Mea Kākau: Peter Berry
Lā O Ka Hana: 14 Iulai 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
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10 Prediabetes Signs You MUST Know Before It Is Too Late
Wikiō: 10 Prediabetes Signs You MUST Know Before It Is Too Late

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Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

E luʻu hohonu i ka maʻi diabetes 2

Inā ʻaʻole i ka manaʻo ko 2 diabetes, pono ia. ʻO ʻAmelika Hui Pū ʻIa ke kapena nui o ka maʻi i kūkulu ʻia. Ma kahi kokoke i nā ʻAmelika he ʻano diabetes 2 a i ʻole ke ʻano o ka mua, prediabetes. Loaʻa ia no 1 o kēlā me kēia 7 kālā a mākou e hoʻolilo ai i ka mālama olakino, e like me ka American Diabetes Association. A pili nui i ka millennial.

Ua hana ʻia nā noiʻi he nui i nā ʻano like ʻole o ka maʻi diabetes type 2: pehea e holo ai nā ʻano hana, ʻo wai ka mea e hoʻopilikia loa ʻia, a me nā hana a ka papaʻai, hoʻoikaika kino, koʻikoʻi, a me nā pāʻani hiamoe. Ua hoʻoholo ʻo Healthline e komo hohonu i kēia ao ma o ka nānā ʻana i nā ʻike o kēlā me kēia lā a me nā manaʻo o ka poʻe e noho nei me kahi ʻano i hāʻawi ʻole iā lākou i kahi lā hoʻomaha.


Pehea ka poʻe me ka maʻi diabetes type 2 e hoʻokele nei i ke ʻano? Hiki iā lākou ke uku i ke olakino a me nā loli nohona? Pehea e hoʻololi ai ka hōʻailona i kā lākou ʻike iā lākou iho a me ko lākou wā e hiki mai? Na wai e kōkua iā lākou? A ʻokoʻa paha nā pane i kēia mau nīnau i waena o nā hanauna? ʻO kēia nā nīnau nui e nānā ʻole ka hapanui o nā noiʻi e like me kā mākou e makemake ai.

No ka loaʻa ʻana o nā pane, ua kauoha ʻo Healthline i kahi ana o nā kānaka he 1,500 a ʻoi me ka maʻi diabetes type 2. Ua noi mākou i nā millennial, Gen Xers, a me nā boomers pēpē e haʻi iā mākou e pili ana i kā lākou ʻike, hopohopo, a me nā ʻike. A laila, e hoʻokau i kā mākou ʻike i ke kuanaʻike, ua kamaʻilio mākou me nā poʻe e noho nei me ke ʻano a me nā loea lapaʻau i ʻike i ka mālama ʻana iā ia.

Ua ʻōlelo kekahi poʻe e ulu pono ana me ka maʻi maʻisā ʻano 2, ʻoiai ua haʻi kekahi e hakakā nei lākou. Ke hopohopo nei ka hapa nui e pili ana i nā pilikia koʻikoʻi o ke ʻano, e like me ka nalo ʻana o ka ʻike a i ʻole nā ​​puʻuwai puʻuwai. ʻO ka poʻe he nui, e hana nui nei me nā ʻoihana a me nā ʻohana, he mea paʻakikī ke kāpae ʻana i ka hana o ka mālama ʻana i ka maʻi - ka mea a kekahi loea i kapa ʻia he "hana manawa piha." Ke hopohopo nui nei nā helu nui inā lākou e hiki ke uku i nā mālama e pono ai.


Pilikia lākou i ka hiamoe.

Eia nō naʻe, ua kūleʻa ka poʻe he nui me ka maʻi diabetes 2 e hana i nā loli nui i ko lākou ola - ʻai maikaʻi, hoʻomaʻamaʻa hou aku - a ʻike i ko lākou hōʻailona i ka lā a lākou i ala ai a hoʻomaka i ka nānā i ko lākou olakino.

Nā hōʻike loiloi koʻikoʻi

Ua nānā ʻo Healthline's State of Type 2 Diabetes survey i nā pilikia o ka naʻau o ke ʻano, ua ʻike ʻia nā mea like ʻole ma waena o nā hanauna, a ua ʻimi i nā pilikia nui o ka poʻe.

Eia kahi paʻi kiʻi o nā ʻike nui:

Nā pilikia a me nā kūleʻa o ke ola

Hana ikaika

ʻO ka hōʻemi kaumaha ka mea nui loa. Ma mua o ʻelua hapakolu o ka poʻe me ka maʻi maʻisā ʻano 2 i ʻōlelo ko lākou kaumaha i kēia manawa i nā hopena maikaʻi ʻole i ko lākou olakino. Ma kahi kokoke i ka hapalua i hoʻāʻo i ka nalo ʻana i ke kaupaona i mau manawa, me ka kūleʻa ʻole o ka wā lōʻihi. I ka manawa like, ʻoi aku ma mua o 40 pākēneka i hōʻike pinepine ʻole i ka hoʻoikaika ʻana e uhaʻi i ka hou.


He hana hoʻopūʻiwa

ʻO kekahi o nā pilikia nui loa i hōʻike ʻia e kahaha paha iā ʻoe: ʻo ka hapanui o ka poʻe me ka maʻi diabetes ʻano 2 - 55 pākēneka - pilikia i ka hiamoe ʻana o ka pō holoʻokoʻa.

Nā moʻolelo kūleʻa

No kekahi poʻe, ʻike paha kahi kuhi o ka maʻi diabetes ʻano 2 e like me ke kāhea ala e hoʻomaka i kahi nohona olakino. Ua hōʻike ka hapa nui o ka poʻe i kā lākou hōʻailona ua alakaʻi iā lākou i:

  • ʻai hou me ke olakino (78 pakeneka)
  • mālama i ko lākou kaupaona maikaʻi (56 pakeneka)
  • inu liʻiliʻi i ka waiʻona (25 pākēneka)

Hoʻokaʻawale ka hanauna a me ka wahine

ʻOi aku ka paʻakikī o ka poʻe ʻōpio ma mua o ka poʻe ʻelemakule me nā pilikia kūpilikiʻi a me ke kālā o ka maʻi diabetes type 2. Aia nō kahi stigma i hoʻopili ʻia i ke ʻano - a halihali nā millennial i ka nui o ia.

  • Ma kahi kokoke i ka hapalua o nā millennial i ana ʻia, a ma kahi o ka hapakolu o Gen Xers, ua hōʻike e peʻe nei i ko lākou kūlana no ka hopohopo e pili ana i ka manaʻo o haʻi.
  • E pili ana i ka helu like i hōʻike ʻia e manaʻo maikaʻi ʻole ʻia e kekahi poʻe lawelawe mālama ola.
  • Pale ke kumukūʻai ma mua o 40 pākēneka o nā millennial mai ka hahai mau ʻana i nā ʻōlelo aʻoaʻo a kā lākou kauka.

Aia kekahi mahele wahine: ʻoi aku paha ka manaʻo o nā wahine ma mua o ka ʻōlelo a nā kāne ua hoʻokau lākou i nā makemake o kekahi poʻe ma mua o kā lākou iho, a ke alo nei lākou i nā pilikia hou aʻe i ke kaulike ʻana i kā lākou pono pono pilikino me nā kuleana ʻē aʻe.

Nā manaʻo maikaʻi ʻole

ʻO ka noho ʻana me ka maʻi diabetes ʻano 2 he hana nui, hoʻohui pinepine ʻia e ka hopohopo. ʻO nā manaʻo maikaʻi ʻehā maʻamau a ka poʻe i hōʻike ai:

  • luhi
  • hopohopo e pili ana i nā pilikia
  • hopohopo e pili ana i nā kumukūʻai kālā
  • hewa no ka mālama maikaʻi ʻole ʻana i ke kūlana

Eia kekahi, ua hōʻike ka hapanui i ka manaʻo e like me kā lākou i holomua inā kiʻekiʻe loa nā hopena o kahi hōʻike A1C.

Nānā maikaʻi

ʻOiai he nui ka poʻe i ʻike i nā manaʻo maikaʻi ʻole, ʻo ka hapa nui o nā mea noi noiʻi i hōʻike i kahi ʻano o ka mana a ua haʻi ʻia ua manaʻo pinepine lākou:

  • hoihoi i ka ʻimi ʻana i nā ala hou e mālama ai i ke ʻano
  • ʻike
  • hilinaʻi ponoʻī
  • ʻae iā ʻoe iho

Ua haʻi pū kekahi i nā manaʻo o ka ikaika, kūpaʻa, a me ka manaʻolana maikaʻi.

Nā hopohopo hoʻopilikia

Hoʻomaopopo maikaʻi ka poʻe me ka maʻi diabetes 2 i nā pilikia olakino i hiki ke hele pū me kēia ʻano: ʻelua hapakolu i hōʻike i ka hopohopo e pili ana i nā pilikia koʻikoʻi āpau. ʻO nā hopohopo nui loa? ʻO ka makapō, nā ʻino o ke aʻalolo, nā maʻi puʻuwai, nā maʻi puʻuwai, ka hahau ʻana, a me ka ʻoki ʻana.

Ka nele o ka loea

Ma mua o 60 pākēneka o nā poʻe komo anamanaʻo ʻaʻole i ʻike i kahi endocrinologist a i ʻole he mea aʻo diabetes i hōʻoia ʻia, a ʻo ka hapanui ʻaʻole i nīnau i kahi dietitian. Kūpono kēlā me ka noiʻi e hōʻike ana i kahi ʻoihana loea i loea i ka maʻi diabetes ʻano 2 - kahi pilikia e ʻino ana.

