Ke haʻi aku kāu kauka iā ʻoe he maʻi diabetes Type 2 kou, e makaʻu iki paha ʻoe a hopohopo, ʻeā? He mea maʻamau ka loaʻa ʻana o nā nīnau he nui e like me "ʻAʻole anei au e hiki hou ke ʻai i nā mea ʻono?" a "Pono anei au e lawe i ka lāʻau lapaʻau no ke koena o koʻu ola?" Akā, mai hopohopo. ʻOiaʻiʻo, inā ʻoe e mālama pono iā ia, hiki iā ʻoe ke ola i kahi ola olakino a maʻamau. Nui nā lāʻau lapaʻau no kēia. Hana pū ka ʻai, ka hoʻoikaika kino, a me ka lāʻau lapaʻau e kaohi i kou pae glucose koko.
I kēia lā, e kamaʻilio kākou e pili ana i nā koho lapaʻau e loaʻa ana no ka kaohi ʻana i ka maʻi diabetes.
He aha nā pila e hoʻomaka mua ai?
I ka manawa pinepine, ke hiki ʻole i kahi kanaka me ka maʻi diabetes type 2 ke kāohi i ko lākou pae kō koko ma o ka ʻai a me ka hoʻoikaika kino wale nō, e hoʻomaka mua ke kauka iā lākou ma kahi ʻano lāʻau lapaʻau. Hana kēia mau mea ma nā ʻano like ʻole i loko o ke kino. I kekahi manawa hoʻokahi wale nō lāʻau lapaʻau e hoʻohana ʻia, a i kekahi manawa ʻelua a ʻekolu paha mau lāʻau lapaʻau e hoʻohana pū ʻia. E nānā kākou i nā ʻano lāʻau lapaʻau nui i hoʻohana ʻia.
| Māhele lāʻau lapaʻau | Pehea e hana ai a me nā mea e pono ai ke ʻike |
|---|---|
| Metformin | ʻO kēia ka lāʻau lapaʻau maʻi diabetes i hoʻohana nui ʻia ma ka honua. Hana nui ia ma ka hōʻemi ʻana i ka hana ʻana o ke kō e ke akepaʻa a me ka maʻalahi o nā ʻāpana o ke kino e omo i ke kō. Lawe pinepine ʻia ia i ʻelua manawa i ka lā me ka meaʻai. Hiki i kekahi poʻe ke ʻeha ka ʻōpū a me ka pehu i ka wā mua. |
| Nā Sulfonylureas Laʻana: Glimepiride, Gliclazide | Hana kēia mau lāʻau lapaʻau ma ka hōʻailona ʻana i ko kākou pancreas e hana i ka nui o ka hormone insulin. ʻO ka insulin ka mea e ʻae ai i ke kō e komo i loko o ko kākou mau cell. Lawe ʻia kēia mau mea ma mua o ka ʻai ʻana, a i kekahi manawa hiki ke hoʻohaʻahaʻa i ke kō koko (hypoglycemia) a me ka piʻi ʻana o ke kaumaha. |
| Nā mea pale DPP-4 Laʻana: Sitagliptin, Linagliptin | Hana kēia mau lāʻau lapaʻau ma ka pale ʻana i ka luku ʻia ʻana o kahi hormone i loko o ko mākou kino e kōkua ai i ka hana ʻana i ka insulin. No laila, noho mau kēlā mau hormones no ka manawa lōʻihi, e kaohi ana i nā pae kō koko ke piʻi wale lākou. He kakaikahi nā hopena ʻaoʻao. |
| Nā mea pale SGLT2 Laʻana: Dapagliflozin, Empagliflozin | He lāʻau lapaʻau kēia e hana ana ma ke ʻano ʻokoʻa iki. Hana ia i loko o nā puʻupaʻa. Kōkua kēia lāʻau lapaʻau i ka wehe ʻana i ke kō keu i loko o ko kākou koko ma o ka mimi. Hoʻemi kēia i ke kō koko a kōkua pū kekahi i ka hoʻemi ʻana i ke kaumaha o ke kino a me ke koko. |
| ʻO nā Thiazolidinediones (TZDs) Laʻana: Pioglitazone | Hana kēia mau mea ma ka hōʻemi ʻana i ke kūʻē ʻana o ka insulin i loko o nā ʻāpana o ke kino a me ka hoʻomaikaʻi ʻana i ka hana insulin. ʻAʻole kūpono kēia mau mea no ka poʻe me nā maʻi puʻuwai. Na kāu kauka e hoʻoholo i kēia. |
ʻO ka mea nui loa, ʻo kāu kauka wale nō ke hoʻoholo i ka lāʻau lapaʻau kūpono a me ka nui nou . ʻO kahi lāʻau lapaʻau a kekahi e lawe nei, ʻaʻole paha e hana iā ʻoe. No laila, he mea nui e hahai i nā ʻōlelo a kāu kauka.
