ʻAno 2 Diabetes: Kahi Alakaʻi Kauka i kahi Wā Koho Maikaʻi

Anter

• Pehea e hoʻomākaukau ai
• I ka lā o kāu koho
• He aha e kaʻana like ai me kāu kauka
• E hoʻopono a hele mākaukau e haʻi i ka ʻoiaʻiʻo, ʻoiai inā hoʻohilahila ia.
• Mai hoʻohilahila -ʻo kāu kauka kāu kauka olakino a hiki ke kōkua me ka mea hou aʻe ma mua o kou ʻike.
• ʻO nā nīnau i nīnau pinepine ʻia
• 1. He aha ka manaʻo o A1C?
• 2. No ke aha he mea nui o A1C?
• 3. Āhea wau e nānā ai i kuʻu glucose koko i ka home?
• 4. He aha kaʻu A1C a me ke kō glucose?
• 5. He aha nā ʻano hoʻokolohua ʻē aʻe e loaʻa iaʻu?
• Papa Wehewehe ʻlelo

Loaʻa i kahi loiloi e hiki mai ana me kāu kauka no kou maʻi diabetes? E kōkua kā mākou Papa Kuhikuhi Wae Maikaʻi iā ʻoe e hoʻomākaukau, ʻike i ka mea e nīnau ai, a ʻike i ka mea e kaʻana like ai i ka mea nui o kāu kipa.

Pehea e hoʻomākaukau ai

• Inā ʻoe e mālama i ka glucose koko i ka pepa a i ʻole me kāu kelepona, lawe i nā helu e hōʻike i kāu kauka. Inā mālama kāu glucometer (monitor glucose koko) i nā heluhelu ma ka hoʻomanaʻo, hiki iā ʻoe ke lawe i kēlā.
• Inā ana ʻoe a hoʻopaʻa i kou kaʻe koko ma ka home, e nānā pono e lawe i kēlā mau moʻolelo.
• Lawe mai i kahi papa inoa hou a pololei o nā lāʻau a pau āu e lawe nei i kēia manawa no nā ʻano olakino - ʻaʻole wale ka maʻi diabetes. Pākuʻi ʻia kēia i nā lāʻau i kūʻai ʻia i ke kūʻai aku ʻole, nā mea hoʻopiha, a me nā lāʻau lapaʻau. He mea nui ka papa inoa o kēia manawa inā ʻike ʻoe i nā kauka he nui e kuhikuhi ana i ka lāʻau iā ʻoe. (Inā ʻaʻohe ou manawa e kiʻi ai i kahi papa inoa hou, e lawe mai i nā ʻōmole lāʻau maoli i kāu kipa.)
• Inā ʻaʻole ʻoe e haʻi ʻē aʻe, e lawe i kāu mau lāʻau maʻamau āpau i ka lā o kou koho ʻana.
• E kākau i kāu mau lāʻau āpau hope loa a me nā loiloi ʻana o ka maʻi ʻaʻai, no laila hiki i kāu kauka ke hōʻoia he lā hou ʻoe a ʻaʻole e nalo i kekahi mea nui.

