Loaʻa iā ʻoe ka maʻi diabetes? A i ʻole kekahi o kou ʻohana a hoaaloha paha i loaʻa i kēia maʻi? Nui ka poʻe i hopohopo a makaʻu i ka wā mua ke ʻike lākou he maʻi diabetes ko lākou. Aia kekahi mau manawa a lākou e manaʻo ai, "Auē, ua pau koʻu ola." Akā, ʻaʻole ia ka ʻoiaʻiʻo. ʻO ka maʻi diabetes kahi maʻi, inā mālama pono ʻia, hiki ke alakaʻi i kahi ola maʻamau, a ʻoi aku paha ka maikaʻi, a hauʻoli hoʻi. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka ʻike maoli o ia ʻano kanaka. E lilo kēia moʻolelo i mea ikaika nui iā ʻoe.
He aha ka mea i hana ʻia i kou ʻike ʻana he maʻi diabetes kou?
Ua ʻike ʻia ke kanaka ma kēia moʻolelo me ka maʻi Diabetes Type 2 i ka makahiki 2019. ʻO kāna HbA1c (ʻo ia ka awelika o ke kō koko i nā mahina 3 i hala) he 12.7%. ʻO kāna glucose hoʻokē ʻai he 283 mg/dL. He mau waiwai kiʻekiʻe loa kēia. I ka wā mua, ua manaʻo ʻo ia, "Ua hiolo koʻu honua." Akā ua lanakila koke ʻo ia, me ka manaʻo, "ʻAe, hiki iaʻu ke kaohi i kēia," a hana i kahi hoʻolālā.
No laila he aha kāna i hana ai? I ka pōkole, ua hoʻololi ʻo ia i ʻekolu mau mea nui i kona ola.
1. ʻAi
2. Hoʻoikaika kino
3. Ke lawe pono ʻana i ka lāʻau lapaʻau
Me ka hui pū ʻana o kēia mau mea ʻekolu, ua nalowale ʻo ia ma kahi o 18 paona. I kēia lā, aia kona waiwai HbA1c ma kahi pae maikaʻi o 6.3%. E nānā, inā loaʻa iā ʻoe ka hoʻoholo paʻa, ʻaʻohe mea hiki ʻole, ʻeā?
ʻO nā mea nui āna i hana ai e kāohi i ke kō
E nānā kākou i kekahi o nā ʻano hana koʻikoʻi i kōkua iā ia ma kēia huakaʻi. E lilo kēia mau mea i mea pono loa iā ʻoe.
He mea nui ka hoʻoikaika kino.
Ua lilo ka hoʻoikaika kino i ʻāpana nui o kona ola. Hele ʻo ia i ka hale hoʻoikaika kino i ʻelua a ʻekolu paha lā o ka pule. Ma laila, hana ʻo ia i ka hoʻomaʻamaʻa cardio a me ka hoʻoikaika kino .
- ʻO ka mua, e hele ma luna o ka treadmill no 15-20 mau minuke.
- A laila hana wau i kekahi mau hāpai kaumaha a me nā hoʻoikaika kino papahele.
- ʻO ka hope loa, hoʻopau ʻia ka hoʻomaʻamaʻa kino ma ka hele wāwae ʻana ma luna o ka treadmill no kekahi mau minuke 10-15.
ʻO ka mea nui loa, ʻo ke koho ʻana i kahi hoʻoikaika kino e kūpono iā ʻoe, āu e hauʻoli ai, a e hoʻomau i ia mea. E kamaʻilio me kāu kauka e pili ana i ia mea a e loaʻa ka ʻōlelo aʻoaʻo.
Ke nānā mau nei i nā pae kō
I ka hoʻomaka ʻana, ua hoʻohana ʻo ia i kahi polokalamu ma kāna kelepona e nānā i nā mea a pau āna i ʻai ai, me ka nui o nā kalapona a me ka nui o ka protein. Akā i kēia manawa ua maʻa loa ʻo ia i ia mea a ua ʻike ʻo ia i nā meaʻai maikaʻi nona.
