ʻIke Diabetes: Pono ke kaumaha?

Anter

• Diabetes a me ke kaupaona
• ʻAno 1
• ʻAno 2
• Nā kumu weliweli no ka maʻi diabetes type 2
• Nā Genetics
• Fat disthoʻouku
• Lākiō puhaka-i-hip
• Inā he 0.8 a ʻoi paha kāu hopena, ʻo ia hoʻi he ʻoi aku kou momona visceral. Hiki i kēia ke hoʻonui i kou makaʻi no ka maʻi diabetes type 2.
• Kolesterol kiʻekiʻe
• ʻO ka maʻi diabetes Gestational
• Hānau i kahi pēpē i ʻoi aku ma mua o 9 paona
• Nohona sedentary
• Nā ʻano ʻai maikaʻi ʻole
• Puhipaka
• Ke kipaku ʻana i ka stigma
• Nā ʻōlelo aʻoaʻo e hōʻemi i ka makaʻu
• Ke laina lalo

ʻO ka maʻi diabetes kahi kumu i hoʻokumu ʻia e ke kō kō. Inā loaʻa ʻoe i ka maʻi diabetes, ʻaʻole hiki i kou kino ke hoʻoponopono pono i kāu pae kō kō.

He kaʻao maʻamau ia e hoʻomohala nā kānaka pākela wale nō i ka maʻi diabetes, ʻo ke ʻano 1 a me ke ʻano 2. ʻOiai he ʻoiaʻiʻo ʻo ke kaupaona ke lilo i hoʻokahi mea e hoʻonui i ka makaʻu o ke kanaka no ka hoʻomohala ʻana i ka maʻi diabetes, hoʻokahi wale nō ʻāpana o kahi kiʻi nui aʻe

ʻO ka poʻe o nā ʻano a me nā nui āpau - a ʻae, nā kaupaona - hiki ke hoʻomohala i ka maʻi diabetes. Hiki i nā kumu ʻē aʻe ma mua o ke kaupaona ke hoʻoikaika ikaika like i kāu makaʻikaʻi no ka hoʻomohala ʻana i kēia ʻano, e like me:

• genetics
• moolelo ohana
• he nohona noho
• nā ʻano ʻai maikaʻi ʻole

Diabetes a me ke kaupaona

E nānā kākou i ka hana a ke kaupaona i hiki ke pāʻani i ka makaʻu no ka maʻi ʻaʻano 1 a me ka ʻano 2, a me nā kumu pili pili ʻole i kaupaona e hiki ai ke hoʻopili i kāu makaʻi.

ʻAno 1

ʻO ka maʻi maʻamau ʻo 1 kahi maʻi maʻi autoimmune. I ka poʻe i loaʻa ka maʻi diabetes type 1, hoʻouka ka ʻōnaehana pale o ke kino i nā hunaola beta e hana ai i ka insulin i ka pancreas. Hiki i ka pancreas ke hana hou i ka insulin.

ʻO ka insulin ka hone e hoʻoneʻe i ke kō mai kou kahawai i loko o nā hunaola. Hoʻohana kāu mau pūnaewele i kēia kō ma ke ʻano he ikehu. Me ka ʻole o ka nui o ka insulin, kūkulu ke kō i loko o kou koko.

ʻAʻole pilikia ke kaupaona no ka maʻi diabetes type 1. ʻO ka mea ʻike wale ʻia no ka maʻi diabetes type 1 ka mōʻaukala ʻohana, a i ʻole kāu genetics.

ʻO ka hapanui o ka poʻe me ka maʻi diabetes type 1 aia ma ka pae "maʻamau" no ka index index body (BMI). He ala ka BMI no nā kauka e hoʻoholo ai inā he kaupaona olakino ʻoe no kou kiʻekiʻe.

Hoʻohana ia i kahi haʻilula e kuhi i kou momona o ke kino e pili ana i kou kiʻekiʻe a me kou kaumaha. Kuhi ka helu BMI i hopena ma hea ʻoe ma kahi pālākiō o ka mea kaupaona. Aia kahi BMI olakino ma waena o 18.5 a me 24.9.

