ʻO ka hōʻailona leo ʻole o ka maʻi diabetes: E aʻo e pili ana i ke kū'ē ʻana o ka insulin

Ua makaʻu iki anei ʻoe i ka huaʻōlelo diabetes? A i ʻole ua haʻi ʻia aku paha e kāu kauka iā ʻoe he kūʻē ʻoe i ka insulin, a ua huikau ʻoe i ke ʻano o ia mea? Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo ke kūʻē ʻana i ka insulin ma ke ʻano maʻalahi a aloha hoʻi. Ua like ia me kahi ʻōlelo aʻo leo ʻole a ko mākou kino e hāʻawi mai ai iā mākou ma mua o ka hoʻomaka ʻana o ka maʻi diabetes.

I ka ʻōlelo maʻalahi, he aha ke ʻano o ke kūʻē ʻana i ka insulin?

E noʻonoʻo e pili ana i ia mea, ua like nā pūnaewele i loko o ko kākou kino me nā hale liʻiliʻi. Pono kēia mau hale i ka ikehu e hana ai. Loaʻa kēlā ikehu mai ke kō i kapa ʻia ʻo glucose, i hana ʻia mai ka meaʻai a kākou e ʻai ai. I mea e hele ai kēia glucose mai ke koko i loko o nā hale i kapa ʻia ʻo cell, pono ia i kahi kī e wehe ai i ka puka. ʻO kēlā kī ka hormone i kapa ʻia ʻo insulin . Hana ʻia kēia kī insulin e ko kākou pancreas.

Ke ʻai ʻoe, komo ka glucose i loko o ke koko. I ka manawa like, hoʻokuʻu ka pancreas i kahi kī i kapa ʻia ʻo ka insulin i loko o ke koko. Ke wehe ka insulin i nā puka o nā cell, komo ka glucose i loko o nā cell a lilo i ikehu.

I kēia manawa, e nānā i ka mea e hana ʻia i kahi kanaka me ke kūʻē ʻana o ka insulin.

ʻAʻole pane pono kāu mau cell i kēia kī insulin. Ua like ia me ka laka puka ʻōpala. ʻAʻole e wehe pono ke kī i ka puka. No laila, ʻo ka glucose, ka mea hiki ʻole ke komo i loko o nā cell, hoʻomaka e hōʻiliʻili i loko o ke koko.

I kēia manawa, manaʻo ka lolo, "Auē, nui ke kō i loko o ke koko, pono wau i nā kī hou aku." No laila, loaʻa i ka pancreas kahi leka e haʻi ana iā ia e hana i ka insulin hou aku. I ka hala ʻana o ka manawa, luhi ka pancreas, hana i ka insulin hou aku, a i ka hopena hiki ke emi kāna hana. ʻO ia ka manawa e hoʻomaka ai ke piʻi ʻana o ke kō koko.

ʻO ka ʻokoʻa ma waena o ke kū'ē ʻana o ka insulin, ka pre-diabetes, a me ka maʻi diabetes

ʻOiai pili kēia mau mea ʻekolu, ʻaʻole like lākou. E nānā kākou mai kahi papa.

He aha nā hōʻailona o kēia maʻi?

ʻO ka pilikia nui ma ʻaneʻi, ʻo ke kūʻē ʻana o ka insulin he kūlana leo ʻole . Hiki iā ʻoe ke loaʻa i loko o kou kino no nā makahiki me ka ʻike ʻole. ʻO ke ala wale nō e ʻike pono ai, ʻo ia ka loaʻa ʻana o kahi hoʻāʻo koko.

