I kēia lā, e kamaʻilio kākou e pili ana i kahi huaʻōlelo i kamaʻilio nui ʻia e nā poʻe he nui, a he mea hopohopo iki hoʻi. ʻO ia hoʻi ʻo 'Insulin Resistance'. Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i ia mea, a ua heluhelu paha ʻoe e pili ana i ia mea ma kekahi wahi. He aha maoli ia? No ke aha he mea nui loa ia? E hoʻomaopopo maʻalahi kākou i kēia mau mea a pau.
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No laila, he aha ke ʻano o ke 'Kuʻe ʻana o ka Insulin'?
I ka ʻōlelo maʻalahi, ʻo ke kūʻē ʻana o ka insulin ke pane pono ʻole nā kelepona i loko o kou kino, ʻoiai nā mea i loko o kou mau ʻiʻo, nā hunaola momona, a me ke akepaʻa, i ka hormone insulin. Ua kapa ʻia kēia he ʻano hoʻopilikia ʻia ka ʻike insulin.
E noʻonoʻo e pili ana i ia mea, he ʻāpana koʻikoʻi ka insulin o ko kākou kino. Ua like ia me ka mea hoʻokele kaʻa i loko o ko kākou kino. ʻO ia ka mea e kōkua iā kākou e hoʻouna i ka glucose, a i ʻole ke kō a kākou e ʻai ai mai ko kākou koko, i loko o ko kākou mau cell e hana i ka ikehu. I kēia manawa, he aha ka mea e hana ʻia ke hoʻolohe pono ʻole nā cell i kēia insulin? ʻAʻole hiki i ke kō i loko o ke koko ke komo i loko o nā cell a hōʻiliʻili i loko o ke koko.
He aha ka mea e hana ʻia a laila? He aha ka mea e hana ʻia i ka pancreas?
ʻO ia ka manawa e hoʻomaka ai ka pilikia. ʻIke ko mākou pancreas - ka hale hana insulin o ko mākou kino - "Auē, ke piʻi nui nei ke kō koko, a ʻaʻole ia e komo i loko o nā cell." No laila he aha ka hana a ka pancreas? Hoʻomaka ia e hana i ka insulin hou aʻe e kāohi i nā pae kō kiʻekiʻe. Ua like ia me ke kaomi ʻana i ka puka i ka wā hiki ʻole ke wehe. Kāhea mākou i kēia he hyperinsulinemia.
No kekahi manawa, inā hiki i ka pancreas ke hana i ka insulin hou aʻe ma kēia ʻano a kāohi i nā pae kō koko, ʻaʻohe pilikia nui. Akā, mālie, i ka wā e kūpaʻa ai nā cell i ka insulin, ʻaʻohe mea i ka nui o ka insulin a ka pancreas e hana ai, ʻaʻole lawa. ʻO ia ka manawa e hoʻomaka ai ke kiʻekiʻe mau o ke kō koko. Kāhea mākou i kēia 'hyperglycemia'.
He mea weliweli anei kēia 'kū'ē ʻana i ka insulin'? He aha nā hopena e hiki mai ana?
ʻAe, inā ʻoe e hoʻomau i kēia, hiki ke lilo i mea weliweli iki. No ka mea, ke hoʻomau kēia mau pae kō koko kiʻekiʻe no ka manawa lōʻihi, hiki iā ʻoe ke loaʻa i ka 'prediabetes'. ʻO ia hoʻi, aia ʻoe ma ka lihi o ka loaʻa ʻana o ka maʻi diabetes. A laila, ʻoi aku ka nui o kou hiki ke loaʻa i ka maʻi diabetes Type 2.
ʻAʻole wale ia, pili kēia kūlana me kekahi mau pilikia olakino ʻē aʻe:
- Ka momona , ʻoiai ka momona keu ma ka ʻōpū.
- ʻO ka maʻi cardiovascular , ʻo ia hoʻi ka maʻi puʻuwai a me nā pilikia o ke kīʻaha koko.
