Kiko kō haʻahaʻa - mālama pono iā ʻoe iho

ʻO ke kō kō ke kōpaʻa haʻahaʻa kahi ʻano i hiki ke haʻahaʻa ke kō kō (glucose) ma mua o ka maʻamau. Hiki ke kū i ke kō kō haʻahaʻa i nā poʻe me ka maʻi kō e lawe ana i ka insulin a i ʻole kekahi mau lāʻau ʻē aʻe e kāohi ai i kā lākou maʻi kō. Hiki i ke kō kō ke kō ke kumu o nā ʻōuli weliweli. E aʻo pehea e ʻike ai i nā ʻōuli o ke kō kōpaʻa haʻahaʻa a pehea e pale aku ai iā lākou.

Kapa ʻia ke kō kō kō haʻahaʻa he hypoglycemia. ʻO kahi pae kō kō ma lalo o 70 mg / dL (3.9 mmol / L) haʻahaʻa a hiki ke hōʻeha iā ʻoe. ʻO kahi pae kō kō ma lalo o 54 mg / dL (3.0 mmol / L) kahi kumu no ka hana koke.

Aia ʻoe i ka makaʻu no ka kō kō kō inā loaʻa ʻoe i ka maʻi kō a lawe ʻoe i kekahi o nā lāʻau diabetes.

• Insulina
• ʻO Glyburide (Micronase), glipizide (Glucotrol), glimepiride (Amaryl), repaglinide (Prandin), a i ʻole nateglinide (Starlix)
• Chlorpropamide (Diabinese), tolazamide (Tolinase), acetohexamide (Dymelor), a i ʻole tolbutamide (Orinase)

Hoʻonui pū ʻia ka makaʻu o ka loaʻa ʻana o ke kō kō liʻiliʻi inā loaʻa mua iā ʻoe nā haʻahaʻa kō kō.

E ʻike pehea e haʻi ai i ka wā e hoʻohaʻahaʻa ai kāu kō kō. ʻO nā hōʻailona me:

• Nawaliwali a ʻano luhi paha
• Lulu
• Hoʻoulu
• ʻEha poʻo
• Pololi
• Ke hopohopo ʻole, hopohopo, a hopohopo paha
• ʻAno huʻihuʻi
• Pilikia ka noʻonoʻo ʻana
• ʻIke pālua a pohihihi paha
• Wikiwiki a kuʻi paha i ka puʻuwai puʻuwai

I kekahi manawa haʻahaʻa loa paha kāu kō kō a ʻoiai ʻaʻohe ou ʻōuli. Inā haʻahaʻa loa ia, hiki iā ʻoe ke:

• Māloʻo
• Loaʻa ka hopu ʻana
• E hele i kahi koma

ʻO kekahi poʻe i loaʻa i ka maʻi diabetes no ka manawa lōʻihi e hooki i ka hiki ke ʻike i ke kō kō. Kapa ʻia kēia ʻike ʻole ka hypoglycemic. E noi i kāu mea mālama ola inā e kau nei i kahi monitor glucose mau a me ka mea ʻike hiki ke kōkua iā ʻoe e ʻike ke hele a haʻahaʻa i kāu kō kō i mea e pale aku ai i nā ʻōuli.

E kamaʻilio me kāu mea lawelawe e pili ana i ka manawa e nānā ai i kāu kō kō i kēlā me kēia lā. Pono ka poʻe i loaʻa i ke kō kō haʻahaʻa e nānā pinepine i kā lākou kō kō.

ʻO nā kumu maʻamau o ke kō kō kō.

• Lawe i kāu insulin a i ʻole ka lāʻau diabetes i ka manawa kūpono ʻole
• Lawe nui i ka insulin a i ʻole ka lāʻau diabetes
• Lawe i ka insulina e hoʻoponopono i ke kō kō kiʻekiʻe me ka ʻai ʻole ʻana i kekahi meaʻai
• ʻAʻole lawa ka ʻai ʻana i ka manawa o ka pāʻina a me nā meaʻai māmā ma hope o kou lawe ʻana i ka lāʻau insulin a i ʻole ka lāʻau diabetes
• Ke haʻalele nei i nā meaʻai (ʻo kēia paha he kiʻekiʻe loa kāu mahele lāʻau o ka insulin lōʻihi, no laila pono ʻoe e kamaʻilio me kāu mea hāʻawi)
• Ke kali lōʻihi nei ma hope o ka lawe ʻana i kāu lāʻau e ʻai ai i kāu pāʻina
• Hoʻomaʻamaʻa nui a i kahi manawa ʻokoʻa ʻole iā ʻoe
• ʻAʻole ka nānā ʻana i kāu kō kō a i ʻole ka hoʻomaʻemaʻe ʻole ʻana i kāu mahele lāʻau insulin ma mua o ka hoʻoikaika ʻana
• Ka inu lama

ʻOi aku ka pale ʻana i ke kō kō haʻahaʻa ma mua o ka mālama ʻana iā ia. Loaʻa i kahi kumu o ke kō wikiwiki me ʻoe.

• Ke hoʻoikaika ʻoe, e nānā i nā pae kō kō. E ʻike pono he mau meaʻai māmā me ʻoe.
• E kamaʻilio i kāu mea hoʻolako e pili ana i ka hōʻemi ʻana i nā lāʻau insulin i nā lā āu e hoʻoikaika ai.
• E noi i kāu mea hāʻawi inā pono ʻoe i kahi meaʻai māmā e hiamoe ai e pale i ke kō kō haʻahaʻa i ka pō. ʻOi aku ka maikaʻi o nā meaʻai māmā protein.