ʻIke maʻamau ka maʻi diabetes type 1 i nā keiki. Eia nō naʻe, me ka hoʻonui ʻana i nā helu o ka momona o ke keiki, hōʻike ka noiʻi ʻaʻole ka nui o ka pilikia no kēia ʻano diabetes.

Ua ʻike ʻia kahi noiʻi ʻana e pili ana nā hihia piʻi ʻana o ka maʻi diabetes ʻano 2 i ka hoʻonui ʻia o ka momona o ke keiki, akā ʻaʻole ka ʻano 1.Abbasi A, et al. (2016).ʻO ka papa kuhikuhi kino-nui a me nā hanana o ka maʻi ʻaʻano 1 a me ka ʻano 2 i nā keiki a me nā ʻōpio ma UK: kahi noiʻi cohort observational. DOI:
doi.org/10.1016/S0140-6736(16)32252-8

ʻAno 2

Inā loaʻa iā ʻoe ka maʻi ʻaʻano 2, ua pau ka hana ʻana o kāu pancreas i ka lawa ʻana o ka insulin, ua kūpaʻa kou mau hunaola i ka insulin, a i ʻole ʻelua paha. Ma mua o 90 pākēneka o nā hihia diabetes he ʻano diabetes ʻelua.ʻIke wikiwiki i ka maʻi diabetes. (2019).

ʻO ke kaupaona kekahi mea i hiki ke kōkua i ka ulu ʻana o ka maʻi diabetes type 2. Kuhi ʻia he 87.5 pākēneka o nā mākua U.S. me ka maʻi diabetes ʻano 2 ka nui o ka paona.Hōʻike helu helu diabetes lehulehu, 2017. (2017).

Eia naʻe, ʻaʻole kaupaona ka mea wale nō. Ma kahi o 12.5 pākēneka o nā mākua ʻAmelika me ka maʻi diabetes type 2 i loaʻa nā BMI i ke olakino a i ʻole ka pae maʻamau.Hōʻike helu helu diabetes lehulehu, 2017. (2017).

Nā kumu weliweli no ka maʻi diabetes type 2

ʻO ka poʻe i manaʻo ʻia he lahilahi a wī paha hiki ke hoʻomohala i ka maʻi diabetes type 2. Hiki ke hāʻawi i nā ʻano kumumea like ʻole:

Nā Genetics

ʻO kou mōʻaukala ʻohana, a i ʻole kāu genetics, kekahi o nā kumu pilikia nui no ka maʻi diabetes type 2. Inā he makua kou me ka maʻi kōkō ʻano 2, ʻo 40 pākēneka kou ola āpau. Inā loaʻa ke kūlana i nā mākua ʻelua, ʻo 70 pākēneka kāu makaʻāinana.Prasad RB, et al. (2015). Nā genetics o ke ʻano diabetes ʻelua-pitfalls a me nā hiki. DOI:
10.3390 / genes 6010087

Fat disthoʻouku

Hōʻike ka noiʻi i ka poʻe me ka maʻi diabetes type 2 o ke kaupaona maʻamau i ʻoi aku ka momona visceral. ʻO kēia kahi ʻano momona e hoʻopuni i nā ʻōpū o ka ʻōpū.

Hoʻokuʻu ia i nā hormoni e hoʻopili i ka glucose a hoʻopilikia i ka momona momona. Hiki i ka momona Visceral ke hana i ka maka metabolic o kahi kanaka o ke kaupaona maʻamau e like me ke ʻano o ke kanaka i kaupaona, ʻoiai inā lahilahi.

Hiki iā ʻoe ke hoʻoholo inā lawe ʻoe i kēia ʻano kaupaona i loko o kou ʻōpū. ʻO ka mea mua, e ana i kou pūhaka i nā ʻīniha, a laila e ana i kou pūhaka. E hoʻokaʻawale i kāu ana o kou pūhaka i ke ana ʻana o kou pūhaka e loaʻa ai ka lākiō o kou pūhaka i kou pūhaka.

Lākiō puhaka-i-hip

Inā he 0.8 a ʻoi paha kāu hopena, ʻo ia hoʻi he ʻoi aku kou momona visceral. Hiki i kēia ke hoʻonui i kou makaʻi no ka maʻi diabetes type 2.