Eia nō naʻe, aia kekahi mau hōʻailona a me nā ʻōuli o waho e pili ana i kēia maʻi. E nānā e ʻike inā loaʻa iā ʻoe kēia mau mea:

• Hoʻonui ʻia ke anapuni o ka pūhaka: ʻO ke anapuni o ka pūhaka ma mua o 40 ʻīniha i nā kāne a ʻoi aku ma mua o 35 ʻīniha i nā wahine.
• Ke koko kiʻekiʻe: Ke koko he 130/80 mmHg a ʻoi aku paha.
• Nā ʻano ʻē i nā hoʻokolohua koko:
• ʻOi aku ke kiʻekiʻe o ke kō koko hoʻokē ʻai ma mua o 100 mg/dL.
• ʻOi aku ka nui o nā pae triglyceride hoʻokē ʻai ma mua o 150 mg/dL.
• ʻO ka pae o ka cholesterol maikaʻi (HDL cholesterol) ma lalo o 40 mg/dL i nā kāne a ma lalo o 50 mg/dL i nā wahine.
• Nā loli o ka ʻili:
• Lilo ka ʻili ma ka ʻāʻī a me nā ʻauwae i ʻeleʻele a palupalu. Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo Acanthosis Nigricans .
• ʻO ke ʻano o nā ʻiole liʻiliʻi (nā lepili ʻili) e like me ke kau ʻana mai ka ʻili.

He aha nā kumu o ke kū'ē'ē o ka insulin?

He paʻakikī ke kuhikuhi i hoʻokahi kumu no kēia, akā ua ʻike nā loea i kekahi mau kumu e hoʻonui ai i ka pilikia.

• Ke kaumaha o ke kino: Ka hōʻiliʻili ʻana o ka momona, ʻoiai ma ka ʻōpū (momona o ka ʻōpū).
• Ka nele i ka hoʻoikaika kino a me ke ʻano noho maʻamau: ʻAʻole hana kino.
• Nā meaʻai kiʻekiʻe i nā kalapona: ʻO ka ʻai nui ʻana i ka berena, ka laiki, nā meaʻai ʻono, a me nā mea inu ʻono.
• Moʻolelo ʻohana: Loaʻa i kekahi o ka ʻohana ka maʻi diabetes.
• Makahiki: Piʻi ka pilikia ma hope o 45 mau makahiki.
• ʻO ka maʻi diabetes gestational: ʻO nā makuahine e loaʻa ana i ka maʻi diabetes i ka wā hāpai e ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi ma hope.
• Nā kūlana ʻē aʻe: ʻO ka maʻi ʻaʻai momona ʻole a me ka Polycystic Ovary Syndrome (PCOS).
• Puhi paka.
• Kekahi mau lāʻau lapaʻau: Ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau lapaʻau, e like me nā steroid.
• Nā pilikia hiamoe: Nā kūlana e like me ka hanu ʻana i ka wā hiamoe (sleep apnea).

ʻO ka pilina ma waena o ke kū'ē'ē o ka insulin a me ka PCOS

Aia kahi pilina ikaika ma waena o ka polycystic ovary syndrome (PCOS), kahi maʻi e hoʻopilikia ai i nā wahine he nui, a me ke kū'ē ʻana o ka insulin. He nui nā wahine me PCOS i loaʻa i ka insulin ke kū'ē. Ke noiʻi ʻia nei ka pilina pololei ma waena o nā mea ʻelua.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

ʻAʻohe hoʻāʻo hoʻokahi no ke kū'ē ʻana o ka insulin. E nānā kāu kauka i ka hui pū ʻana o nā kumu e ʻike ai i ke kūlana.

1. Ke nīnau ʻana iā ʻoe: Ke nīnau nei e pili ana i ka mōʻaukala olakino o kou ʻohana a me kou nohona.

2. Hoʻokolokolo kino: E ana ʻia kou kaumaha, ke kiʻekiʻe, BMI. E ana ʻia kou koko.

3. Nā hoʻāʻo koko: ʻO kēia nā mea koʻikoʻi loa.

• ʻO ka Plasma Glucose Hoʻokē ʻai (FPG): He hoʻāʻo koko i hana ʻia ma hope o ka hoʻokē ʻai ʻana no 8 mau hola ma ka liʻiliʻi.
• Hoʻāʻo Hoʻomanawanui Glucose Waha (OGTT): ʻO ka mua, lawe ʻia ke koko hoʻokē ʻai, a laila hāʻawi ʻia kahi wai kō e inu, a hoʻāʻo hou ʻia ke koko i ʻelua hola ma hope.
• Hemoglobin A1c (HbA1c): Hāʻawi kēia i kahi manaʻo o kou awelika kō koko i nā mahina 2-3 i hala.
• Panel Lipid: Nānā i nā pae cholesterol a me triglyceride i loko o ke koko.