Mai inu i ka waiʻona me ka ʻai ʻole ʻana i ka meaʻai. Pono nā wahine e kaupalena i ka waiʻona i 1 inu i ka lā a me nā kāne e kaupalena i ka waiʻona i 2 mau inu i ka lā. E ʻike ka ʻohana a me nā hoaaloha pehea e kōkua ai. E ʻike paha lākou:

• Nā ʻōuli o ke kō kōpaʻa haʻahaʻa a pehea e haʻi ai inā loaʻa iā ʻoe.
• Ehia a pehea ke ʻano o nā meaʻai e hāʻawi ai lākou iā ʻoe.
• I ka manawa hea e kāhea ai no ke kōkua pilikia.
• Pehea e hoʻopili ai i ka glucagon, kahi hormone e hoʻonui ai i kou kō kō. E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hoʻohana ai i kēia lāʻau.

Inā loaʻa ʻoe i ka maʻi diabetes, e ʻaʻa mau i ka kūpeʻe lima mekala a me ka lei. Kōkua kēia i nā limahana olakino pōpilikia ʻike ʻoe he maʻi diabetes.

E hōʻoia i kāu kō kō i kēlā me kēia manawa ke loaʻa iā ʻoe nā hōʻailona o ke kō kō. Inā aia kāu kō kō i lalo o 70 mg / dL, e mālama koke iā ʻoe iho.

1. ʻAi i kahi mea e pili ana i 15 mau g (g) o nā haʻalako. Eia kekahi laʻana:

• 3 mau papa glucose
• Hoʻokahi hapalua kīʻaha (4 auneke a i ʻole 237 ml) o ka wai huaʻai a i ʻole ka soda maʻamau ʻole
• Nā candies paʻakikī he 5 a 6 paha
• 1 punetēpō (tbsp) a i ʻole 15 mL kō, kōpaʻa a i ʻole hoʻoheheʻe ʻia i ka wai
• 1 tbsp (15 ML) o ka meli a me ka syrup paha

2. E kali ma kahi o 15 mau minuke ma mua o ka ʻai hou ʻana. E akahele mai ʻai nui. Hiki i kēia ke kumu i ke kō a me ke kaupaona kiʻekiʻe.

3. E hōʻoia hou i kāu kō kō.

4. Inā ʻaʻole ʻoe e ʻoi aku ka maikaʻi i loko o 15 mau minuke a ʻoi aku ka emi o ke kō kō ma mua o 70 mg / dL (3.9 mmol / L), e ʻai i kahi meaʻai māmā ʻē aʻe me 15 g o nā wīwī.

Pono paha ʻoe e ʻai i kahi meaʻai māmā me nā wīwī a me nā protein inā ʻo kāu kō kō i loko o kahi pae ʻoi aku ka maikaʻi - ma mua o 70 mg / dL (3.9 mmol / L) - a ʻo kāu ʻai aʻe aʻe ma mua o hoʻokahi hola ka mamao.

E noi i kāu mea e hoʻolako pehea e hoʻokele ai i kēia kūlana. Inā ʻaʻole holo kēia mau ʻanuʻu no ka hāpai ʻana i kāu kō kō, e kāhea koke aku i kāu kauka.

Inā ʻoe e hoʻohana i ka insulin a haʻahaʻa a haʻahaʻa paha kāu kō kō, e noi i kāu kauka a kahu wahine inā ʻoe:

• Ke hoʻopili nei ʻoe i kāu insulin i ke ala kūpono
• Pono i kahi ʻano o ka nila
• Pono e hoʻololi i ka nui o ka insulin e lawe ai
• Pono e hoʻololi i ke ʻano o ka insulin āu e lawe ai

MAI hana i nā loli me ke kamaʻilio ʻole ʻana me kāu kauka a kahu hānai paha.

I kekahi manawa hiki i ka hypoglycemia ma muli o ka lawe ʻana i nā lāʻau i hewa. E hōʻoia i kāu lāʻau me kāu kauka lāʻau.

Inā ʻaʻole hoʻomaikaʻi nā hōʻailona o ke kō kō haʻahaʻa ma hope o kāu ʻai ʻana i kahi meaʻai māmā i piha ke kō, e hoʻokau iā ʻoe i kekahi i ka lumi pilikia a kāhea paha i kāu helu pilikia kūloko (e like me 911). Mai kalaiwa ke haʻahaʻa kāu kō kō.

E kiʻi koke i ke kōkua lapaʻau no kahi kanaka me ke kō kōkō inā ʻaʻole makaʻala a ʻaʻole hiki ke ala aʻe.

Hypoglycemia - mālama pono iā ʻoe iho; Ke kō glucose haʻahaʻa - mālama pono iā ʻoe iho

• Kūpeʻe lima leka
• Hōʻike Glucose

ʻAhahui Diabetes ʻAmelika. 6. Nā Pahuhopu Glycemic: Nā Koina o ka mālama olakino ma Diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S66 – S76. PMID: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

ʻO Cryer PE, Arbeláez AM. Hypoglycemia. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 38.

• ʻAno diabetes he 1
• ʻAno 2 diabetes

• Nā mea kāohi ACE
• Diabetes a me ka hoʻoikaika kino
• Mālama ka maka diabetes
• Diabetes - ulcer wawae
• Diabetes - mālama i ka hana
• Diabetes - pale i ka hōʻeha puʻuwai a me ka hahau
• Diabetes - ke mālama nei i kou mau wāwae
• Nā hōʻoia diabetes a me nā hōʻoia
• Diabetes - ke maʻi ʻoe
• Ka mālama ʻana i kāu kō kō
• ʻAno 2 diabetes - he aha e nīnau aku ai i kāu kauka

• Diabetes
• Laau Lapaʻau Diabetes
• Diabetes ʻAno 1
• Hypoglycemia