I tēnei rā ka kōrero tātou mō tētahi mate ka pā ki te tini tāngata, inā koa ko te hunga mate huka, ā, i ētahi wā ko te hunga kāore he mate huka. Ko te huka toto iti tēnei, arā, ko te hypoglycemia i roto i ngā kupu hauora. He mea nui kia mōhio ki tēnei nā te mea he tino kino rawa atu.
He aha te hypoglycemia? Kia mārama tātou.
I te whakarapopototanga, ka puta te hypoglycemia ina heke te huka toto, te hukahuka rānei, ki raro i te taumata hauora. Ka kiia hoki tēnei ko te 'huka toto iti.' He āhuatanga noa tēnei i roto i te hunga mate huka, inā koa ko te hunga mate huka momo 1.
I te nuinga o te wā, mō te tangata mate huka, ka kiia te hypoglycemia ina heke te taumata huka toto i raro i te 70 mg/dL (mirakaramu ia teririta) 3.9 mmol/L rānei (miramiramu ia rita). Mō te tangata kāore he mate huka, ko te hypoglycemia ina heke te taumata i raro i te 55 mg/dL (3.1 mmol/L). I ēnei wā, me kai, me inu rānei koe i tētahi mea kei roto he huka, he warowaihā rānei i te wā e taea ai. Heoi, ki te kino rawa tēnei āhuatanga (hypoglycemia nui), ka tūpono pea te ora. I taua wā, me whiwhi tonu i te maimoatanga glucagon ohorere, i te āwhina hauora rānei.
He aha te hiranga o te 'huka toto' ki ō tātou tinana?
Ka whiwhi te tinana i te huka, te huka rānei, mai i ngā kai e kainga ana e tātou, inā koa mai i ngā kai kei roto ngā warowaihā. Ko tēnei huka te pūtake matua o te pūngao o tō tātou tinana. He rite ki te penehīni mō te motuka. Ka haria tēnei huka e ō tātou toto ki ia pūtau o te tinana hei whakaputa pūngao. He mea tino nui tēnei huka mō tō tātou roro. Kia pai ai te mahi a te roro, me whai tonu te huka.
Mena kāore koe i te mate huka, ka āwhina tō tinana ki te pupuri i ō taumata huka toto i roto i te awhe hauora mā roto i ētahi tukanga. Ko te homoni insulin – e hangaia ana e tō tātou repe taiaki – te mea nui rawa atu ki tēnei. Ko te Glucagon tētahi atu homoni nui i roto i tēnei tukanga.
Heoi, me tango e te hunga mate huka ngā rongoā mate huka ā-waha me te insulin hangai hei whakahaere i ō rātou taumata huka toto. Me huri hoki ō rātou momo noho. Ko te iti o te huka toto he mea nui rawa te nui o te insulin i roto i te tinana – nā te mea he mea hanga noa, nā te mea rānei kua nui rawa te insulin i hoatu ki a koe. Ka taea hoki te iti o te huka toto e puta mai i ētahi atu raruraru homoni me te mate pāwera.
Ki te heke te taumata o te huka toto i raro iho i te taumata hauora, ka tīmata koe ki te pāngia e ngā tohu pēnei i te wiri me te tere o te ngakau. Ki te heke rawa, ka mate pea koe. Nā te mea, e ai ki taku kōrero i mua, me whai tonu te roro i te hukahuka kia pai ai te mahi. Ki te kore e nui te hukahuka, e kore e taea e te roro te mahi.
He pēhea te noa o te hypoglycemia?
He mea noa te whakaheke toto toto i roto i te toto mō te hunga mate huka, inā koa ko te hunga e whakamahi ana i te insulin. I kitea i roto i tētahi rangahau e 4 i roto i te 5 o te hunga mate huka momo 1, me te haurua o te hunga mate huka momo 2 e tango ana i te insulin, i kī he iti te huka toto i te iti rawa i te kotahi i roto i te wā e whā wiki.
Ko te hunga e tango ana i ngā meglitinides, i ngā sulfonylureas rānei mō te mate huka momo 2, ka nui ake te mōrearea o te huka toto iti. Ka pāngia koe e te hypoglycemia ahakoa kāore koe i te mate huka, engari he tino onge.
He aha ngā tohu o te hypoglycemia (te huka toto iti)?
Ka tere tonu te tīmatanga o ngā tohu o te hypoglycemia. Ka rerekē hoki i ia tangata, i ia tangata. Ahakoa i roto i te tangata kotahi, ka rerekē tonu ngā tohu i ia wā.