ʻO ke kālā me ke olakino

ʻO ka maʻi diabetes kahi kūlana kumukūʻai. Ma kahi kokoke i ka 40 pākēneka o nā mea noi ninaninau e hopohopo e pili ana i kā lākou hiki ke uku i ka lāʻau i ka wā e hiki mai ana.

ʻO ka Healthline's State of Type 2 Diabetes survey kumu a me nā ʻikepili hiki ke hāʻawi ʻia i ka pāpāho ʻoihana a me nā mea noiʻi ma ke noi. Ua hoʻāʻo ʻia nā hōʻike ʻikepili noiʻi āpau no ka mea nui ma kahi pae hilinaʻi he 90 pakeneka.

ʻO ka hana o ka diabetes type 2

Hiki i ka noho ʻana me ka maʻi diabetes 2 ke ʻano he hana manawa piha. Ma kahi pae kumu, hoʻopili kēia ʻano maʻi i ke ʻano o ka hoʻopili ʻana o ke kino i ke kō, a he kumu waiwai nui ia na ka wahie. Ma mua o ka hapanui, pono ka poʻe me ka maʻi diabetes 2 e ʻai i nā ala e hoʻonui ai i ko lākou olakino, hoʻoikaika kino mau, a hana i nā koho ola olakino ʻē aʻe i kēlā me kēia lā. Ma luna o kēlā, pono lākou e nānā i kā lākou pae kō kō. Lawe ka hapa nui i ka lāʻau i kēlā me kēia lā.

ʻOiai ʻokoʻa ka type 1 a me ka type 2 diabetes i nā ala nui, pili pū nā pilikia ʻelua me ka insulin, kahi hōmona e hoʻokele i ka neʻe ʻana o ke kō i nā hunaola o ke kino. Ke hana ʻole ke kino i ka insulin, a oki paha i ka hoʻohana ʻana iā ia me ka maikaʻi, kūkulu ke kō i ke kahe o ke koko a kumu i kahi ʻano i kapa ʻia ʻo hyperglycemia. I nā wā mua, hoʻokumu kēia kō kō i ke kiʻekiʻe i nā ʻōuli maʻalea, e like me ka make wai a me ka urination pinepine. Ke waiho ʻole ʻia, hiki ke hōʻino i nā kīʻaha koko, nā ʻalolo, nā maka, nā puʻupaʻa, a me ka puʻuwai.

Hoʻonui kekahi o nā lāʻau maʻi diabetes i ka makaʻu o ka hypoglycemia, a i ʻole ke kō kō. Hiki i kēia ʻano ke hoʻopilikia i nā pilikia, me ka nalowale o ka ʻike a i ʻole ka make.

Ke ulu nei ka maʻi diabetes Type 2 ke kūpaʻa ke kino i ka insulin - ʻo ia hoʻi ʻaʻole hoʻohana maikaʻi ʻia ka hormone - a i ʻole hana i ka nui o ka insulin e mālama i ke kō kō i loko o kahi pae i hoʻopaʻa ʻia. ʻOkoʻa ia mai ka maʻi diabetes 1, kahi maʻi autoimmune e hoʻokū ana i ka hana o ka insulin. Kūkulu pinepine ka maʻi diabetes 1 ma loko o nā pule, maʻamau i nā keiki a i ʻole nā ​​ʻōpio makua.

I ka hoʻohālikelike ʻana, ulu mālie ka ʻano diabetes ʻelua. Hiki i nā kānaka ke hele i mau makahiki me ka maopopo ʻole iā lākou ia. No ka mālama ʻana iā ia, ʻōlelo pinepine nā kauka i ka nānā ʻana i ke kō kō, nā loli o ka nohona, a me nā lāʻau o ka waha i kēlā me kēia lā. I kekahi mau hihia, pono ka mālama ʻana me ka insulin. Kaukaʻi ʻia i ka papa kuhikuhi nui o ke kino (BMI) a me nā kumu ʻē aʻe, e ʻōlelo paha nā kauka i ke ʻoki hōʻemi kaumaha. Wahi a ka National Institutes of Health, pili ka BMI kiʻekiʻe i ke kūpaʻa o ka insulin.

ʻOi aku ka maʻalahi - ʻoi aku ka ʻeha - e kāhea i ka maʻi diabetes ʻano 2 he "maʻi nohona." ʻAʻole hewa kekahi no ka hoʻomohala ʻana iā ia. ʻAʻole ʻike ʻia ke kumu kūpono. He mea nui paha nā ʻano ʻelua a me nā mea pili i ka nohona, wahi a ka Mayo Clinic. Hoʻonohonoho ka mōʻaukala ʻohana i ka poʻe i ka makaʻu kiʻekiʻe. ʻO kekahi mau lāhui a lāhui paha, e like me ʻAmelika-ʻAmelika, ʻAmelika ʻAmelika, a me nā Latinos, e hoʻonui pū ʻia hoʻi i ka makaʻu. ʻOi aku ka maʻamau o ka maʻi i ka poʻe i ʻoi aku ma mua o 40, ʻoiai e pili nui i ka poʻe ʻōpio.

He mea ʻole ke ʻike mua ʻia, hoʻololi ke ʻano o ka maʻi ʻaʻai 2 i ke ola o ka poʻe. Kūkā pinepine ʻia nā kipa a me nā hoʻāʻo e nānā i nā pae kō kō. Hoʻonohonoho nā kānaka he nui i nā pahuhopu dietary a me nā hoʻoikaika kino. Pono paha lākou e kamaʻilio i nā mea pilikia no nā pilikia pū kekahi, e like me ke kiʻekiʻe o ke koko a me nā pae kolesterol.

ʻO ke aʻo ʻana e hōʻemi i ke koʻikoʻi ka mea nui. Hiki i ke koʻikoʻi noʻonoʻo ke hāpai i nā kiʻekiʻe o ke kō i ke kō - a ʻo ka noho ʻana me ka maʻi diabetes ʻelua ke kaumaha. Pono e hoʻoikaika i ka nohona i kēlā me kēia lā me nā koi o kahi kūlana maʻi paʻakikī.

Hoʻopili ke ola i ka makaʻu a me ke koʻikoʻi o ka maʻi ʻaʻano 2, a ʻo ka hopena, hiki i ke ʻano ke hoʻololi i ka nohona o ke kanaka. ʻO ia ke kumu i nānā ai ka noiʻi a Healthline i ka hopena o ka poʻe me ka maʻi diabetes ʻano 2 i kēlā me kēia lā a me ko lākou manaʻo e pili ana i ka hopena o ka maʻi i ko lākou ola.

Hana nohona

Ua ʻike ʻia ka noiʻi a Healthline ʻo ka hapanui o nā mākua - keu hoʻi nā ʻelemākule - manaʻo maikaʻi loa e pili ana i ka mālama ʻana i ka maʻi diabetes type 2. Ua ʻōlelo ka hapa nui loa ua kākoʻo maikaʻi ʻia lākou e ka poʻe aloha. Ma mua o ka hapalua i hōʻike ʻia i ka ʻike, kaukaʻi, a i ʻole resilient i kēlā me kēia lā a i ʻole pule. Ma hope o kā lākou hōʻoia ʻana, ʻōlelo ka hapa nui ua hoʻomaka lākou e ʻai hou me ke olakino, hoʻoikaika kino ʻana, a me ka hoʻokele maikaʻi ʻana i ko lākou kaumaha.

Akā aia kahi ʻaoʻao hoʻohuli i kēlā kiʻi ʻālohilohi. Ua ʻōlelo ʻia he ʻekolu hapakolu o nā mea noi noiʻi ʻo ko lākou kaumaha i kēia manawa ka hopena maikaʻi ʻole i ko lākou olakino. Ma mua o 40 pākēneka i ʻōlelo lākou ʻaʻole paʻakikī ka hoʻoikaika ʻana e haki i ka hou. A ʻo nā mea nui liʻiliʻi - ʻoi aku ka nui o nā ʻōpio - hōʻike i ka luhi, hopohopo, a i ʻole hewa e pili ana i kā lākou mālama ʻana i kēia ʻano.

He kue paha kēia mau hopena, akā ʻo ka maʻi diabetes type 2 kahi ʻano paʻakikī. He kanaka laha ʻole ʻo ia e hiki ke hahai i nā kuhikuhi a kā lākou kauka i kahi T. ʻO ia ke kumu he mea nui e noho kūpono. ʻO ka mālama ʻana i ka maʻi he hana kaulike ia: ʻo kahi liʻiliʻi o ke kokoleka i kekahi manawa i ka maikaʻi, akā, ʻaʻole kahi kīʻaha kīʻaha nui i kēlā me kēia lā.

"Ke hui nei ʻoe i ka poʻe ma hea lākou, a ke kōkua nei ʻoe iā lākou e hana i nā koho nohona kūpono," i ʻōlelo ʻia e Laura Cipullo, RD, CDE, nāna i kākau ka puke "Everyday Diabetes Meals: Cooking for One or Two." I kāna hoʻomaʻamaʻa, kōkua ʻo ia i ka poʻe e nānā i nā loli wā lōʻihi, ʻaʻole ka hoʻoponopono wikiwiki.

