ʻAno diabetes he 1

ʻO ke ʻano diabetes he maʻi maʻa mau (ola mau) kahi kiʻekiʻe o ke kō (glucose) i loko o ke koko.

Hiki ke hana i ka maʻi diabetes 1 ma nā makahiki āpau. Hoʻomaopopo pinepine ʻia i nā keiki, ʻōpio, a i ʻole nā ​​ʻōpio ʻōpio.

ʻO ka insulin ka hone i hana ʻia i loko o ka pancreas e nā hunaola kūikawā, i kapa ʻia nā beta beta. Aia ka pancreas ma lalo a ma hope o ka ʻōpū. Pono ka insulin i ka neʻe ʻana i ke kō kō (glucose) i nā hunaola. Ma loko o nā pūnaewele, mālama ʻia ka glucose a ma hope e hoʻohana ʻia no ka ikehu. Me ka maʻi diabetes type 1, hoʻopuka iki nā hunaola beta a ʻaʻole paha he insulin.

Me ka ʻole o ka nui o ka insulin, kūkulu ka glucose i ke kahe o ke koko ma kahi o ka hele ʻana i nā pūnaewele. Kapa ʻia kēia buildup o glucose i ke koko i hyperglycemia. ʻAʻole hiki i ke kino ke hoʻohana i ka glucose no ka ikehu. ʻO kēia ke alakaʻi i nā ʻōuli o ka maʻi diabetes type 1.

ʻO ke kumu kikoʻī o ka maʻi diabetes type 1 ʻaʻole i ʻike ʻia. ʻO ka hapa nui paha, he maʻi maʻi autoimmune ia. He kūlana kēia e hana ana ke kuhi hewa nā ʻōnaehana pale a hōʻino i nā kino o ke kino. Me ka maʻi diabetes 1, he maʻi maʻi a i ʻole he mea ʻē aʻe e hoʻonāukiuki i ke kino i nā kino beta i nā pancreas e hana i ka insulin. ʻO ka maʻamau e hoʻomohala i nā maʻi autoimmune, me ke ʻano he diabetes 1, hiki ke hoʻoilina ʻia mai kou mau mākua mai.

KINAI KOKUA KIEKIE

ʻO nā ʻōuli e hiki mai ana ke lilo i hōʻailona mua o ka maʻi diabetes type 1. A i ʻole, hiki paha iā lākou ke kiʻekiʻe ke kō kō.

• Make wai loa
• Manaʻo pōloli
• Manaʻo luhi i nā manawa āpau
• Ke ʻike maka ʻole nei
• Manaʻo a manō paha i kou mau wāwae
• ʻO ka lilo ʻana o ke kaumaha me ka hoʻonui ʻana o ka makemake
• ʻO ka mimi pinepine (me ka mimiki ʻana i ka pō a i ʻole bedwetting i nā keiki i hoʻomaloʻo i ka pō ma mua)

No nā kānaka ʻē aʻe, ʻo kēia mau hōʻailona hōʻailona koʻikoʻi paha nā hōʻailona mua o ka maʻi diabetes type 1. A i ʻole, hiki paha iā lākou ke kiʻekiʻe ke kō i ke kō (diabetic ketoacidosis):

• Hanu hohonu, hanu wikiwiki
• ʻO ka ʻili maloʻo a me ka waha
• Maka helehelena
• Pilau hanu Fruity
• Nusea a me ka luaʻi; hiki ʻole ke mālama i nā wai
• ʻEha ʻeha

MAU KINO KOKUA LOW

Hiki i ke kō kō (low hypoglycemia) ke ulu koke i ka poʻe me ka maʻi kō e lawe ana i ka insulin. Kū pinepine nā ʻōuli ke hāʻule ke kiʻekiʻe o ke kō o ke kanaka ma lalo o 70 milligrams no deciliter (mg / dL), a i ʻole 3.9 mmol / L. Nānā no:

• ʻEha poʻo
• Pololi
• Weliweli, huhū
• Kuʻi puʻuwai (palpitations)
• Lulu
• Hoʻoulu
• Nawaliwali

Ma hope o nā makahiki he nui, hiki i ka maʻi diabetes ke alakaʻi i nā pilikia olakino koʻikoʻi, a ʻo ka hopena, he nui nā hōʻailona ʻē aʻe.