- ʻO ka maʻi akepaʻa steatotic e pili ana i ka hana metabolic , i ʻike mua ʻia ʻo ka maʻi akepaʻa momona ʻole.
- ʻO ka maʻi metabolic.ʻAʻole kēia he maʻi hoʻokahi, akā he hōʻiliʻili o nā hōʻailona e hui pū ana. Eia kekahi laʻana, nā mea e like me ke koko kiʻekiʻe, ke kō koko kiʻekiʻe, ka momona o ka ʻōpū i hoʻonui ʻia, a me nā kaulike ʻole o ka cholesterol.
- ʻO ka Polycystic Ovary Syndrome (PCOS). He ʻano kūlike ʻole kēia o ka hormonal i loaʻa i nā wahine.
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Check Availability →ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ke 'kū'ē ʻana o ka insulin'?
Hiki iā ia ke hana maoli i kekahi. ʻAʻole pono ʻoe e loaʻa i ka maʻi diabetes. I kekahi manawa hiki ke lilo i mea manawa pōkole. No ka laʻana, inā ʻoe e lawe i nā steroids no kekahi manawa no kahi maʻi, hiki iā ʻoe ke hoʻomohala i ke kū'ē ʻana o ka insulin. Hiki nō hoʻi ke lilo i mea maʻi mau, ʻo ia hoʻi he maʻi lōʻihi.
ʻElua mau kumu nui i manaʻo ʻia e hoʻohuli i kēia:
1. Ka momona o ke kino keu , ʻoi aku hoʻi a puni kou ʻōpū.
2. Ka nele o ka hana kino , ʻo ia hoʻi ka hoʻoikaika kino ʻole.
Eia kekahi, inā loaʻa kekahi o kou ʻohana i ka maʻi diabetes (ʻoi aku ka maʻi diabetes type 2), prediabetes, a i ʻole nā maʻi e like me ka polycystic ovary syndrome (PCOS), hiki paha iā ʻoe ke ʻoi aku ka maʻalahi o ka hoʻomohala ʻana i ke kūʻē ʻana o ka insulin.
He mea maʻamau ke kū'ē'ē ʻana o ka insulin i nā poʻe me ka prediabetes a me ka maʻi diabetes type 2. Hiki i nā poʻe me ka maʻi diabetes type 1 ke loaʻa i kekahi manawa ke kū'ē'ē i ka insulin.
He aha nā hōʻailona o kēia? Pehea mākou e ʻike ai?
Eia ka pilikia. ʻO ka hapa nui o ka manawa, inā hiki i kāu pancreas ke hana i ka insulin hou aʻe a kaohi i kou pae kō koko, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. ʻAʻole paha ʻoe e ʻike.
Eia nō naʻe, i ka hala ʻana o ka manawa, hiki i kēia kūlana ke lilo i mea ʻino aʻe. Hoʻomaka mālie nā pūnaewele i loko o ka pancreas e hana ana i ka insulin e nāwaliwali. I ka hopena, ʻaʻole hiki i ka pancreas ke hana i ka insulin lawa. ʻO ia ka manawa e hoʻomaka ai ke piʻi ʻana o ke kō koko a hoʻomaka nā hōʻailona e ʻike ʻia.
Ke noho kiʻekiʻe kou pae kō koko, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- ʻO ka pohō kaumaha me ke kumu ʻole
- Manaʻo luhi i nā manawa a pau
- Manaʻo nui aku i ka make wai ma mua o ka maʻamau
- Mimi pinepine
- Manaʻo nui i ka pōloli ma mua o ka maʻamau
- ʻIke pōwehiwehi
- Nā maʻi hū pinepine (ʻoi aku hoʻi i loko o ka vagina a i kekahi manawa i nā ʻili ʻili i nā wahine)
ʻAʻohe hōʻailona o ka nui o ka poʻe me ka prediabetes, i kekahi manawa no nā makahiki. ʻAʻole paha e hōʻike ka prediabetes i kekahi mau hōʻailona a hiki i ka holomua ʻana i ka maʻi diabetes type 2. Eia nō naʻe, hiki i kekahi poʻe me ka prediabetes ke hōʻike i nā hōʻailona e like me:
- ʻEleʻele o kou mau ʻauwae, ke kua o kou ʻāʻī, a me nā ʻaoʻao o kou kino . Ua kapa ʻia kēia he acanthosis nigricans . Ua like ia me ka lepo, akā ʻaʻole ia he lepo.