Akā ʻo ka poʻe e hana i ka hoʻololi ʻana i kā lākou mau maʻamau ʻike paha lākou i kā lākou mau hana i kāohi ʻia e ka pāʻina hanau i kekahi manawa, nā hana i hana ʻia, a i ʻole nā ​​kumu i hiki ʻole i kā lākou kaohi.

"I ka wā i ʻike ʻia ai au, 45 mau paona ke kaumaha o kaʻu kaumaha ma mua o kaʻu i kēia manawa," i ʻōlelo ʻo Shelby Kinnaird, ka mea kākau o ka blog Diabetic Foodie a me ka puke "The Pocket Carbohidate Counter Guide for Diabetes."

ʻOiai mālama ʻo ia i ke kaupaona, ʻo kāna papa huakaʻi huakaʻi e hoʻoikaika i ka hoʻoikaika kino i kēlā me kēia lā. I kēia mau lā, ke ʻike nei ʻo ia i ka "hanana wanaʻao," e pili ana i ke kakahiaka kō kō i ke kakahiaka i hoʻokumu ʻia e nā neoneoneo o nā homone. I kēia manawa, ʻaʻole i loaʻa iā ia kahi hopena lōʻihi. "ʻO nā mea āpau aʻu i hoʻāʻo ai, ʻaʻole holo mau. ʻO kēlā kahi hōʻaʻano nui loa aʻu e kū nei i kēia manawa. "

Pēlā nō, ʻo Cindy Campaniello, kahi alakaʻi no ka Rochester, NY, ka mokuna o ka hui kākoʻo DiabetesSister, hana ikaika e kaulike i nā koina no ka mālama ʻana i ka maʻi diabetes type 2 me nā kuleana o kahi ola hana. Ke hoʻāʻo nei e noho ma kahi papaʻai kikoʻī "weliweli," i ʻōlelo ʻo ia, ʻaʻole no ka ʻono ʻole o ka meaʻai akā no ka manawa e hoʻolālā a hoʻomākaukau ai i nā meaʻai.

"Maopopo iā ʻoe, he ola ko kāua," wahi a Campaniello. Ua haʻi ʻo ia iā Healthline e pili ana i nā pilikia o ka hānai ʻana i ʻelua mau keikikāne ʻeleu ʻoiai e hoʻomākaukau ana i nā papaʻai olakino me nā protein, nā huahana hou, a me nā mea ʻaihue liʻiliʻi. "ʻAʻole hiki iā ʻoe ke ʻōlelo i kāu poʻe keiki," E loaʻa ana iā mākou ʻo McDonald's i kēia pō, "ua wehewehe ʻo ia. "ʻAʻole hiki iā ʻoe ke hana me ka maʻi kō ma ke kiʻi ʻana i kahi meaʻai i hoʻoponopono ʻia i kāu wā hoʻomaha awakea."

ʻO ke kaumaha a me ka stigma

Me ka hana nui a lākou i ninini ai i ka hana ʻana i nā loli olakino, kokoke i ka hapalua o nā poʻe i komo i ka nīnau a Healthline i ʻōlelo ʻia he koʻikoʻi nui ka mālama ʻana i ke kaupaona: ua hoʻāʻo lākou e lilo ke kaupaona i nā manawa he nui me ka kūleʻa ʻole o ka wā lōʻihi.

ʻO Kauka Samar Hafida, he endocrinologist ma ka Joslin Diabetes Center ma Boston, i haʻi aku iā Healthline i ka awelika, ua hoʻāʻo ka poʻe āna e mālama ai i ʻekolu a ʻoi aku paha mau ʻanoʻai. "ʻAʻohe mālama diabetes e hoʻokomo ʻole i ka ʻai olakino a me ka hoʻoikaika kino," i ʻōlelo ʻo ia, akā hiki i nā ʻōlelo aʻoaʻo kaila ke alakaʻi hewa i ka poʻe. "Aia ka nui o nā ʻike hewa ma waho."

ʻO ia kekahi o nā kumu e haʻalele ai ka pohō kaumaha mau i nā mea he nui. ʻO kekahi ka hiki ʻole i ka poʻe e kū nei i nā pahuhopu kaupaona ke loaʻa nā kōkua olakino kōkua, a i ʻole kōkua ʻē aʻe.

Hoʻopili ʻia i luna o kēia mau pilikia ka stigma e pili ana i ka maʻi diabetes ʻelua a me ke kaupaona, no nā ʻōpio.

"He kaikamahine kaʻu i kēlā pule wale nō i kaumaha iki," wahi a Veronica Brady, PhD, CDE, he waha ʻōlelo no ka ʻAmelika Hui Pū ʻIa o nā Diabetes Educators e hana pū nei hoʻi ma kahi keʻena lapaʻau ma Reno, NV. "ʻO ka mea āna i ʻōlelo mai ai iaʻu i koʻu hui ʻana me ia," Lana koʻu manaʻo he maʻi diabetes type 1 koʻu a ʻaʻole ʻano 2. "Me ka ʻano 2, makaʻu ka wahine ʻōpio," "e manaʻo ka poʻe he maʻi diabetes koʻu no ka mea ʻaʻole wau 'Aʻohe o kāua kāohi iho.' ”

ʻO Actress S. Epatha Merkerson, o Law and Order a me Chicago Med fame, ʻike i ka stigma o ka maʻi diabetes ʻano 2 - ʻo ka hapanui o nā ʻike me nā lālā ʻohana i loaʻa ka maʻi akā ʻaʻole i kamaʻilio e pili ana. ʻAʻole i haʻi kona ʻohana i ka huaʻōlelo "diabetes."

"Hoʻomaopopo wau i koʻu wā kamaliʻi, e ʻōlelo mau ana ka poʻe kahiko o koʻu ʻohana, 'Aʻe, pili ʻo ia i ke kō," i ʻōlelo ʻo Merkerson iā Healthline, "No laila ua ʻike wau iaʻu iho e ʻōlelo ana i kēlā a ʻaʻole maopopo iaʻu, he aha ka pā o kō? He diabetic paha ʻoe a ʻaʻole ʻoe. "

Ma ka pololei e pili ana i kona kūlana, manaʻolana ʻo Merkerson e hōʻemi i ka hilahila a ka poʻe he nui e ʻike ai. ʻO ia ke kumu i kākoʻo ai ʻo ia no ka American Diabetes Challenge, i kākoʻo ʻia e Merck a me ka American Diabetes Association. Paipai ka hoʻolālā i ka poʻe e hana i nā loli nohona a hāhai i nā hoʻolālā e hoʻomaikaʻi ai i ka mālama maʻi diabetes ʻano 2.

I ka manawa i ʻike ʻia ai ʻo Merkerson 15 mau makahiki i hala, ua pono ʻo ia e ʻōlelo me ke kaupaona i loaʻa iā ia. I ka manawa āna i haʻalele ai i ke Kānāwai a me ke Kauoha, ua ʻōlelo ʻo ia, "He lumi moe kaʻu i hele mai kahi 6 a 16." Ua ʻike ʻo ia i kahi hilahila e pili ana i ka ʻike ʻana i ka nui o ka nui ma ke kīwī aupuni - akā ua hoʻoikaika ʻia nō hoʻi e hana i nā loli.

"He 50 koʻu mau makahiki i ka manawa i ʻike ʻia ai koʻu maʻi," wehewehe ʻo ia, "a ua ʻike wau i kēlā manawa e ʻai ana au e like me ka 12 makahiki. ʻO kaʻu pākaukau, kaʻu meaʻai, a me kaʻu mau koho i hala ʻole ma ka pakuhi. No laila, ʻo ia ka mea mua aʻu e hana ai, e noʻonoʻo pehea e ʻai maikaʻi ai, pehea e kuke ai, pehea e kūʻai ai - kēlā mau mea āpau. "

Kaumaha a me ka māluhiluhi

Hāʻawi ʻia i nā hana āpau e pili ana i ka mālama ʻana i ka maʻi ʻaʻai ʻano 2, he mea kupanaha kokoke i ka 40 pākēneka o ka poʻe i nīnau ʻia e ʻōlelo lākou ua luhi lākou i kēlā me kēia lā a i ʻole kēlā me kēia pule. E like me ka pinepine, ʻoi aku ma mua o 30 pākēneka i ʻōlelo he hewa lākou e pili ana i kā lākou mālama ʻana i kēia ʻano.

ʻO Lisa Sumlin, PhD, RN, kahi loea kahu maʻi lapaʻau i ka maʻi kō, ʻike i kēia mau kuanaʻike kamaʻāina. ʻO kāna mau mea kūʻai aku ma Austin, TX, he poʻe malihini haʻahaʻa ʻoihana, e hana pinepine nei i nā hana he nui e pau ai ka ʻaoʻao. Ke hoʻohui nei i nā hana e pono ai ka mālama ʻana i ka maʻi diabetes type 2 pono hou ka manawa a me ka ikaika.

"Ke haʻi aku nei wau i nā mea maʻi i nā manawa āpau: he hana piha kēia," i ʻōlelo ʻo ia.

A ʻaʻole ia hoʻokahi no lākou e hiki ai ke lawe i nā pōkole.

