Loaʻa iā ʻoe ka maʻi diabetes a hāʻule koke kou kō koko? E makaʻala i kēia mau hōʻailona (Hypoglycemia)

Inā ʻoe e noho ana me ka maʻi diabetes, hopohopo paha ʻoe e pili ana i ka emi ʻana o kou pae kō koko (ka mea a mākou e kapa nei ma ke ʻano lapaʻau he hypoglycemia). Hiki ke hana ʻia kēia inā lawe ʻoe i ka nui o ka insulin, ʻaʻole ʻai pono, a hoʻoikaika kino paha ma mua o ka maʻamau. I kekahi manawa, hiki ke hana ʻia kēia me ka nānā ʻole i ke ʻano o kou kaohi ʻana i kāu maʻi diabetes. No laila he mea nui e ʻike i nā hōʻailona hōʻailona o ke kō koko haʻahaʻa. He mea nui e hoʻomaopopo i kou ʻohana a me kou mau hoaaloha e pili ana i kēia, ʻaʻole wale ʻoe.

Pehea ka haʻahaʻa o ke kōpaʻa i ka weliweli maoli?

Hoʻomaka ka hapa nui o ka poʻe e ʻike i nā hōʻailona ke hāʻule ko lākou pae kō koko i 70 mg/dL (milligrams no ka deciliter) a i ʻole haʻahaʻa. Akā, ʻaʻole like kēia no nā mea a pau. I kekahi manawa, hiki iā ʻoe ke haʻalulu ʻoiai inā ʻoi aku ka kiʻekiʻe o kou pae kō koko ma mua o kēlā. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kou pae kō koko kūpono a me kahi e hoʻomaka ai ka wahi pōʻino.

He aha kēia mau hōʻailona hōʻike?

I ka hoʻomaka ʻana o kou pae kō koko e hāʻule iki, hiki iā ʻoe ke hopohopo, hoʻomaha ʻole, a haʻalulu. ʻO kēia no ka mea i ka wā e hāʻule ai kou kō koko, hana ko mākou kino i kahi hormone i kapa ʻia ʻo adrenaline. ʻO kēia ka mea a mākou e kapa nei ʻo ka hormone "hakakā a lele paha". ʻO kēia ke ʻano pale kūlohelohe o ke kino.

Ma waho aʻe o kēia mau hōʻailona maʻamau, aia kekahi mau hōʻailona ʻē aʻe he ʻoluʻolu a me ka waena. E nānā kākou i ke ʻano o lākou.

Inā lilo ke kūlana i mea koʻikoʻi ...

Inā ʻaʻole ʻoe e hoʻāʻo e hoʻihoʻi i kou pae kō koko i ka wā e ʻike ai ʻoe i kēia mau hōʻailona mua, e ʻoi aku ka ʻino o kāu mau hōʻailona. ʻO ia hoʻi, hiki iā ʻoe ke ʻike i nā mea e like me:

• ʻIke pōwehiwehi: ʻAʻole hiki ke ʻike maopopo.
• ʻŌlelo pahee: Nā huaʻōlelo pahee, ʻōhumuhumu.
• Nā hopu ʻana: Hiki ke hele mai me he mea lā he maʻi lā.
• Ka hemo ʻana: Hiki paha iā ʻoe ke maʻule a hāʻule.

Loaʻa i kekahi poʻe ke kō koko haʻahaʻa i ka wā hiamoe, hiki ke alakaʻi i nā moeʻuhane weliweli, ka uē ʻana i ko lākou hiamoe ʻana, ka hou ʻana, a i ʻole ka huhū me ke kumu ʻole ke ala lākou i ke kakahiaka.