ʻIke ʻia ka maʻi diabetes me nā hōʻike koko aʻe:

• ʻO ka hoʻokēʻai ʻana i ka pae glucose koko - ʻike ʻia ka maʻi diabetes inā 126 mg / dL (7 mmol / L) a ʻoi aku ke kiʻekiʻe i ʻelua mau manawa ʻokoʻa.
• ʻAno kaulike (ʻaʻohe hoʻokē ʻai) pae pae kō glucose - Loaʻa paha ʻoe i ka maʻi diabetes inā ʻo 200 mg / dL (11.1 mmol / L) a ʻoi aku paha, a he mau hōʻailona kāu e like me ka hoʻonui ʻana o ka make wai, ka mimiki, a me ka luhi. (Pono e hoʻokūpaʻa ʻia kēia me kahi hōʻike hoʻokēʻai.)
• ʻO ka hoʻāʻo ʻana o ka glucose oral - ʻike ʻia ka maʻi diabetes inā 200 mg / dL (11.1 mmol / L) ke kiʻekiʻe o ke kō a ʻoi aku paha ma mua o 2 mau hola ma hope o kou inu ʻana i kahi inu kō kūikawā.
• Hōʻike Hemoglobin A1C (A1C) - ʻike ʻia ka maʻi ʻaʻai inā 6.5% a ʻoi paha ke kiʻekiʻe o ka hōʻoia.

Hoʻohana ʻia ka hoʻāʻo Ketone i kekahi manawa. Hana ʻia ka hōʻike ketone me ka hoʻohana ʻana i kahi mimi a i ʻole he laʻana koko. Hana ʻia paha ka hoʻāʻo Ketone e hoʻoholo inā loaʻa kekahi ketoacidosis i kekahi me ka maʻi diabetes type 1. Hana mau ʻia ka hoʻāʻo:

• Ke kiʻekiʻe ke kō kō ma mua o 240 mg / dL (13.3 mmol / L)
• I ka wā o ka maʻi e like me ka pulumonia, hōʻeha puʻuwai, a i ʻole hahau
• Ke loaʻa ka nausea a me ka luaʻi
• I ka wā hāpai

E kōkua nā hoʻokolohua a me nā hoʻokolohua aʻe iā ʻoe a me kou olakino ka mea nāna e mālama i kāu maʻi diabetes a pale i nā pilikia i hoʻokumu ʻia e ka maʻi kō.

• E nānā i ka ʻili a me nā iwi ma kou mau wāwae a me kou mau wāwae.
• Nānā inā hele wāwae kou mau wāwae (diabetic nerve nerve).
• E hōʻoia i kou kahe koko ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. Pono ka pahuhopu i 140/90 mmHg a i lalo paha.
• Hana i kahi hōʻike A1C e hana ʻia i kēlā me kēia 6 mau mahina inā kaohi maikaʻi ʻia kāu maʻi diabetes. Hana ʻia ka hōʻoia ma kēlā me kēia 3 mau mahina inā ʻaʻole kaohi maikaʻi ʻia kou maʻi kō.
• E nānā i kāu mau kolesterol a me nā pae triglyceride i hoʻokahi manawa i ka makahiki.
• E loaʻa i nā hoʻokolohua hoʻokahi manawa i ka makahiki e ʻike pono ke holo pono nei nā puʻupaʻa. Hoʻopili kēia mau ho'āʻo me ka nānā ʻana i nā pae o microalbuminuria a me ka serum creatinine.
• E kipa aku i kāu kauka maka ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki, a ʻoi aku ka pinepine inā he mau hōʻailona kou no ka maʻi diabetic.
• E ʻike i ke kauka niho i kēlā me kēia 6 mahina no ka hoʻomaʻemaʻe niho a me ka hoʻāʻo ʻana. E ʻike pono i kāu kauka niho a me ka hygienist ʻike he maʻi kō kou.