I ka lā o kāu koho

• E ʻaʻahu i nā lole e maʻalahi ke nānā ʻia (inā ʻaʻole ia he koho telehealth, ʻoiaʻiʻo). ʻO kēia ke kau ʻana i luna e hiki ai iā ʻoe ke hemo a i ʻole me nā pūlima lima ʻole e hiki ai iā ʻoe ke ʻolokaʻa maʻalahi. Ke nānā nei i kou mau wāwae he mea nui ia o ke kipa no ka mea hiki i ka maʻi kō ke kumu o nā pilikia o ka wāwae. E nānā pono hiki iā ʻoe ke hemo maʻalahi i kāu kākini a me nā kāmaʻa. E noi ʻia paha ʻoe e hoʻololi i kaʻaʻahu.
• Inā ʻoe e ʻai a ʻaʻole paha ma mua o ka hilinaʻi ʻana o kāu kipa ma nā mea e hoʻāʻo ai ke kauka no kēlā lā (ke ʻole he koho telehealth). ʻAʻole e hoʻopili ʻia ka A1C a me ka hapa nui o nā hoʻokolohua cholesterol e ka mea āu e ʻai ai no ka ʻaina kakahiaka. Akā piʻi koke ke kō glucose a me nā pae triglyceride ma hope koke o kāu ʻai ʻana. Eia nō naʻe, palekana paha ke kāpae i ka ʻaina kakahiaka inā ʻoe ma kekahi mau lāʻau. Inā kānalua, kāhea i ke keʻena o ke kauka ma mua o kou kipa ʻana e hōʻoia.
• Inā loaʻa iā ʻoe kahi kahu e pili ana i kāu olakino, ʻo ke kōkua ʻana o kēlā kanaka me ʻoe no ke koho. E noi iā lākou e kākau i nā memo nāu, no ka mea he paʻakikī ke hoʻomanaʻo i nā mea āpau a kāu kauka.
• Lawe mai i kahi papa inoa o nā nīnau āu e makemake ai e nīnau i ke kauka. I kekahi manawa maʻalahi ka hoʻopoina i ka mea āu e makemake ai e nīnau.

He aha e kaʻana like ai me kāu kauka

E hoʻopono a hele mākaukau e haʻi i ka ʻoiaʻiʻo, ʻoiai inā hoʻohilahila ia.

• ʻO ka hōʻike pono ʻana i kāu kūlike i kēlā me kēia lā i ka lawe ʻana i kāu lāʻau diabetes. Pono lākou e ʻike no ka mea e hoʻopili ia i ka papa o ka hana. ʻO kahi laʻana, inā kiʻekiʻe loa nā helu kō glucose a ʻaʻole ʻoe i lawe i kekahi lāʻau, pono i kāu kauka e ʻike e pili ana i nā pilikia ma lalo i mea e kōkua ai. ʻOi aku ka maikaʻi i ka holo lōʻihi e haʻi maʻalahi i ka ʻoiaʻiʻo, ʻoiai inā hoʻohilahila paha ia.
• ʻO kou mōʻaukala me nā lāʻau lapaʻau diabetes mua. ʻO ka ʻike ʻana i nā lāʻau a loaʻa ʻole i hana i ka wā ma mua e kōkua i kāu kauka e noʻonoʻo i nā koho maikaʻi loa no kēia lā.
• ʻO kāu maʻamau papaʻai. Ke pilikia nei paha ʻoe i ka loaʻa ʻana o ka meaʻai momona e hōʻeuʻeu ʻole ai i kāu glucose koko? E kōkua ia i kāu kauka e hoʻomaopopo pehea e hana ai kāu mau lāʻau. Hāʻawi paha lākou iā ʻoe i nā manaʻo a i ʻole kahi ʻimi i kahi dietitian e hiki ke kōkua.
• ʻO kāu ʻano hoʻoikaika kino. Pehea ʻoe e hana ai i kēlā me kēia lā? Loaʻa iā ʻoe kahi wahi palekana e hoʻoikaika ai? Hiki i ka hoʻoikaika kino ke lilo i mea nui e like me nā lāʻau, no laila e ʻike i kāu kauka inā he mau pilikia kou.
• ʻO nā kūlana olakino a i ʻole nā ​​maʻi hou ʻaʻole paha lākou e ʻike e pili ana.

Mai hoʻohilahila -ʻo kāu kauka kāu kauka olakino a hiki ke kōkua me ka mea hou aʻe ma mua o kou ʻike.