Hiki i nā waiwai aʻe ke kōkua iā ʻoe e ʻike inā he prediabetes kāu:

• FPG: 100-125 mg/dL
• OGTT (ma hope o 2 mau hola): 140-199 mg/dL
• A1c: 5.7% - 6.4%

Pehea mākou e kāohi ai i kēia kūlana?

ʻO ka nūhou maikaʻi , hiki ke hoʻohuli pinepine ʻia ke kū'ē ʻana o ka insulin! ʻO ke kī i kēlā, ʻo ia ka hoʻololi ʻana i ke ʻano o ka nohona. ʻOi aku ka ikaika o kēia mau mea ma mua o ka lāʻau lapaʻau.

1. Hoʻoikaika kino

Ke hana ʻoe, pono kou mau ʻiʻo i ka ikehu. Lilo lākou i mea ʻoi aku ka maʻalahi i ka insulin a hoʻomaka e hoʻohana i ka glucose i loko o kou koko. ʻOiai kahi hoʻoikaika kino maʻalahi e like me ka hele wāwae wikiwiki no 30 mau minuke i ka lā, ma ka liʻiliʻi he 5 mau lā o ka pule, hiki ke hana i kahi ʻokoʻa nui.

2. Ka mālama ʻana i ke kaumaha olakino

ʻOiai ʻo ka lilo ʻana o 5% a 7% o kou kaumaha kino hiki ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes. Eia kekahi laʻana, inā he 100 kg kou kaumaha, he mea nui ka lilo ʻana o 5-7 kg. E kūkākūkā me kāu kauka no ka ʻōlelo aʻo no kēia.

3. Ke hoʻololi nei i ka ʻai

ʻAʻohe meaʻai "kilokilo" kikoʻī no kēia, akā he mea nui e makaʻala i kekahi mau mea.

• Nā meaʻai fiber kiʻekiʻe: ʻO nā meaʻai e like me nā palaoa piha, nā legumes, nā mea kanu, a me nā huaʻai e hoʻonui i ka manaʻo o ka piha a hoʻolohi i ka wikiwiki o ke komo ʻana o ke kō i loko o ke koko.
• Nā meaʻai me ka helu kuhikuhi glycemic haʻahaʻa (GI): I ka ʻōlelo maʻalahi, ʻo ia nā meaʻai ʻaʻole e hoʻokiʻekiʻe koke i ke kiʻekiʻe o ke kō koko ma hope o ka ʻai ʻana.
• ʻAi pinepine (Haʻahaʻa-GI): He nui nā mea kanu a me nā huaʻai, laiki ʻeleʻele, chickpeas, lentils, yogurt.
• ʻAi i kekahi manawa (Medium-GI): Berena palaoa holoʻokoʻa, maiʻa, kulina.
• E hōʻemi i ka nui o ka meaʻai (High-GI): berena keʻokeʻo, laiki keʻokeʻo, keke, biscuits, mea inu ʻono, ʻuala.

4. Nā mea nui ʻē aʻe

• E pale i ka puhipaka.
• Ke kāohi nei i ke kaumaha.
• E hiamoe pono (ma ka liʻiliʻi he 7 mau hola i ka lā).

E aʻo pū kākou e pili ana i ka lāʻau lapaʻau: ʻAʻohe lāʻau lapaʻau kūikawā no ke kū'ē ʻana i ka insulin. Eia nō naʻe, inā he kiʻekiʻe loa kou pilikia o ka loaʻa ʻana o ka maʻi diabetes, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau e like me Metformin . Akā, hiki i ke kauka ke hoʻoholo.