Ma muli o ka hoʻomaka ʻana o ka maʻi diabetes 1 hiki ke hoʻomaka koke a hiki i nā ʻōuli ke koʻikoʻi, pono ka poʻe i ʻike wale ʻia e noho i ka haukapila.

Inā ua ʻike ʻia ʻoe me ka maʻi diabetes type 1, pono paha ʻoe e nānā i kēlā me kēia pule a hiki i kou kaohi maikaʻi ʻana i kāu kō kō. E nānā ana kāu mea hāʻawi i nā hopena o ka nānā ʻana o ka kō kō i kou home a me ka hoʻāʻo ʻana i ka mimi. E nānā pū kāu kauka i kāu diary o nā meaʻai, nā meaʻai māmā, a me nā inikopa insulin. He mau pule paha ka lōʻihi e kūlike me nā dosis insulin i kāu papa ʻaina a me nā papa hana.

Ke ʻoi aku ke kūpaʻa o kou maʻi diabetes, e hōʻemi ʻia kāu mau kipa ukali. He mea nui ke kipa ʻana i kāu mea lawelawe i hiki iā ʻoe ke nānā i nā pilikia lōʻihi lōʻihi mai ka maʻi kō.

E noi paha kāu mea hāʻawi iā ʻoe e hui me kahi kauka, kauka lāʻau lapaʻau, a me ka loea a me ka loea o ka hoʻomaʻamaʻa diabetes (CDCES). E kōkua pū kēia mau mea lawelawe iā ʻoe e mālama i kāu maʻi kō.

Akā, ʻo ʻoe ke kanaka nui i ka mālama ʻana i kāu maʻi kō. E ʻike ʻoe i nā kaupae maʻamau o ka mālama ʻana i ka maʻi diabetes, me:

• Pehea e ʻike ai a mālama i ke kō kō (low hypoglycemia)
• Pehea e ʻike ai a mālama ai i ke kō i ke koko kiʻekiʻe (hyperglycemia)
• Pehea e hoʻolālā ai i nā meaʻai, e like me ka helu ʻana o ka ʻaʻā
• Pehea e hāʻawi ai i ka insulin
• Pehea e nānā ai i ke kō glucose a me nā ketone mimi
• Pehea e hoʻoponopono ai i ka insulin a me ka meaʻai ke hoʻoikaika ʻoe
• Pehea e mālama ai i nā lā maʻi
• Ma hea e kūʻai ai i nā lako diabetes a pehea e mālama ai iā lākou

INSULIN

Hoʻohaʻahaʻa ka insulin i ke kō i ke kō ma ka ʻae ʻana iā ia e haʻalele i ke kahe o ke koko a komo i nā pūnaewele. Pono kēlā me kēia mea me ka maʻi diabetes 1 e lawe i ka insulin i kēlā me kēia lā.

ʻO ka mea maʻamau, injected ka insulin ma lalo o ka ʻili me ka hoʻohana ʻana i ka syringe, ka peni insulin, a i ʻole ka pauma insulin. ʻO kekahi ʻano o ka insulin ka ʻano i hū ʻia. ʻAʻole hiki i ka insulin ke lawe ʻia e ka waha no ka mea ʻo ka acid i loko o ka ʻōpū e luku i ka insulin.

