kēia he mau pilikia pōkole wale nō. Inā mau ka paʻa ʻole o kou pae kō koko a kiʻekiʻe i ka wā lōʻihi, hiki iā ia ke hoʻoweliweli iā ʻoe no nā pilikia olakino koʻikoʻi e like me ka maʻi puʻuwai, ka hahau ʻana, a me nā maʻi puʻupaʻa .
Eia kekahi, i kekahi manawa hiki i nā pae kō koko ke hāʻule koke a hiki ke hoʻonāwaliwali. No laila, he mea nui loa ia e mālama i nā pae kō koko i paʻa.
Pehea ʻoe e ana pololei ai i kou pae kō?
ʻO ke ala maikaʻi loa e hoʻomaopopo ai i kēia, ʻo ia ke nānā mau i kou pae kō koko. Paipai ka American Diabetes Association (ADA):
1. Ma mua o ka ʻai ʻana: Ma mua o kou ʻai ʻana i ka meaʻai nui, e lawe i kahi kulu o ke koko mai kou manamana lima a ana i kou pae kō.
2. Ma hope o ka ʻai ʻana: E nānā hou i kou pae kō koko i hoʻokahi a ʻelua paha hola ma hope o kou ʻai mua ʻana i ka meaʻai.
E hoʻomau i ka hana ʻana i kēia no hoʻokahi pule. I kēlā me kēia manawa, e hoʻopaʻa i ka manawa a me kou pae kō koko i loko o kahi puke liʻiliʻi. Eia kekahi, e kākau i lalo i nā mea āu e manaʻo ai e hoʻopilikia paha i kou pae kō koko - e like me nā lāʻau lapaʻau āu i lawe ai a inā paha ua hoʻoikaika kino ʻoe.
ʻO ka mea nui loa, ʻo ia ke kākau i lalo i kāu meaʻai, ka nui o kāu meaʻai, a me ka nui o nā kalapona i loko o kēlā mau meaʻai.
ʻO wai ka pae kiʻekiʻe ma hope o ka ʻai ʻana?
Wahi a ka ADA, ʻo kahi pahuhopu maikaʻi ka mālama ʻana i kou pae kō koko ma lalo o 180 mg/dL hoʻokahi a ʻelua paha hola ma hope o ka ʻai ʻana. Akā, he pahuhopu maʻamau kēia no nā mea āpau. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka pahuhopu kūpono nou, kou makahiki, a me kou olakino. Mai hoʻololi i kāu mau lāʻau lapaʻau a i ʻole nā lāʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka.
Pehea e pale aku ai i nā piʻi koko koko ma hope o ka ʻai ʻana?
ʻAe, e nānā kākou i nā ala maʻalahi a me nā hana e hiki ai iā kākou ke hoʻokele i kēia kūlana.