- Nā puʻupuʻu ʻili liʻiliʻi .
- Nā loli i nā maka . Hiki i kēia ke alakaʻi i ka hōʻino ʻana o ka maka e pili ana i ka maʻi diabetes -related retinopathy).
Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, e ʻike pono i kāu kauka. He mea nui loa ia.
No ke aha mākou e hoʻomohala ai i ke 'kū'ē ʻana o ka insulin'? He aha nā kumu?
Ke hana nei nā kānaka ʻepekema e hoʻomaopopo pono pehea e hana ai kēia. Ua ʻike ʻia i kēia manawa hiki i kekahi mau genes ke hoʻonui a emi paha ka hiki i ke kanaka ke hoʻomohala i ke kūʻē ʻana o ka insulin. Ua ʻike pū nā kauka e ʻoi aku ka ʻino o ke kūlana me ka piʻi ʻana o ke kaumaha, a hiki i ka pohō kaumaha ke kōkua i ka kaohi ʻana iā ia i kekahi ʻano.
Ma waho aʻe o kēlā, aia kekahi mau kumu ʻē aʻe.
Nā kumu i loaʻa
ʻAʻole kēia nā kumu i hānau ʻia ai kākou, akā, nā kumu e kū mai ana i ko kākou wā e ola ana.
- ʻO ka momona o ke kino keu: Manaʻo nā kānaka ʻepekema ʻo ka momona ke kumu nui o ke kū'ē ʻana o ka insulin. ʻO ka momona i waiho ʻia ma ka ʻōpū a puni nā ʻōpū o loko (momona visceral) e hoʻonui nui i ka pilikia.
- Hana ʻole kino: Ke hoʻoikaika kino ʻoe, lilo kou kino i mea ʻoi aku ka maʻalahi i ka insulin. Kōkua pū ka hoʻoikaika kino i kou mau ʻiʻo e omo i ka glucose mai kou koko, hiki ke alakaʻi i kēia maʻi.
- ʻAi: Ua ʻike ʻia ka ʻai ʻana i nā meaʻai i hana nui ʻia, nā meaʻai kiʻekiʻe i nā kalapona, a me nā meaʻai kiʻekiʻe i nā momona saturated e pili ana i ke kū'ē ʻana i ka insulin.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, e like me nā steroids, kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, a me nā lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka maʻi HIV, hiki ke hana i ke kū'ē ʻana o ka insulin.
ʻO nā maʻi hormonal e hoʻoulu ai i ke kū'ē ʻana o ka insulin
Hiki i kekahi mau pilikia hormonal ke hoʻopilikia i ke ʻano o ka hoʻohana ʻana o ke kino i ka insulin.
- ʻO ka maʻi Cushing: He maʻi laha ʻole kēia. Hana ʻia ia i ka wā e nui loa ai ka hormone i kapa ʻia ʻo cortisol i loko o ke kino. Hoʻopilikia ka cortisol keu i ka hana o ka insulin.
- Acromegaly: He maʻi laha ʻole kēia akā he maʻi koʻikoʻi. Hana ʻia ia i ka wā e nui loa ai ka hormone ulu (GH) i loko o ke kino. Hiki i kēia ke alakaʻi i ke kūʻē ʻana o ka insulin.
- Hypothyroidism: ʻO ke ʻano kēia ʻaʻole hana pono kāu kelepa thyroid, ʻo ia hoʻi, ʻaʻole ia e hana i nā hormones thyroid lawa. Hoʻolohi kēia i kāu metabolism, hiki ke hana i ke kūʻē ʻana o ka insulin.