ʻOkoʻa nā ʻano insulin i ka wikiwiki e hoʻomaka ai e hana a me ka lōʻihi o ko lākou lōʻihi. E koho kāu mea hāʻawi i ke ʻano ʻoi loa o ka insulin no ʻoe a e haʻi iā ʻoe i ka hola o ke lā e hoʻohana ai. Hoʻohui pū ʻia kekahi o nā ʻano insulin i kahi injection no ka loaʻa ʻana o ke kaohi kō glucose maikaʻi loa. ʻAʻole pono e kāwili ʻia kekahi ʻano ʻē aʻe o ka insulin.

ʻO ka hapa nui o ka poʻe me ka maʻi diabetes type 1 pono e lawe i ʻelua ʻano insulin. He lōʻihi ka lōʻihi o ka basal insulin a kaohi i ka nui o ke kō i hana ʻia e kou kino ke ʻai ʻole ʻoe. ʻO ka manawaʻai (nutritional) ka insulin ke wikiwiki nei a lawe ʻia me kēlā me kēia pāʻina. Lōʻihi wale nō ia e kōkua i ka neʻe ʻana o ke kō i lawe ʻia mai ka ʻai i loko o nā mākala a me nā momona momona no ka mālama ʻana.

E aʻo aku kāu mea hāʻawi aku a mea aʻo diabetes paha iā ʻoe pehea e hāʻawi ai i nā inikula insulin. I ka manawa mua, hiki i nā mākua a i ʻole kekahi mākua ʻē aʻe ke hāʻawi ʻia i nā kuʻina o ke keiki. I ka makahiki 14, hiki i ka hapanui o nā keiki ke hāʻawi iā lākou iho i nā injection.

Hele mai ka insulina i hoʻōla ʻia e like me ka pauka i hanu ʻia i (hanu ʻia). He hana wikiwiki ia a hoʻohana ʻia ma mua pono o kēlā me kēia pāʻina. Hiki i kāu mea hoʻolako ke haʻi iā ʻoe inā kūpono kēia ʻano o ka insulin iā ʻoe.

Pono ka poʻe me ka maʻi diabetes e ʻike pehea e hoʻoponopono ai i ka nui o ka insulin a lākou e lawe nei.

• Ke hoʻoikaika kino lākou
• Ke maʻi lākou
• Ke ʻai ana lākou i nā mea ʻoi aku a ʻoi aku paha a me nā calorie
• Ke huakaʻi nei lākou

Eʻai ana i ka olakino a me ka hoʻoikaika kino

Ma ka hoʻāʻo ʻana i kāu pae kō kō, hiki iā ʻoe ke aʻo i nā meaʻai a me nā hana e hāpai a hoʻohaʻahaʻa paha i kāu pae kō kō. Kōkua kēia iā ʻoe e hoʻomaʻa i kāu mau kaha insulin i nā meaʻai kikoʻī a i ʻole nā ​​hana e pale ai i ke kō kō mai ke kiʻekiʻe a haʻahaʻa paha.

He ʻikepili kā ka ʻAhahui Diabetes ʻAmelika a me ka Academy of Nutrition and Dietetics no ka hoʻolālā ʻana i nā meaʻai olakino. Kōkua pū kekahi ia e kamaʻilio pū me kahi dietitian i hoʻopaʻa inoa ʻia a i ʻole aʻoaʻo aʻoaʻo aʻoaʻo.

Kōkua ka hoʻoikaika mau i ka mālama ʻana i ka nui o ke kō i loko o ke koko. Mālama pū kekahi ia i nā mea keu a me nā momona e hiki a mālama i kahi kaupaona olakino.

E kamaʻilio i kāu mea hāʻawi ma mua o ka hoʻomaka ʻana i kahi polokalamu hoʻoikaika kino. Pono nā poʻe me ka maʻi diabetes 1 e hana i nā hana kūikawā ma mua, i ka wā, a ma hope o ka hoʻoikaika kino a hoʻoikaika kino paha.

