He mea noa te mataku me te manukanuka ina kitea he mate huka tōu. Engari ko te mea pai rawa atu, he pai ake ngā maimoatanga e wātea ana i ēnei rā i mua hei āwhina i a koe ki te whakahaere i tō mate huka me te noho ora. Mā kōrua ko tō tākuta e whakawhanake he mahere hei āwhina i a koe ki te whakahaere i ō taumata huka toto me te pupuri i te taumaha hauora.
I ētahi wā, kāore pea e ranea te rongoā kotahi hei pupuri i te taumata huka toto kia noa. I roto i ēnei āhuatanga, ka tāpirihia pea e tō tākuta ētahi atu rongoā. Me kōrero takitahi tātou mō ēnei maimoatanga.
Ngā Rongoā ā-Waha
Ko te nuinga o te hunga e pāngia ana e te mate huka momo 2 ka tīmata te maimoatanga me te rongoā e kiia nei ko te Metformin. Ko te mahi nui o tēnei mā te whakaiti i te nui o te huka e hangaia ana e tō ate. Ka āwhina hoki te Metformin i ō uaua ki te mimiti pai ake i te homoni insulin, ka āwhina i tō tinana ki te whakamahi i te huka e riro ana i a ia.
E rua ngā wā ka tangohia tēnei rongoā i te rā. Ko te mea nui ko te tango i tēnei pire me te kai. Ka taea e tēnei te whakaiti i ngā pānga taha pērā i te mamae o te puku, inā koa te mate korere.
Ki te kore e taea e te metformin anake te whakahaere i ō taumata huka toto, ka whakapiki ake pea tō tākuta i tō horopeta, ka tāpiri atu rānei i tētahi momo rongoā hou. Me titiro tātou ki ēnei atu rongoā.
Kia maumahara, me whakamahi noa i ēnei rongoā katoa i raro i te tohutohu a tō tākuta. Kaua e tangohia noa iho nā te mea kei te whakamahia e tō hoa, nā te mea he rerekē ngā āhuatanga tinana o ia tangata, o ia tangata.
| Te momo rongoā me te whakamārama māmā | Ngā tauira (ingoa waitohu) |
|---|---|
| Ngā aukati Alpha-glucosidase Mā te mahi a ēnei ka aukati i te tinana ki te wawahi i ngā kai māngaro e kainga ana e tātou, pērā i te taro me te rīwai, ā, ka whakaiti i te pikinga ohorere o te huka toto. | Acarbose (Precose), Miglitol (Glyset) |
| Ngā mea e pupuri ana i te waikawa ape He rongoā ēnei hei whakaiti i te cholesterol kino (LDL cholesterol) i roto i te tinana. Engari kua kitea anō hoki ka taea e rātou te whakaiti i ngā taumata huka toto. Tērā pea he haumaru tēnei mō te hunga kāore e taea te tango i ētahi atu rongoā mate huka nā te mate ate. | Colesevelam (Welchol) |
| Ngā aukati DPP-4 Ka āwhina ēnei ki te whakahaere i te mate huka mā te whakaiti i ngā taumata huka toto. | Alogliptin (Nesina), Linagliptin (Tradjenta), Saxagliptin (Onglyza), Sitagliptin (Januvia) |
| Ngā kaiwhakaoho i te kaiwhiwhi GLP-1 Ka kī atu ēnei ki te tinana kia nui ake te hanga insulin. Ka whakaroa hoki i te tere o te nakunaku, ā, ka kī tonu koe. Kei te wātea hoki ētahi o ēnei hei werohanga. | Ko ngā rongoā pēnei i te Dulaglutide (Trulicity), Exenatide (Byetta), Liraglutide (Victoza), Semaglutide (Ozempic, Rybelsus) |
| GIP me te kaiwhakaoho GLP-1 He momo rongoā hou tēnei. Ka āwhina ēnei ki te whakanui ake i te hanga insulin ina teitei noa te taumata huka toto. | Tirzepatide (Mounjaro) |
| Ngā Meglitinides Ka āwhina ēnei i te tinana ki te whakaputa i te nui ake o te insulin. Ko te tikanga ka tangohia ēnei rongoā i mua i ngā kai matua. | Nateglinide (Starlix), Repaglinide (Prandin) |
| Ngā aukati SGLT2 He tino motuhake tēnei momo rongoā. Mā te tango i te huka nui rawa atu i roto i ō toto mā roto i ō whatukuhu me tō mimi ka āwhina ētahi rongoā (pēnei i te Empagliflozin) ki te whakaiti i te mōrearea o ngā whakaeke ngakau i roto i te hunga whai mate ngakau. | Canagliflozin (Invokana), Dapagliflozin (Farxiga), Empagliflozin (Jardiance) |
| Ngā sulfonylurea Ka whakaoho ēnei i tō repe taiaki kia nui ake te hanga insulin. | Glimepiride (Amaryl), Glipizide (Glucotrol), Glyburide (Diabeta) |
| Ngā Thiazolidinediones (TZDs) Ko tā ēnei mahi he whakanui ake i te aro o te uaua me te ngako ki te insulin. Arā, ka whakanui ake i te whai huatanga o te insulin. | Pioglitazone (Actos), Rosiglitazone (Avandia) |
Te maimoatanga insulin
He homoni nui te insulin e hangaia ana e ō tātou tinana, e āwhina ana ki te neke i te huka i roto i te toto ki roto i ngā pūtau hei whakamahi mō te pūngao.
