E kamaʻilio kākou e pili ana i kēia ʻano maʻi diabetes kūikawā e ulu ana i nā pākeke (Latent Autoimmune Diabetes in Adults - LADA)?

I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano maʻi diabetes ʻokoʻa iki. ʻAʻole paha ʻoe i lohe nui e pili ana i ia mea. Ua kapa ʻia ʻo LADA, ʻo ia hoʻi ke kū nei no Latent Autoimmune Diabetes in Adults. He mea paʻakikī paha kēia, akā e hoʻokaʻawale kākou iā ia i loko o kahi wehewehe maʻalahi o ka mea e hana nei.

He aha maoli ka LADA?

I ka ʻōlelo maʻalahi, ma kēia maʻi diabetes i kapa ʻia ʻo LADA, hiki ke ʻike ʻia nā hōʻailona o ke ʻano maʻi diabetes mua (ʻo ka maʻi diabetes Type 1) a me nā hōʻailona o ke ʻano maʻi diabetes ʻelua (ʻo ka maʻi diabetes Type 2). ʻO ia ke kumu i kapa ʻia ai e kekahi poʻe he ʻano maʻi diabetes Type 1.5 . I mea e pololei ai, manaʻoʻiʻo nā kauka ua hana ʻia kēia e kahi kīnā i loko o ka ʻōnaehana pale ponoʻī o ko mākou kino (ua kapa ʻia kēia he ʻano autoimmune). Eia naʻe, ʻike pinepine ʻia i ka wā makua, ʻo ia hoʻi, ma waena o 30 a me 50 mau makahiki. ʻO kekahi ʻano kūikawā, e like me ka ʻano maʻi diabetes Type 2, hoʻonui mālie ʻia nā hōʻailona. No kēia kumu, ua kuhihewa pinepine ʻia ʻo ia he ʻano maʻi diabetes Type 2.

Pehea ka maʻamau o LADA?

ʻOiai ʻaʻole i lohe ka nui o ka poʻe i ka LADA, ʻaʻole ia he mea kakaikahi. Ua hōʻike ʻia nā noiʻi ma waena o 4% a me 12% o ka poʻe i ʻike mua ʻia me ka 'Type 2 diabetes' hiki ke loaʻa iā LADA. E noʻonoʻo wale, ma kahi o 530 miliona mau mākua ma ka honua holoʻokoʻa e ʻeha nei i ka 'Type 2 diabetes'. ʻO ia hoʻi, he miliona o ka poʻe e loaʻa paha iā LADA! No laila, he mea nui loa ka ʻike ʻana i kēia.

He aha nā hōʻailona o LADA?

Ua like loa nā hōʻailona o LADA me nā ʻano maʻi diabetes ʻē aʻe. E nānā inā kamaʻāina kēia mau mea iā ʻoe:

• Ke makewai mau nei (polydipsia).
• ʻO ka pono e mimi pinepine.
• Ka pohō kaumaha i hiki ʻole ke noʻonoʻo ʻia.
• ʻIke pōwehiwehi .
• Manaʻo luhi mau.
• ʻIli maloʻo a ʻānai .

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

He aha ke kumu o LADA?

Manaʻo nā kānaka noiʻi ua loaʻa ka LADA ma muli o ka hoʻouka hewa ʻana o nā antibodies o ko mākou kino a luku i nā cell e hana ana i ka insulin i loko o kā mākou pancreas. E like me kou ʻike, ʻo ka insulin kahi hormone e kōkua i kā mākou mau cell e lawe i ke kō (glucose) i loko o ko mākou koko a hoʻohana iā ia no ka ikehu. No laila, ke hana pono ʻole ʻia ka insulin, hōʻiliʻili ke kō (glucose) i loko o ke koko. Ma kēia ʻano, ua like ia me ka maʻi diabetes Type 1. Pono ka poʻe me ka maʻi diabetes Type 1 e lawe i nā inikini insulin e ola ai. Hoʻomaopopo pinepine ʻia ka maʻi diabetes Type 1 i ka wā kamaliʻi a i ʻole ka wā ʻōpio.