Kolesterol kiʻekiʻe

Hiki i ke kolesterol kiʻekiʻe ke hoʻopili i kekahi. ʻO kāu genetics, ʻaʻole kou kaupaona, hoʻoholo nui i kāu pilikia cholesterol.

Ua ʻike ʻia kahi noiʻi hoʻokahi kokoke i ka hapahā o ka poʻe ʻAmelika ʻaʻole i kaupaona ka loaʻa ʻana o kahi hopena pilikia metabolic maikaʻi ʻole. Hoʻopili pū kēia me nā kiʻekiʻe kolesterol kiʻekiʻe a i ʻole ke kiʻekiʻe o ke koko.Wildman RP, et al. (2008). ʻO ka mea nui me ka clometing o ka hopena pilikia cardiometabolic a me ke kaupaona maʻamau me ka hoʻopili ʻana i ka hopena o ka maʻi cardiometabolic: Prevalence a me nā pilina o 2 phenotypes ma waena o ka lehulehu o ka US (NHANES 1999-2004). DOI:
10.1001 / archinte

ʻO ka maʻi diabetes Gestational

ʻO ka maʻisā Gestational kahi ʻano maʻi diabetes e hoʻomohala nā wahine i ka wā e hāpai ana. ʻAʻohe o lākou diabetes i mua o ka hāpai ʻana, akā ua loaʻa paha i ka prediabetes a ʻike ʻole ʻia ia.

Manaʻo pinepine ʻia kēia ʻano maʻi diabetes ma ke ʻano he ʻano mua o ka maʻi kōkō ʻelua. Hana ʻia ia ma 2 a 10 pakeneka o nā hāpai keiki.ʻO ka maʻi diabetes Gestational. (2017).

ʻO ka hapa nui o nā maʻi diabetes hāpai ke hoʻoholo a pau ka hāpai ʻana. Eia nō naʻe, ʻo nā wahine i loaʻa i ke ʻano i ka wā o ka hāpai ʻana, he 10 ka nui o ka makaʻu o ka hoʻomōhala ʻana i ka maʻi ʻano 2 i loko o 10 mau makahiki ma hope o ko lākou hāpai ʻana, ke hoʻohālikelike ʻia me nā wahine i loaʻa ʻole ka maʻi kō.Herath H, et al. (2017). ʻO ka maʻi maʻisā Gestational a me ka makaʻu o ka maʻi ʻaʻano 2 mau makahiki he 10 mau makahiki ma hope o ka hāpai hānau ʻana ma nā wahine wahine Sri Lanka-A kahi kaiāulu retrospective cohort hoʻopaʻa haʻawina. DOI:
10.1371 / journal.pone.0179647

Ma kahi o ka hapalua o nā wahine āpau e hoʻomōhala ana i ka maʻi kō i ka wā hāpai, e hoʻomōhala i ka maʻi diabetes type 2.

Hānau i kahi pēpē i ʻoi aku ma mua o 9 paona

ʻOi aku ka nui o nā pēpē me nā mimikō ʻōpū i ka nui o nā pēpē, kaupaona ʻia he eiwa paona a ʻoi paha. ʻAʻole hiki i kēia ke paʻakikī i ka lawe ʻana, akā hiki i ka diabetes diabetes ke hoʻomohala i hope a lilo i ʻano diabetes 2.

Nohona sedentary

He mea nui ka neʻe no ke olakino maikaʻi. ʻAʻole hiki i ka neʻe ʻana ke hopena i kou olakino. ʻO ka poʻe me ka nohona nohona, me ka nānā ʻole i ko lākou kaumaha, ʻaneʻane pālua ka nui o ka hopena o ka maʻi diabetes type 2 ma mua o ka poʻe hana.Biswas A, et al. (2015). ʻO ka manawa sedentary a me kona hui pū ʻana me ka makaʻu no ka maʻi, ka make ʻana, a me ka haukapila i nā mākua: He loiloi ʻōnaehana a me nā meta-analysis. DOI:

Nā ʻano ʻai maikaʻi ʻole

ʻAʻole pili wale kahi papaʻai maikaʻi ʻole i ka poʻe i kaupaona kaupaona. ʻAi paha ka poʻe o ke kaupaona maʻamau i ka papaʻai e hoʻokau iā lākou i ka maʻi diabetes type 2.