Nā kūlana genetic e hoʻoulu ai i ke kū'ē ʻana o ka insulin
Aia kekahi mau maʻi hoʻoilina i hoʻoilina ʻia a hiki ke hoʻoulu i ke kūʻē ʻana o ka insulin. He mea kākaʻikahi loa kēia. ʻO nā hiʻohiʻona e komo pū me nā kūlana i kapa ʻia ʻo Type A insulin resistance syndrome a me Donohue syndrome.
A me kekahi mau kūlana genetic ʻē aʻe:
- ʻO ka dystrophy myotonic: He ʻano nāwaliwali kēia o nā mākala e hoʻopilikia ai i nā mākala, nā maka, a me nā ʻōpū o ka ʻōnaehana endocrine.
- ʻO ka maʻi Alström: ʻO kēia kūlana ke kumu o ka momona a me ka maʻi diabetes type 2. Hiki iā ia ke hana i ka nalowale o ka ʻike a me ka lohe, ka cardiomyopathy dilated, a me ka pōkole o ka hanu.
- ʻO ka maʻi Werner: ʻO kēia ke kumu o ka ʻelemakule wikiwiki (progeria). Hoʻopilikia ia i nā mea he nui i ke kino, me ke kū'ē ʻana o ka insulin.
- ʻO ka lipodystrophy hoʻoilina: Ma kēia ʻano, ʻaʻole hoʻohana pono kou kino a mālama paha i ka momona.
Pehea e ʻike ai nā kauka i kēia?
He mea paʻakikī iki ka ʻike pololei ʻana i ke kū'ē ʻana o ka insulin, no ka mea, ʻaʻohe hoʻāʻo kikoʻī no ia mea. E like me ka mea i ʻōlelo ʻia ma mua, inā hiki i kāu pancreas ke hana i ka insulin lawa e kāohi i ke kūlana, ʻaʻohe ou hōʻailona.
Eia nō naʻe, ke kānalua nei kāu kauka i kēia kūlana, e noʻonoʻo lākou i kekahi mau kumu:
- ʻO kou mōʻaukala olakino (e like me nā maʻi ma mua a me nā lāʻau lapaʻau āu e lawe ai)
- Kou mōʻaukala olakino ʻohana (aia kekahi o kou ʻohana i loaʻa i ka maʻi diabetes a i ʻole ka maʻi puʻuwai?)
- Hoʻokolokolo kino
- Nā hōʻailona āu e wehewehe nei
He aha nā hoʻokolohua e hana ʻia nei no kēia?
Hiki i ke kauka ke hana i kekahi mau hoʻokolohua koko, e like me:
- Hoʻāʻo glucose: ʻO ka hoʻāʻo glucose plasma hoʻokē ʻai (FPG) a i ʻole ka hoʻāʻo kō koko maʻamau e kōkua i ka hoʻoholo ʻana inā he prediabetes kou, type 2 diabetes, a i ʻole gestational diabetes.
- Hoʻāʻo A1c: Hiki i kēia ke haʻi iā ʻoe i ke ʻano o kou pae kō koko i nā mahina ʻekolu i hala.
- Panel lipid: Ke ana kēia i nā ʻano momona like ʻole (e like me ka cholesterol a me nā triglycerides) i loko o kou koko.
No laila, pehea ʻoe e mālama ai i kēia? (Lāʻau lapaʻau)
ʻAʻole hiki ke mālama ʻia nā kumu āpau o ke kū'ē ʻana o ka insulin, e like me ke ʻano genetics a me ka makahiki. No laila, ʻo ka lāʻau nui ka hoʻololi ʻana i ke ʻano o ka nohona.