He ahua uaua ēnei tohu. Engari he whakatūpato pai ēnei kia mahi koe i mua i te hekenga o tō huka toto. Anei ētahi o ngā tohu:
- He āhua wiri, he āhua wiri rānei.
- He tinana kore ora.
- Te werawera me te mātao.
- Te hiakai nui (polyphagy).
- Ka piki ake te tere o te manawa.
- Pōuriuri, te āhua rānei e takahurihuri ana.
- Te uaua ki te arotahi, te pōhēhē rānei.
- Te manukanuka tonu, te riri rānei.
- Te rerekētanga o te tae o te kiri (te mā).
- Te āhua nei kua mākūkū ō ngutu, ō arero, ō paparinga rānei.
Ko ngā tohu o te hypoglycemia nui ko:
- Te tirohanga pōuri, te tirohanga takirua rānei.
- Kōrero pōturi.
- Te ngaronga o te taurite, te uaua rānei ki te mahi i ngā mahi.
- Te pōhēhē.
- Ngā hopukanga.
- Te ngaronga o te māramatanga.
He tino mōrearea te hypoglycemia nui! Me tere tonu te aro atu ki te hauora. Ahakoa he onge, ki te kore e rongoatia, ka taea e ia te arahi ki te koma, tae atu ki te mate.
I ētahi wā ka heke te huka toto i a koe e moe ana. Ka kiia tēnei ko te hypoglycemia pō. Ko ētahi o ngā tohu ko:
- Te moe koretake, te moe pōrearea rānei.
- Te mākū o ngā kākahu, ngā moenga rānei i te werawera.
- E hamama ana i a koe e moe ana.
- Ngā moemoeā kino.
- Ka tino ngenge, ka pōhēhē, ka pororaru rānei i te oho ake.
Āhea ka puta mai ngā tohu o te hypoglycemia?
He rerekē te taumata huka toto e tīmata ai ngā tohu mō te hunga mate huka i ia tangata, i ia tangata. I te nuinga o te wā, ka tīmata te hunga mate huka ki te pāngia e ngā tohu ina heke te huka toto ki te 70 mg/dL, ki raro iho rānei. Heoi, ki te tere te heke o tō huka toto, tera pea ka pāngia koe e ngā tohu i mua atu.
Ahakoa te nui o te huka i roto i ētahi tāngata mate huka, ka pāngia pea rātou e ngā tohu o te hypoglycemia. Nā te mea, ina roa te tiketike o te huka toto (hyperglycemia mau tonu), ka taunga te tinana ki ngā taumata e kiia ana he 'noa'. Ka rerekē te taumata e kitea ai ngā tohu o te huka toto iti.
He iti te huka toto o ētahi tāngata engari kāore e pāngia e ngā tohu, kāore rānei e kitea. Ka kiia tēnei e ngā tākuta he kore mōhio ki te hypoglycemia . He nui ake te tūponotanga ka pāngia ēnei tāngata e te hypoglycemia kino, ā, he nui ake te tūponotanga ka hiahia rātou ki te awhina hauora.
Ka pāngia pea te hunga mate huka e te kore mōhio ki te hypoglycemia, ā, kua roa nei e iti ana te huka toto. Ka mutu te whakaatu o ō rātou tinana i ngā tohu ina heke te huka toto.
Mena kei te mōhio koe ki te hypoglycemia, he mea nui kia kōrero koe ki ō hoa me tō whānau kia taea ai e rātou te āwhina i a koe mena ka tino iti rawa tō huka toto. Tērā pea ka kitea e koe he āwhina ēnei mea:
- Te whakamahi i tētahi taputapu Aroturuki Huka Tonu (CGM) e whakatūpato ana i a koe ina iti tō huka toto.
- Tirohia ā-ringa ō taumata huka toto i ngā wā katoa.
- Kurī whakatūpato mate huka – He mea whakangungu motuhake ēnei kurī hei whakatūpato i a koe ina iti te huka toto.
He aha ngā raruraru ka puta mai i te iti o te huka toto?
Ka taea e te hypoglycemia kino te roa te noho hei morearea mō te ora. Ka taea hoki e ia te arahi ki ngā raruraru pēnei i:
- Te ngoikore o ngā okana maha.
- Ngā arrhythmias o te ngākau.
- Te hopukanga o te ngākau.
- Te pakaru o te roro tuturu.
- Āhua koma.
- Te mate.