Nā Lāʻau Lapaʻau Hoʻohuihui
I kekahi manawa he paʻakikī ke kāohi i ke kō koko me hoʻokahi lāʻau lapaʻau wale nō. I kēlā mau hihia, hiki i ke kauka ke kuhikuhi i ʻelua mau lāʻau lapaʻau pū. I kēia manawa, loaʻa ʻelua mau lāʻau lapaʻau i loko o ka pila hoʻokahi. No ka laʻana, hele mai ka metformin a me ka sulfonylurea, a i ʻole ka mea hoʻopaʻa DPP-4, i loko o ka pila hoʻokahi. Hiki i kēia ke hōʻemi i ka nui o nā pila āu e pono ai e lawe i kēlā me kēia lā.
Lapaʻau ma o ka inikini
Manaʻo paha ʻoe, "ʻAʻole, ʻaʻohe inikini." Akā i kekahi mau hihia, ʻoiai inā ʻaʻole hiki iā ʻoe ke kāohi i kāu kō me nā pila, pono ʻoe e hoʻohana i nā inikini. He maikaʻi kekahi o kēia no kou puʻuwai a kōkua iā ʻoe e hoʻemi i ke kaumaha.
- ʻO GLP-1 Receptor Agonists: He mau inikini kēia e hana ana e like me nā hormones. Hoʻoulu lākou i ka hana ʻana o ka insulin a hoʻolohi i ka ʻai ʻana i ka meaʻai, e hoʻomāʻona ai iā ʻoe. Hiki iā lākou ke kōkua iā ʻoe e hōʻemi i ke kaumaha. Pono kekahi, e like me Dulaglutide (Trulicity), e inikini ʻia i hoʻokahi manawa i ka pule. Pono kekahi, e like me Liraglutide (Victoza), e inikini ʻia i kēlā me kēia lā.
- ʻInisulina:Pono paha ʻoe e hoʻohana i ka insulin no kekahi manawa pōkole, no ka laʻana, ke loaʻa iā ʻoe kahi maʻi koʻikoʻi a i ʻole ke hana ʻoki kino ʻoe. Eia kekahi, inā lawa ʻole ka nui o ka insulin i hana ʻia e kou kino i ka hala ʻana o ka manawa, pono ʻoe e loaʻa ka insulin mai waho. ʻAʻole e like me ka wā ma mua, aia nā peni insulin maʻalahi loa e hoʻohana. Na kāu kauka a i ʻole ke kahu maʻi ma ke keʻena maʻi diabetes e hōʻike pololei iā ʻoe pehea e hoʻokomo ai iā ʻoe iho.
ʻOi aku ka nui ma mua o ka lāʻau lapaʻau - nā loli o ke ʻano o ka nohona!
ʻOiai he aha ka lāʻau lapaʻau āu e lawe ai, he mea nui nā hoʻololi ʻana i ke ʻano o ka nohona no nā hopena maikaʻi loa. ʻO kēia ke kumu maoli o ka mālama ʻana i ka maʻi diabetes.
1. E hōʻemi i ke kaumaha: ʻO ka hōʻemi ʻana i ka 5% a i ka 10% o kou kaumaha kino hiki ke hana i kahi ʻokoʻa nui. No ka laʻana, inā he 175 paona kou kaumaha, ʻo ka hōʻemi ʻana i ka 10 a i ka 18 paona wale nō hiki ke hoʻohaʻahaʻa i kāu mau pae A1c (ka awelika o ke kō koko i nā mahina 3 i hala) a hōʻemi i kou pilikia o ka maʻi puʻuwai. Hiki paha iā ʻoe ke hōʻemi i ka nui o ka lāʻau lapaʻau āu e lawe ai.