Wahi a kekahi noiʻi, ʻo ka papaʻai i kiʻekiʻe i ke kō e hoʻonui ai i ka makaʻu o ka maʻi kō, ʻoiai ma hope o ka helu ʻana i ke kaumaha o ke kino, hoʻoikaika kino, a me ka nui o ka ʻai ʻana o ka calorie.Basu S, et al. (2013). ʻO ka pilina o ke kō i ka prevalence diabetes o ka pae-heluna kanaka: kahi ʻikepili econometric o ka ʻikepili ʻāpana ʻāpana. DOI:
10.1371 / puke pai.pone.0057873

ʻIke ʻia ke kō i loko o nā meaʻai momona, akā he nui nā meaʻai ʻē aʻe pū kekahi, e like me nā meaʻai māmā a me nā lole salakeke i hana ʻia. Hiki i nā kupa kēkū ke lilo i mau waiwai sneaky o ke kō.

Puhipaka

Hoʻonui ka puhihihi ʻana i kou makaʻi no nā ʻano olakino, e like me ka maʻi kō. Ua ʻike ʻia hoʻokahi noiʻi ʻana i ka poʻe puhipaka he 20 a ʻoi aʻe paha o nā kika i kēlā me kēia lā i loaʻa i ka pālua o ka maʻi diabetes ma mua o ka poʻe puhipaka ʻole, me ka nānā ʻole i ke kaupaona.Manson JE, et al. (2000). Ke aʻo prospective no ka uahi paka a me ka hanana o ka maʻi ʻaʻai diabetes i waena o nā kauka kāne kāne US. DOI:

Ke kipaku ʻana i ka stigma

ʻO ka poʻe me ka maʻi diabetes, ʻo ia hoʻi nā kānaka ʻoi loa ka paona, ʻo ia ke kumu o ka stigma a me nā kaʻao pōʻino.

Hiki i kēia ke hana i nā pale i ka loaʻa ʻana o ke olakino kūpono. Hiki iā ia ke pale aku i ka poʻe i loaʻa i ka maʻi diabetes akā aia lākou ma ke kaupaona "maʻamau" mai ka loaʻa ʻana o kahi hōʻailona. Manaʻoʻiʻo paha lākou, wahaheʻe, ʻo ka poʻe kaupaona a obesity paha ka mea hiki ke hoʻomohala i kēia ʻano.

Hiki i nā moʻo ʻē aʻe ke hoʻopilikia i ka mālama kūpono. ʻO kahi laʻana, ʻōlelo ʻia kahi kaʻao maʻamau ka hopena o ka ʻai ʻana i ke kō. ʻOiai ʻo ka papaʻai kō kō hiki ke lilo i ʻāpana o ka papaʻai pono ʻole e hoʻonui ai i kou makaʻi no ka maʻi kō, ʻaʻole ia ke kumu nui.

Pēlā nō, ʻaʻole kēlā me kēia kanaka e hoʻomohala i ka maʻi kō ka nui o ka paona a momona paha. I ka mea kikoʻī, loaʻa i nā kānaka me ka maʻi diabetes type 1 ka paona olakino olakino. Aia kekahi ma lalo o ke kaupaona no ka mea ʻo ke kaupaona wikiwiki ʻana kahi hōʻailona maʻamau o kēia ʻano.

ʻO kekahi kaʻao maʻamau akā weliweli hoʻi, ʻo ka poʻe i loaʻa i ka maʻi diabetes e lawe i ke ʻano ma luna o lākou iho. He wahaheʻe hoʻi kēia. Holo ka maʻi diabetes i loko o nā ʻohana. ʻO kahi moʻolelo ʻohana o kēia ʻano kekahi o nā mea nui weliweli.

ʻO ka hoʻomaopopo ʻana i ka maʻi diabetes, no ke aha e hana ai, a ʻo wai ka mea e makaʻu ʻole hiki ke kōkua iā ʻoe e hoʻomaopopo i nā kaʻao hoʻomau a me nā lono hiki ke pale i ka poʻe me ke ʻano mai ka mālama kūpono ʻana.