He tino morearea hoki te whakahaere i ngā mīhini taumaha, pērā i te taraiwa, ina iti te huka toto. He nui ake te tūponotanga ka pāngia koe e te aituā. Mena he mate huka tōu, tirohia tonutia ō taumata huka toto i mua i te whakahaere i ngā mīhini taumaha.
He aha ngā take o te hypoglycemia (te huka toto iti) i roto i te hunga mate huka?
Ka puta te hypoglycemia ina heke te taumata huka toto i raro i te taumata hauora. He maha ngā take ka pā mai ai tēnei ki te hunga mate huka. Ka pā mai pea te hypoglycemia mēnā kāore i te taurite tō kai, tō whakakori tinana, me ngā rongoā mate huka.
Koinei ngā āhuatanga tino noa ka pāngia te hunga mate huka e te hypoglycemia:
- Te tango i te nui rawa o te insulin, te tango i te momo insulin hē, te werohanga rānei i te insulin ki roto i te uaua kaua ki te kiko ngako.
- Kāore i te tika te wā e kai ana i te insulin me te warowaihā (hei tauira, te tatari roa rawa ki te kai i muri i te tango i te insulin mō te kai).
- Te tango i te nui rawa o te rongoā mate huka, te nui atu rānei i te horopeta kua tohua.
- Te kaha ake o te korikori tinana i tō te tikanga.
- Te inu waipiro me te kore e kai.
- Te kai tomuri, te wareware rānei i ngā kai.
- Kāore he taurite o te ngako, te pūmua, me te muka i roto i ngā kai.
Mena kei te hapu koe, ā, he mate huka momo 1 tōu, he nui ake te tūponotanga ka iti te huka toto i te toru marama tuatahi o te hapūtanga nā ngā huringa homoni.
He aha ngā take o te hypoglycemia i roto i te hunga kāore he mate huka?
E rua ngā momo matua o te hypoglycemia i roto i te hunga kāore he mate huka: te hypoglycemia tauhohe me te hypoglycemia nohopuku.
Te Hauātanga Tauhohe
Ko te hypoglycemia tauhohe he iti te taumata huka toto i muri i te kai. I te nuinga o te wā ka puta i roto i ngā haora e rua ki te whā i muri i te kai.
Kāore ngā kairangahau i te tino mōhio he aha tēnei e puta ai, engari e whakaaro ana rātou nā te kai i ētahi kai, inā koa ko ngā warowaihā māmā pēnei i te raihi mā, te rīwai, te taro, te keke, me ngā mea reka, ka piki ake te huka toto, ā, ka heke iho.
Waihoki, ka taea e ētahi pokanga whakaiti taumaha (pokanga bariatric) te whakaputa i te hypoglycemia tauhohe. I muri i ngā pokanga pēnei i te pokanga bypass puku, ka tere te mimiti o te huka e te tinana. Ka nui ake te hanga o te insulin. Ka taea e tēnei te whakaputa i te hypoglycemia.
I te nuinga o te wā ka whakatikahia e te tinana tēnei āhuatanga, engari mā te kai i ētahi warowaihā ka tere te whakaiti i ngā tohu.
Te whakahekenga huka toto i te nohopuku
Ko te nuinga o te hunga kāore he mate huka, kāore e pāngia e te hypoglycemia ahakoa i muri i te nohopuku mō te wā roa. Nā te mea ko ngā homoni o te tinana me te huka kua rongoatia e whakahaere ana i ngā taumata huka toto.
Heoi anō, ka taea e ētahi mate me ngā āhuatanga te whakararu i te hypoglycemia i roto i te hunga kāore he mate huka. Kei roto i ēnei:
- Te inu nui rawa o te waipiro:Ka aukati te waipiro i te kaha o te tinana ki te hanga pūtau huka hou (gluconeogenesis). Ki te kore koe e kai tika mō ngā rā maha, ā, ki te kore koe e inu nui, ka taea e tō tinana te pau te huka kua rongoatia (glycogen). Ka taea e tēnei te hua o te hypoglycemia, arā, ko te wā kāore e taea e tō tinana te whakahaere tika i ō taumata huka toto.
- Mate kino: Ka pā te hypoglycemia i roto i ngā mate kino, pērā i te mate ate whakamutunga, te sepsis, te nohopuku, te ngoikore rānei o te whatukuhu. Nā te mea ka tere ake te whakamahi a tō tinana i te hukahuka o nāianei hei pūngao i tana hanga hukahuka hou mai i te kai e kainga ana e koe.