2. ʻAi olakino: ʻAʻohe mea e like me ka "ʻai maʻi diabetes." ʻO ka mea nui loa, ʻo ia ka ʻai ʻana i ka ʻai kaulike. Pono ʻoe e makaʻala e pili ana i nā kalapona, ka fiber, ka momona, a me ka paʻakai. E makaʻala e pili ana i ka nui o nā mea e like me ka laiki, ka berena, a me ka ʻuala āu e ʻai ai. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hālāwai me kāu kauka a i ʻole kekahi meaʻai meaʻai i kākau inoa ʻia e hana i kahi papaʻai e kūpono iā ʻoe.
3. Hana kino (hoʻoikaika kino): Ke hoʻoikaika kino kākou, hiki i ko kākou mau pūnaewele ke hoʻohana i ka insulin. ʻO ke ʻano kēia, hoʻohana ʻia ke kō i loko o ko kākou koko no ka ikehu. Hiki ke maʻalahi e like me ka hele wikiwiki ʻana no 30 mau minuke i ka lā a i ʻole ka hana ʻana i nā hana o ka hale.
4. E hiamoe maikaʻi i ka pō: ʻO ka nele o ka hiamoe kekahi kumu o ke kiʻekiʻe o ke kō koko. No laila, ʻo ka lawa ʻana o ka hiamoe maikaʻi i kēlā me kēia lā kekahi ʻāpana o ka lāʻau.
No laila, pehea ʻoe e koho ai i ka lāʻau lapaʻau kūpono iā ʻoe?
Na kāu kauka e hoʻoholo i ka mea o kēia mau koho lapaʻau he nui i kūpono loa iā ʻoe. E hoʻoholo ʻo ia i kēia ma hope o ka noʻonoʻo ʻana i kekahi mau kumu.
- Kou pae A1c: Inā ʻoi aku ke kiʻekiʻe o kāu A1c ma mua o kāu pahuhopu, pono paha ʻoe e hoʻomaka i kahi mea e like me ka insulin e kaohi koke i kāu kō koko. Inā kiʻekiʻe iki wale nō, pono paha ʻoe e hoʻomaka me ka metformin a me nā hoʻololi ʻana i ke ʻano o ka nohona.
- Kou olakino holoʻokoʻa: Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka maʻi puʻupaʻa, hiki iā ʻoe ke koho i kahi lāʻau lapaʻau e pono ai no kēlā mau kūlana, e like me ka mea hoʻopaʻa SGLT2 a i ʻole ka mea hoʻopaʻa GLP-1.
- Kumukūʻai: He maʻi ola ka maʻi diabetes e pono ai ke mālama ʻia. No laila, he mea nui nō hoʻi ke kumukūʻai o nā lāʻau lapaʻau. He pipiʻi kekahi mau lāʻau lapaʻau, a he pipiʻi kekahi. E kamaʻilio ākea me kāu kauka e pili ana i kēia.
- Kou koho:Inā ʻaʻole ʻoe makemake i nā inikini, hiki iā ʻoe ke hoʻāʻo i nā pila e ʻike inā hiki iā ʻoe ke kāohi i kāu mau hōʻailona. Inā ʻoe kekahi e poina e lawe i kāu lāʻau lapaʻau, ʻoi aku ka maʻalahi o ka inikini hoʻokahi manawa i ka pule.
Leka Lawe-Home
- ʻAʻole he maʻi e makaʻu ʻia ai ka maʻi diabetes type 2, akā he maʻi ia e hiki ke mālama pono ʻia.
- ʻO ke kumu o ka lāʻau lapaʻau he ʻai olakino, hoʻoikaika kino, a me ka kaohi kaumaha . Ua manaʻo ʻia nā lāʻau lapaʻau e hāʻawi i ke kākoʻo hou aku.
- ʻO kāu kauka wale nō ke hoʻoholo i ka lāʻau lapaʻau a me ka hoʻolālā lapaʻau maikaʻi loa nāu. No laila, e hoʻomau i ka launa pū me ia a e hahai pololei i kāna mau kuhikuhi.
- Hiki ke pale ʻia nā pilikia i hoʻokumu ʻia e ka maʻi diabetes ma ka nānā pinepine ʻana i nā pae kō koko, nā pae A1c, a me ka hana o nā maka, nā wāwae, a me nā puʻupaʻa.
- Inā he mau hopohopo kou e pili ana i kāu lāʻau lapaʻau a inā ʻaʻole i hāʻawi mai ka lāʻau lapaʻau i nā hopena i manaʻo ʻia, mai makaʻu e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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