Hiki i nā hoʻokolohua olakino koʻikoʻi ke hoʻonāukiuki i ke koʻikoʻi. ʻO kahi laʻana, kēnā nā kauka i kahi hoʻāʻo A1C e aʻo e pili ana i nā pae kō kō maʻamau o ke kanaka i nā mahina i hala. Wahi a kā mākou nānā ʻana, kokoke i ka 40 pākēneka o ka poʻe ʻike kaumaha i ke kali ʻana i kā lākou mau hopena A1C. A he 60 pākēneka ke manaʻo nei ua "holo" lākou inā kiʻekiʻe loa nā hopena.

He pilikia ia i lohe ʻia e Adam Brown e pili ana i ka manawa pinepine. ʻO Brown, ka lunahooponopono o ka diaTribe, ola me ka maʻi diabetes type 1 a kākau i ka kolamu "Adam's Corner" kaulana o ka paʻi, e hāʻawi ana i nā ʻōlelo aʻoaʻo i ka poʻe me ka maʻi diabetes type 2 a me 2. Ua kamaʻilio pū ʻo ia i ke kumuhana A1C stress i loko o kāna puke, "Bright Spots & Landmines: Ke Alakaʻi Diabetes aʻu e makemake ai i kekahi e hāʻawi iaʻu."

"Hele pinepine ka poʻe i kā lākou mau kauka kauka me ka manaʻo e hoʻokolokolo a manaʻo e like inā ʻaʻole i helu ʻia nā helu ma ka [glucose] mika a i ʻole ka A1C, manaʻo lākou ua loaʻa kahi papa maikaʻi ʻole," haʻi ʻo Brown iā Healthline.

Ma mua o ka hoʻokokoke ʻana i kēlā mau helu e like me nā papa, manaʻo ʻo ia e mālama iā lākou ma ke ʻano he "ʻike e kōkua iā mākou e hoʻoholo." Hoʻololi hou kēia i nā hopena hōʻike, ua ʻōlelo ʻo ia: "ʻAʻole ia e ʻōlelo ana, 'ʻO Adam he kanaka maikaʻi ʻole ʻoe me ka maʻi diabetes no ka mea he kiʻekiʻe loa kāu helu.'"

Hāʻawi ke koʻikoʻi e pili ana i nā hopena hōʻike i kekahi pilikia nui: “burnout diabetes.” Wahi a ka Joslin Diabetes Center, he mokuʻāina kēia e luhi ai ka poʻe me ka maʻi hē i ka mālama ʻana i ko lākou maʻi a nānā ʻole paha iā ia no kekahi manawa, a ʻoi aku paha ka maikaʻi ʻole, no ka wā pau ʻole.

Kuhi kekahi poʻe e pili ana i ka hana wale.

"E like me ka haʻi ʻana mai o kekahi iaʻu i loko o kaʻu [hui kākoʻo] hui ʻana i kekahi pō ʻē aʻe," i ʻōlelo ʻo Kinnaird, "" Makemake au e lawe i kahi lā mai ka maʻi kō. "

Hoʻokaʻawale ka hanauna a me ka wahine

Nā hakahaka hanauna

Hiki iā ʻoe ke ʻōlelo kokoke i nā mākua ʻōpio me ka maʻi diabetes type 2 ke launa pū me kekahi ʻano maʻi ʻē aʻe, ke hoʻohālikelike ʻia me nā poʻe kahiko me kēia ʻano. Pēlā ka ʻokoʻa o kā lākou ʻike, keu hoʻi ke hoʻohālikelike ʻoe i nā millennial me nā boomers pēpē. Ke kuʻi nei nā mea ʻokoʻa, ʻaʻole ma ke ala maikaʻi no nā ʻōpio ʻōpio.

Ua hōʻike ʻia ke ana ʻana a Healthline i kahi pae paheʻe o nā manaʻo a me nā ʻike ma waena o nā makahiki like ʻole. ʻO ka hapa nui o nā pēpē pēpē, he 53 a ʻoi paha mau makahiki, ua hōʻike i nā nānā maikaʻi i kā lākou hana e mālama i ka maʻi diabetes type 2, kā lākou hana pū ʻana me nā poʻe ʻē aʻe, a me ko lākou ʻano ponoʻī. I ka hoʻohālikelike ʻana, nā ʻāpana kiʻekiʻe o nā millennial, 18 a 36 mau makahiki, i ʻōlelo he ʻano maikaʻi ʻole ko lākou ʻike i kēia mau wahi. Ua hāʻule mau nā pane a Gen Xers ma waena o nā hui ʻelua ʻē aʻe, e like me ke ʻano o ka makahiki.

ʻO kahi laʻana, ʻoi aku ma mua o 50 pākēneka o nā millennial a ʻoi aku ma mua o 40 pākēneka o Gen Xers i hōʻike i ka hilahila e pili ana i ko lākou mau kino i kēlā me kēia lā a i ʻole kēlā me kēia pule. ʻO 18 wale nō ka pākēneka o nā pēpē pēpē e manaʻo like. Pēlā nō, ʻike pinepine ʻia ka manaʻo hewa, hilahila, a me ka hopohopo e nā millennial a me Gen Xers ma mua o ka poʻe mākua.

I ka manawa a Lizzie Dessify i aʻo ai i ka makahiki 25 he ʻano diabetes kona ʻano 2, ua hūnā ʻo ia i ka hōʻailona no hoʻokahi mahina a ʻoi. I kona hilinaʻi hope ʻana i kekahi poʻe ʻē aʻe, ʻaʻole i hōʻeuʻeu kā lākou hopena i ka hilinaʻi iā ia iho.

"ʻAʻole au i kahaha i kekahi i kahaha," wahi a Dessify, ka mea e hana nei ma ke ʻano he kauka noʻonoʻo i ke kula ma Pittsburgh, PA. "ʻAʻole wau i ʻike i ka maikaʻi o kaʻu hoʻokuʻu ʻana i koʻu olakino, akā maopopo leʻa ua ʻike nā mea a puni iaʻu."

Ua minamina ka poʻe i kona ola, akā he kakaikahi ka mea i manaʻoʻiʻo hiki iā ia ke hoʻololi i ka holomua o ka maʻi. He "hoʻonāwaliwali iki kēlā," i ʻōlelo ʻo ia.

ʻO David Anthony Rice, he mea hana 48 makahiki a me ke kākāʻōlelo kiʻi, ua noho mālie hoʻi e pili ana i ke ʻano mai kona ʻano ʻo 2017. ʻIke kekahi mau lālā o ka ʻohana a me nā hoaaloha, akā hōʻole ʻo ia e kūkākūkā i kāna mau papaʻai pono.

"ʻAʻole ʻoe makemake e hele a puni e haʻi i nā poʻe āpau," ʻĀ, he diabetic wau, no laila ke hele mai wau i kou hale, ʻaʻole hiki iaʻu ke ʻai i kēlā, "i ʻōlelo ʻo ia. "ʻO ia kekahi o kaʻu mau pahuhopu nui loa, ʻaʻole e hoʻokaʻawale iaʻu iho."

Kūʻē ʻo Rice i ka hoʻāʻo ʻana i kāna kō kō i ka hana, a i ʻole i mua o kāna mau keiki. "Ke kuʻi nei i kuʻu manamana i mua o lākou - ʻaʻole wau makemake i ka hana ʻana no ka mea hoʻoweliweli iā lākou," ua wehewehe ʻo ia.

Hōʻike ka nīnau a Healthline he mea maʻamau ia no nā millennial a me Gen Xers e hūnā i ke ʻano. Hoʻohālikelike ʻia me nā boomers pēpē, ua ʻōlelo paha kēia mau makahiki i ka hoʻopilikia ʻana o ka maʻi diabetes ʻano 2 me nā pilina aloha, ua hana ʻia nā pilikia i ka hana, a alakaʻi paha i ka poʻe e hana i nā manaʻo maikaʻi ʻole e pili ana iā lākou. ʻIke lākou i kahi kaʻawale ma mua o nā pēpē pēpē pū kekahi.

E pili paha kēia mau pilikia i ka mea i ʻike pinepine ʻia ke ʻano he maʻi o ka ʻelemakule.

ʻAʻole lohe ʻo Rice i kekahi o kāna hanauna e kamaʻilio e pili ana i ka loaʻa ʻana o ka maʻi maʻamau ʻo 2 a hiki i kona ʻike ʻana i ke ʻano kīwī ʻo Tami Roman e kamaʻilio nei e pili ana i kāna ʻike ma ka VH1 series Basketball Wives.

"ʻO ia ka manawa mua aʻu i lohe ai i ka haʻi ʻana me ka leo nui e kekahi o kaʻu mau makahiki," i ʻōlelo ʻo ia. Ua hoʻoneʻe ia i kona waimaka. "Ua like ʻo ia," ʻO 48 wau. 'He 48 wau, a ke hana nei wau me kēia. "

I kekahi mau hihia, hiki i kahi hilahila a stigma paha ke hoʻopili i nā ʻike olakino o nā ʻōpio makua. Ma kahi kokoke i ka hapalua o nā millennial a kokoke i ka hapakolu o Gen Xers i hōʻike manaʻo ʻia e kekahi poʻe lawelawe mālama ola no ka mea pehea lākou e mālama ai i ka maʻi diabetes type 2. E pili ana i ka mea like i ʻōlelo ʻia ua hoʻolohi lākou i ka ʻike ʻana i kahi kauka no ka mea makaʻu lākou i kēlā mau hoʻokolokolo.

