Kei te aro turuki tika koe i tō huka toto? He mea nui te aro turuki i te huka toto hei whakahaere i te mate huka.

Mena he mate huka tōu, tera pea ka pātaihia pinepinetia koe, "Kua tirohia e koe tō huka toto?" Ahakoa he ahua uaua i ētahi wā, koinei tētahi o ngā mea nui hei whakahaere i tō mate huka. Pērā i te papaaho o te motuka, e whakaatu ana i ngā mea e pā ana ki roto i tō tinana. Mā te tirotiro i ō taumata huka toto i ia wā ka āwhina i a koe me tō tākuta kia mārama ki te pai o te mahi a tō mahere maimoatanga.

He aha me tirotiro tonu ai e au taku huka toto?

Whakaarohia tō taumata huka toto hei "pūrongo" mō te pai o tō whakahaere i tō mate huka. Koinei anake te huarahi ki te mōhio ki te huringa o ō taumata huka toto i runga i ngā kai e kainga ana e koe, te whakakori tinana e mahia ana e koe, ngā rongoā e tangohia ana e koe, me te ahotea e pā ana ki a koe. He mea nui rawa tēnei mēnā kei te tango koe i te insulin.

Ka rerekē pea ngā taumata huka toto nā ngā āhuatanga maha o ō tātou oranga. Ko ētahi mea ka taea e tātou te whakahaere mā te wheako. Engari ko ētahi mea he tino uaua ki te whakahaere. Koia te take he mea nui kia tirohia tō huka toto i ia wā, e ai ki tā tō tākuta.

Titiro, ko ēnei momo mea ka piki ake te huka toto:

• Te kai i ngā kai kei roto ngā warowaihā: Ina kai koe i ngā kai māngaro pēnei i te raihi, te taro, me te rīwai.
• Te korenga, te kore rānei e tango i te nui o ngā rongoā mate huka, te insulin rānei: Te kore e tango i te rongoā i te wā tika.
• Te kore whakakori tinana: Ina iti iho te whakakori tinana i te tikanga.
• Ētahi rongoā: Ina koa ka tango i ngā steroids (corticosteroids).
• Te mate, te pokanga, te ahotea rānei: I ēnei wā, ka piki ake ngā taumata huka nā ngā huringa homoni o te tinana.
• Te āhua o te ata: He mea rerekē tēnei. Ko ngā huringa homoni tūturu i roto i ō tātou tinana e piki ai te taumata huka toto i te ata.
• Te momi hikareti.
• Te maroketanga.
• Te pakeketanga: Ka kitea tēnei āhuatanga i roto i ngā huringa homoni i roto i ngā tamariki nohinohi.

Waihoki, ka taea e ēnei mea te whakaheke i te huka toto:

• Te peke i ngā kai.
• Te nui rawa o te rongoā, te insulin rānei e tangohia ana mō te mate huka.
• Whakakorikori tinana: Ka whakaitihia e te whakakorikori tinana ngā taumata huka toto.

I ētahi wā, ka piki, ka heke rānei te huka toto. Kei tō tinana me ētahi atu āhuatanga.

• Te paheketanga i roto i ngā wāhine.
• Te whanaungatanga i waenga i te kai me te wā e kainga ana te rongoā/insulin.
• Te inu waipiro.
• Ngā rongoā e tangohia ana mō ētahi atu mate.

He aha ngā huarahi hei tirotiro i te huka toto i te kāinga?

E rua ngā huarahi matua e taea ai e koe te aroturuki i tō huka toto i te kāinga.

1. Te whakamahi i te mita huka toto me ngā rīpene whakamātautau: Koinei te mea e kiia nei e mātou he "tirotiro matimati". Ko te tikanga he wero i tō matimati ki te ngira ka tango i tētahi pata toto.

2. Te Whakamahi i te Aroturuki Huka Tonu (CGM): He tikanga hou tēnei mō te aroturuki i ngā taumata huka 24 hāora ia rā mā te whakamahi i tētahi pūoko iti kua whakatōkia ki raro i te kiri.

Me kōrero koe ki tō tākuta mēnā ka whiriwhiri koe i tētahi, i ngā tikanga e rua rānei. He maha ngā āhuatanga e pā ana ki tēnei. Hei tauira, ko te utu o ngā taputapu, te momo mate huka kei a koe, me te auau o te tūtohutanga a tō tākuta kia tirohia tō huka toto.

Ngā mita huka toto me ngā rīpene whakamātautau

Koinei te tikanga tuku iho e mōhiotia ana e tātou katoa, e whakamahia ana hoki. Ka werohia tō pito o tō maihao ki tētahi ngira iti e kiia nei ko te lancet , ka tangohia he pata toto. Kātahi ka pania taua pata toto ki tētahi rīpene whakamātautau i runga i te mita huka toto. I roto i ētahi hēkona, ka whakaaturia tō uara huka toto ki te mata o te mita.

Nā te mea ka puta te hua i te wā tirotiro anake i tēnei tikanga, me tirotiro ētahi tāngata, inā koa ko te hunga e tango ana i te insulin, i tēnei ara i ētahi wā i te rā.

