ʻO nā kaʻao diabetes a me nā ʻoiaʻiʻo

ʻO ka maʻi diabetes kahi maʻi lōʻihi (maʻi mau) ʻaʻole hiki i ke kino ke hoʻoponopono i ka nui o ka glucose (kō) i loko o ke koko. ʻO ka maʻi diabetes kahi maʻi paʻakikī. Inā he maʻi diabetes kou, a ʻike paha i kekahi i loaʻa iā ia, he mau nīnau paha kāu e pili ana i kēia maʻi. Nui a hewahewa nā kaʻao e pili ana i ka maʻi diabetes a me kāna hoʻokele. Eia kekahi mau ʻike āu e ʻike ai e pili ana i ka maʻi kō.

Myth: ʻAʻohe o koʻu ʻohana he maʻi diabetes, no laila ʻaʻole wau e loaʻa i ka maʻi.

ʻOiaʻiʻo: He ʻoiaʻiʻo ka loaʻa ʻana o kahi makua a i ʻole hoahānau me ka maʻi kō e hoʻonui i kou makaʻu no ka loaʻa ʻana i ka maʻi kō.ʻO ka ʻoiaʻiʻo, ʻo ka mōʻaukala ʻohana kahi mea pilikia no ka maʻi diabetes type 1 a me ka maʻi kōkō 2. Eia nō naʻe, ʻaʻohe o nā ʻohana pili loa i ka poʻe maʻi diabetes.

Hiki i nā koho nohona a me kekahi mau kūlana ke hoʻonui i kou makaʻu no ka maʻi diabetes type 2. Pākuʻi ʻia kēia mau mea:

• Ka momona a momona paha
• Loaʻa ka prediabetes
• ʻO ka maʻi ovary Polycystic
• ʻO ka maʻi kō Gestational
• ʻO ka Hispanic / Latino ʻAmelika, ʻAmelika ʻAmelika, ʻAmelika ʻAmelika, ʻĀiwi ʻAmelika (ʻo kekahi poʻe Pīkīpika ʻAmelika a me ʻAmelika ʻAmelika kekahi e makaʻu nei)
• ʻO ka makahiki 45 a ʻoi paha

Hiki iā ʻoe ke kōkua i ka hōʻemi ʻana i kou makaʻu ma ka noho ʻana i ke kaupaona olakino, ka hana ʻana i nā lā he nui o ka pule, a me ka ʻai ʻana i ka papaʻai olakino.

Myth: E hoʻomohala paha wau i ka maʻi diabetes no ka mea ua kaumaha nui wau.

ʻOiaʻiʻo: He ʻoiaʻiʻo ʻo ka nui o ke kaupaona e hoʻonui ai i kou manawa e loaʻa ai ka maʻi diabetes. Eia nō naʻe, ʻaʻole nui ka poʻe i kaumaha a momona paha e hoʻomohala i ka maʻi kō. A ʻo ka poʻe i kaupaona maʻamau a i ʻole kahi kaumaha nui paha e hoʻomohala i ka maʻi kō. ʻO kāu koho maikaʻi loa e hana i nā ala e hoʻohaʻahaʻa ai i kāu makaʻu ma ka hoʻohana ʻana i nā loli nutritional a me ka hoʻoikaika kino e lilo i ka nui o ke kaupaona.

Myth: ʻAi au i ka nui o ke kō, no laila hopohopo wau e loaʻa ka maʻi diabetes.

ʻOiaʻiʻo: ʻAʻohe kumu o ka ʻai ʻana i ke kō. Akā pono ʻoe e ʻokiʻoki i nā mea momona a me nā mea inu momona.

ʻAʻole ia he mea kupanaha e huikau nā poʻe e pili ana i ke kō ke kumu o ka maʻi kō. Hiki mai paha kēia huikau ma ka ʻoiaʻiʻo ke ʻai ʻoe i ka meaʻai, hoʻololi ʻia ia i kō i kapa ʻia he glucose. ʻO ka Glucose, i kapa ʻia he kō kō, kahi kumu o ka ikehu no ke kino. Hoʻoneʻe ka insulin i ka glucose mai ke koko i loko o nā hunaola i hiki ai ke hoʻohana no ka ikehu. Me ka maʻi diabetes, ʻaʻole lawa ke kino o ka insulin i ke kino, a i ʻole ʻaʻole hoʻohana maikaʻi ke kino i ka insulin. A ʻo ka hopena e mau ke kō i koe i loko o ke koko, no laila ke piʻi nei ke kō glucose (ke kō kō).