ʻO kēia mau hoʻololi ʻana i ke ʻano o ka nohona:
- ʻAi i ka ʻai momona: E ʻōlelo paha kāu kauka iā ʻoe e hōʻemi i ka ʻai ʻana i nā kalapona a me nā momona maikaʻi ʻole. ʻO ia hoʻi ke hōʻemi ʻana i ke kō, ka ʻiʻo ʻulaʻula, a me nā meaʻai starchy i hana ʻia. Akā, e ʻōlelo paha lākou iā ʻoe e ʻai i nā mea kanu, nā huaʻai, nā legumes, a me nā palaoa holoʻokoʻa. No ka protein, he mau koho maikaʻi ka iʻa a me ka moa.
- Hana kino: He kōkua nui ka hoʻoikaika kino kaulike i kēlā me kēia lā.Hoʻonui kēia i ka hoʻohana ʻana o ka glucose i loko o ke koko no ka ikehu, a hoʻonui pū i ka ʻike o ka insulin i loko o nā ʻiʻo.
- Ka lilo ʻana o ke kaumaha keu: I kekahi mau hihia, hiki i ka lilo ʻana o ke kaumaha ke kōkua i ka hoʻohuli ʻana i ke kūʻē ʻana o ka insulin. Hiki i kāu kauka ke kamaʻilio me ʻoe e pili ana i nā ala e kōkua ai iā ʻoe e lilo i ke kaumaha.
I ka hala ʻana o ka manawa, hiki i kēia mau hoʻololi ola ke alakaʻi i nā hopena e like me kēia:
- Ua emi ke kū'ē ʻana o ka insulin
- Ua emi nā pae kō koko
- Ke koko haʻahaʻa
- Ua hoʻemi ʻia nā pae triglyceride a me LDL (cholesterol maikaʻi ʻole)
- Hoʻonui ʻia nā pae HDL (cholesterol maikaʻi)
Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea, e like me ke kauka meaʻai a i ʻole endocrinologist. E hana pū lākou me ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau kūpono iā ʻoe.
Aia kekahi lāʻau lapaʻau kūikawā no kēia?
I kēia manawa, ʻaʻohe lāʻau lapaʻau kūikawā no ke kū'ē ʻana o ka insulin. Eia nō naʻe, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau no nā kūlana olakino ʻē aʻe āu e loaʻa ai. ʻO kekahi mau laʻana:
- Lāʻau lapaʻau no ke koko kiʻekiʻe
- Nā lāʻau lapaʻau e like me Metformin no ka maʻi diabetes a i ʻole prediabetes
- Nā lāʻau lapaʻau e like me nā statins e hoʻohaʻahaʻa i ka cholesterol LDL
Hiki ke hoʻohuli ʻia ke kū'ē ʻana o ka insulin? (Hiki ke hoʻohuli ʻia)
ʻOiai he nui nā kumu e kōkua ai i kēia, ʻaʻole hiki ke hoʻohuli ʻia nā kumu āpau. Eia nō naʻe, hiki i nā loli o ke ʻano o ka nohona ke hana i kahi ʻokoʻa nui. ʻO ka ʻai ʻana i ka meaʻai momona, ka hoʻoikaika kino mau, a me ka hōʻemi ʻana i ke kaumaha keu e kōkua i ka hōʻemi ʻana i kou kūʻē ʻana i ka insulin. E kamaʻilio me kāu kauka e pili ana i kāu mea hiki ke hana e hoʻokele maikaʻi i kēia.
Pehea ka hopena o ka meaʻai i ke kū'ē ʻana o ka insulin?
He hopena nui ko nā meaʻai āu e ʻai ai i kou kō koko a me nā pae insulin. ʻO ka Glycemic Index (GI) kahi ana o ka wikiwiki o ka hoʻokiʻekiʻe ʻana o nā meaʻai āu e ʻai ai i kou pae kō koko.