• E hoʻopono i kāu mau hakakā. He ʻike ʻokoʻa ko kēlā me kēia kanaka me ka maʻi kō. ʻAʻole ʻike nā kauka i kāu mea e hele nei ke ʻole ʻoe e ʻōlelo i kahi mea.
• E nīnau e pili ana i nā pilikia o ka maʻi kō. Inā kū kaohi ʻole ka maʻi diabetes, hiki iā ia ke kumu i nā pilikia i kou mau maka, nā puʻupaʻa, a me nā aʻalolo. Hiki i kāu kauka ke hōʻoia iā ʻoe e hoʻomaopopo i kāu mau pilikia a ke hana nei i nā mea āpau i hiki iā ʻoe.
• Nui nā noiʻi e hoʻomau nei i ka mālama ʻana i ka maʻi diabetes. E noi i kāu kauka inā loaʻa iā ʻoe ka lāʻau maikaʻi loa. Aia wau i ka lāʻau diabetes noʻu? He aha nā hopena ʻē aʻe?
• ʻAʻole uhi ka ʻinikua i kāu mau lāʻau. ʻOiai ke uhi ʻia, kiʻekiʻe loa ke kumu kūʻai o waho o ka ʻeke no nā poʻe he nui. Inā pilikia ʻoe i ka uku ʻana i kāu lāʻau diabetes, e hōʻike i kāu kauka. Aia kekahi mau coupon, nā polokalamu kōkua lāʻau, a me nā ala ʻē aʻe e hoʻolilo ai iā lākou i mea kumukūʻai.
• Maʻalahi ke lilo i mea kaumaha ke noho me kahi maʻi hoʻomau e like me ka maʻi kō. ʻOiai ka nui o kou manawa a me kou ikaika e kau i ka olakino kino, mai hōʻalo i kou olakino noʻonoʻo. E kamaʻilio me kāu kauka inā loaʻa ʻoe i ka hopohopo a i ʻole ke kaumaha.

ʻO nā nīnau i nīnau pinepine ʻia

Ma lalo nā nīnau e pane ʻia no ʻoe. E ʻike pono ʻoe e maopopo i nā mea āpau ma lalo a hoʻohui i kāu papa inoa o nā nīnau no kāu kauka inā aia kekahi mea āu e maopopo ʻole ai.

1. He aha ka manaʻo o A1C?

ʻO A1C kahi hōʻike koko e hāʻawi i ka ʻike e pili ana i kāu glucose glucose koko ma mua o 3 mau mahina i hala. ʻO nā inoa ʻē aʻe no A1C me hemoglobin A1C, HbA1C, a i ʻole glycohemoglobin. (ʻO ka glucose i kou kahawai e hoʻopili i kahi protein i kapa ʻia hemoglobin.) Ana ʻo A1C i ka pākēneka o nā mole hemoglobin i pili ka glucose iā lākou. ʻO ia ke kumu i hōʻike ʻia ai ka hopena ma ke ʻano he pākēneka, e like me 6.8 pakeneka. ʻO ke kiʻekiʻe o kāu pae kō glucose ma mua o 3 mau mahina i hala iho nei, ʻo ke kiʻekiʻe o kāu A1C.

Hiki iā ʻoe ke hoʻāʻo i kēlā me kēia manawa o ka lā, ʻoiai ma hope pono o ka ʻai ʻana, no ka mea ʻaʻohe hopena koʻikoʻi o kāu pae glucose i ka manawa o ka hoʻāʻo ʻana ma ka A1C. Hiki i nā keʻena o ke kauka ke ana iā A1C me kahi manamana lima ma kahi o ke kahakaha ʻana i ke koko mai kahi aa koko. Hiki i kekahi ʻano olakino ʻē aʻe ma mua o ka maʻi diabetes ke hoʻololi i kāu A1C. E kamaʻilio me kāu kauka e ʻike inā loaʻa kekahi o kēlā mau ʻano.

2. No ke aha he mea nui o A1C?

He mea maʻalahi no nā mea maʻi a me nā kauka e kau pono i ka A1C me ka ʻole o ka manawa e kamaʻilio e pili ana i ke kumu o ka mea nui. ʻO ke kiʻekiʻe o ka A1C, ʻo ke kiʻekiʻe o ka makaʻu no ka loaʻa ʻana i kekahi mau pilikia o ka maʻi kō i kou mau maka, nā puʻupaʻa, a me nā aʻa.

