Manaʻo ka hapa nui o mākou he hopena wale nō ka maʻi diabetes i ka poʻe momona a me ke kaumaha. Akā, ua ʻike anei ʻoe no kekahi ma kahi ʻāina ʻAsia Hema e like me mākou, ʻo ia hoʻi ʻo Sri Lanka, ʻoiai inā he wīwī mākou a he kaumaha maʻamau paha, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi Diabetes Type 2? ʻOiaʻiʻo, i ka hoʻohālikelike ʻia me nā hui lāhui ʻē aʻe, ʻoi aku ka nui o ko mākou pilikia ma kahi o ʻehā manawa. He mea kēia e kahaha maoli ai mākou. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ke kumu o kēia hana, nā mea e pono ai mākou e makaʻala, a me nā mea hiki iā mākou ke hana e pale aku iā mākou iho mai kēia maʻi.
No ke aha i ʻoi aku ai ka pilikia o nā poʻe ʻAsia Hema e like me mākou?
ʻO ke kumu nui o kēia, ʻo ia ke ʻano o ka mālama ʻana o ko kākou kino i ka momona. E noʻonoʻo, ua waiho ʻia kahi papa momona ʻike ʻole ʻia a puni nā ʻāpana koʻikoʻi o ko kākou kino e like me ke akepaʻa a me nā ʻiʻo. Ma ke ʻano lapaʻau, ua kapa ʻia kēia (Visceral adiposity) . He mea kēia e hiki ke hana mai loko mai, ʻoiai inā lahilahi ko kākou kino a ʻaʻole like me ia mai waho mai.
I ka ʻōlelo maʻalahi, ma muli o ka papa momona a puni kēia ʻōkana, ʻaʻole hiki i ka hormone insulin i hana ʻia e ka pancreas o ko mākou kino ke hana pono. ʻO ka hana nui o ka insulin ke kōkua i nā cell e lawe i ke kō (glucose) i loko o ke koko a hoʻolilo iā ia i ikehu. No laila, ke hiki ʻole i ka insulin ke hana pono i kāna hana ma muli o kēia papa momona, kapa mākou iā ia he kū'ē i ka insulin . ʻO kēia ke kumu o ka piʻi ʻana o nā pae kō koko.
ʻAʻohe mea pehea ka nui o kāu hoʻoikaika kino ʻana, inā waiho ʻia kēia momona a puni nā ʻiʻo, lilo ia i mea paʻakikī no kēlā mau ʻiʻo ke omo i ke kō mai ke koko. ʻO kēia kekahi ʻano o ke kū'ē ʻana i ka insulin.
ʻO ka pilikia ʻelua a mākou e kū nei: ke kū'ē a me ka hemahema
Ma ke ʻano he poʻe ʻAsia Hema, ua paʻakikī hou aku kēia pilikia no mākou no ʻelua mau kumu.
1. Ke Kū'ē ʻana o ka Insulin: E like me kaʻu i ʻōlelo ai ma mua, ʻoiai ke hana nei ko mākou kino i ka insulin, ʻaʻole ia e hana pono. Ua kaʻana like kekahi kauka loea i kamaʻilio e pili ana i kēia i kāna ʻike pilikino. I ka wā i loaʻa ai iā ia ka maʻi diabetes gestational i ka wā hāpai, pono ʻo ia e hoʻokomo i ka nui o ka insulin ʻoiai he helu maʻamau o ke kino (BMI) kona. ʻO ke ʻano kēia, ʻoiai aia ka insulin i loko o ke kino, ʻaʻole ia e hana pono, no laila pono ka nui.
2. Ka hemahema o ka insulin: ʻO kekahi pilikia ʻē aʻe, ʻo ia ka genetically, ʻaʻole ikaika loa nā cell e hana ana i ka insulin (nā cell beta) i loko o kā mākou pancreas. Ua kapa ʻia kēia (beta cell blunting).ʻO ia hoʻi, ke ʻai mākou, piʻi aʻe ko mākou pae kō koko. A laila loaʻa i ka pancreas kahi hōʻailona e hana i ka insulin. Akā no ka mea he "palaualelo" iki ko mākou mau cell, ʻaʻole lākou e hana i ka insulin a hiki i ka piʻi ʻana o ke kiʻekiʻe o ke kō koko. No laila, loaʻa iā mākou ka pilikia o ka hana pono ʻole o ka insulin ma kekahi ʻaoʻao, a me ka pilikia o ka hana ʻole ʻana i ka insulin lawa ma kekahi ʻaoʻao.
He aha nā mea pilikia e hoʻāʻo ʻia ai no ka maʻi diabetes?
Ma ke ʻano he poʻe ʻAsia Hema, pono mākou e makaʻala e pili ana i nā pae hoʻohālikelike i ʻokoʻa mai nā pae hoʻohālikelike maʻamau i ka wā e hoʻāʻo ai no ka maʻi diabetes. He mea nui loa ia e hoʻāʻo ʻia ʻoe no ka maʻi diabetes inā ʻoi aku kou helu helu kino, a i ʻole BMI, ma mua o 23. ʻOiai ʻo ka awelika waiwai ma nā ʻāina Komohana he 25, ma muli o ko mākou ʻokoʻa genetic, ua pilikia mākou ʻoiai ma kahi BMI haʻahaʻa.
