Prediabetes

Hana ʻia ka Prediabetes ke kiʻekiʻe loa ke kiʻekiʻe o ke kō (glucose) i kou koko, akā ʻaʻole lawa ke kiʻekiʻe e kapa ʻia he diabetes.

Inā loaʻa ʻoe i ka prediabetes, ʻoi aku ka nui o ka makaʻu i ka hoʻomōhala ʻana i ka maʻi diabetes 2 ma loko o 10 mau makahiki. Hoʻonui ia i kou makaʻu no ka maʻi puʻuwai a me ka hahau.

ʻO ka lilo ʻana o ke kaupaona keu a me ka loaʻa ʻana o ka hoʻoikaika kino pinepine hiki ke hoʻopau pinepine i ka prediabetes mai ka lilo ʻana i ʻano diabetes ʻelua.

Loaʻa ka ikehu o kou kino mai ka glucose i kou koko. Kōkua kahi hōmona i kapa ʻia ʻo insulin i nā hunaola i loko o kou kino e hoʻohana i ka glucose. Inā loaʻa iā ʻoe ka prediabetes, ʻaʻole holo pono kēia hana. Kūkulu ʻo Glucose i kou kahe koko. Inā kiʻekiʻe ke kiʻekiʻe o nā pae, ʻo ia hoʻi ua hoʻomohala ʻoe i ka maʻi diabetes type 2.

Inā pilikia ʻoe i ka maʻi kō, e hoʻāʻo kāu mea mālama ola i kāu kō kō i ka hoʻohana ʻana i hoʻokahi a ʻoi paha o nā hōʻike aʻe. Hōʻike kekahi o nā hopena hōʻike aʻe i ka prediabetes:

• Ka hoʻokēʻai ʻana i ke kō glucose o 100 a 125 mg / dL
• ʻO ke kō glucose o 140 a 199 mg / dL 2 mau hola ma hope o ka lawe ʻana i 75 mau kolamu o ka glucose (i kapa ʻia ʻo ke ahonui glucose i hoʻopilikia ʻia)
• Pae A1C o 5.7% a i 6.4%

ʻO ka loaʻa ʻana o ka maʻi diabetes e hoʻonui ai i ka makaʻu no kekahi mau pilikia olakino. ʻO kēia no ka mea hiki i nā pae glucose kiʻekiʻe i ke koko ke hōʻino i nā kīʻaha koko a me nā aʻalolo. Hiki i kēia ke alakaʻi i ka maʻi puʻuwai a me ka hahau. Inā loaʻa ʻoe i ka prediabetes, hiki ʻino paha i nā kīʻaha koko.

ʻO ka loaʻa ʻana o ka prediabetes kahi ala e ala ai e hana i mea e hoʻomaikaʻi ai i kou olakino.

E kamaʻilio pū kāu mea hāʻawi iā ʻoe e pili ana i kāu maʻi a me kāu mau pilikia mai ka prediabetes. I mea e kōkua ai iā ʻoe e pale aku i ka maʻi maʻi, e hōʻike paha kāu mea hāʻawi i kekahi ʻano loli o ke ʻano o ka nohona.

• ʻAi i nā meaʻai olakino. Hoʻopili kēia i nā hua piha, nā protein proteins, ka waiū momona momona, a me nā hua a me nā mea kanu. E nānā i nā nui o ka hapa a pale i nā meaʻono a me nā meaʻai palai.
• Lilo kaupaona. Hiki i kahi hōʻemi kaumaha liʻiliʻi ke hoʻololi i kou olakino. ʻO kahi laʻana, manaʻo paha kāu mea lawelawe e lilo ʻoe ma kahi o 5% a 7% o kou kino. No laila, inā kau kaupaona 200 paona (90 kilokilo), e lilo 7% kāu pahuhopu e lilo ma kahi o 14 paona (6.3 kilokilo). Kuhi paha kāu mea hāʻawi i kahi papaʻai, a i ʻole hiki iā ʻoe ke komo i kahi papahana e kōkua iā ʻoe e lilo i ka paona.
• E kiʻi i ka hoʻoikaika kino hou aku. E ʻimi e loaʻa ma kahi o 30 a 60 mau minuke o ka hoʻoikaika kino ma ka liʻiliʻi ma 5 mau lā o ka pule. Hiki i kēia ke hoʻopili i ka hele wāwae wikiwiki ʻana, ka holo ʻana i kāu paikikala, a i ʻole ka ʻauʻau ʻana. Hiki iā ʻoe ke uhaʻi i ka hoʻoikaika kino i loko o nā kau liʻiliʻi i loko o ka lā. E piʻi i ke alapiʻi ma kahi o ka ʻeleweka. ʻOiai nā hana liʻiliʻi e helu i kāu pahuhopu i kēlā me kēia pule.
• E lawe i nā lāʻau e like me ke kuhikuhi. Kauoha paha kāu mea hāʻawi i ka metformin e hōʻemi i ka manawa e holomua ai kāu prediabetes i ka maʻi kō. Aia i kāu mau pilikia ʻē aʻe no ka maʻi puʻuwai, hiki i kāu mea hāʻawi ke kuhikuhi i nā lāʻau e hoʻohaʻahaʻa i kāu pae kolesterol a i ʻole ke kaomi koko.