Nā Maka: ʻO Retinopathy ka maʻi o ka retina. He pale lahilahi ka retina i hope o kou mau maka ke ʻike i ka māmā. Hiki i ka retinopathy koʻikoʻi, untreated ke hōʻemi i kāu ʻike a hiki i ka makapō.

Nā Kahiki: ʻO ka nephropathy ka maʻi o nā puʻupaʻa. Hoʻopili nā hōʻailona me nā pae protein kiʻekiʻe i ka mimi a me ke kūkulu ʻana o nā huahana ʻōpala i ke koko. Hiki i ka nephropathy koʻikoʻi ke alakaʻi i ka hōʻino ʻole o ka puʻuwai e pono e mālama ʻia me ka dialysis a i ʻole ke kuʻi ʻana o ka hakuʻala.

Nā aʻalolo: ʻO ka neuropathy ākea ka maʻi o nā aʻalolo i kou mau wāwae a i ʻole nā ​​lima. Pākuʻi ʻia nā ʻōuli me ka ʻūlū ʻana, "nā mākia a me nā nila," ka helu, a me ka ʻeha.

ʻO ka nūhou maikaʻi ka mālama ʻana i kāu glucose glucose ma lalo o ka kaohi e hoʻohaʻahaʻa i kou makaʻu i ka loaʻa ʻana o kēia mau pilikia.

3. Āhea wau e nānā ai i kuʻu glucose koko i ka home?

Aia kēia i kāu kūlana. Pono kekahi poʻe me ka maʻi diabetes e nānā i ko lākou glucose koko i nā manawa he nui i ka lā, ʻoiai ʻo kekahi e nānā wale i kēlā me kēia lā a i ʻole ka liʻiliʻi pinepine.

Inā ʻoe e nānā ana i ka glucose koko i ka home, kekahi mau manawa no ka nānā ʻana i hāʻawi i ka ʻike kūpono loa. Ke nānā pono ʻana i ka glucose koko ma mua pono o ka ʻaina kakahiaka (ʻo ia hoʻi, ma ka ʻōpū hakahaka) kahi ana kūpono i kēlā me kēia lā o ka maikaʻi o ka kaohi ʻia ʻana o kāu maʻi kō.

Pono paha ka poʻe e lawe nei i kekahi ʻano o ka insulin e nānā i ka glucose koko ma mua o kēlā me kēia pāʻina. ʻO kekahi manawa kūpono e nānā ai ʻo 1 a 2 mau hola ma hope o ka pāʻina ʻana. ʻLelo kēlā helu iā ʻoe pehea ka pane ʻana o kou kino a me ka hana ʻana i ka piʻi ʻana o ka glucose koko i kū ma hope o ka ʻai ʻana. ʻO ka nānā ʻana i ka glucose koko i ka wā moe a maʻa pū kekahi.

ʻO ka mea hope loa, inā ʻike ʻoe i ka maʻi, he mea maikaʻi e nānā i kāu glucose koko. I kekahi manawa hiki ke hoʻokumu ʻia nā ʻōuli e nā pae glucose a kiʻekiʻe a kiʻekiʻe paha. Eia nō naʻe, hiki ke hana i ke ala ʻē aʻe. Hiki i kahi maʻi kūlohelohe ke hoʻonāukiuki i kou glucose koko.

4. He aha kaʻu A1C a me ke kō glucose?

Ke mālama ʻia ka poʻe no ka maʻi diabetes me nā lāʻau lapaʻau, ʻaʻole pono nā kauka e pahuhopu no ka "maʻamau" A1C a i ʻole nā ​​helu glucose koko. No nā poʻe he nui me ka maʻi diabetes, kūpono kahi pahuhopu A1C ma lalo o 7 pākēneka. Loaʻa i kahi A1C ma lalo o 7 pākēneka e hoʻohaʻahaʻa i kou makaʻu i nā pilikia o ka maʻi kō.