KA MANAKI ANA I KOU KULA KOKU

Ke nānā nei i kāu pae kō kō i loko a kākau iho i nā hopena e haʻi iā ʻoe i kou mālama maikaʻi ʻana i kāu maʻi kō. E kamaʻilio me kāu mea hoʻolako a me kāu mea aʻo diabetes e pili ana i ka manawa e nānā pinepine ai.

No ka nānā ʻana i kāu pae kō kō, hoʻohana ʻoe i kahi mea i kapa ʻia he mika glucose. ʻO ka maʻamau, kui ʻoe i kou manamana lima me kahi nila liʻiliʻi, i kapa ʻia ʻo ka lancet, e kiʻi i kahi kulu koko liʻiliʻi. Kau ʻoe i ke koko ma kahi kaha hoʻāʻo a hoʻokomo i ka pā i ka mika. Hāʻawi ka mika iā ʻoe i kahi heluhelu e haʻi iā ʻoe i ke kiʻekiʻe o kāu kō kō.

E ana ana nā mea kiaʻi glucose hoʻomau i kāu pae kō kō mai kou wai i lalo o kou ʻili. Hoʻohana ʻia kēia mau mea nānā e ka poʻe ma ka pauma insulin e kaohi i kā lākou maʻi kō. ʻAʻole koi kekahi mau mea nānā i kahi kui o ka manamana.

E mālama i kahi moʻo o kāu kō kō no ou a me kāu hui mālama ola. E kōkua kēia mau helu inā loaʻa iā ʻoe nā pilikia e mālama i kāu maʻi kō. Pono ʻoe a me kāu mea e hāʻawi i kahi pahuhopu pahuhopu no kāu pae kō kō i nā manawa like ʻole i ka lā. Pono ʻoe e hoʻolālā i ka mea e hana ai inā haʻahaʻa a kiʻekiʻe paha kāu kō kō.

E kamaʻilio i kāu mea hāʻawi e pili ana i kāu pahuhopu no ka hōʻike A1C. Hōʻike kēia hōʻike lab i kāu pae kō kō ma waena o 3 mau mahina i hala. Hōʻike ia i kou kaohi pono ʻana i kāu maʻi kō. No ka hapanui o ka poʻe me ka maʻi diabetes type 1, he 7% a ʻoi paha ka haʻahaʻa o ka pahuhopu A1C.

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 loa a hiki ke hōʻeha iā ʻoe. ʻO kahi pae kō kō ma lalo o 54 mg / dL (3.0 mmol / L) ke kumu o ka hana koke. ʻO ka mālama pono ʻana i kāu kō kō e hiki ke kōkua i ka pale ʻana i ke kō kō. E kamaʻilio me kāu mea hāʻawi inā ʻaʻole maopopo iā ʻoe nā kumu a me nā ʻōuli o ke kō kō kō.

MALAMA WAWAE

ʻOi aku ka poʻe me ka maʻi diabetes ma mua o ka poʻe i ʻole ka maʻi diabetes e pilikia ai ka wāwae. Hoʻopilikia ka maʻi ʻaʻai i ka maʻi diabetes. Hiki i kēia ke hōʻemi i kou mau wāwae i ke kaumaha, kaʻeha, ka wela, a me ke anuanu. ʻAʻole paha ʻoe e ʻike i kahi ʻeha o ka wāwae a hiki i kou hōʻeha loa ʻana i ka ʻili a me nā mea i lalo, a i ʻole loaʻa iā ʻoe i kahi maʻi maʻi nui.

Hiki i ka maʻi diabetes ke hōʻino i nā kīʻaha koko. Hiki i nā ʻeha liʻiliʻi a haki paha i ka ʻili ke lilo i ʻeha ʻeha o ka ʻili (ulcer). Pono paha e ʻoki ʻia ka lālā pili inā ʻaʻole e ola kēia mau maʻi ʻula, a lilo i nui, hohonu, a maʻi paha.