Hypoglycemia ʻIke ʻole (haʻahaʻa ke kō koko akā ʻaʻohe hōʻailona)

He mea kēia e pono ai kākou e ʻike pono. ʻAʻole hōʻike kekahi poʻe i kekahi mau hōʻailona ʻoiai ua haʻahaʻa ko lākou kō koko. Kāhea mākou i kēia ʻo `(Hypoglycemia Unawareness)`. Inā he haʻahaʻa pinepine kou kō koko, i ka hala ʻana o ka manawa e hoʻomaka ai kou kino e hoʻowahāwahā i kēia mau hōʻailona hōʻike. ʻO ia hoʻi, ua maʻa ke kino i kēia ʻano. Inā ua loaʻa iā ʻoe ka maʻi diabetes no ka manawa lōʻihi, a inā paha ʻoe he kanaka e kāohi pono ana i kāu kō koko, ʻoi aku ka nui o ka hiki ke loaʻa kēia ʻano.

He kūlana weliweli loa ka 'Hypoglycemia Unawareness'. No ka mea, hiki iā ʻoe ke nalowale koke ka ʻike me ka ʻole o ka ʻōlelo aʻo. Inā loaʻa iā ʻoe kēia ʻano, he mea nui e nānā mau i kou pae kō koko. ʻO kahi 'Continuous Glucose Monitor' e nānā ana i kāu pae kō i ka lā a pau hiki ke lilo i mea pono loa no ia poʻe. Hāʻawi kēia hāmeʻa iā ʻoe i kahi alarm ke hāʻule kou pae kō.

Hiki iā ʻoe ke hoʻomaʻamaʻa i kou kino e ʻike hou i kēia mau hōʻailona kō koko haʻahaʻa. Na kāu kauka e aʻo iā ʻoe pehea e hana ai i kēlā.

He aha e hana koke ai inā hāʻule kou kō koko

ʻO kēia ka ʻāpana koʻikoʻi loa. I ka manawa koke e ʻike ai ʻoe i nā hōʻailona o ke kō koko haʻahaʻa, hiki iā ʻoe ke hoʻohana i ka "rule 15-15" e hoʻihoʻi koke i kou mau pae kō koko.

1. E ʻai i 15 grams o nā kalapona: No kēia, hiki iā ʻoe ke lawe i nā ʻāpana glucose, ka hapalua kīʻaha o ka wai huaʻai, kekahi mau hua waina maloʻo, kekahi mau pīni jelly, a i ʻole 3 teaspoon o ke kō i hoʻoheheʻe ʻia i loko o ka wai. ʻAʻole maikaʻi nā mea e like me ke kokoleka a me ka ice cream i kēia manawa. No ka mea he momona ko lākou, lōʻihi ka manawa e omo ai ke kō e ke kino. Makemake mākou i kahi mea e hoʻonui koke i ko mākou pae kō.

2. E kali i 15 mau minuke: E kali mālie no 15 mau minuke ma hope o ka ʻai ʻana.

3. E nānā hou i kou kō koko: E nānā i kou kō koko me kāu glucometer. Inā ma lalo o 70 mg/dL, e lawe hou i 15 grams o nā kalapona.

Inā haʻahaʻa loa kou kō koko, a inā ʻaʻole holo pono ke kānāwai 15-15, pono paha ʻoe i kahi inikini a i ʻole ka pīpī ihu o kahi hormone i kapa ʻia ʻo glucagon. Hana kēia ma ka hoʻokiʻekiʻe koke ʻana i kou pae kō koko. E nīnau i kāu kauka inā pono ʻoe e mālama i kahi pahu hoʻopakele glucagon me ʻoe. He manaʻo maikaʻi nō hoʻi e aʻo i kou ʻohana a me nā hoaaloha pehea e hoʻohana ai inā nalowale kou ʻike.

I kēlā me kēia manawa ke loaʻa iā ʻoe ke kō koko haʻahaʻa, ʻoiai inā lilo ia i mea koʻikoʻi, e haʻi i kāu kauka e pili ana i ia mea. Hiki iā ia ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo a hana i nā hoʻololi e pono ai i kāu lāʻau lapaʻau e pale aku i kēia mai ka hana hou ʻana.