No ka heluhelu ʻana i ka kō glucose i ka home, 80 a 130 mg / dL nā pae olakino ma mua o ka ʻai ʻana a ma lalo o 180 mg / dL inā ana ʻia i 1 a 2 mau hola ma hope o ka ʻai ʻana. Eia nō naʻe, pili kekahi mau mākua a me nā poʻe me nā maʻi maʻi mau i nā hopena ʻino mai nā lāʻau diabetes inā kiʻekiʻe loa ka lāʻau. I kēia mau hanana, hiki i nā kauka ke koi aku i nā pae kiʻekiʻe kiʻekiʻe no A1C a me ka glucose koko.

5. He aha nā ʻano hoʻokolohua ʻē aʻe e loaʻa iaʻu?

ʻO ka mālama maikaʻi loa ʻana no ka maʻi diabetes ʻaʻole e kia wale i nā pae glucose. Paipai ʻia kekahi mau hoʻokolohua e kiaʻi no nā pilikia o ka maʻi kō.

Hoʻopili kēia i nā hoʻokolohua maka, nā hoʻāʻo o ka wāwae, a me nā hoʻokolohua lab no ka protein mimi, kolesterol, a me nā hana o ke kīʻaha. ʻO ke ana ʻana a me ka mālama ʻana i ke koko ka mea koʻikoʻi no ka mea ʻo ka hui pū ʻana o ka maʻi kō a me ke koko kiʻekiʻe e hāpai i ka makaʻu o ka puʻuwai, hahau, a i ʻole nā ​​maʻi puʻupaʻa.

Papa Wehewehe ʻlelo

A1C he hōʻike koko e hāʻawi i ka ʻike e pili ana i kāu glucose glucose koko ma mua o 3 mau mahina i hala. ʻO nā inoa ʻē aʻe no A1C me hemoglobin A1C, HbA1C, a i ʻole glycohemoglobin. (ʻO ka glucose i kou kahawai e hoʻopili i kahi protein i kapa ʻia hemoglobin.) Ana ʻo A1C i ka pākēneka o nā mole hemoglobin i pili ka glucose iā lākou. ʻO ia ke kumu i hōʻike ʻia ai ka hopena ma ke ʻano he pākēneka, e like me 6.8 pakeneka. ʻO ke kiʻekiʻe o kāu kiʻekiʻe o ke kō glucose ma mua o 3 mau mahina i hala iho nei, ʻo ke kiʻekiʻe o kāu A1C. Hiki iā ʻoe ke hoʻāʻo i kēlā me kēia manawa o ka lā, ʻoiai ma hope pono o ka ʻai ʻana, no ka mea ʻaʻohe hopena koʻikoʻi o kāu pae glucose i ka manawa o ka hoʻāʻo ʻana ma ka A1C. Hiki i nā keʻena o ke kauka ke ana iā A1C me kahi manamana lima ma kahi o ke kahakaha ʻana i ke koko mai kahi aa koko. Hiki i kekahi ʻano olakino ʻē aʻe ma mua o ka maʻi diabetes ke hoʻololi i kāu A1C. E kamaʻilio me kāu kauka e ʻike inā loaʻa kekahi o kēlā mau ʻano.

Retinopathy he maʻi ia o ka retina. Hiki i ka retinopathy koʻikoʻi, untreated ke hōʻemi i kāu ʻike a hiki i ka makapō.

Nefropati he maʻi ia o nā puʻupaʻa. Hoʻopili nā hōʻailona me nā pae protein kiʻekiʻe i ka mimi a me ke kūkulu ʻana o nā huahana ʻōpala i ke koko. Hiki i ka nephropathy koʻikoʻi ke alakaʻi i ka hōʻino ʻole o ka puʻuwai e pono e mālama ʻia me ka dialysis a i ʻole ke kuʻi ʻana o ka hakuʻala.

Neuropathy ākea he maʻi ia o nā aʻalolo i kou mau wāwae a lima paha. Pākuʻi ʻia nā ʻōuli me ka ʻūlū ʻana, "nā mākia a me nā nila," ka helu, a me ka ʻeha.