I pale i nā pilikia me kou mau wāwae:

• Uoki ka puhipaka, ke puhi ʻoe.
• Hoʻonui i ka kaohi o kāu kō kō.
• E kiʻi i kahi hoʻokolohua wāwae ma ka liʻiliʻi he ʻelua mau manawa o ka makahiki mai kāu mea hāʻawi, a aʻo inā he ʻino kou naʻau.
• E noi i kāu mea hāʻawi e nānā i kou mau wāwae no nā pilikia e like me ke callus, kahi bunion a hammertoe paha. Pono e mālama ʻia kēia mau mea e pale ai i ka haki ʻana o ka ʻili a me ka maʻi ulcer.
• E nānā a mālama i kou mau wāwae i kēlā me kēia lā. He mea nui loa kēia inā loaʻa ʻoe i ke ʻino a i ʻole nā ​​kīʻaha koko a me nā pilikia o ka wāwae.
• E mālama i nā maʻi liʻiliʻi, e like me ka wāwae o ka ʻālapa, koke.
• He mea nui ka mālama kui maikaʻi. Inā mānoanoa a paʻakikī hoʻi kou mau kui, pono e ʻokiʻoki ʻia kou mau kui e kahi podiatrist a i ʻole nā ​​mea lawelawe ʻē aʻe i ʻike he maʻi diabetes kou.
• E hoʻohana i ka wai ʻili hoʻoluʻu i ka ʻili maloʻo.
• E hōʻoia i kaʻaʻahu i keʻano o nā kāmaʻa. E nīnau i kāu mea hāʻawi i ke ʻano kūpono iā ʻoe.

KA PALAPALA ANA I NA PALAPALA

Kauoha paha kāu mea hāʻawi i nā lāʻau a i ʻole nā ​​lāʻau ʻē aʻe e hōʻemi i kou manawa o ka hoʻomōhala ʻana i nā pilikia maʻamau o ka maʻi kō, e like me:

• Maʻi maka
• ʻO ka maʻi kīwī
• Poino nerve peripheral
• ʻO ka maʻi puʻuwai a me ka hahau

Me ka maʻi diabetes ʻano 1, makaʻu pū kekahi ʻoe i ka hoʻomohala ʻana i nā kūlana e like me ka nalo ʻana o ka lohe, ka maʻi gum, ka maʻi iwi, a me nā maʻi hū (i nā wahine). Ke mālama nei i kāu kō kō i lalo o ka kaohi maikaʻi hiki ke kōkua i ka pale ʻana i kēia mau ʻano.

E kamaʻilio me kāu hui mālama ola e pili ana i nā mea ʻē aʻe hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kou manawa o ka hoʻomōhala ʻana i nā maʻi kō.

Pono ka poʻe me ka maʻi diabetes e hoʻomau i ka mālama ʻana i kā lākou papa hana hoʻoliʻiliʻi.

KE OLA EMOTIONAL

Hiki ke kaumaha i ka noho ʻana me ka maʻi kō. Hiki paha iā ʻoe ke hopohopo e nā mea āpau e pono ai e mālama i kāu maʻi diabetes. Akā ʻo ka mālama ʻana i kou olakino manaʻo he mea nui e like me kou olakino kino.

Nā ala e hōʻoluʻolu ai i ke koʻikoʻi komo pū:

• Ke hoʻolohe nei i nā mele hoʻomaha
• Ke noʻonoʻo nei e lawe i kou manaʻo mai kāu hopohopo
• Hanu hohonu e kōkua i ka hōʻoluʻolu i ke kaumaha o ke kino
• Ke hana nei i ka yoga, taichi, a i ʻole ka hoʻomaha holomua

ʻO ke kaumaha a i lalo paha (kaumaha) a hopohopo paha i kekahi manawa maʻamau. Akā inā loaʻa pinepine kēia mau manaʻo iā ʻoe a ke hele nei lākou i ke ala o ka mālama ʻana i kāu maʻi diabetes, e kamaʻilio pū me kāu hui mālama ola. Hiki iā lākou ke ʻimi i nā ala e kōkua ai iā ʻoe e hōʻoluʻolu.