E noʻonoʻo, i kekahi manawa makemake mākou a pau e ʻai i kahi mea a mākou e makemake ai. ʻO kahi mea e like me ka pasta a i ʻole nā noodles. Ma mua o ka ʻai ʻana i kahi mea e like me ia, nānā mākou i ko mākou pae kō koko. Inā maikaʻi ke pae kō e like me 100-102 mg/dL, ʻai iki mākou. Akā inā kiʻekiʻe iki ke pae kō e like me 125-130 mg/dL, pale loa mākou i kēlā meaʻai no kēlā lā. He ʻano maʻamau maikaʻi, ʻeā?
ʻO ka lawe ʻana i ka lāʻau lapaʻau i ka manawa kūpono
Lawe ʻo ia i 2000mg o ka metformin i ka lā. 1000mg i ke kakahiaka a me 1000mg me ka ʻaina ahiahi. Eia kekahi, lawe pū ʻo ia i kahi lāʻau hoʻohaʻahaʻa cholesterol i kapa ʻia ʻo Lipitor ma ke ʻano he hana pale puʻuwai. ʻOkoʻa nā ʻano a me nā ana o kēia mau lāʻau mai kēlā kanaka a kēia kanaka. No laila, he mea nui e lawe mau i kāu lāʻau e like me ke kuhikuhi a kāu kauka.
Pehea ʻoe i kaohi ai i kāu ʻai ʻana a me kāu inu ʻana?
ʻO kahi mea a ka poʻe he nui e makaʻu nei i ka wā e pili ana i ka maʻi diabetes, ʻo ia ka kaohi ʻana i ka ʻai. Akā, ʻaʻole ia he paʻakikī e like me kou manaʻo. E nānā pehea ʻo ia e hana ai.
| ʻAi | Nā mea e ʻai ai (Nā Laʻana) | Nā mea e hoʻomanaʻo ai |
|---|---|---|
| ʻAina kakahiaka | Mea kiʻekiʻe i ka protein, e like me nā hua manu. He pā protein maikaʻi inā ʻaʻohe ou manawa. | ʻO ka hoʻomaka ʻana o ka lā me kahi ʻai waiwai i ka protein e kōkua i ka kaohi ʻana i nā pae kō koko i ka lā a pau. |
| ʻAina awakea | He sanwika me ʻelua ʻāpana berena haʻahaʻa-kalapona (e.g. tīhi, ʻiʻo/iʻa). | ʻOiai he 18 grams o nā kalapona ka nui o kahi ʻāpana berena maʻamau, ʻo 9 grams wale nō ka nui o kahi ʻāpana berena haʻahaʻa-kalapona. |
| Meaʻai māmā | He pā protein, he ʻāpala me ka pata pīnati, nā ʻōpena, a me nā blackberry. | Hoʻāʻo wau e mālama i nā kalapona ma lalo o 35 grams no kēlā me kēia pāʻina nui a ma lalo o 15 grams no kēlā me kēia meaʻai māmā. |
| ʻAina ahiahi | ʻOi aku ka protein. ʻO ka ʻiʻo, ka moa a iʻa paha (e like me ka salemona) me nā mea kanu e like me ka broccoli. | ʻŌleloʻo ia ʻo ka mea nui loa, ʻaʻole ia e ʻai i kekahi mea ma hope o ka hola 6:30 - 7:00 pm. |
I kona ʻike mua ʻana he maʻi diabetes kona, ua hoʻōki loa ʻo ia i ka ʻai ʻana i nā mea e like me ka ʻuala, ka berena, ka laiki, a me ka pasta. Akā i kēia manawa, ʻai liʻiliʻi ʻo ia me ka kaohi. Eia kekahi laʻana, inā makemake ʻo ia e ʻai i ka pasta, ʻai wale ʻo ia i kahi lima . He ʻōlelo aʻoaʻo koʻikoʻi loa kēia.
Nā kānaka a me nā mea i kōkua iaʻu ma kēia huakaʻi
E like me ka ʻōlelo a kēia kanaka, ʻaʻole hiki iā ʻoe ke hele wale ma kēia huakaʻi. ʻO kahi kumu nui o kona holomua, ʻo ia ka loaʻa ʻana o kahi hui kākoʻo maikaʻi a puni ʻoe. ʻO ka loaʻa ʻana o nā hoaaloha a me ka ʻohana e paipai iā ʻoe a kuhikuhi i kāu mau hewa he ikaika nui ia.