No ka poʻe i loaʻa ʻole ka maʻi kō, ʻo ka pilikia nui me ka ʻai ʻana i ke kō a me ka inu ʻana i nā mea inu kō a momona ka mea hiki ke hoʻonui i kou kaumaha. A ʻo ka hoʻonui nui ʻana e hoʻonui i kou makaʻi no ka maʻi kō.

Myth: Ua haʻi ʻia mai he maʻi diabetes koʻu, no laila e ʻai wau i kahi papaʻai kūikawā.

ʻOiaʻiʻo: ʻAi ka poʻe me ka maʻi diabetes i nā meaʻai like e ʻai ai kēlā me kēia. ʻO ka ʻoiaʻiʻo, ʻaʻole koi aku ka hui ʻo Diabetes ʻAmelika i nā kikoʻī kikoʻī o ka huʻopaʻa, momona, a protein paha e ʻai ai. Akā ʻōlelo lākou i ka poʻe me ka maʻi diabetes e loaʻa kā lākou mau kāhūhā mai nā mea kanu, nā hua piha, nā huaʻai, a me nā legume. Hōʻalo i nā meaʻai i momona, sodium, a kō. Ua like kēia mau ʻōlelo aʻoaʻo me ka mea a kēlā me kēia kanaka e ʻai ai.

Inā loaʻa ʻoe i ka maʻi diabetes, e hana pū me kāu mea mālama ola e hoʻomohala i kahi papa ʻaina e kūpono loa iā ʻoe a hiki iā ʻoe ke hahai mau i ka manawa. ʻO kahi papa ʻaina olakino a kaulike me ka nohona olakino e kōkua iā ʻoe e mālama i ka maʻi kō.

Myth: He maʻi diabetes koʻu, no laila ʻaʻole hiki iaʻu ke ʻai i nā mea ono.

ʻOiaʻiʻo: Piha nā meaʻono i nā sugars maʻalahi, kahi e hoʻonui ai i ka nui o ka glucose i kou koko ma mua o nā meaʻai ʻē aʻe. Akā ʻaʻole lākou i palena palena ʻole no ka poʻe me ka maʻi kō, inā ʻoe e hoʻolālā no lākou. ʻOi aku ka maikaʻi o ka mālama ʻana i nā mea momona no nā hanana kūikawā a i ʻole ma ke ʻano he mālama. Hiki iā ʻoe ke ʻai i ka nui o ke kō ma kahi o nā wīwī ʻē aʻe i ʻai mau ʻia i kahi pāʻina. Inā ʻoe e lawe i ka insulin e kauoha paha kāu mea lawelawe iā ʻoe e lawe i nā lāʻau kiʻekiʻe ma mua o ka maʻamau ke ʻai ʻoe i nā mea momona.

Palaka: Kau wau kaʻu kauka iaʻu i ka insulin. ʻO kēia ʻaʻole wau e hana maikaʻi i ka mālama ʻana i kaʻu kō kō.

ʻOiaʻiʻo: Pono ka poʻe me ka maʻi diabetes 1 e hoʻohana i ka insulin no ka mea ʻaʻole hana hou ko lākou kino i kēia hōmona koʻikoʻi. ʻAno holomua ka maʻi diabetes 2, ʻo ia hoʻi ka hana ʻana o ke kino i ka liʻiliʻi o ka insulin i ka manawa. No laila i ka hala ʻana o ka manawa, hoʻoikaika, hoʻololi i ka papaʻai, a me nā lāʻau lapaʻau waha ʻaʻole paha lawa e mālama ai i ke kō o kou kō. A laila pono ʻoe e hoʻohana i ka insulin e mālama i ke kō i ke kō i kahi pae olakino.

Myth: ʻAʻole palekana i ka hoʻoikaika kino ʻana me ka maʻi kō.

ʻOiaʻiʻo: ʻO ka loaʻa ʻana o ka hoʻoikaika kino he mea nui ia o ka mālama ʻana i ka maʻi kō. Kōkua ka hoʻoikaika i ka hoʻoikaika ʻana i ka noʻonoʻo o kou kino i ka insulin. Hiki iā ia ke kōkua i ka hoʻohaʻahaʻa ʻana i kāu A1C, kahi hōʻike e kōkua ai i ka haʻi ʻana i ke ʻano o ka mālama ʻia ʻana o kāu maʻi diabetes.