E nānā inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā kumu pilikia ma lalo nei.
| Kumu Hoʻopilikia | Wehewehena |
|---|---|
| Ka Papa Kuhikuhi o ke Kino (BMI) | Inā ʻoi aku kou BMI ma mua o 23 kg/m². |
| Moʻolelo ʻohana | Inā loaʻa i kou makuahine, makuakāne, kaikunāne a kaikuahine paha ka maʻi diabetes ʻano 2. |
| Nā kūlana olakino ʻē aʻe | Inā he moʻolelo ko kekahi o kou ʻohana no ka maʻi diabetes, ka maʻi puʻuwai, ke koko kiʻekiʻe, a i ʻole nā pae triglyceride koko ma mua o 250 mg/dL. |
| ʻOi loa aku no nā wahine | Inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe ka Polycystic Ovary Syndrome (PCOS). |
Pehea ʻoe e kamaʻilio ai me kāu kauka e pili ana i kēia?
ʻO ka mea nui loa, ʻo ia ke lawe i ka hana mua a kamaʻilio me kāu kauka e pili ana i kēia. ʻAʻole paha makemake kāu kauka e hoʻāʻo iā ʻoe no ka maʻi diabetes no ka mea he kaumaha maʻamau kou. Akā hiki iā ʻoe ke wehewehe i kēia mau mea iā ia.
Ke hele ʻoe e ʻike i kāu kauka, e ʻōlelo i kekahi mea e like me, "Doc, ʻoiai koʻu BMI ma ka pae maʻamau, ʻike wau he ʻAsia Hema wau a he pilikia no ka maʻi diabetes ʻoiai ma kahi BMI haʻahaʻa. No laila hiki iā ʻoe ke nānā i kaʻu A1c?"
ʻO A1c (HbA1c) kahi ana o kou pae kō koko i nā mahina 2-3 i hala. Hiki i kēia hoʻāʻo ke haʻi iā ʻoe inā he maʻi diabetes kou a i ʻole aia ʻoe i ka pilikia o ka loaʻa ʻana o ka maʻi diabetes (prediabetes). He mea nui e mālama i kou olakino.
ʻAi a me ke ʻano o ka nohona: He aha kā mākou e hana ai?
He 70% koʻikoʻi kāu ʻai i ka mālama ʻana i ka maʻi diabetes. ʻO ke koena 30% ka hoʻoikaika kino.
Wahi a nā loea, "ʻAʻole loa au e haʻi aku i kaʻu mau maʻi e hoʻōki loa i ka ʻai ʻana i kahi meaʻai punahele. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana i ka mea e ʻai iki ai, ka mea e ʻai nui ai, a pehea e kaulike ai i kahi ʻai."
ʻO kā mākou ʻai nui ma Sri Lanka, he nui nā kalapona (starch). ʻAi nui mākou i nā meaʻai i hana ʻia mai ka laiki, ka berena, a me ka palaoa. ʻO kēlā me kēia o kēia mau ʻano kalapona ke kumu o ka piʻi ʻana o ke kō koko. No laila, ʻo ka mea e pono ai mākou e hana, ʻaʻole e hoʻōki loa i ka ʻai ʻana i kēia mau meaʻai.
- E hoʻololi i ke ʻano o kāu hoʻomākaukau ʻana i kāu pā laiki: E hoʻokaʻawale i hoʻokahi hapahā o kāu pā no ka laiki, hoʻokahi hapahā no ka protein (iʻa, moa, hua manu, lentil, chickpeas), a me ke koena hapalua no nā mea kanu a me nā greens.
- E hoʻokomo i nā meaʻai waiwai i ka fiber: ʻO nā meaʻai e like me nā palaoa piha, ka ʻoka, ka laiki ʻeleʻele, nā mea kanu, a me nā huaʻai e hoʻolohi i ka wikiwiki o ka hoʻohui ʻia ʻana o ke kō i ke koko.
- E hōʻalo i nā meaʻai i hana ʻia a me nā mea inu ʻono: Hoʻonui kēia i ka piʻi koke ʻana o ke kō koko.
Mai ʻae i ka maʻi diabetes e kāohi i kou ola. Akā, e aʻo iā ʻoe iho e pili ana i kēia maʻi, e kūkākūkā me kāu kauka no nā ʻōlelo aʻoaʻo e pono ai, a e hoʻololi i ke ʻano o kou nohona.
Leka Lawe-Home
- ʻOiai he poʻe ʻAsia Hema, ʻoi aku hoʻi ʻo Sri Lanka, he kumu nui ia o ka maʻi diabetes type 2.
- ʻAʻole e nalo aku kēia pilikia ʻoiai inā maʻamau ke kaumaha o kou kino a inā paha he wīwī ʻoe.
- Inā ʻoi aku kou BMI ma mua o 23 a inā he maʻi diabetes kekahi o kou ʻohana, pono ʻoe e hoʻāʻo ʻia.
- E mālama i kou olakino a noi i kāu kauka e hoʻāʻo iā ʻoe no ka maʻi diabetes. E nīnau e pili ana i ka hoʻāʻo A1c.
- He mea nui loa ka ʻai ʻana. E kāohi i kāu ʻai ʻana i ka carbohydrate (starchy) a e kālele i ka ʻai momona i ka protein a me ka fiber.
- Mai makaʻu e noi i ke kōkua. Me ka ʻike kūpono a me ka hoʻokele ʻana, hiki iā ʻoe ke ola i kahi ola olakino.
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