- Te ngoikore o te adrenal: I tēnei āhua, he iti iho ngā taumata cortisol i te mea noa. Nā te mea ka āwhina te cortisol ki te whakahaere i te huka toto mā te whakanui ake, ka taea e ngā taumata cortisol iti te arahi ki te hypoglycemia.
- Te whakaheke toto i te huka toto i roto i te pūtau moutere (NICTH): He āhuatanga onge tēnei engari he kino rawa. I roto i tēnei āhuatanga, ka tukuna e te pūtau he nui rawa o te homoni e kiia nei ko te Insulin-like Growth Factor 2 (IGF-2). Ka rite te mahi a tēnei homoni ki te insulin. Ina teitei ake te IGF-2, ka puta te whakaheke toto i roto i te huka toto. Ka taea te whakaputa i te NICTH e ngā momo pukupuku pai (kore-matepukupuku) me ngā pukupuku kino (matepukupuku).
- Insulinoma: He mate pukupuku onge tēnei e puta ana i roto i te repeure. He nui rawa te insulin e whakaputaina ana, ka puta ai te hypoglycemia – he maha ngā wā i te atatu.
Ahakoa he onge, ka taea hoki te whakaputa i te hypoglycemia e ngā rongoā kāore e pā ana ki te mate huka, pērā i ngā beta-blockers me ētahi paturopi.
Mena ka pāngia koe e te hypoglycemia, engari kāore he mate huka, he mea nui kia kite i te tākuta.
Me pēhea te mohio o te hunga mate huka ki te hypoglycemia?
Ko te huarahi anake hei mōhio māu mēnā kei te pāngia koe e te hypoglycemia ko te whakamātautau i tō taumata huka toto me te glucometer. Ko te nuinga o ēnei taputapu ka whakamahi i te ngira iti e kiia nei ko te lancet hei tango i tētahi pata toto mai i te pito o tō maihao.
He taputapu pai te taputapu aroturuki huka toto tonu (CGM) hei āwhina i a koe ki te tautuhi me te ārai i te huka toto iti. Nā te mea ka taea e koe te whakarite kia whakatūpato koe ina iti tō huka toto. He tino whai hua ēnei whakatūpato CGM i ngā āhuatanga ka mōrearea te huka toto iti, pērā i te wā e moe ana koe, e taraiwa ana rānei.
Mena kei a koe ngā tohu o te hypoglycemia, engari kāore he huarahi hei tirotiro i tō huka toto, rongoāhia te hypoglycemia.
Me pēhea te mōhio o te hunga kāore he mate huka ki te hypoglycemia?
Ki te whakapae tō tākuta kei te pāngia koe e te hypoglycemia, ka tirohia pea e ia tō huka toto i ia haora torutoru i a koe e nohopuku ana mō ētahi rā. Tērā pea ka mahia ētahi atu whakamātautau hei kimi i te pūtake o te hypoglycemia. Hei tauira, ka mahia pea ngā whakamātautau whakaahua hei tirotiro mēnā ko te matepukupuku te take o te huka toto iti.
Mena kei te pāngia koe e te hypoglycemia tauhohe, ka tūtohu pea tō tākuta i tētahi whakamātautau e kiia nei ko te Whakamātautau Manawanui Kai-Whakaranu (MMTT). I roto i tēnei MMTT, ka inu tuatahi koe i tētahi inu motuhake kei roto ko te pūmua, te ngako, me te huka. Ka whakanuia e tēnei inu ō taumata huka toto, ā, ka nui ake te insulin e whakaputaina e tō tinana. Kātahi ka tirohia e te tākuta ō taumata huka toto i ētahi wā i roto i ngā haora e rima e whai ake nei.
Me pēhea te rongoā mō te hypoglycemia (te huka toto iti)?
Ka rongoātia te hypoglycemia ngawari me te hypoglycemia taurite mā te kai, te inu rānei i tētahi mea kei roto te huka (warowaihā).
E taunaki ana te American Diabetes Association i te "ture 15-15" hei rongoā i tētahi wā o te hypoglycemia ngawari, ngoikore rānei:
- Kai, inu rānei i te 15 karamu o ngā warowaihā tere te mahi hei whakanui ake i te taumata huka o tō toto.
- I muri i te 15 meneti, tirohia tō taumata huka toto.
- Mena kei raro tonu i te 70 mg/dL, me kai anō kia 15 karamu o ngā warowaihā tere te mahi.
- Whakahoutia tēnei kia eke rā anō te taumata huka o tō toto ki te 70 mg/dL neke atu rānei.