Nui a hewahewa nā kumuwaiwai i hiki ke kōkua iā ʻoe e ʻike hou aʻe e pili ana i ka maʻi diabetes type 1. Hiki iā ʻoe ke aʻo i nā ala e mālama ai i kāu kūlana i hiki iā ʻoe ke noho maikaʻi me ka maʻi kō.

ʻO ka maʻi diabetes kahi maʻi o ke ola a ʻaʻohe mea e ola ai.

Hiki i ka kaohi paʻa ʻana o ke kō glucose ke pale a hoʻolohi paha i nā pilikia o ka maʻi kō. Akā hiki i kēia mau pilikia ke hana, ʻoiai i ka poʻe me ke kaohi diabetes maikaʻi.

Ma hope o nā makahiki he nui, hiki i ka maʻi diabetes ke alakaʻi i nā pilikia olakino koʻikoʻi.

• Hiki iā ʻoe ke loaʻa nā pilikia o ka maka, me ka ʻike ʻana i ka pilikia (keu hoʻi i ka pō) a me ka ʻike i ka mālam. Hiki iā ʻoe ke lilo i makapō.
• Hiki i kou mau wāwae a me kou ʻili ke hoʻomohala i nā ʻeha a me nā maʻi. Inā loaʻa kēia mau ʻeha iā ʻoe no ka lōʻihi loa, pono e ʻoki ʻia kou wāwae a wāwae paha. Hiki i ka maʻi ke hōʻeha i ka ʻeha, ka pehu ʻana, a me ka nalu ʻana.
• Hiki i ka diabetes ke paʻakikī e kaohi i kou kaomi koko a me ka cholesterol.Hiki i kēia ke alakaʻi i ka puʻuwai puʻuwai, hahau, a me nā pilikia ʻē aʻe. Hiki ke lilo i mea paʻakikī no ke kahe o ke koko i nā wāwae a me nā wāwae.
• Hiki i ka maʻi diabetes ke hoʻonāwaliwali i kou ʻōnaehana pale maʻi a hoʻonui iā ia i kou iho ʻana me nā maʻi.
• Hiki i nā ʻino i ke kino ke lilo i mea hōʻino, e hōʻeha ai i ka ʻeha, ʻili, ʻūlū ʻana, a me ka helu.
• Ma muli o ka ʻino o ke aʻalolo, hiki iā ʻoe ke loaʻa i nā pilikia ke kālailai ʻana i ka meaʻai āu e ʻai ai. Hiki iā ʻoe ke ʻike i ka nāwaliwali a i ʻole he pilikia e hele i ka lua. Hiki i ka hōʻino nerve ke paʻakikī i nā kāne e kūkulu i kūkulu.
• ʻO ke kō kiʻekiʻe o ke kō a me nā pilikia ʻē aʻe i hiki ke hōʻeha i ka hakuʻala. ʻAʻole holo paha nā puʻupaʻa e like me ka wā ma mua. Pau paha lākou i ka hana ʻana, no laila pono ʻoe i ka dialysis a i ʻole ke kuʻi ʻōiwi.
• Hiki i ke kō koko kiʻekiʻe ke hoʻonāwaliwali i kāu ʻōnaehana pale. Hiki paha iā ʻoe ke loaʻa i nā maʻi āpau, me ka ʻili hoʻoweliweli ʻili a me nā maʻi fungal.
  

Kāhea iā 911 a i ʻole ka helu pilikia kūloko inā loaʻa iā ʻoe:

• ʻO ka ʻeha o ka umauma a i ʻole kaomi, ka liʻiliʻi o ka hanu, a i ʻole nā ​​hōʻailona ʻē aʻe o ka angina
• Ka nalowale o ka ʻike
• Ka hopu ʻana i nā maʻi

Kāhea i kāu mea lawelawe a i ʻole hele i ka lumi pilikia inā loaʻa iā ʻoe nā hōʻailona o ka ketoacidosis diabetic.