Eia nō naʻe, e like me ka maʻi diabetes Type 2, ʻike ʻia ka LADA i ka wā makua, a ʻike mālie ʻia nā hōʻailona. ʻO kēia no ka mea e hōʻemi mālie ana kāu pancreas i kāna hana ʻana o ka insulin. No laila, ʻaʻole paha e ʻike koke ʻia nā hōʻailona. ʻAʻole paha ʻoe e pono i nā inikini insulin no nā mahina a i ʻole nā ​​​​makahiki . ʻO ia ke kumu i manaʻo mua ai kekahi mau kauka i ka maʻi diabetes Type 2, ʻaʻole ʻo LADA.

Aia kekahi mau mea hoʻonāukiuki kūikawā no LADA?

ʻAʻohe 'mea hoʻoulu' kikoʻī no LADA. ʻO kēia no ka mea he mea ia ma waho o kou mana, i hoʻokumu ʻia e kāu ʻōnaehana pale. I kekahi manawa ʻaʻole paha ʻoe e ʻike he LADA kou. ʻO kēia no ka mea ke hana mau nei kāu pancreas i ka insulin lawa e ʻole ai e hoʻoulu i nā hōʻailona.

He aha nā kumu pilikia no ka LADA?

He ʻāpana hoʻoilina ikaika ko LADA. ʻO ia hoʻi, inā loaʻa i kou mau mākua a kūpuna paha ke ʻano, ʻoi aku ka nui o kou loaʻa ʻana iā ia. Aia kekahi hōʻike e hiki i nā mea pili i ke kaiapuni a me nā mea pili i ke ʻano o ka nohona, e like me ka momona, ke kōkua i ka ulu ʻana o LADA. Eia naʻe, ʻaʻole kēia wale nō nā kumu.

Nā pilikia hiki ke loaʻa o LADA

ʻO ka pilikia nui loa mai ka mālama ʻole ʻana i kēia maʻi. No ka mea ua like ia me ka maʻi diabetes Type 2, ʻaʻole paha ʻoe e hoʻomaka i ka mālama ʻana i ka insulin i ka wā e pono ai. Hoʻonui kēia i ka pilikia o nā pilikia olakino e like me ka hōʻino ʻana o nā puʻupaʻa .

ʻO ka ketoacidosis pili i ka maʻi diabetes (DKA) he pilikia koʻikoʻi loa ia o LADA, a he mea hoʻoweliweli paha i ke ola . Hana ʻia ia i ka wā e hoʻomaka ai kou akepaʻa e wāwahi i ka momona o ke kino no ka ikehu ke ʻole lawa ka glucose (kō koko) o kāu mau cell e hoʻohana ai no ka ikehu. He pilikia olakino kēia.

Pehea e ʻike ʻia ai ka maʻi LADA?

Hoʻopilikia pinepine ka LADA i nā pākeke i ʻike mua ʻia me ka maʻi diabetes Type 2. Eia nō naʻe, ke hiki ʻole iā ʻoe ke kāohi i kou pae kō koko me nā lāʻau lapaʻau waha (e like me ka metformin) a me nā loli o ke ʻano o ka nohona (e like me ka ʻai ʻana i ka meaʻai momona), kānalua paha nā kauka i ka maʻi diabetes Type 1.5 (i ʻike ʻia hoʻi ʻo LADA).

Hiki i kāu kauka ke ʻike i ka LADA me kahi hoʻāʻo koko i kapa ʻia ʻo ka GAD Antibodies Test (`GAD Antibodies Test` - `glutamic acid decarboxylase antibodies`) . Nānā kēia i ke alo o nā `autoantibodies` e hoʻouka ana i ka glutamic acid decarboxylase (`GAD`). Inā loaʻa kēia mau autoantibodies i loko o kou koko, ʻo ia hoʻi he maʻi autoimmune kou e hoʻopilikia ai i kou pancreas. Inā he kanaka makua ʻoe, ʻo ia paha ʻo LADA.