ʻO ka maʻamau, loaʻa i nā meaʻai me ka GI kiʻekiʻe ka nui o nā kalapona a/a i ʻole ke kō. Ke ʻai ʻoe iā lākou, piʻi koke kou pae kō koko, a pono ʻoe i ka nui o ka insulin e hoʻohaʻahaʻa iā lākou. No laila, pono ʻoe e pale i ka ʻai ʻana i nā mea inu kō he nui (soda, nā mea inu palupalu, nā mea inu huaʻai artificial) a me nā meaʻai e like me:
- Berena keʻokeʻo)
- ʻUala
- Nā ʻano cereals e ʻai ai no ka ʻaina kakahiaka
- Nā meaʻai ʻono e like me nā keke a me nā bisiketi
- ʻO kekahi mau hua e like me ka wai meli a me nā lā (kiʻekiʻe kēia i ke kō)
Ke ʻai ʻoe i nā meaʻai me ka GI haʻahaʻa , piʻi mālie kou pae kō koko. ʻO ke ʻano kēia, ʻaʻole pono kāu pancreas e hana ikaika e hana i ka insulin. ʻOi aku ka maikaʻi no ka poʻe me ke kūʻē ʻana i ka insulin e ʻai i nā meaʻai me ka GI haʻahaʻa, e like me:
- Nā legumes e like me nā pīni, chickpeas, a me nā lentils
- Nā hua e like me nā ʻāpala a me nā hua waina
- Nā mea kanu haʻahaʻa-starch - nā laʻana: asparagus, cauliflower, nā mea kanu lau ʻōmaʻomaʻo
- Nā nati
- Nā meaʻai waiū, iʻa, ʻiʻo
E hoʻomanaʻo: E kamaʻilio mau me kāu kauka ma mua o ka hana ʻana i kekahi mau hoʻololi nui i kāu papaʻai. Hiki iā ia ke aʻo iā ʻoe i ke ala hana maikaʻi loa nāu.
He aha nā kumu pilikia no ka hoʻomohala ʻana i ke kūʻē ʻana o ka insulin? (Nā kumu pilikia)
Hiki i kekahi mau kumu pilikia genetic a me ke ʻano o ka nohona ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ke kūʻē ʻana o ka insulin a i ʻole ka prediabetes. ʻO kēia mau kumu pilikia:
- Ke kaumaha nui a momona paha , ʻoiai ka momona keu a puni ka ʻōpū.
- He 45 mau makahiki a ʻoi paha.
- Loaʻa ka maʻi diabetes i loko o kahi lālā pili o ka ʻohana (nā mākua, nā kaikaina).
- Ka hana ʻole kino.
- Loaʻa nā maʻi e like me ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe.
- Loaʻa ka maʻi diabetes i ka wā hāpai (gestational diabetes).
- Loaʻa i ka maʻi puʻuwai a i ʻole ka hahau ʻana.
- Nā maʻi hiamoe , no ka laʻana, ka apnea hiamoe.
- Puhi paka.
Eia kekahi, ʻoi aku paha ka kiʻekiʻe o ka pilikia inā ʻoe no kēia mau hui lāhui:
- ʻeleʻele
- Hispanika/Latino
- ʻĀkia
- Hikina Waena
ʻAʻole hiki iā mākou ke hoʻololi i kekahi mau mea pilikia, e like me ka mōʻaukala ʻohana a me ka makahiki. Eia nō naʻe, hiki iā ʻoe ke hoʻāʻo e hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi ma ka mālama ʻana i kahi kaumaha olakino e kūpono iā ʻoe a me ka hoʻoikaika kino mau.
He aha ka manaʻolana no kekahi kanaka me ke kū'ē'ē o ka insulin?
Inā loaʻa iā ʻoe kēia maʻi, e nīnau i kāu kauka i kāu mea e manaʻo ai a pehea e mālama pono ai.