He pilikia kēlā, ʻoiai hiki i nā ʻoihana ola kino ke hāʻawi i ke kākoʻo nui e kōkua i ka poʻe e mālama i ke ʻano. ʻO Dessify, no ka laʻana, hōʻaiʻē i kāna kauka me ke kōkua ʻana iā ia e hoʻomaopopo i nā loli e pono ai e hoʻomaikaʻi i kona olakino. Ua hana ʻoi i kāna papaʻai, hōʻano hou i kāna papa hana hoʻoikaika kino, a ua nalo he 75 mau paona ma luna o ʻekolu mau makahiki. I kēia manawa aia nā hopena hōʻike A1C ma nā pae kokoke-maʻamau. Ua hoʻomaka ʻo ia i kahi ʻoihana liʻiliʻi ma ke ʻano he kaʻi hoʻoikaika kino.

ʻOiai ʻo ia mau moʻolelo kūleʻa kahi ʻāpana nui o ke kiʻi, ʻaʻole nui ka maikaʻi o nā millennial he nui.

Ua ʻike ʻia kahi noiʻi ma 2014 i ka Diabetic Medicine i ka hoʻohālikelike ʻia me ka poʻe ʻelemakule me ka maʻi kōkō 2, ʻo ka poʻe 18 a 39 mau makahiki ka liʻiliʻi e ʻai olakino a lawe i ka insulin e like me ka mea i ʻōlelo ʻia. ʻOi aku ka nui o nā helu kaumaha o ka poʻe ʻōpio ma mua o ka poʻe kahiko.

"ʻAʻohe o lākou kumu hoʻohālikelike no kahi kūlana hoʻomau e pono ai ka makaʻala a me ka nānā ʻana i ke ola holoʻokoʻa," i wehewehe ʻia e Dr. Rahil Bandukwala, he endocrinologist ma MemorialCare Saddleback Medical Center ma Kaleponi Hema.

He mea kaumaha loa ia no ka poʻe ʻōpio ʻōpio e hoʻomaopopo i ka maʻi diabetes ʻano 2 me lākou no ke koena o ko lākou ola, ua hoʻohui ʻo ia, no ka mea ʻo ke koena o ko lākou ola he manawa lōʻihi loa ia.

ʻO ka poʻe ʻōpio me ka maʻi diabetes type 2 ke kū nei i nā pilikia kaomi ʻē aʻe - e like me ke kālā. Ma mua o 40 pākēneka o nā millennial i ʻōlelo ʻaʻole lākou e ukali i kekahi manawa me nā lāʻau lapaʻau i koi ʻia no ka uku. Ma kahi kokoke i kahi hapakolu i hōʻike ʻia me ka loaʻa ʻole o ka ʻinikua olakino. ʻO ka hapa nui o ka poʻe i loaʻa ka inikua i ʻōlelo ʻia waiho lākou me nā bila nui.

ʻO nā Millennial, a me kahi liʻiliʻi ʻo Gen Xers, ʻoi aku paha ka nui ma mua o nā pēpē pēpē e ʻōlelo he paʻakikī lākou ke kaulike i nā pono mālama pilikino me nā kuleana ʻē aʻe.

ʻAʻole kahaha ʻo Kauka Bandukwala. Ua ʻike ʻo ia ma ke ʻano laulā, he hanauna koʻikoʻi koʻikoʻi nā millennial. Hopohopo ka poʻe he nui e pili ana i ka loaʻa a me ka mālama ʻana i nā hana i ka honua holo wikiwiki me ka hoʻokele waiwai globalized. Kōkua pū kekahi i ka mālama ʻana i nā mākua a i ʻole nā ​​kūpuna me nā pono kālā a me nā pono olakino.

"He mea paʻakikī loa ia," i ʻōlelo ʻo ia, "e hoʻohui i ka mālama maʻi diabetes ma ke ʻano he hana ʻē aʻe."

Māhele ka kāne a ke kāne

ʻAʻole wale nā ​​hoʻokaʻawale hanauna i hōʻike ʻia i nā hōʻike noiʻi - ua ʻike ʻia nā hemahema nui ma waena o nā wahine a me nā kāne. ʻOi aku ka nui o nā wahine ma mua o nā kāne i hōʻike i nā pilikia me ke kaumaha. ʻ werelelo paha nā wahine i kā lākou hoʻokele o ka maʻi diabetes type 2 pono e hoʻomaikaʻi. ʻOi aku ka pilikia o ke kaulike ʻana i ka mālama pilikino me nā kuleana ʻē aʻe.

ʻO Andrea Thomas, he luna hoʻomalu ma kahi hui kōkua ʻole ma Wakinekona, D.C., manaʻo pinepine ʻaʻohe ona manawa e mālama pono ai i ka maʻi ʻano 2 e like me kona makemake.

"Ke inaina wau e ʻōlelo wau i kahi ʻano maikaʻi ʻole, kahi e hana nui nei, e huakaʻi nui ana wau i mua a hoʻi i Kaleponi no ka mea maʻi koʻu makuakāne, noho au ma luna o kēia kōmike ma ka hale pule," wahi āna. . "ʻO ia wale nō, ma hea wau e kūpono ai?"

Ua noʻonoʻo maikaʻi ʻo Thomas e pili ana i kāna kūlana. Akā paʻakikī e noho ma luna o nā mea āpau o ka hoʻokele ʻana iā ia - hoʻoikaika kino, ʻai maikaʻi, ka nānā ʻana i ke kō a me nā mea i koe.

"ʻOiai ʻo wau e haʻi aku nei i ka poʻe makemake wau i luahine kahiko i kekahi lā, nāna e huakaʻi i ka honua, aia kahi hoʻokaʻawale ma waena o nā mea e pono ai iaʻu e hana e mālama iaʻu iho, a me kaʻu e hana nei."

E kani paha ka moʻolelo o Thomas me nā wahine he nui i pane i ka nīnau a Healthline.

Ma kahi o 70 pākēneka i ʻōlelo ua hoʻokau lākou i nā makemake o kekahi poʻe ma mua o kā lākou ponoʻī, ʻoiai ke noho nei me kahi maʻi maʻi. I ka hoʻohālikelike ʻana, ua ʻoi iki aʻe ma mua o 50 pākēneka o nā kāne i ʻōlelo like. He mea kupanaha paha ka nui o ka pilikia o nā wahine i ke kaulike ʻana i ka mālama pilikino me nā kuleana ʻē aʻe?

"Manaʻo wau he wahine ko kā lākou mau pilikia kūʻokoʻa i ka wā e pili ana i ka maʻi diabetes 2," wahi a Thomas. He mea nui i nā wahine e noʻonoʻo pehea lākou e mālama ai iā lākou iho, hoʻohui ʻo ia, a lilo ia i mea nui.

ʻAe ʻo Sue Rericha, kahi makuahine o ʻelima a mea kākau o ka blog ʻO Diabetes Ramblings.

"I nā manawa he nui, waiho mākou iā mākou iho i hope," i ʻōlelo ʻo ia, "akā hoʻomanaʻo mau wau, ke hele ʻoe ma kahi mokulele a hana lākou i kā lākou palekana palekana a kamaʻilio lākou e pili ana i ka huna oxygen, haʻi lākou i ka poʻe e huakaʻi me nā keiki , kau i kāu pale ponoʻī ma mua a laila kōkua i kekahi ʻē aʻe. No ka mea inā ʻaʻole maikaʻi mākou iā mākou iho, ʻaʻole mākou e hele i kahi e pono ai mākou e kōkua i nā poʻe ʻē aʻe. "

Nā hopohopo olakino a me nā hoʻoholo

Nā pilikia

ʻO ka hapa nui o ka poʻe me ka maʻi diabetes ʻano 2 i nīnauele ʻia e Healthline ua ʻōlelo lākou noho lākou me ka ukana o nā hopohopo nui e pili ana i nā hopena weliweli o ka maʻi.

Hiki i kēlā mau pilikia ke komo i ka nalo ʻana o ka ʻike, nā maʻi puʻuwai, nā maʻi puʻuwai, a me ka hahau. Hiki i ka maʻi diabetes ke hoʻonāukiuki i ka pain- a me ka numbness-hoʻokomo i ka neuropathy, a i ʻole nā ​​hōʻino nerve, i nā lima a me nā wāwae. Hiki i ka helu ʻole ke waiho i ka poʻe me ka makaʻala ʻole i nā ʻeha, kahi e hopena ai i nā maʻi a me nā ʻoki ʻana.

Ua ʻike ʻia ua ana he ʻelua hapakolu o ka poʻe me ka maʻi diabetes type 2 e hopohopo e pili ana i nā pilikia kūpilikiʻi loa o ka maʻi. ʻO ia ka pilikia nui i hōʻike ʻia. ʻO ka helu nui loa - 78 pākēneka - hopohopo no ka nalo ʻana o ka hihiʻo.

Ua ʻike ʻo Merkerson i kekahi o nā hopena maikaʻi loa o ka maʻi ma waena o kona ʻohana.

"Ua make koʻu makuakāne mai nā pilikia," i ʻōlelo ʻo ia. “Ua pau ka ʻike ʻana a koʻu tūtū wahine. He ʻanakala koʻu i loaʻa nā ʻoki ʻoi loa o ka ʻaoʻao. ”

ʻO nā mea pane noiʻi ua ʻike ʻia he ʻApelika-ʻAmelika a i ʻole Latino, a me nā wahine o nā ʻano āpau, nā mea e hōʻike i nā hopohopo pili pili pilikia. Hopohopo nui ka poʻe inā lākou e noho ana a i ʻole kokoke paha i ka "," kahi o ka hapa nui o nā mokuʻāina hema i ʻike ʻia e nā Kikowaena no ka Mīkini Hoʻōla a me ka Kāohi ʻana o U.S.