Hei kimi i te nui o ngā warowaihā kei roto i ngā kai e kainga ana e koe, pānuihia ngā tapanga kai. Anei ētahi kai kei roto tata ki te 15 karamu o ngā warowaihā tere te mahi:
- He hua iti, hei tauira, he haurua panana.
- 4 hekere (hawhe kapu) o te wai hua, o te inu ngāwari noa rānei (ehara i te mea kai tōtika).
- He punetēpu huka, honi, tirikara rānei.
- He ngongo tiēre huka inamata (tirohia ngā tohutohu).
- 3, 4 rānei ngā papa hukahuka (tirohia ngā tohutohu).
Mena kei a koe ngā tohu o te hypoglycemia, engari kāore he huarahi hei tirotiro i tō huka toto, whakamahia te ture 15-15 kia pai ake rā anō koe.
Tērā pea he iti ake te nui o ngā warowaihā e hiahiatia ana e ngā tamariki nohinohi hei rongoā i te hypoglycemia. Pātai atu ki te tākuta o tāu tamaiti mō tēnei.
Me pēhea te rongoā i te hypoglycemia kino?
He rerekē te maimoatanga mō te hypoglycemia kino i te hypoglycemia ngawari, te hypoglycemia taumaha rānei. Mēnā he hypoglycemia tō tetahi e mōhiotia ana e koe, ā, e kore e kōrero tika, e pōhēhē ana, e ngaro ana rānei te māramatanga,Kaua e hoatu he kai, he wai rānei ki a rātou. Tērā pea ka kōroke rātou.
Mēnā he nui te huka toto, me whakamahi te glucagon ohorere. He momo glucagon hangai tēnei. I runga i te momo, ka taea te hoatu hei werohanga, hei paura ihu rānei (rehu ihu maroke). Ka tohu te glucagon hangai ki tō ate kia tukuna te huka kua rongoatia. Ka piki ake te taumata huka toto.
Mena he werohanga te glucagon, werohanga ki tōna papa, ringa, huha rānei, kia rite ki ngā tohutohu kei runga i te kete. Mena he paura ihu te glucagon, tāpirihia ki roto i te pongaponga kotahi kia rite ki ngā tohutohu kei runga i te kete.
Kia hoki mai anō tōna māramatanga (i roto i te 5 ki te 15 meneti te nuinga), tera pea ka whakapairuaki ia, ka ruaki. Mena kei te takoto ia, hurihia ia ki tōna taha kia kore ai e kōrohia mēnā ka ruaki ia.
Kaua e mangere ki te waea atu ki te 911 mō te āwhina. Mēnā kei te ngaro te mōhio o tētahi, kāore he glucagon i a ia, kāore rānei koe e mōhio me pēhea te whakamahi, waea atu tonu ki te 911.
Ka taea te ārai i te huka toto iti?
Engari, he uaua ki te ārai katoa i te iti o te huka toto ina he mate huka koe. Engari ka taea e koe te whakarerekē i tō mahere whakahaere mate huka hei whakaiti i te maha o ngā wā o te hypoglycemia ka pā ki a koe.
Ka taea tēnei te mahi ngāwari ina mārama kōrua ko tō tākuta ki te take o te iti o te huka toto. Hoatu ki tō tākuta ngā taipitopito katoa e taea ana mō ō wā iti o te huka toto. Mā te whakarerekē i te wā e tango ai koe i tō rongoā, te kai, me te whakakori tinana ka taea pea te whakatau i te raruraru.
Ka āwhina ēnei mahi ki te ārai i te huka toto iti:
- Tangohia ō rongoā katoa kia rite ki te mea i whakaritea.
- Whāia ngā tohutohu a tō tākuta mō te kai me te whakakori tinana.
- Whakamahia he taputapu aroturuki huka toto (CGM), tirohia rānei ō taumata huka toto i ia wā – i mua atu me muri i te kai, i mua atu me muri i te whakakori tinana, me te wā moe.
- I muri i te rongoā i tētahi wā iti o te huka toto, tuhia ngā taipitopito o te wā. Tāpirihia ngā taipitopito pēnei i te wā, ngā mea i kainga e koe i ngā wā tata nei, mēnā i whakakorikori tinana koe, he aha ō tohumate, me ō taumata huka toto. Mā tēnei ka āwhina i a koe me tō tākuta ki te whakawhanake i tētahi mahere whakahaere hei ārai i te iti o te huka toto a muri ake nei.