Nā, ki te mea me werohia koe ki te insulin, kaua rawa e whakaaro, "Āe, ka ngaro taku mana whakahaere i taku mate." Ehara i te mea pēnā. He rerekē te tinana o te katoa. Mēnā kua roa koe e pāngia ana e te mate huka, mēnā he tino tiketike tō huka toto, mēnā rānei he raruraru hauora kē atu āu e uaua ai te whakahaere i tō huka toto mā te whakamahi i ngā pire anake, ka tūtohu pea tō tākuta kia whakamahia e koe te insulin me ngā pire.
Ko te nuinga o te tangata ka werohia te insulin ki roto i te paparanga ngako i raro i te kiri. Mā tō tākuta e whakatau te nui e hiahiatia ana e koe i ia rā.
He rerekē anō ngā momo insulin.
- Tere te mahi: Ka mahi ēnei i roto i ngā meneti i muri i te werohanga, ā, ka roa mō ngā haora.
- He poto te mahi: Ka pā i roto i te hawhe haora, ā, ka roa mō ngā haora 3-6.
- Te mahi waenga: Ka pā i roto i ngā haora 2-4, ā, ka roa mō ngā haora 12-18.
- He roa te mahi: Ka āwhina ēnei ki te pupuri i te taumata huka toto kia pumau puta noa i te rā.
Ka taea e koe te tiki i te insulin mā te whakamahi i tētahi ngira, i tētahi pene kua whakakīia, i tētahi taputapu iti rānei kua whakatōkia ki raro i te kiri (papu insulin). Mā tō tākuta koe e tohutohu tika me pēhea te mahi i tēnei.
Me pēhea te whakamahi tika i te rongoā?
Koinei te wāhanga tino nui.
- Whāia ngā tohutohu a tō tākuta: Tangohia tō rongoā kia rite ki tā te tākuta e tohutohu ana ki a koe, i te wā me te nui i tohua. Me tango ētahi rongoā me te kai hei whakaiti i ngā pānga taha. Kia tino whai i aua tohutohu.
- Te penapena i ō rongoā: Mā tō tākuta, mā te kaiwhakahaere rongoā rānei koe e tohutohu mō te penapena i ō rongoā. Me pupuri ngā mea pēnei i te insulin ki te pāmahana tika. Mā tēnei ka āwhina i te pupuri i te kounga o te rongoā.
- Kia tūpato ki te waipiro:Kāore i te tūtohutia kia inu waipiro i te wā e tango ana i ētahi rongoā, pērā i te metformin. Tērā pea ka pāngia te hunga mate huka e ngā pānga o te waipiro i ētahi atu. Nō reira, kia tino tupato mēnā ka inu waipiro koe. He pai ake te kōrero ki tō tākuta mō tēnei mea.
Karere Tangohia ki te Kāinga
- He mate ngāwari te whakahaere i te mate huka, nō reira kaua e tino wehi.
- Mahi tahi me tō tākuta ki te whakawhanake i te mahere maimoatanga pai rawa atu māu. Kaua e wehi ki te pātai mēnā he pātai āu.
- He tokomaha te hunga ka tīmata i te maimoatanga me te pire e kiia nei ko te metformin. Mā te tango i tēnei pire me te kai ka taea te whakaiti i ngā pānga taha.
- Ahakoa te whakamahi i te insulin, ehara i te mea kua kore e taea te whakahaere i tō mate. He maimoatanga tika, ā, he tino whai hua hoki.
- He mea tino nui kia tangohia te rongoā i tohua e te tākuta, i te wā tika, i te horopeta tika, ā, kia rite tonu ki te mea i tohua.
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