ʻAʻole paha he mea kupanaha kēia, no ka mea ua loaʻa i nā noiʻi nā helu kiʻekiʻe o nā pilikia pili i ka maʻi diabetes i nā lāhui a me nā wahine, ke hoʻohālikelike ʻia me nā kānaka keʻokeʻo a me nā kāne.

Ke hana nei ʻo Kauka Anne Peters ma ke ʻano he endocrinologist ma nā wahi lapaʻau ʻelua ma kahi o Los Angeles - hoʻokahi ma Beverly Hills affluent a me hoʻokahi ma nā kaiāulu haʻahaʻa o East Los Angeles. Ua ʻike ʻo ia i ka hoʻomohala ʻana o ka poʻe ma mua i ke ola ma ka hale maʻi ʻo East LA, ka mea lawelawe i kahi heluna kanaka i ʻole ka inisiua ʻole a ʻo ka mea nui ʻo Latino.

"Ma ke kaiāulu ʻo LA Hikina, loaʻa ʻōpio lākou i kēia mau pilikia āpau," i ʻōlelo ʻo ia. "ʻAʻole wau i ʻike i ka makapō a me nā ʻoki ʻana i kaʻu hana ʻo Westside i nā makahiki he 35, akā ke hana nei wau ma aneʻi no ka mea ʻaʻohe hiki ke loaʻa i ke ola āpau."

Hiamoe

ʻIke ʻia kahi noiʻi a Healthline ma mua o ka hapalua o ka poʻe me ka maʻi diabetes type 2 pilikia e hiamoe. Heʻuʻuku paha kēlā, akā hiki ke hana i kahi pōʻai pilikia o ke olakino olakino.

Kuhi ka Joslin Diabetes Center hiki i ke kō kō ke kiʻekiʻe ke alakaʻi i ka make wai a me ka mimiki pinepine ʻana, no laila e ala paha ka poʻe me ka maʻi diabetes type 2 i kekahi mau manawa i ka pō e inu a hele i ka lua. Ma ka lima ʻē aʻe, hiki i ke kō kō ke kō ke hoʻohaʻahaʻa i nā manaʻo hiamoe o ka haʻalulu a i ʻole ka pōloli. Hiki i ke koʻikoʻi, hopohopo, a me ka ʻeha mai ka neuropathy ke hoʻopilikia i ka hiamoe.

Ua hōʻike ʻia kahi noi ma 2017 e hōʻike pinepine ʻia nā maʻi hiamoe a me ka hoʻohaʻahaʻa hoʻohaʻahaʻa hiamoe i ka poʻe me ka maʻi diabetes type 2. I ka huli ʻana, ke hiamoe maikaʻi ʻole ka poʻe, hiki iā ia ke hōʻino loa i ko lākou maʻi diabetes: ua ʻike ʻia kahi noi ma 2013 i ka Diabetes Care ua hoʻopilikia maikaʻi ʻole ʻia ke kiʻekiʻe o ka glucose koko ke hiamoe ka poʻe me ka maʻi diabetes type 2 no ka manawa pōkole a lōʻihi loa paha.

"Nīnau mau wau i ka poʻe, keu hoʻi inā he kō ko ke kakahiaka nui, ehia mau hiamoe āu e loaʻa nei a ke hōʻoluʻolu nei kou lumi moe?" wahi a Brown. Ua launa ʻo ia me nā poʻe he nui e ʻimi nei i nā ʻōlelo aʻoaʻo no ka mālama ʻana i ka maʻi kō. I kona manaʻo, ʻaʻole ʻike ka hapa nui i ka mea nui o ka hiamoe.

"ʻO ka kamaʻilio ʻana i ka hiamoe hiki ke loaʻa i nā hopena nui maoli i ka lā aʻe, e pili ana i ka liʻiliʻi o ke kūpaʻa ʻana o ka insulin, ʻoi aku ka noʻonoʻo o ka insulin, ka liʻiliʻi o ke kō a me ka makemake o ka momona, ʻoi aku ka makemake e hoʻoikaika kino, a me ke ʻano maikaʻi," i hoʻohui ʻia. "ʻO ka nui o ka hopena e hiki iā ʻoe ke loaʻa mai ke kōkua ʻana i kekahi e hiamoe hou aʻe, manaʻo wau, hoʻowahāwahā loa ʻia."

ʻOki kino Metabolic

ʻOiai ka hopohopo e pili ana i nā pilikia mai ka maʻi diabetes type 2, ma lalo o ka hapaha o nā mea pane e ʻimi ana e ʻae e noʻonoʻo i ke kīki metabolic ma ke ʻano he koho lapaʻau. ʻ saidlelo ka hapalua he mea weliweli loa ia.

Ke hoʻomau nei kēlā ʻano e like me nā pono i hoʻopaʻa ʻia o ka ʻoki ʻana i ka metabolic, i kapa ʻia hoʻi ʻo bariatric a i ʻole ke kauna kaumaha. Hiki i nā pōmaikaʻi kūpono ke hoʻonui i ka pohō kaumaha.

ʻO kahi laʻana, ma kahi o 60 pākēneka o ka poʻe me ka maʻi maʻisā ʻano 2 i loaʻa i hoʻokahi ʻano ʻoki metabolic e loaʻa ai ke kala ʻana, ua hōʻike ʻia kahi noi ma 2014 ma ka Lancet Diabetes & Endocrinology. ʻO ke "remission" ʻo ia hoʻi ka hoʻokē ʻai ʻana i nā pae kō kō i ka maʻamau a i ʻole prediabetes pae me ka ʻole o ka lāʻau.

I loko o kahi ʻōlelo i paʻi ʻia i paʻi ʻia ma 2016, ua aʻo ʻia kahi hui o nā hui diabetes ākea i nā kauka e noʻonoʻo i ke kīpē metabolic ma ke ʻano he koho lapaʻau no ka poʻe me ka maʻi diabetes type 2 i loaʻa ka BMI o 30.0 a ʻoi paha a loaʻa ka pilikia i ka kaohi ʻana i kā lākou pae kō kō. Mai ia manawa, ua lawe ka American Diabetes Association i ka ʻōlelo i loko o kāna mau kūlana o ka mālama.

ʻAʻole kāhāhā ʻo Kauka Hafida, ma ka Joslin Diabetes Center, i ke kūpaʻa ʻana i ke ʻoki. "Hoʻohana ʻia a stigmatized loa ia," i ʻōlelo ʻo ia. Akā i kona manaʻo, "ʻo ia ka lapaʻau kūpono loa a mākou."

Loaʻa i ka mālama

Hiki i nā loea i ka mālama maʻi diabetes ʻano 2 ke hoʻololi i ka poʻe e noho ana me ke ʻano - akā ʻaʻole nui ka poʻe e kiʻi ana i kā lākou lawelawe.

Ma waena o nā mea noiʻi o Healthline, he 64 pākēneka i ʻōlelo ʻaʻole lākou i ʻike i ka endocrinologist. Ma mua o ka hapalua i ʻōlelo ai ʻaʻole lākou i ʻike i kahi dietitian a i ʻole nutristist, hiki ke kōkua iā lākou e hoʻoponopono i kā lākou papaʻai. A ʻo 1 wale nō ma ka 10 i hōʻike e ʻike ana i kahi mea hoʻoponopono a mea aʻoaʻo paha i ʻoi aku ma mua o ʻekolu mau manawa o ka makahiki - ʻoiai ʻo ka hapahā o ka poʻe i komo i ʻōlelo ua ʻike ʻia lākou me ke kaumaha a me ka hopohopo.

ʻO ka maʻi diabetes Type 2 kahi maʻi e pili ana i ka ʻōnaehana endocrine, a i ʻole nā ​​hormones a ke kino. Wahi a Kauka Saleh Aldasouqi, ke aliʻi endocrinologist ma ke Kulanui ʻo Mokuʻāina ʻo Michigan, hiki i ke kauka mālama mua ke mālama i ka mālama ʻana i nā hihia "paʻakikī", ʻoiai lākou e aʻo maikaʻi e pili ana i ke ʻano. Akā inā he paʻakikī kekahi me ka maʻi diabetes type 2 me nā pae kō kō, inā he ʻōuli ko lākou o nā pilikia, a i ʻole inā ʻaʻole e holo ana nā kuʻuna maʻamau, ʻike ʻia ka endocrinologist e paipai ʻia.

I kekahi mau hihia, e kuhikuhi paha ke kauka o kekahi kanaka iā lākou i kahi mea aʻo diabetes i hōʻoia ʻia, a i ʻole CDE. He hoʻomaʻamaʻa kikoʻī kēia ʻano ʻoihana i ke aʻo ʻana a me ke kākoʻo ʻana i ka poʻe me ka maʻi kō.ʻO nā kauka mālama mua, nā kahu hānai, nā mea hānaiʻai, a me nā lawelawe lawelawe olakino ʻē aʻe a pau e hoʻomaʻamaʻa e lilo i CDE.

Ma muli o nā ʻano like ʻole o nā mea hāʻawi hiki ke lilo i CDE, hiki ke ʻike i hoʻokahi me ka ʻike ʻole. Akā i ko lākou ʻike, 63 pākēneka o nā poʻe komo anamanaʻo i ʻōlelo ʻaʻole lākou i kūkākūkā pū me hoʻokahi.