CGM (Aroturuki Huka Tonu)

He hangarau hou tēnei. He rite ki te tāpiri i tētahi pūoko iti ki tō tinana, me te aroturuki i ō taumata huka toto mō ngā hāora 24 i te rā. Mā tēnei ka taea e koe te kite i te panonitanga o ō taumata huka toto puta noa i te rā i roto i tētahi kauwhata.

Engari kia maumahara, ahakoa te pai o tēnei hangarau, ka taea e ia te whakaputa i ngā pānui hē i ētahi wā. Ki te mea kei te pāngia koe e ngā tohu o te huka toto iti, engari kei te whakaatu tō CGM i te pānui noa, kia mau ki te whakamahi i tētahi mita noa hei tirotiro anō.

Te tikanga tika mō te tirotiro i te huka toto

I te tirotiro i tō huka toto me te mita huka toto, me whai i ēnei mahi.

1. Tuatahi, horoia ō ringaringa ki te hopi me te wai. Mena he paru ō matihao i ngā matūkai, tera pea kāore i te tika ngā hua. Horoia ō matihao ki te hopi me te wai, ki te tauera waipiro rānei.

2. Whakauruhia he rīpene whakamātautau ki roto i te mita.

3. Werohia te taha o tō matimati ki te taputapu werowero.Ka iti ake te mamae ina werohia ki te taha i tō ki waenganui.

4. Pāngia te pata toto ki te pito o te rīpene whakamātautau. Ka tangohia aunoatia e te mita te nui o te toto e hiahiatia ana.

5. Ka puta te hua ki te mata i roto i ētahi hēkona.

Āhea koe me tirotiro i tō huka toto?

Mā tō tākuta e whakatau te auau me te wā o te rā me tirotiro koe i tō huka toto. He rerekē i ia tangata, i ia tangata. Heoi, he mea nui kia tirohia tō huka toto i ngā wā katoa ka pāngia koe e ngā tohu o te huka toto iti, teitei rānei.

Mā te ripanga i raro nei koe e āwhina ki te mārama ki te hiranga o te tirotiro i tō huka toto i ngā wā rerekē o te rā.

He aha te tikanga o ēnei tau?

He mea motuhake ki a koe te taumata huka toto hauora (te awhe whāinga). Me whakatau mā te kōrero ki tō tākuta. He maha ngā mea e whakawhirinaki ana ki tēnei, pērā i tō tau, te roa o tō mate huka, me te mea he mate hauora anō ōu.

Heoi, ko ngā uara whānui e taunakitia ana e te American Diabetes Association mō ngā pakeke kāore i te hapu:

• I mua i te kai: I waenganui i te 80 - 130 mg/dL.
• 1-2 hāora i muri i te kai: I raro i te 180 mg/dL.

Mena ka heke te taumata huka toto (Hypoglycemia)

Ka puta tēnei āhuatanga ina heke te taumata huka toto ki raro iho i te 70 mg/dL. He mea morearea pea tēnei, nō reira he mea nui kia mahi wawe tonu koe ina kite koe i ngā tohu.

Ki te pā mai ēnei tohu ki a koe, kai tonu i tētahi mea he iti te huka (hei tauira, he tōfe huka, he panana, he wai hua). Ki te tino heke te huka o tō toto, ka ngaro pea tō māramatanga. He āhuatanga ohorere tēnei.

Mena ka piki ake te taumata o te huka toto (Hyperglycemia)

Ka puta tēnei āhuatanga ina neke atu te taumata huka toto i te 180 mg/dL. Heoi, he tokomaha te hunga ka tīmata ki te pāngia e ngā tohu ina neke atu i te 250 mg/dL.

Mena kei te tango koe i te insulin, me tango e koe te horopeta insulin e ai ki te whakahau a tō tākuta. I ētahi wā, mena ka haere tahi mai ngā tohu pēnei i te ruaki me te ngenge nui me te huka toto tiketike, tera pea he mate kino e kiia nei ko te Diabetic Ketoacidosis (DKA). Mena ka puta tēnei, waea atu ki tō tākuta tonu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.

Ngā uauatanga e pā mai ana me ā rātou otinga

Ahakoa he maha ngā painga o te tirotiro i te huka toto, ka pā mai pea ētahi āhuatanga whakararuraru.

• Mamae o te pito o te matihao: Ka puta te mamae o te pito o te matihao ina werohia tō matihao i ngā wā katoa. Hei whakatau i tēnei, werohia tō matihao ki te taha, kaua ki waenganui. Kaua hoki e whakamahia te ngira kotahi i ngā wā katoa, engari me whakamahi tonu i tētahi mea hou.
• Te utu: He uaua pea ki ētahi tāngata te utu i ngā rīpene whakamātautau me ngā pūnaha CGM. Kōrero ki tō tākuta mō tēnei. Tērā pea ka taea e ia te tohutohu i a koe mō ngā huarahi hei whakaiti i te utu.
• Pānga hinengaro: He mea noa te pōuri, te riri, te pouri rānei ina kite koe i ō taumata huka toto i ētahi rā.