Hiki paha iā ia ke kōkua iā ʻoe - a i ʻole i kahi keiki, wahine, a i ʻole kekahi mea aloha ʻē aʻe - e ʻike i ka lāʻau kūpono i ka wā e hiki mai ana.

Nā ʻōlelo aʻoaʻo e hōʻemi i ka makaʻu

Inā loaʻa iā ʻoe hoʻokahi a ʻoi paha mau mea pilikia no ka maʻi diabetes type 2, hiki iā ʻoe ke hana i nā hana e hōʻemi ai i kou manawa kūpono no ka hoʻomohala ʻana i kēia ʻano. Eia kekahi mau kaʻina e hoʻomaka ai ʻoe:

• Hele neʻe. He olakino ka neʻe maʻamau, inā ʻoi aku kou kaumaha a ʻaʻole paha. E ʻimi i 150 mau minuke hoʻoikaika kino i kēlā me kēia pule.
• ʻAi i ka papaʻai maʻalea. ʻAʻole maikaʻi kahi papaʻai meaʻai maikaʻi ʻole, inā lahilahi ʻoe. ʻO nā meaʻai maikaʻi ʻole a me nā meaʻai me ka liʻiliʻi o ka waiwai kūpono hiki ke hoʻonui i kou makaʻi no ka maʻi kō. AIM e ʻai i ka papaʻai i waiwai i nā huaʻai, nā mea kanu, a me nā nati. Ma kahi kikoʻī, e hoʻāʻo e ʻai hou i nā lau lau ʻōmaʻomaʻo. Hōʻike ka noiʻi i kēia mau lauʻai hiki ke hoʻohaʻahaʻa i kou makaʻi no ka maʻi kō e 14 pākēneka.ʻO Carter P, et al. (2010). ʻO ka lawe ʻana i ka hua a me nā mea kanu a me nā hanana o ka maʻi diabetes type 2: Nānā ʻōnaehana a me nā meta-analysis.
• Inu i ke kūpono. ʻO ka poʻe e inu i ka nui o ka waiʻona - ma waena o 0.5 a me 3.5 mau inu i kēlā me kēia lā - loaʻa paha iā lākou he 30 pākēneka haʻahaʻa haʻahaʻa o ka maʻi diabetes ke hoʻohālikelike ʻia me ka poʻe inu nui.Koppes LL, et al. (2005). Hoʻoiho ka inu wai ʻona haʻahaʻa i ka makaʻu o ka maʻi ʻaʻano 2: A meta-analysis of prospective observational haʻawina.
• E hōʻoia pinepine i kāu mau helu metabolic. Inā loaʻa iā ʻoe kahi moʻolelo ʻohana o ka cholesterol kiʻekiʻe a i ʻole ke kiʻekiʻe o ke koko, he mea maikaʻi e nānā pinepine i kēia mau helu me kāu kauka. Hiki i kēia ke kōkua iā ʻoe e hopu a pale paha i nā pilikia e like me ka maʻi kōkō a i ʻole nā ​​maʻi puʻuwai.
• E haʻalele i ka puhi pua ʻana. Inā kū ʻoe i ka puhipaka, ʻaneʻane hiki ke hoʻihoʻi i kāu makaʻu no ka maʻi kō i ka maʻamau. ʻAe kēia i kou kino e hoʻokele maikaʻi i kāu kiʻekiʻe kō kō.

Ke laina lalo

Hiki i ka maʻi diabetes ke hana i nā poʻe o nā ʻano like ʻole. ʻO ke kaupaona kahi mea pilikia no ka maʻi diabetes type 2, akā hoʻokahi wale nō ʻāpana o ka puzzle ke pili i nā mea pilikia.

ʻO nā kumu pilikia ʻē aʻe no ka maʻi kō ka:

• he nohona noho
• mimikō hāpai
• kolesterol kiʻekiʻe
• ʻoi aku ka momona o ka ʻōpū
• puhipaka
• moolelo ohana

Inā hopohopo ʻoe e loaʻa paha ʻoe i ka maʻi diabetes, a inā he hoʻokahi a ʻoi paha kāu mau kumu pilikia, e koho i kahi manawa e kamaʻilio ai me kāu kauka.