Ka mālama ʻana i kāu kō kō

Ke loaʻa ʻoe i ka maʻi diabetes, pono ʻoe e kaohi pono i kāu kō kō. Inā ʻaʻole kaohi ʻia kāu kō kō, hiki i nā pilikia olakino koʻikoʻi i kapa ʻia he pilikia i kou kino. E aʻo pehea e mālama ai i kāu kō kō e hiki ai iā ʻoe ke noho i ke olakino e like me ka hiki.

ʻIke i nā hana maʻamau no ka mālama ʻana i kāu maʻi diabetes. Hiki ke alakaʻi maikaʻi ʻia i ka maʻi diabetes.

ʻIke pehea i:

• ʻIke a mālama i ke kō kō liʻiliʻi (hypoglycemia)
• ʻIke a mālama i ke kō i ke koko kiʻekiʻe (hyperglycemia)
• E hoʻolālā i nā meaʻai olakino
• Nānā i kou kō kō (glucose)
• E mālama iā ʻoe iho ke maʻi ʻoe
• E ʻike, kūʻai, a mālama i nā lako diabetes
• E kiʻi i nā loiloi e pono ai

Inā ʻoe e lawe i ka insulin, pono ʻoe e ʻike pehea e:

• Hāʻawi iā ʻoe iho i ka insulin
• Hoʻoponopono i kāu mau lāʻau insulin a me nā meaʻai āu e ʻai ai e mālama i kāu kō kō i ka wā hoʻoikaika a me nā lā maʻi

Pono ʻoe e ola i kahi nohona olakino.

• Hoʻomaʻamaʻa ma ka liʻiliʻi 30 mau minuke i ka lā, 5 mau lā o ka pule. Hana i nā hoʻoikaika hoʻoikaika kino i ʻelua a ʻoi mau lā o ka pule.
• Hōʻalo i ka noho ʻana ma mua o 30 mau minuke i ka manawa.
• E hoʻāʻo i ka hele wāwae, ʻauʻau, a hulahula paha. Koho i kahi hana āu e hauʻoli ai. E hōʻoia mau me kāu mea mālama ola ma mua o ka hoʻomaka ʻana i kahi hoʻolālā hoʻoikaika kino hou.
• E hāhai i kāu papaʻai. He manawa kūpono kēlā me kēia pāʻina e koho i koho maikaʻi loa no ka mālama diabetes.

E lawe i kāu lāʻau i ke ala a kāu mea hāʻawi.

Ke nānā pinepine nei i kāu kiʻekiʻe o ke kō a me ke kākau ʻana i lalo, a i ʻole ka hoʻohana ʻana i kahi polokalamu e nānā i nā hopena e haʻi iā ʻoe i kou mālama maikaʻi ʻana i kāu maʻi kō. E kamaʻilio me kāu kauka a me kāu kumu aʻo diabetes e pili ana i ka manawa pinepine e nānā ai i kāu kō kō.

• ʻAʻole pono i kēlā me kēia mea me ka maʻi diabetes ke nānā i kā lākou kō kō i kēlā me kēia lā. Akā pono paha i kekahi poʻe e nānā iā ia i nā manawa he nui i ka lā.
• Inā loaʻa iā ʻoe ka maʻi diabetes 1, e nānā i kāu kō kō ma ka liʻiliʻi ma 4 o ka lā.

ʻO ka maʻamau, e hoʻāʻo ʻoe i kou kō kō ma mua o ka ʻai ʻana a ma ka wā hiamoe. Hiki iā ʻoe ke nānā i kāu kō kō.

• Ma hope o kou ʻai ʻana i waho, ʻoiai inā ʻoe i ʻai i nā meaʻai ʻaʻole ʻoe e ʻai maʻamau
• Inā maʻi ʻoe
• Ma mua a ma hope o kou hoʻoikaika kino ʻana
• Inā loaʻa iā ʻoe ka nui o ke koʻikoʻi
• Inā ʻai nui ʻoe
• Inā ʻoe e lawe i nā lāʻau hou i hiki ke hoʻololi i kāu kō kō

Mālama i kahi moʻohelu iā ʻoe iho a me kāu mea hāʻawi. He kōkua nui kēia inā pilikia ʻoe i ka mālama ʻana i kou maʻi diabetes. E haʻi aku nō hoʻi iā ʻoe i nā mea e holo a me nā mea e holo ʻole ana, e mālama i kāu kō kō. Kākau iho:

• Ka manawa o ka lā
• ʻO kāu pae kō kō
• ʻO ka nui o nā huaʻale a me ke kō āu i ʻai ai
• Ke ʻano a me ka mahele lāʻau o kāu mau lāʻau diabetes a i ʻole ka insulin
• Ke ʻano o ka hoʻoikaika kino āu e hana ai a no ka lōʻihi
• ʻO nā hanana hanana like ʻole, e like me ka manaʻo koʻikoʻi, ʻai ʻana i nā meaʻai like ʻole, a i ʻole maʻi

Hāʻawi nā mita mika he nui iā ʻoe e mālama i kēia ʻike.

Pono ʻoe a me kāu mea e hāʻawi i kahi pahuhopu pahuhopu no kāu pae kō kō o ke kō no nā manawa like ʻole i ka lā. Inā kiʻekiʻe ke kō kō i kou mau pahuhopu no 3 mau lā a ʻaʻole ʻoe i ʻike i ke kumu, e kāhea i kāu mea hāʻawi.