No laila, no ke aha e ʻike ʻole ai ka nui o nā poʻe me ka maʻi diabetes ʻano 2?

I kekahi mau hihia, ʻaʻole e uku ka ʻinikua no nā kipa loea. A i ʻole ʻaʻole ʻae nā loea i kekahi mau hoʻolālā ʻinikua.

Ua ʻike ʻo Brady i kēia pilikia ma kahi kokoke, e hana ana ma ke ʻano he CDE ma Reno, NV. "I kēlā me kēia lā āu e lohe ai," ʻaʻole ka poʻe i ka ʻāpana pilikino e ʻae i kaʻu ʻinikua, "" i ʻōlelo ʻo ia, "a ke hilinaʻi nei i kāu ʻinikua, e haʻi lākou iā ʻoe," ʻaʻole mākou e lawe i nā mea maʻi hou. "

Hoʻopilikia ka hemahema nui o endocrinologists i nā pale, keu hoʻi i nā wahi kaiāulu.

He 1,500 ka nui o nā endocrinologists mākua ma mua o ka mea e pono ai, e like me kahi noiʻi 2014. Ma waena o ka poʻe e hana ana ma 2012, 95 pakeneka i loaʻa i nā kūlanakauhale. ʻO Connecticut, New Jersey, a me Rhode Island ka laulā maikaʻi loa. ʻO Wyoming ka mea ʻino loa.

Hāʻawi ʻia i kēlā mau like ʻole, he mea kūpono ia i loaʻa i kā mākou ana noiʻi kahi ʻokoʻa kūloko. ʻO ka poʻe ma ka ʻĀkau Hikina ka mea e hōʻike pinepine ana i ka ʻike ʻana i ka endocrinologist i nā manawa he nui i ka makahiki. ʻO ka poʻe ma ke Komohana a me Midwest ka mea liʻiliʻi e ʻōlelo ua ʻike lākou i kekahi.

Me ka hana ʻole ʻole e hoʻoponopono i nā hemahema o endocrinologists, e ulu ana ka pilikia.

Paʻi paʻakikī paha i nā ʻōpio ʻōpio.

E like me ka mea i kākau ʻia ma ka Lancet Diabetes & Endocrinology, ʻo ke kaikaina o ke kanaka ke ʻike ʻia me ka maʻi diabetes type 2, ʻoi aku ka nui o ka hopena i ko lākou ola ola. Ma kahi ʻāpana, no ka mea hiki i nā makahiki ʻōpio ke hoʻomaka i nā pilikia ma mua.

ʻOiai he nui ka poʻe ʻōpio me ka maʻi diabetes type 2 e pōmaikaʻi i ka mālama loea, ua ʻike ʻia kā mākou ana he 1 i ka 3 mau millennial i ʻōlelo ʻia e ʻike i kahi endocrinologist e loaʻa nei ka pilikia e loaʻa kekahi.

Kālā mālama

ʻO nā kumukūʻai kālā o ka maʻi diabetes ʻano 2 he mea hopohopo nui ia, ua ʻike ʻia ke ana. Ma kahi kokoke i 40 pākēneka o nā mea pane e hopohopo e pili ana i kā lākou hiki ke mālama i ka wā e hiki mai ana. Maliʻa paha ʻoi aku ka pīhoihoi, kokoke 1 i ka 5 i ʻōlelo ʻia ua mālama ʻia ke kumukūʻai i kekahi manawa mai ka ukali ʻana i nā ʻōlelo aʻoaʻo a kā lākou kauka.

Wahi a kahi hōʻike a ka American Diabetes Association, ke kumukūʻai o ka ʻāina ʻo ke ʻano ʻo 1 a me ka maʻi ʻaʻano 2 - $ 327 biliona ma 2017 - ua hoʻonui ʻia e 26 pākēneka i loko o ʻelima mau makahiki. ʻO ka helu hou o $ 9,601 no kēlā me kēia kanaka me ka maʻi kō. Hiki i nā poʻe he nui ʻole ke uku i ka mahele paʻakikī o kā kapu e uhi ai lākou.

Ma waena o nā poʻe noiʻi, ʻaneʻane 30 pākēneka i ʻōlelo he ʻinikua uhi lākou e waiho ana iā lākou me nā bila nui. ʻO nā meaʻai momona, nā lālā hale hoʻoikaika kino, a me nā lako hoʻoikaika kino ke kumu kūʻai o ke kālā. ʻOiaʻiʻo, pēlā nō nā mākaʻikaʻi olakino a me nā lāʻau lapaʻau - me nā lāʻau.

"ʻO nā kumukūʻai o nā lāʻau antihyperglycemic, ʻoi loa ʻo ka insulin, ua lilo i pale i ka mālama ʻana i ka maʻi maʻisā," i hōʻike ʻia ma kahi noi ma 2017 ma Nā Hōʻike Diabetes o kēia manawa.

E like me ka poʻe he nui, ua ʻike ʻo Kinnaird i ka ʻeha o nā kumukūʻai lāʻau. Hana ponoʻī, pono ʻo ia e kūʻai hou i ka inikua hou ma hope o ka huki ʻana o kāna ʻinikua mua ma waho o nā kuʻikahi Affordable Care Act. ʻAʻole maikaʻi ka hoʻololi no kāna pēke: kahi lako o ʻekolu mahina o ka lāʻau i hoʻohana ʻia ma ke kumukūʻai $ 80 i kēia manawa $ 2,450.

I kekahi manawa, lawe ka poʻe me ka maʻi diabetes i ka lāʻau liʻiliʻi ma mua o ka mea i kauoha ʻia e hana ia hope loa.

Ua loaʻa i kēia pilikia ka nānā ʻana ma hope o ka make ʻana o kahi kanaka ʻōpio me ka maʻi ʻaʻano 1 i ka makahiki i hala. I ka wā ʻelemakule ʻo Alec Raeshawn Smith mai ka ʻinikua a kona mau mākua, ua kiʻekiʻe loa ke kumukūʻai o kāna insulin. Hoʻomaka ʻo ia e hōʻemi i nā lāʻau i mea e hope ai. I loko o hoʻokahi mahina, ua make ʻo ia.

Ua hana ʻo Campaniello i kahi ration ponoʻī nona iho. I nā makahiki i hala aku nei, hoʻomanaʻo ʻo ia i ka uku ʻana he $ 250 i kēlā me kēia ʻekolu mahina no kahi ʻano insulina hana lōʻihi. Ua lawe mai ka lāʻau iā ia i nā pae A1C i lalo nui. Akā i ka nānā ʻana o kāna kauka i kāna mau hopena hōʻike, manaʻo ʻo ia ua "pāʻani" ʻo Campaniello me kāna insulin.

"Ua ʻōlelo au," ʻAe, ke ʻōlelo nei ʻoe iaʻu he ʻano mālama wau i kekahi manawa i ka hopena o ka mahina, no ka mea ʻaʻole hiki iaʻu ke uku, "" hoʻomanaʻo ʻo Campaniello, "" pololei ʻoe! "

I ka wānana, ua ʻike ʻia ka noiʻi Healthline e hōʻike ana nā poʻe haʻahaʻa i ka hopohopo e pili ana i ke kumukūʻai o ka mālama a me ka ʻinikua. Pēlā nō ia no ka poʻe ma ke kāʻei diabetes.

Ua loaʻa i ka noiʻi i ka lehulehu ākea ka lāhui a me ka lāhui lāhui: i waena o ka poʻe ma lalo o ka makahiki 65, 17 pākēneka o ka Hispanic-ʻAmelika a me ka 12 pākēneka o ʻAmelika-ʻAmelika i hoʻopaʻa ʻole ʻia i ka makahiki 2016, hoʻohālikelike ʻia me 8 pākēneka o nā ʻAmelika keʻokeʻo, i hōʻike ʻia e ka Kaiser. ʻOhana Foundation.

Ke hiki ʻole i kekahi kanaka ke uku aku ma mua o kekahi mau kālā i kēlā me kēia mahina, hiki iā ia ke kaupalena i kā lākou mau koho lapaʻau, i ʻōlelo ʻia ʻo Jane Renfro, kahi kahu hānai nāna e hana manawaleʻa i kahi keʻena olakino ma Falls Church, VA, no nā poʻe lawelawe ʻole ʻia a me nā inikua ʻole.

"Pono mākou e hōʻoia i nā lāʻau a mākou e koho ai i nā generic a hāʻawi ʻia no nā kumukūʻai haʻahaʻa loa - no ka laʻana, $ 4 no kahi mahina, $ 10 no kahi lako no ʻekolu mahina," wehewehe ʻo ia. "Hoʻopili kēlā i ka laulā o nā therapies i hiki iā mākou ke hāʻawi."

Kāhea ala ala

ʻAʻohe mea e koho e loaʻa i ka maʻi maʻamau ʻo 2 - akā ʻo nā hoʻoholo a nā kānaka e hana ai hiki ke loli i ka holo ʻana o ka maʻi. No nā mea he nui i nīnauele ʻia e Healthline, ua like ka manaʻo me he ala ala e hoʻokuʻikuʻi iā lākou e kāpae i nā ʻano olakino. ʻOiai nā pilikia a lākou i kū ai, ua hōʻike ka hapa nui i ka hana ʻana i kahi ala e hoʻomaikaʻi ai i ko lākou olakino.