Hiki i ke kauka ke kauoha i kahi hoʻāʻo C-peptide.Hiki ke kuhikuhi ʻia iā ʻoe kahi hoʻāʻo. Ana kēia i ka nui o ka C-peptide i loko o kou koko. Hiki i ka C-peptide ke haʻi i kāu kauka i ka nui o ka insulin a kāu pancreas e hana nei.

He aha nā lāʻau lapaʻau no LADA?

He ʻoi aku ka paʻakikī o ka mālama ʻana iā LADA. I nā pae mua, hiki iā ʻoe ke pane i nā lāʻau lapaʻau maʻi diabetes waha. Hiki iā lākou ke kōkua i ka hoʻomalu ʻana i kou pae kō koko no kekahi manawa. Akā i ka wā e ʻoi aku ka ʻino o ke kūlana, emi iho ka pane a kou kino i kēlā mau lāʻau lapaʻau. A laila pono ʻoe e hoʻololi i nā inikini insulin e kaohi i kou kō koko. No ka mea, ua nalowale loa kou pancreas i kona hiki ke hana i ka insulin ma kāna iho. Hiki ke hana i kēia ma luna o kekahi mau mahina a i ʻole mau makahiki.

ʻAʻohe lāʻau lapaʻau i ʻaelike ʻia no LADA. Manaʻo kekahi poʻe loea he mea maikaʻi ke hoʻomaka koke i ka lāʻau lapaʻau me ka insulin. Hiki i kekahi ke kali i kekahi manawa ma mua o ka hoʻomaka ʻana i nā inikini insulin. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.

No ka mea hiki ke loli ka nui a me ka nui o ka insulin āu e pono ai, pono ʻoe e hoʻomau i ka nānā ʻana i kāu pae kō koko.

He aha ka mea e hiki ai i kekahi me LADA ke manaʻo?

ʻAʻohe lāʻau lapaʻau no ka maʻi diabetes Type 1.5. Akā hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i nā lāʻau lapaʻau e kōkua iā ʻoe e hoʻokele iā ia. Ke hoʻomaka ʻoe e lawe i ka insulin, e hiki iā ʻoe ke kaohi maikaʻi i kāu mau pae kō koko. Me ka hoʻokele kūpono, hiki iā ʻoe ke ola i kahi ola maʻamau.

He aha ke ola o kekahi kanaka me LADA?

Aia kou ola ma luna o kekahi mau kumu. ʻAʻole pono ka loaʻa ʻana o ka maʻi diabetes Type 1.5 e hoʻopōkole i kou ola. Akā inā loaʻa iā ʻoe ka LADA a ʻaʻole hiki iā ʻoe ke kaohi i kou pae glucose, aia ʻoe i ka pilikia no nā pilikia olakino e hiki ke hoʻopōkole i kou ola. ʻO ke kumu nui o kēia, ʻo ka nui o ke kō koko kiʻekiʻe i ka wā lōʻihi e hiki ke alakaʻi i nā pilikia e like me ka maʻi puʻuwai . Hiki i kēia ke hoʻopilikia i kou ola. ʻO ia ke kumu he mea nui ka kaohi ʻana i ke kō koko.

Hiki ke pale ʻia ʻo LADA?

ʻAʻohe ala e pale aku ai i ka maʻi diabetes LADA. No ka mea, ʻaʻole hiki iā ʻoe ke kaohi a pale aku paha i ke kūlana autoimmune e hoʻokumu ai , ʻo ka ʻike mua a me ka mālama ʻana nā ala maikaʻi loa e pale aku ai i nā pilikia mai kēia kūlana.

Pehea e hiki ai iaʻu ke mālama iaʻu iho inā loaʻa iaʻu ʻo LADA?