ʻO ka pahuhopu maikaʻi ka pahuhopu ma kahi o 150 mau minuke i kēlā me kēia pule o ka hoʻoikaika kino e like me ka hele wāwae wikiwiki. Hoʻopili i ʻelua kau i ka pule o ka hoʻoikaika ikaika ma ke ʻano he mahele o kāu hana hoʻoikaika kino. Inā ʻaʻole ʻoe i hoʻoikaika i kekahi manawa, ʻo ka hele wāwae kahi ala maikaʻi loa e kūkulu lohi i kou hoʻoikaika kino.

E kamaʻilio i kāu mea hāʻawi e hōʻoia i ka palekana o kāu polokalamu hoʻoikaika kino nāu. Ke kaukaʻi ʻia nei pehea ka maikaʻi o ka kaohi ʻana i kāu maʻi diabetes, pono ʻoe e pale a nānā i nā pilikia me kou mau maka, puʻuwai, a me kou mau wāwae. Eia kekahi, e aʻo pehea e lawe ai i kāu mau lāʻau i kou hoʻoikaika kino ʻana a i ʻole pehea e hoʻoponopono ai i ka lāʻau o nā lāʻau e pale ai i ke kō kō kō.

Myth: He maʻi diabetes koʻu palena palena, no laila ʻaʻole pono wau e hopohopo.

ʻOiaʻiʻo:ʻO Prediabetes ka huaʻōlelo i hoʻohana ʻia no ka poʻe o ko lākou mau kō kō i kū ʻole i ka pae diabetes akā kiʻekiʻe loa e kapa ʻia he maʻamau. ʻO Prediabetes ka mea nui ʻoe no ka hoʻomohala ʻana i ka maʻi kō ma loko o 10 mau makahiki. Hiki paha iā ʻoe ke hoʻohaʻahaʻa i kou kō kō i nā pae maʻamau ma ka hoʻohaʻahaʻa ʻana i kou kaumaha o ke kino a me ka hoʻoikaika ʻana i 150 mau minuke i ka pule.

E kamaʻilio i kāu mea hoʻolako e pili ana i kāu makaʻu no ka maʻi kō a me nā mea hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kou makaʻi

Myth: Hiki iaʻu ke oki i ka lawe ʻana i nā lāʻau no ka maʻi kō ke hiki ke kāohi ʻia koʻu kō kō.

ʻOiaʻiʻo: ʻO kekahi poʻe me ka maʻi maʻisā ʻano 2, hiki iā lākou ke kaohi i kā lākou kō kō me ka ʻole o ka lāʻau lapaʻau e ka lilo ʻana o ka paona, ʻai i ka papaʻai olakino, a me ka hoʻoikaika kino maʻamau. Akā he maʻi holomua ka maʻi kō, a ke holo nei ka manawa, ʻoiai ke hana nei ʻoe i nā mea āpau e hiki ke noho olakino, pono paha ʻoe i ka lāʻau e mālama i kāu kō kō i loko o kāu pae pae.

Diabetes - nā kaʻao maʻamau a me nā ʻoiaʻiʻo; ʻO nā kaʻao kō koʻo kiʻekiʻe a me nā ʻoiaʻiʻo

ʻAhahui Diabetes ʻAmelika. Nā kūlana o ka mālama olakino ma Diabetes - 2018. Mālama Diabetes. 2018; 41 (Hōʻawi 1).

ʻO Kliegman RM, Stanton BF, St Geme JW, Schor NF. Diabetes mellitus. I loko o: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 12th ed. Piladelapia, PA: Elsevier; 2016: chap 589.

ʻO Marion J, ʻo Franz MS. ʻO ke olakino olakino diabetes: ka pono, macronutrients, nā ʻano ʻai a me ka mālama ʻana i ke kaupaona. ʻO Am J Med Sci. 2016; 351 (4): 374-379. PMID: 27079343 www.ncbi.nlm.nih.gov/pubmed/27079343.

Waller DG, Sampson AP. Diabetes mellitus. I: Waller DG, Sampson AP, eds. Lapaʻau Pharmacology & Therapeutics. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 40.

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