Ua ʻike ʻia ka noiʻi a Healthline ua hōʻike he 78 pākēneka e ʻai maikaʻi ana ma ke ʻano he hopena o kā lākou hōʻailona. Ma mua o ka hapalua i ʻōlelo lākou he nui ka hoʻoikaika kino ʻana a i ʻole e lilo ana ke kaupaona a i ʻole ke hoʻokele maikaʻi ʻana i kā lākou kaumaha. A ʻoiai he nui ka poʻe e ʻike i ke ala e hele hewa ana, aia wale nō ma kahi o ka hapahā e manaʻo he nui aʻe kā lākou e pono ai e mālama i ko lākou olakino.

ʻO Gretchen Becker, ka huaʻōlelo ma hope o ka blog ʻo Wildly Fluctuating a me ka mea kākau o "The First Year: Type 2 Diabetes," kaʻana like i kekahi mau manaʻo me Healthline e pili ana i ke ʻano o ka hōʻailona ua alakaʻi ʻo ia iā ia e pili me nā loli āna i makemake ai e hana.

"E like me ka hapanui o nā ʻAmelika, ua hoʻāʻo wau e kūleʻa ʻole i ka lilo ʻana o ke kaupaona no nā makahiki, akā he mea sabota mau kaʻu mau hana: malia paha he pāʻina nui me nā mea hoʻowalewale hoʻowalewale a i ʻole kahi ʻaina ahiahi wale nō me ka nui o ka meaʻai. Ma hope o ka hōʻoia ʻana, ua lawe au i nā mea me ka ʻoi loa. Inā haʻi mai kekahi, 'ʻ, ʻaʻole ʻeha iki kahi nahu iki iā ʻoe,' hiki iaʻu ke ʻōlelo, "ʻae." No laila paʻa wau i ka papaʻai a lilo ma kahi o 30 paona. "

"Inā ʻaʻole i loaʻa iaʻu ka maʻi kō," i hoʻomau ʻo ia, "e hoʻomau wau i ka loaʻa ʻana o ke kaupaona, a ʻoluʻolu ʻole wau i kēia manawa. Me ka maʻi diabetes, ʻaʻole wau i hōʻea i kahi BMI maʻamau, akā ʻoi aku ka leʻaleʻa o kaʻu papaʻai ma mua o ka mea aʻu e ʻai nei ma mua. "

Hāʻawi pū ʻo Dessify i ka hōʻailona no ka hoʻokikina ʻana iā ia e hoʻololi i kona ola.

ʻOiai e hāpai ana me kāna keikikāne, ua loaʻa ʻo ia i ka maʻi diabetes. ʻEono pule ma hope o kona hānau ʻia ʻana, ua kiʻekiʻe ke kō o ke kō o Dessify.

I ka manawa i loaʻa iā ia ka maʻi o ka maʻi diabetes type 2, ua hewa ʻo Dessify e pili ana pehea e hoʻopōkole ai ke ʻano i kona ola a me kāna manawa me kāna keiki. "ʻAʻole hiki iaʻu ke hoʻohiki e noho ma aneʻi no ka mea hiki iaʻu ke noho me ia," i haʻi ʻo ia iā Healthline.

I kekahi mau mahina ma hope mai, ua hoʻomaka ʻo ia e ʻike i kahi kauka hou a noi iā ia e hoʻopono me ia. Ua haʻi ʻo ia iā ia i nā koho āna i hele ai i mua e hoʻoholo ai i ke koʻikoʻi o kona ʻano.

Hoʻololi ʻo Dessify i kāna papaʻai, kaomi iā ia iho e hoʻoikaika kino, a ua heleleʻi i ke kaumaha nui.

Ma ke ʻano he makua, ua ʻōlelo ʻo ia, ʻo kāna pahuhopu nui ke lilo i kumu hoʻohālikelike ʻoi loa no kāna keiki kāne. "Ua hoʻopōmaikaʻi ʻia wau me kahi kūlana i kiki iaʻu iaʻu i kapa e makemake ai e lilo i kumu hoʻohālike."

No ke kōkua ʻana e noho ma ke ala, hoʻohana ʻo Dessify i kahi uaki akamai. Wahi a ka loiloi a Healthline, ʻoi aku ke kaulana o kēia ʻano hana hoʻoikaika kino a me nā papaʻai papaʻai i waena o nā millennial e like me Dessify ma mua o nā hanauna kahiko. ʻOi aku paha ka waiwai o nā millennial i ka pūnaewele ma ke ʻano he kumu o ka ʻike pili i ka maʻi kō a i ʻole ke kākoʻo kaiaulu.

"ʻO ka poʻe e hoʻohana mau ana i nā polokalamu, pono wau e haʻi iā ʻoe, ʻoi aku ka maikaʻi o ka heluhelu ʻana i ka A1C," i ʻōlelo ʻo Brady, e wehewehe ana i kekahi mau pono o nā ʻenehana hou.

Akā ʻo kēlā me kēia ʻano hana e kōkua ai i ka poʻe e noho ma ke ala maikaʻi, wahi a Kauka Hafida. Inā hilinaʻi ia i nā mīkini uila a i ʻole ka peni a me ka pepa, ʻo ka mea nui ka hoʻopili ʻana o ka poʻe me ia a hoʻolilo i ko lākou olakino i mea nui i ka wā lōʻihi.

ʻO Kinnaird, e like me ka nui o kāna mau pēpē pēpē pēpē i ka ana, ua loaʻa ka hoʻokele e hoʻololi nui i kona ola.

"ʻAʻohe oʻu manaʻo e hana i kēlā mau hoʻololi a hiki i ka loaʻa ʻana o ka hōʻailona iaʻu," wehewehe ʻo ia. "He hana koʻikoʻi loa kaʻu, hele huakaʻi wau i nā manawa āpau, ʻai wau i waho ʻekolu mauʻai i ka lā, ʻelima mau lā o ka pule."

"Akā i ka manawa i loaʻa ai iaʻu ka hōʻailona," i ʻōlelo ʻo ia, "ʻo ia ka ala ala."

Kauka loiloi ʻana a me ke kūkākūkā ʻana

ʻO Amy Tenderich kahi mea kākau moʻolelo a me ka mea kākoʻo nāna i hoʻokumu i ke kumuwaiwai pūnaewele ʻo DiabetesMine.com ma hope o kāna hōʻike ʻana i ka makahiki 2003 me ka maʻi diabetes type 1. ʻO ka pūnaewele kahi ʻāpana o Healthline Media, kahi a Amy e lawelawe ai ma ke ʻano he Luna Hoʻoponopono, Diabetes & Advocacy Patient. ʻO Amy kahi mea kākau o "ʻIke i kāu mau helu, Outlive Your Diabetes," kahi alakaʻi hoʻoikaika i ka mālama pono ʻana i ka maʻi diabetes. Ua alakaʻi ʻo ia i nā papahana noiʻi e hōʻike ana i nā pono o ka mea maʻi, me nā hopena i paʻi ʻia ma Diabetes Spectrum, ka American Journal of Managed Care, a me ka Journal of Diabetes Science and Technology.

ʻO Susan Weiner, MS, RDN, CDE, FAADE kahi haʻi ʻōlelo a me ka mea kākau i lanakila ai. Ua lawelawe ʻo ia ma ke ʻano he 2015 AADE Diabetes Educator o ka Makahiki a ua loaʻa iā ia ka makana 2018 Media Excellence mai ka New York State Academy of Nutr and Dietetics. ʻO Susana ka mea i loaʻa iā 2016 no ka Dare to Dream Award mai ka Diabetes Research Institute Foundation. ʻO ia ka mea kākau o The Complete Diabetes Organizer a me "Diabetes: 365 mau ʻōlelo aʻoaʻo no ke ola maikaʻi ʻana." Ua loaʻa iā Susana ke kekelē laeoʻo ma Applied Physiology a me Nutr mai ke Kulanui ʻo Columbia.

ʻO Kauka Marina Basina kahi endocrinologist e loea ana i ka maʻi diabetes mellitus ʻano 1 a me 2, ʻenehana diabetes, thyroid nodules, a me ka maʻi ʻaʻai thyroid. Ua puka 'o ia mai ke Kula Nui Lapaʻau' o Moscow ma 1987 a ua pau kona pilina endocrinology ma ke Kulanui o Stanford i ka makahiki 2003. He loea pili kino 'o Kauka Basina ma ke Kula Lapaʻau' o Stanford University. ʻO ia nō kekahi ma ka papa aʻoaʻo aʻoaʻo olakino o Carb DM a me Beyond Type 1, a he alakaʻi lapaʻau ʻo ia no ka maʻi diabetent ma ka Halemai ʻo Stanford.

Nā mea kōkua hoʻoponopono a me nā mea noiʻi

ʻO Jenna Flannigan, ka luna hoʻoponopono kiʻekiʻe
ʻO Heather Cruickshank, ka hoʻoponopono hoʻoponopono
Karin Klein, mea kākau
ʻO Nelson Silva, luna hoʻomalu, ʻepekema kūʻai
ʻO Mindy Richards, PhD, kākāʻōlelo noiʻi
Steve Barry, hoʻoponopono kope
ʻO Leah Snyder, hoʻolālā kiʻi
ʻO David Bahia, hana
Dana K. Cassell, hōʻoiaʻiʻo

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