| Hoʻopunipuni | I ka ʻōlelo maʻalahi... |
|---|---|
| E lawe i ka lāʻau lapaʻau kūpono iā ʻoe. | No ke kāohi ʻana i ke kō koko ma hope o ka ʻai ʻana, ʻoi aku ka maikaʻi o nā lāʻau lapaʻau e hana wikiwiki a hana pōkole (e like me kekahi ʻano insulin). E kamaʻilio me kāu kauka e pili ana i kēia a koho i ke koho maikaʻi loa nāu. |
| E kāohi i ke kō ma mua o ka ʻai ʻana | Inā ʻoe e mālama pono i kou pae kō koko ma mua o ka ʻai ʻana, ʻoiai inā piʻi aʻe kou kō koko ma hope o ka ʻai ʻana, ʻaʻole ia he piʻi nui. No laila e makaʻala i kou pae kō koko i ka lā holoʻokoʻa. |
| E makaʻala i kāu mea e ʻai ai. | ʻO nā meaʻai ʻono, ka berena keʻokeʻo, ka laiki keʻokeʻo, nā noodles, a me nā ʻuala nā meaʻai e hoʻoulu ai i ka piʻi koke ʻana o ke kō koko. E hōʻemi i kēia mau mea i ka hiki. He mea nui nō hoʻi ke ʻano o ka ʻaila āu e hoʻohana ai. Ua ʻike ʻia nā noiʻi e hiki i ka hoʻohana ʻana i kahi ʻaila mea kanu liʻiliʻi e like me ka ʻaila ʻoliva ma kahi o nā momona holoholona e like me ka pata ke kōkua i ka kaohi ʻana i ke kō koko. |
| Mai hōʻalo i ka ʻaina kakahiaka! | Mai hōʻole i ka ʻaina kakahiaka, ʻaʻohe mea pehea ka wikiwiki. Ua hōʻike ʻia nā noiʻi inā hōʻole ka poʻe me ka maʻi diabetes i ka ʻaina kakahiaka, e piʻi nui ko lākou pae kō koko ma hope o ka ʻaina awakea a me ka ʻaina ahiahi. |
| He ʻaina kakahiaka waiwai i ka protein | He aha ka ʻaina kakahiaka maikaʻi loa? He ʻaina kakahiaka kiʻekiʻe paha ia i ka protein. Ua hōʻike ʻia kekahi noiʻi ua ʻoi aku ka maikaʻi o ka kaohi ʻana o ka poʻe i ʻai i ka ʻaina kakahiaka he 35% protein ma mua o ka poʻe i ʻai i ka ʻaina kakahiaka kiʻekiʻe i nā carbohydrates. Akā e nīnau i kāu kauka i ka mea kūpono iā ʻoe. |
| E hele wāwae ma hope o ka ʻai ʻana. | He maʻa maikaʻi kēia no nā mea a pau. ʻOi aku hoʻi no ka poʻe o ʻoukou me ka maʻi diabetes, ʻo ka hele wāwae ʻana no 15-20 mau minuke ma hope o ka ʻaina ahiahi he ala maikaʻi loa ia e puhi ai i ka glucose keu i hōʻiliʻili ʻia i loko o kou kino mai kāu mau meaʻai. |
ʻO ka mea nui e hoʻomanaʻo me kēia mau mea a pau, ʻaʻole pono ʻoe e hakakā hoʻokahi i kēia kaua. ʻO kāu kauka, ka meaʻai meaʻai, a me kou ʻohana kou mau hoa pili maikaʻi loa ma kēia huakaʻi. E mālama pono i kou pae kō koko a kamaʻilio ākea me kāu kauka. Ma kēlā ala, hiki iā lākou ke hoʻomohala i ka hoʻolālā lapaʻau maikaʻi loa nāu.
Leka Lawe-Home
- ʻOiai he mea maʻamau ka piʻi ʻana o ke kō koko ma hope o ka ʻai ʻana (postprandial hyperglycemia) i ka maʻi diabetes, pono nō e kaohi ʻia.
- E ana i kou pae kō koko ma mua a me 1-2 mau hola ma hope o ka ʻai ʻana, a e mālama i kahi moʻolelo o kāu meaʻai, mea inu, a me ka hoʻoikaika kino. He mea kōkua nui kēia nou a me kāu kauka.
- E hōʻemi i nā meaʻai kiʻekiʻe i nā kalapona e like me ka berena keʻokeʻo, ka laiki, a me ka ʻuala, a ma kahi o ia mea e hoʻohui i ka protein, nā mea kanu, a me nā momona olakino e like me ka ʻaila ʻoliva i kāu papaʻai.
- Hiki i ka hoʻoikaika kino māmā ma hope o ka ʻai ʻana, e like me ka hele wāwae, ke kōkua nui i ka kaohi ʻana i ke kō koko.
- ʻO ka mea nui loa: E kūkākūkā mau i kāu hoʻolālā lapaʻau, ka meaʻai, a me ka hoʻoikaika kino me kāu kauka ma mua o ka hoʻoholo ʻana.
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