Ka aha mēnā ka pāngia ahau e te hypoglycemia?
Ko te tirohanga mō te hypoglycemia i roto i te hunga kāore he mate huka, ka whakawhirinaki ki te pūtake. Mena he mate huka tōu, he mea morearea te hypoglycemia auau. Ka arahi pea tēnei ki te kore mōhio ki te hypoglycemia. Ko te tikanga o tēnei, kāore pea koe e kite i ngā tohu whakatūpato o te huka toto iti.Mena he iti tonu te huka toto i roto i a koe, he mea tino nui kia kimihia he tākuta hei āwhina i a koe ki te whakahaere i tō mate huka.
Me pēhea taku tiaki i ahau anō?
Mena kei a koe te mate huka, tētahi atu mate rānei e hua ai te hypoglycemia, mauria he hei tohu ārai hauora, he poroporo rānei, mauria rānei he kāri tuakiri hauora kia mōhio ai ētahi atu me pēhea te āwhina i a koe i roto i tētahi āhuatanga ohorere.
Anei ngā mahi ka taea e koe te mahi hei aukati i te hypoglycemia kino:
- Me pupuri tonu ngā kai māu i te kāinga, me ngā wā hoki e haere ana koe ki waho – pērā i ngā kai māu mai i ngā hua rākau, ngā pire kurukose, ngā pouaka wai hua rānei.
- Whakamāramahia ki te hunga e noho tahi ana koe mō te huka toto tiketike me te huka toto tiketike kino, me pēhea rātou e āwhina ai i a koe mēnā ka pā mai tētahi aituā ki a koe.
- Me mau tonu he glucagon mō ngā āhuatanga ohorere. Whakaakona ō whanaunga me pēhea te whakamahi me te wā e whakamahia ai.
Ki te mea he mate huka tōu, kaua e ngana ki te whakanui rawa i te huka toto mā te kai nui rawa i ngā warowaihā. Ka taea e tēnei te piki ake o te huka toto. He uaua ki te whakamutu i te kai nui nā te urupare "whawhai, rere" a tō tinana. I muri i te rongoā i a koe ki te 15 karamu o ngā warowaihā, whakatakotoria he taima mō te 15 meneti i mua i te kai anō i te huka.
Āhea ahau me toro atu ki taku tākuta mō te hypoglycemia?
Mena he mate huka tōu, ā, he maha ngā wā ka iti te huka toto e pāngia ana e koe, kōrero ki tētahi tākuta hei āwhina i a koe ki te whakahaere i tō mate huka. Ka taea e ia te āwhina i a koe ki te whakawhanake i tētahi mahere whakahaere. Kei roto pea i tēnei ko ngā huringa ki tō tikanga rongoā, ki tō mahere kai, ki tō mahinga whakakori tinana rānei.
Mena he iti te huka toto, engari kāore he mate huka, kōrero ki tō tākuta. Me whakahaere e ia he whakamātautau hei kimi i te pūtake. I ētahi wā, ka kino pea te mate pūtake. Nō reira, he mea tino nui kia kite koe i tō tākuta.
He aha te rerekētanga i waenga i te Hypoglycemia me te Hyperglycemia?
Ki te whakarapopototanga, ko te hypoglycemia he huka toto iti. Ko te tikanga o te 'Hypo-' he 'iti'. Ko te hyperglycemia he huka toto teitei. Ko te tikanga o te 'Hyper-' he 'tiketike', he 'tāpiri' rānei.
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
He mate noa te hypoglycemia e pā ana ki te hunga mate huka. Ki te kore e rongoatia wawetia, ka mate pea. He mea nui kia mōhio koe ki ō tohu whakatūpato whaiaro, me te whakamātautau i ō taumata huka toto i ia wā hei ārai i te hypoglycemia kino.Mena he iti tonu te huka toto i roto i a koe, mahi tahi me tō tākuta ki te whakawhanake i tētahi mahere whakahaere mate huka. Mā te nui ake o tō mōhio ki ngā take o ō wā, ka māmā ake te whakawhanake i tāu mahere.
Mena he iti te huka toto, engari kāore he mate huka, me toro atu koe ki te tākuta. Ahakoa he onge te take matua o te mate, ka taea tonu te pā mai. Nō reira, he pai ake te whakamātau wawe atu i te wā e whai ake nei. Kia tiakina tō hauora!
` Te huka toto iti, te huka toto iti, te mate huka, te huka toto iti, ngā tohu, te maimoatanga, te glucagon











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