Pili kou manaʻo i kekahi mau kumu:
- ʻO ke kumu o ke kūpaʻa ʻana o ka insulin
- ʻO ke koʻikoʻi o ke kū'ē ʻana o ka insulin
- Pehea ka maikaʻi o kou mālama ʻana a me kāu kauka i kēia kūlana
Loaʻa paha i kekahi poʻe ke kū'ē iki i ka insulin, kahi mea paha e holomua ʻole ai i ka prediabetes a i ʻole ka maʻi diabetes type 2. Loaʻa paha iā lākou ke kū'ē i ka insulin hiki ke hoʻohuli ʻia a hoʻokele ʻia paha me nā hoʻololi ʻana i ke ʻano o ka nohona.
He aha nā pilikia e hiki mai ana ma muli o ke kū'ē'ē o ka insulin?
Inā ʻaʻole mālama pono ʻia kēia kūlana, hiki ke loaʻa nā pilikia. ʻO nā pilikia e hiki mai ana:
- ʻAno 2 diabetes
- ʻO ka maʻi metabolic
- Maʻi puʻuwai
ʻAʻole nā kānaka a pau me ke kū'ē'ē o ka insulin e loaʻa nā pilikia. Inā ua ʻike ʻia ʻoe me kēia maʻi, he mea nui e hoʻāʻo e pale i kēia mau pilikia. E hōʻoia e ʻike pinepine i kāu kauka, a e hahai pono i kāu hoʻolālā lapaʻau.
Āhea wau e ʻike ai i ke kauka e pili ana i ke kū'ē ʻana o ka insulin?
Inā ua ʻike ʻia ʻoe me kēia maʻi, he mea nui loa ia e ʻike pinepine i kāu kauka. Hiki iā ia ke nānā i kou pae kō koko ma kahi pae olakino a ke holo pono nei kāu lāʻau.
Inā loaʻa iā ʻoe nā hōʻailona o ke kō koko kiʻekiʻe a i ʻole ka prediabetes, e ʻike koke i kāu kauka. Hiki iā ia ke hana i nā hoʻokolohua maʻalahi e nānā i kou pae kō koko.
Inā loaʻa kekahi o kou ʻohana i ka maʻi diabetes a i ʻole ke kūʻē ʻana o ka insulin, e kamaʻilio me kāu kauka e pili ana i kou pilikia o ka hoʻomohala ʻana i kēia maʻi.
He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?
Inā ua ʻike ʻia ʻoe me kēia maʻi, he mea kōkua paha ke nīnau i kāu kauka i kēia mau nīnau:
- He aha ke kumu o koʻu kū'ē ʻana i ka insulin?
- He aha koʻu pilikia o ka loaʻa ʻana o ka prediabetes a i ʻole ka maʻi diabetes type 2?
- Aia kekahi lāʻau lapaʻau e hiki iaʻu ke lawe?
- Pono anei au e ʻike i kahi loea no kēia maʻi?
ʻO ka mea hope loa, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)
No laila, ua ʻike mākou he ʻano paʻakikī ke kūʻē ʻana i ka insulin, a hiki iā ia ke hoʻopilikia i ko mākou olakino ma nā ʻano he nui. ʻO ka pinepine, ʻaʻole ia e hōʻike i kekahi mau hōʻailona a hiki i ka lilo ʻana i prediabetes a i ʻole ka maʻi diabetes type 2.
No laila, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hoʻāʻo e pale i kēia ʻano, a i ʻole e hoʻohuli iā ia inā loaʻa. No ka hana ʻana i kēia , e mālama i kahi kaumaha olakino e kūpono iā ʻoe, e hoʻoikaika kino mau, a e ʻai i nā meaʻai momona.
Eia nō naʻe, i kekahi manawa ʻaʻole hiki ke pale a mālama paha i nā kumu āpau e kōkua ai i kēia kūlana. Inā he mau nīnau kāu e pili ana i kou pilikia a i ʻole e pili ana i kēia kūlana, e kamaʻilio me kāu kauka. Aia lākou ma laila e kōkua iā ʻoe.
ʻO ke kū'ē ʻana o ka insulin, ka maʻi diabetes, ka prediabetes, ke kō koko, ka pancreas, ka momona, ka ʻai olakino, ka hoʻoikaika kino, nā hormones
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