He aha te hukahuka? He aha tōna hononga ki te mate huka?

Ina kōrero koe mō te mate huka, tera pea ka rongo tonu koe i ngā kupu 'Blood Huka' 'Glucose' rānei, tika? He mea tino nui kia mōhio koe he aha te hukahuka, te pūtake pūngao mō ō tātou tinana mai i ngā kai e kainga ana e tātou, inā koa mēnā he mate huka koe, he mōrearea rānei ki te mate huka. Nō reira, i tēnei rā, me kōrero māmā noa iho, mai i A ki Z.

He aha te hukahuka me te insulin?

He kupu ngāwari, he momo huka te kūhuka . Ka whiwhi tātou i tēnei mai i ngā kai e kainga ana e tātou, inā koa ngā kai he nui te warowaihā. Ka whakamahia e tō tātou tinana tēnei kūhuka hei whakarato pūngao ki ngā pūtau. Ina haere tēnei kūhuka i roto i te toto, ka kiia e tātou ko te "huka toto" ko te 'huka toto' rānei.

Koinei te wāhi e whai wāhi ai te mahi a te insulin . Ko te insulin he homoni e hangaia ana i roto i te repeure. Pērā i te kī, ko tēnei insulin te mea e whakatuwhera ana i ngā pūtau o tō tātou tinana, ā, e āwhina ana i te hukahuka i roto i te toto kia tomo ki aua pūtau, kia puta ai he pūngao.

Mena kua tāpaetia koe kei te mate huka koe, ko te tikanga he teitei ake te taumata huka toto i te mea noa. E rua pea ngā take mō tēnei:

1. Kāore rānei e nui te insulin e whakaputaina ana e tō tinana hei neke i te hukahuka i roto i te toto ki roto i ngā pūtau.

2. Ahakoa kei reira te insulin, kāore ngā pūtau o tō tinana e aro tika ana ki taua mea (Ātete Insulin).

Me pēhea te urunga o te huka ki roto i ō tātou tinana?

He maha ngā kai e kainga ana e tātou, inā koa ko ngā kai he nui te warowaihā pērā i te taro, te raihi, te rīwai, me te hua, kei roto te hukahuka. I muri i tā tātou kai, ka uru te kai ki roto i te puku, ā, ka wahia kia ririki e ngā whākōkī me ngā waikawa. Ka tukuna te hukahuka e tēnei tukanga.

Kātahi ka haere tēnei huka ki ngā whekau ka mimiti ki roto i te toto. Ko te wā tēnā ka uru mai ai te homoni insulin, ka āwhina i te tuku i tēnei huka ki roto i ngā pūtau.

Pūngao me te rokiroki: He aha te mea ka pa ki te hukahuka i roto i te tinana?

Kua hangaia ō tātou tinana kia mau tonu te taumata o te huka i roto i te toto. Ina piki ake ngā taumata huka toto i muri i tā tātou kai, ka whakaputahia e ngā pūtau motuhake (ngā pūtau beta) i roto i te repeure te insulin. Mā tēnei insulin ka huaki te kuaha mō te huka kia uru ki roto i ngā pūtau uaua, ngako, me te ate.

Ko te wahie matua o te roro

Ahakoa e whakamahia ana e te nuinga o ngā pūtau o te tinana te hukahuka, ngā waikawa amino (ngā poraka hanga o ngā pūmua), me te ngako hei pūngao, ko te hukahuka te wahie matua o te roro.He mea nui te hukahuka mō te tukatuka i ngā mōhiohio mō ngā pūtau io me ngā karere matū i roto i te roro. Ki te kore he hukahuka, kāore e taea e tō tātou roro te mahi tika.

Te penapena i te pūngao tāpiri

Kia pau te pūngao e hiahiatia ana e te tinana, ka rongoatia te hukahuka e toe ana ki te ate me ngā uaua hei paihere iti e kiia nei ko te glycogen . Ka taea e tō tātou tinana te rongoa i te pūngao e hiahiatia ana mō te rā kotahi mā tēnei ara.

Whakaarohia kāore koe i kai mō ētahi haora. Ka heke te taumata huka toto. I taua wā, ka mutu te whakaputa a te repe taiaki i te insulin, ka tīmata te whakaputa i tētahi atu homoni e kiia nei ko te glucagon . Ka tohu tēnei glucagon ki te ate kia hurihia te glycogen kua rongoatia hei glucose. Kātahi ka uru taua glucose ki roto i te toto, ka whakarato i te kaha ki te tinana tae noa ki te wā e kai anō ai koe.

Te Huka Toto me te Mate Huka

He mea noa te pikinga o te huka toto i muri i te kai, ā, ka heke anō i muri i ētahi haora. Me iti iho i te 100 mg/dL te taumata huka toto nohopuku o te tangata hauora.

Engari ki te mea he mate huka tōu, kāore e taea e tō tinana te tukatuka tika i tēnei.