ʻO ke ala maikaʻi loa e mālama ai iā ʻoe iho, ʻo ia ke kāohi i kou pae kō koko. Hoʻomaopopo hewa pinepine ʻia ka maʻi diabetes LADA. Hiki ke hoʻonāukiuki ke manaʻo ʻoe e hana pololei ana ʻoe i nā mea āpau, akā paʻakikī nō ke kāohi i kou pae kō koko. Inā ua ʻike ʻia ʻoe me LADA, e hahai pono i ka hoʻolālā lapaʻau a kāu kauka e hāʻawi ai iā ʻoe.E mālama pono i kāu mau manawa hoʻomaʻamaʻa a pau. Ma kēia mau manawa hoʻomaʻamaʻa, hiki i kāu kauka ke nānā i kou pancreas a me kou olakino holoʻokoʻa. Hiki iā lākou ke hoʻoponopono i ka nui o ka insulin āu e pono ai.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi diabetes, e like me ka makewai nui a me ka mimi pinepine, e ʻike koke i ke kauka. Mai poina e kaʻana like i kāu mōʻaukala olakino piha me kāu kauka.

ʻOi aku hoʻi, inā ua ʻike ʻia ʻoe me ka `Type 2 diabetes` a ʻaʻole i hoʻomaikaʻi kāu mau hōʻailona ma hope o ka mālama ʻana, e noi i kāu kauka e hoʻāʻo iā ʻoe no ka `Type 1.5 diabetes` (LADA).

ʻO ka maʻi diabetes Type 1.5, a i ʻole LADA, he ʻano ia i kuhi hewa pinepine ʻia. Loaʻa iā ia nā hōʻailona o ka maʻi diabetes Type 1 a me Type 2. Eia nō naʻe, kuhikuhi pinepine nā hōʻailona i ka Type 2. No laila hiki ke hoʻonāukiuki a huikau ke ʻike ʻoe he ʻano maʻi diabetes kēia. Hiki iā ʻoe ke hoʻomaka e lawe i nā lāʻau lapaʻau waha, akā kiʻekiʻe mau kou pae kō koko. A i ʻole e holo pono paha kāu lāʻau no kekahi manawa, akā a laila e pau ka hana. E kōkua kāu mau kauka iā ʻoe e ʻike i ke ala maikaʻi loa e kāohi ai i kou pae kō koko a mālama i kou olakino holoʻokoʻa. Mai makaʻu e nīnau i nā nīnau e pili ana i kāu hōʻailona a me ka hoʻolālā lapaʻau.

He aha nā mea nui loa e hiki iā kākou ke lawe i ka home mai kēia ʻatikala?

He ʻano maʻi diabetes kūikawā ʻo LADA i loaʻa i nā pākeke a he mau hōʻailona o ka maʻi diabetes 'Type 1' a me 'Type 2'. I kekahi manawa hiki ke kuhi hewa ʻia ʻo ia he 'Type 2'.

• ʻO nā hōʻailona e pili ana i ka make wai nui, ka mimi pinepine, ka pohō kaumaha, a me ka luhi.
• Hoʻokumu ʻia kēia e kahi maʻi autoimmune, a hiki ke loaʻa pū kekahi ʻāpana genetic.
• Inā ʻaʻole i ʻike pololei ʻia a mālama koke ʻia, hiki ke loaʻa nā pilikia e like me ka hōʻino ʻana o nā puʻupaʻa a me DKA.
• Ua ʻike maopopo ʻia kēia e ka hoʻāʻo ʻana i nā antibodies GAD.
• ʻOiai ke hāʻawi mua ʻia nei ka lāʻau lapaʻau waha ma ke ʻano he lāʻau lapaʻau, i ka hala ʻana o ka manawa e pono ai nā inikini insulin.
• Inā ua ʻike ʻia ʻoe me ka maʻi diabetes Type 2 a ʻaʻole hiki i kāu lāʻau ke kaohi iā ia, e kamaʻilio me kāu kauka e pili ana iā LADA. Mai hoʻōki a hoʻololi paha i kāu lāʻau lapaʻau ma kāu iho. E hahai mau i nā ʻōlelo a kāu kauka.

ʻLADA , maʻi kō, maʻi kō i ka wā makua, maʻi kō ʻano 1.5, maʻi kō autoimmune, insulin, kō koko