ʻAʻole waiwai nui ka waiwai kō kō kōkōkō i kāu mea hoʻolako a hiki i kēia ke hoʻonāukiuki i ka poʻe me ka maʻi kō. ʻOi aku ka nui o nā kumukūʻai me nā ʻike hou aʻe (ka wehewehe ʻana i ka papa ʻaina a me ka manawa, ka wehewehe hoʻoikaika kino a me ka manawa, ka lāʻau lapaʻau a me ka manawa) e pili ana i ke kumukūʻai kō kō eʻoi aku ka pono e kōkua i ke alakaʻi ʻana i nā hoʻoholo a me nā hoʻoponopono ʻana.

No ka poʻe me ka maʻi diabetes type 1, paipai ka American Diabetes Association i nā pahuhopu kō kō e pili i nā makemake a me nā pahuhopu o ke kanaka. E kamaʻilio me kāu kauka a me kāu kumu aʻo diabetes e pili ana i kēia mau pahuhopu. ʻO kahi kulekele maʻamau:

Ma mua o ka ʻai ʻana, pono kou kō kō:

• Mai 90 a 130 mg / dL (5.0 a 7.2 mmol / L) no nā mākua
• Mai 90 a 130 mg / dL (5.0 a 7.2 mmol / L) no nā keiki, 13 a 19 mau makahiki
• Mai 90 a 180 mg / dL (5.0 a 10.0 mmol / L) no nā keiki, 6 a 12 mau makahiki
• Mai 100 a 180 mg / dL (5.5 a 10.0 mmol / L) no nā keiki ma lalo o 6 mau makahiki

Ma hope o ka ʻai (1 a 2 mau hola ma hope o ka ʻai ʻana), ʻo kāu kō kō i:

• Ma lalo o 180 mg / dL (10 mmol / L) no nā mākua

I ka wā moe, pono kāu kō kō i:

• Mai 90 a 150 mg / dL (5.0 a 8.3 mmol / L) no nā mākua
• Mai 90 a 150 mg / dL (5.0 a 8.3 mmol / L) no nā keiki, 13 a 19 mau makahiki
• Mai 100 a 180 mg / dL (5.5 a 10.0 mmol / L) no nā keiki, 6 a 12 mau makahiki
• Mai 110 a 200 mg / dL (6.1 a 11.1 mmol / L) no nā keiki ma lalo o 6 mau makahiki

No ka poʻe me ka maʻi diabetes 2, koi pū ka ʻAmelika Diabetes Association i kēlā me kēia pahuhopu kō kō. E kamaʻilio me kāu kauka a me kāu kumu aʻo diabetes e pili ana i kāu mau pahuhopu.

Ma ka laulā, ma mua o ka ʻai ʻana, ʻo kāu kō kō.

• Mai 70 a 130 mg / dL (3.9 a 7.2 mmol / L) no nā mākua

Ma hope o ka ʻai (1 a 2 mau hola ma hope o ka ʻai ʻana), ʻo kāu kō kō i:

• Ma lalo o 180 mg / dL (10.0 mmol / L) no nā mākua

Hiki i ke kō kō kiʻekiʻe ke hōʻeha iā ʻoe. Inā kiʻekiʻe kou kō kō, pono ʻoe e ʻike pehea e lawe ai i lalo. Eia kekahi mau nīnau e nīnau iā ʻoe iho inā kiʻekiʻe kou kō kō.

• Ke ʻai nui nei ʻoe a liʻiliʻi paha? Ke ukali nei ʻoe i kāu papaʻai ʻaina diabetes?
• Ke lawe pololei nei ʻoe i kāu mau lāʻau diabetes?
• Ua hoʻololi paha kāu mea hāʻawi (a ʻoihana ʻinikua paha) i kāu mau lāʻau?
• Ua pau kāu insulin? E hōʻoia i ka lā ma kāu insulin.
• Ua hōʻike ʻia kāu insulin i nā mahana wela kiʻekiʻe a haʻahaʻa paha?
• Inā lawe ʻoe i ka insulin, ke lawe nei ʻoe i ka mahele lāʻau kūpono? Ke hoʻololi nei paha ʻoe i kāu mau ʻeka a me nā nila kui?
• Makaʻu paha ʻoe i ke kō kō kō haʻahaʻa? ʻO ia ke kumu e ʻai nui ai ʻoe a e ʻai ai i ka liʻiliʻi o ka insulin a i ʻole ka lāʻau diabetes.
• Ua injected ʻoe i ka insulin i loko o kahi paʻa, numb, puʻupuʻu, a i ʻole hoʻohana nui ʻia? Ua puni ʻoe i nā pūnaewele?
• Ua ʻemi a ʻoi paha kāu hana ma mua o ka maʻamau?
• He anu anei kou, flu, a i ʻole kekahi maʻi ʻē aʻe?
• Ua ʻoi aku kou koʻikoʻi ma mua o ka maʻamau?
• Ke nānā nei paha ʻoe i kāu kō kō i kēlā me kēia lā?
• Ua loaʻa a nalowale paha kou kaumaha?

Kāhea i kāu mea hāʻawi inā kiʻekiʻe a haʻahaʻa paha kāu kō kō a ʻaʻole maopopo iā ʻoe ke kumu. Ke hiki i kāu kō kō i loko o kāu pae pae, e hoʻomaikaʻi ʻoe a maikaʻi kou olakino.

Hyperglycemia - kaohi; Hypoglycemia - kaohi; Diabetes - kaohi kō kō; Ke kō glucose - ke hoʻomalu nei

• Hoʻoponopono i kāu kō kō
• Hōʻaʻo koko
• Hōʻike Glucose

Atkinson MA, Mcgill DE, Dassau E, Laffel L. ʻAno 1 diabetes. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 36.

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 Riddle MC, Ahmann AJ. Nā therapeutics o ka maʻi diabetes type 2. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 35.

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