Kāhea pū i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO nā pae kō kō i ʻoi aku ke kiʻekiʻe ma mua o nā pahuhopu āu a me kāu mea lawelawe i hoʻonoho ai
• Numbness, tingling, a ʻeha paha i kou mau wāwae a mau wāwae paha
• Nā pilikia me kou maka maka
• ʻO nā maʻi a me nā maʻi i kou mau wāwae
• Manaʻo pinepine o ke kaumaha a hopohopo paha
• Nā ʻōuli e hōʻemi loa ana kāu kō kō (ka nāwaliwali a luhi paha, haʻalulu, sweating, hoʻonāukiuki, pilikia noʻonoʻo me ke ʻano, ka puʻuwai puʻuwai, ʻike pālua a pohihihi paha, ʻano hauʻoli)
• ʻO nā ʻōuli ke kiʻekiʻe loa kāu kō kō (ke make wai, ʻike maka ʻole, ʻili maloʻo, nāwaliwali a luhi paha, pono e mimi nui)
• ʻO nā heluhelu kō kō ʻana o ke kō ma lalo o 70 mg / dL (3.9 mmol / L)

Hiki iā ʻoe ke mālama i nā hōʻailona mua o ka hypoglycemia ma ka home e ka inu ʻana i ka wai ʻalani, ʻai ʻana i ke kō a me nā kanakē, a i ʻole me ka lawe ʻana i nā papa glucose. Inā hoʻomau nā hōʻailona o ka hypoglycemia a i ʻole ke kiʻekiʻe o ka glucose ma lalo o 60 mg / dL (3.3 mmol / L), e hele i ka lumi pilikia.

ʻAʻole hiki ke pale ʻia ka maʻi ʻaʻano 1 i kēia manawa. He wahi hana nui kēia o ka noiʻi. I ka 2019, ua hiki i kahi noiʻi ʻana me ka hoʻohana ʻana i kahi lāʻau i hiki ke hoʻopanee i ka hoʻomaka ʻana o ka maʻi diabetes type 1 i nā keiki kūpilikiʻi kiʻekiʻe. ʻAʻohe hōʻike loiloi no ka maʻi diabetes type 1 i ka poʻe ʻaʻohe o lākou ʻōuli. Eia nō naʻe, hiki i ka hoʻāʻo ʻana antibody ke hoʻomaopopo i nā keiki ma ke kiʻki ʻoi loa o ka hoʻomōhala ʻana i ka maʻi diabetes type 1 inā he ʻohana kekelē mua (kaikuaʻana, makua) me ka maʻi diabetes 1.

ʻO ka maʻi diabetes hilinaʻi nui ʻia; Hoʻomaka ke ʻōpio ma mua o ka maʻi diabetes; Diabetes - ʻano 1; ʻO ke kō kō kiʻekiʻe - ʻano diabetes 1

• 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
• Hoʻokiʻoki wāwae - hoʻokuʻu
• Hoʻokiʻoki wāwae - hoʻokuʻu
• ʻO ka ʻoki wāwae a me ka wāwae paha - hoʻololi i ka lole
• Kiko kō haʻahaʻa - mālama pono iā ʻoe iho
• Ka mālama ʻana i kāu kō kō

• Pahu Insulina
• ʻAno I diabetes
• Pahu Insulina
• Hoʻoponopono i kāu kō kō

ʻAhahui Diabetes ʻAmelika. 2. Hoʻokaʻawale a me ka hōʻailona o ka maʻi kō: nā kūlana o ka mālama olakino i ka maʻi kō - 2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S14-S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Atkinson MA, Mcgill DE, Dassau E, Laffel L. ʻAno 1 diabetes mellitus. 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.

Brownlee M, Aiello LP, Sun JK, et al. Nā pilikia o ka maʻi 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 37.