ʻAʻole hiki iā ʻoe ke haʻi he prediabetes kāu no ka mea ʻaʻohe ona ʻōuli. ʻO ke ala wale nō e ʻike ai ma o kahi hōʻoia koko. E hoʻāʻo kāu mea hāʻawi i kāu kō kō inā loaʻa ʻoe i ka makaʻu no ka maʻi kō. ʻO nā mea pilikia no ka prediabetes e like ia me nā maʻi diabetes type 2.

Pono ʻoe e hoʻāʻo ʻia no ka prediabetes inā ʻoe he 45 mau makahiki a ʻoi paha. Inā ʻoi aku kou ʻōpio ma mua o 45, pono ʻoe e hoʻāʻo inā ʻoe i kaupaona a momona paha a loaʻa i hoʻokahi a ʻoi paha o kēia mau kumu pilikia.

• ʻO kahi hōʻike diabetes mua e hōʻike nei i ka makaʻu diabetes
• He makua, hoahānau, a keiki paha me ka mōʻaukala diabetes
• ʻO ka nohona hana ʻole a me ka nele o ka hoʻoikaika kino maʻamau
• ʻAmelika ʻApelika, Hispanika / Lākana ʻAmelika, ʻAmelika ʻAmelika a me ʻĀinapika ʻAmelika, ʻAmelika ʻAmelika, a i ʻole lāhui Pākīpika
• Ke koko kiʻekiʻe (140/90 mm Hg a ʻoi aku)
• Low HDL (maikaʻi) cholesterol a i ʻole triglycerides kiʻekiʻe
• Mōʻaukala o ka maʻi puʻuwai
• ʻO ka mōʻaukala o ka maʻi kō i ka wā hāpai (diabetes diabetes)
• ʻO nā kūlana olakino e pili ana i ke kūpaʻa ʻana o ka insulin (polycystic ovary syndrome, acanthosis nigricans, momona nui)

Inā hōʻike kāu hopena hōʻike hōʻoia koko he prediabetes kāu, e ʻōlelo paha kāu mea hāʻawi e hoʻāʻo hou ʻia ʻoe i hoʻokahi manawa i kēlā me kēia makahiki. Inā maʻamau kāu mau hopena, manaʻo paha kāu mea hāʻawi i ka hoʻāʻo hou ʻana i kēlā me kēia makahiki 3.

Hoʻopilikia i ka hoʻokē ʻai glucose - prediabetes; Ka hoʻomanawanui ʻana i ka glucose maikaʻi - prediabetes

• Nā kumu pilikia ʻo Diabetes

ʻAhahui Diabetes ʻAmelika. Nā kūlana o ka mālama olakino i ka maʻi kō - 2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S77-S88. mālama.diabetesjournals.org/content/43/Supplement_1/S77.

Kahn CR, Ferris HA, O'Neill BT. Pathophysiology o ka type 2 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 34.

Siu AL; ʻO ka Hana Hana Hana Hana Preventive US. Ke nānā ʻana no ka glucose glucose koko a me ka type 2 diabetes mellitus: ʻōlelo aʻoaʻo a ka US Force Preventive Services. ʻO Ann Intern Med. 2015; 163 (11): 861-868. PMID: 26501513 www.ncbi.nlm.nih.gov/pubmed/26501513.

• Prediabetes