"He mea nui loa ke kamaʻilio ʻana me nā poʻe e hiki ke kōkua iā ʻoe. ʻAʻole kēia he mea hiki iā ʻoe ke hana hoʻokahi."
Manaʻo ka nui o ka poʻe maʻi diabetes e like me lākou mehameha ma kēia ao, paʻa ma kahi mokupuni. ʻAʻole lākou i ʻike i ka mea e hana ai a i ʻole ka mea e noi ai i ke kōkua. ʻO ka loaʻa ʻole o kahi kauka e hoʻomaopopo a kōkua iā lākou he pilikia nui nō hoʻi.
No laila, ʻo ka mea maikaʻi loa āna i hana ai, ʻo ia ke ʻike ʻana i kahi endocrinologist . Ma waho aʻe o kāu kauka ʻohana, he manaʻo maikaʻi ke kiʻi ʻana i ke kākoʻo o kahi loea e like me kēia. Hiki iā lākou ke kuhikuhi iā ʻoe i nā poʻe ʻē aʻe e hiki ke kōkua iā ʻoe, e like me kahi meaʻai meaʻai .
Pehea ʻoe i lanakila ai i nā pilikia?
He mea nui loa hoʻi ka mālama ʻana i ke kaumaha me ka maʻi diabetes. Hoʻolilo ʻo ia i ka manawa me kāna kaikamahine e hōʻemi i ke kaumaha. Ua hoʻomaka pū lāua i kahi māla mea kanu a hauʻoli loa lāua i ka ʻohi ʻana i nā mea kanu mai ia mea.
ʻO kāna pilikia nui loa, ʻo ia ka hana ʻana i ka mea kūpono ke ʻole kekahi e nānā mai ana, ke noho hoʻokahi ʻo ia. "He aha kaʻu e ʻai ai? E hele anei au i ka hale hoʻoikaika kino? Hiki iaʻu ke kāohi iaʻu iho mai ka makemake e ʻai i ka donut i ke kakahiaka e hele ai i ka huakaʻi?" He mau pilikia nō kēia nona. I kekahi manawa, ke inu nei ʻo ia i ke kofe hau me ke kō ʻole, he mea paʻakikī iā ia ke ʻai ʻole i ka donut me ia.
No laila he aha kāna hana i nā manawa e like me ia? Nānā ʻo ia i ke kiʻi o kāna kaikamahine ma kāna kelepona.
"He 46 koʻu mau makahiki i kēia manawa. Makemake au e paʻa i ka lima o kaʻu kaikamahine i ka lā e mare ai ʻo ia. Ke noʻonoʻo ʻoe i ia mea, he mea maʻalahi ke hana i ka hoʻoholo kūpono."
E ʻike i ka nui o ka ikaika e hāʻawi iā ʻoe e hana i ka mea kūpono no kahi āu e aloha ai, no kou wā e hiki mai ana.
Leka Lawe-Home
- ʻAʻole ka maʻi diabetes (ʻAno 2 Diabetes) ka hopena o ke ola. He kūlana ia e hiki ke mālama ʻia.
- ʻO ka ʻai, ka hoʻoikaika kino, a me ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha ʻia he mea like like ia.
- E nānā pinepine i kou pae kō koko a me HbA1c. E kamaʻilio me kāu kauka e pili ana i ia mea.
- ʻAʻole manaʻo ka kaohi ʻana i ka ʻai ʻana i nā mea āpau. E pili ana i ke koho ʻana i nā meaʻai haʻahaʻa i nā kalapona a kiʻekiʻe i ka protein , a ʻai pono iā lākou.
- He mea paʻakikī ke hele hoʻokahi ma kēia huakaʻi. He ikaika nui ka loaʻa ʻana o ka ʻohana kākoʻo, nā hoaaloha, a me kahi hui lapaʻau maikaʻi .
- I kekahi manawa ke paʻakikī nei ʻoe e hoʻoholo i kou manaʻo, e hoʻomanaʻo iā ʻoe iho i ke kumu e makemake ai ʻoe e ola. ʻO ia kou ikaika nui loa.
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