E rua ngā momo matua o te mate huka:

• Mate Huka Momo 1: I roto i tēnei momo mate huka, ka whakangaromia hētia e te pūnaha ārai mate o te tinana ngā pūtau whakaputa insulin i roto i te repeure, ka kore ai e nui te insulin e hangaia e te tinana.
• Mate Huka Momo 2: I tēnei āhua, kāore ngā pūtau o te tinana e aro tika ki te insulin. Nō reira, me nui ake te insulin e hangaia ana e te repe taiaki kia taea ai te uru atu o te huka ki roto i ngā pūtau. I roto i te wā, ka ngoikore pea te repe taiaki, ā, kāore e taea te hanga i te insulin e tika ana.

Ina kore e ranea te insulin, ka kohia te huka toto ki roto i te toto, kaua ki roto i ngā pūtau. Ko te taumata huka toto neke atu i te 200 mg/dL i muri i te 2 hāora i te kai, neke atu rānei i te 125 mg/dL i te wā nohopuku, ka kiia ko te hyperglycemia .

Me pēhea te ine i ngā taumata huka toto?

Ko ngā tikanga e rua e tino kitea ana ko:

1. Whakamātautau Maihao: Ka tangohia he toto iti mai i te pito o te maihao mā te whakamahi i te rakete, ka whakatakotoria ki runga i te rīpene whakamātautau, ā, ka inehia ki te mita huka toto. Ka taea e koe te kite i tō taumata huka toto o nāianei i roto i ētahi hēkona ruarua.

2. Aroturuki Huka Toto Tonu (CGM): Ka whakauruhia he pūoko iti ki raro i te kiri, i te nuinga o te wā i roto i te ringa, i te puku rānei. Ka ine tonu i ō taumata huka toto mā te aroturuki i te wai i waenga i ngā pūtau, ā, ka tukuna ngā raraunga ki tētahi taputapu pēnei i te taupānga waea.

He aha te whakamātautau A1c?

Ko te whakamātautau A1c (whakamātautau HbA1c) he whakamātautau toto e whakaatu ana i te toharite o te taumata huka toto mō ngā marama 2-3 kua hipa.

Ina uru te huka ki roto i te toto, ka piri ki te hemoglobin, te wāhanga o ngā toto whero e kawe ana i te hāora i roto i te toto. Ka ine te whakamātautau A1c i te nui o te hemoglobin i roto i tō toto kua kapi i te huka (glycated). Ko te teitei ake o te huka toto, ko te teitei ake o tō uara A1c.

He aha ngā take o te iti o te huka toto (Hypoglycemia)?

Ko te hypoglycemia he āhuatanga e heke ai te taumata huka toto ki raro iho i te 70 mg/dL. Ka tere tonu tēnei te noho hei āhuatanga ohorere hauora. He maha ngā take e pā ai tēnei .

• Te inu waipiro i runga i te puku kau.
• Te tango i te nui atu o te insulin, o ētahi atu rongoā mate huka rānei i te mea e tika ana.
• Te peke i ngā kai.
• Te whakakori tinana nui atu i te tikanga.
• Ngā huringa homoni (hei tauira, te paheketanga o ia marama).

He aha tāu e mahi ai ina heke tō taumata huka?

Ka taea e koe te whai i te "ture 15-15" i tūtohutia e te American Diabetes Association:

1. Kai, inu rānei i te 15 karamu o ngā warowaihā tere te mahi (hei tauira, 3 tīpune huka/kurukose, 1 punetēpu honi).

2. Taria mō te 15 meneti .

3. Tirohia anō tō huka toto. Mena kei raro tonu i te 70 mg/dL, me kai anō i ētahi atu 15 karamu o ngā warowaihā.

4. Whakahoutia tēnei kia hoki rā anō te taumata o te huka ki te āhua noa.

He aha ngā take o te huka toto tiketike (hyperglycemia)?

Ko te taumata huka toto i runga ake i te 180 mg/dL ka kiia ko te hyperglycemia. He maha ngā take mō tēnei.

• Kāore i te nui te insulin, ētahi atu rongoā rānei e tangohia ana.
• Te kore o te mahi ā-tinana.
• He mate (hei tauira, te makariri, te rewharewha) he mate pāwera rānei.
• Te ahotea.
• Te kai nui atu i te mea i whakaritea.

Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU)?

Mena he 300 mg/dL, he nui ake rānei tō taumata huka toto, e rua ngā wā karapīpiti , me waea atu ki tō tākuta tonu atu.

Ki te kore e rongoatia te hyperglycemia, ka arahi pea tēnei ki te ketoacidosis e morearea ai te ora, te diabetic coma rānei. Haere tonu ki te wāhanga ohorere o te hōhipera (ETU) mēnā kei a koe ētahi o ēnei tohu:

• He kakara hua i te manawa.
• Whakapairuaki me te ruaki.
• Te maroke rawa o te mangai.
• Te uaua ki te manawa.

He mea tino nui kia mau tonu te taumata o te huka i roto i te toto. Whaia ngā tohutohu a tō tākuta. Tirohia ō taumata huka i ia wā. Mā te whakakori tinana, te kai taurite, me ngā rongoā kua tohua, ka taea e koe te noho ora.