ʻO ke kō kō kō haʻahaʻa haʻahaʻa i hoʻokomo ʻia i ka lāʻau

ʻO ke kō kō ke kōpaʻa haʻahaʻa i hoʻokomo ʻia i loko o ka lāʻau i loaʻa mai i ka lāʻau lapaʻau.

ʻO ke kō kō haʻahaʻa (hypoglycemia) maʻa mau i ka poʻe me ka maʻi kō e lawe ana i ka insulin a i ʻole nā ​​lāʻau ʻē aʻe e kāohi ai i kā lākou maʻi kō.

Ma mua o kekahi mau lāʻau, hiki i ka mea aʻe ke hoʻoheheʻe i ke kiʻekiʻe o ke kō (glucose).

• Ka inu lama
• Ke kiʻi nei i nā ʻoihana hou aʻe ma mua o ka maʻamau
• ʻO ka hoʻowalewale ʻana a me ka manaʻo ʻole i ka lāʻau i hoʻohana ʻia e mālama ai i ka maʻi diabetes
• ʻAina ʻai nalowale

ʻOiai ke mālama pono ʻia ka maʻi diabetes, ʻo nā lāʻau i hoʻohana ʻia e mālama ai i ka maʻi kō, hiki ke hopena i ke kō kō. Hiki ke ʻano i ke ʻano ke lawe kekahi me ka maʻi ʻole i ka lāʻau i hoʻohana ʻia e mālama i ka maʻi kō. I nā hihia maʻamau, hiki i nā lāʻau pili ʻole i ka maʻi diabetes ke hōʻemi i ke kō kō.

Nā lāʻau i hiki ke kumu i ka lāʻau i hoʻokomo ʻia i ke kō kō i loko:

• Nā beta-blockers (e like me atenolol, a i ʻole propanolol overdose)
• Cibenzoline a me quinidine (naʻau arrhythmia naʻau)
• Indomethacin (kahi mea hōʻemi ʻeha)
• Insulina
• ʻO Metformin ke hoʻohana ʻia me sulfonylureas
• SGLT2 mea kāohi (e like me dapagliflozin a me empagliflozin) me a i ʻole me ka ʻole o ka sulfonylureas
• Sulfonylureas (e like me glipizide, glimepiride, glyburide)
• ʻO Thiazolidinediones (e like me pioglitazone a me rosiglitazone) ke hoʻohana ʻia me sulfonylureas
• Nā lāʻau e hakakā i nā maʻi (e like me gatifloxacin, pentamadine, quinine, trimethoprim-sulfamethoxazole)

Hypoglycemia - lāʻau hoʻowalewale ʻia; Ke kō glucose haʻahaʻa - hoʻokomo ʻia i ka lāʻau

• Hoʻokuʻu ka meaʻai a me ka insulin

ʻO Cryer PE. Nā pahuhopu Glycemic i ka maʻi diabetes: kūʻai ma waena o ka kaohi glycemic a me ka iatrogenic hypoglycemia. Diabetes. 2014; 63 (7): 2188-2195. PMID: 24962915 www.ncbi.nlm.nih.gov/pubmed/24962915.

ʻO Gale EAM, ʻo Anderson JV. Diabetes mellitus. I: Kumar P, Clark M, eds. ʻO Kauka Lapaʻau ʻo Kumar lāua ʻo Clarke. 9th ed. Piladelapia, PA: Elsevier; 2017: chap 27.