Palapala hoʻohaʻahaʻa haʻahaʻa haʻahaʻa no ka diabetes: ʻO nā hana mua

He laki maikaʻi loa wau e ʻike i kāu pūnaewele. Ua hoʻopakele au i koʻu makuahine - ua hoʻohaʻahaʻa mākou i kāna kōniha mai 21 a 7 i ka malama hoʻokahi a me ka hapa. Hoʻopili mākou i kahi meaʻai haʻahaʻa-haʻahaʻa, no ka mea ua hōʻoia mākou - hana ia! Ua ʻae ka poʻe endocrinologist i kā mākou koho. Mahalo iā i ka pūnaewele a me kāu hana. Ola kekahi ola!

ʻO ka hōʻemiʻana i ka nui o ka insulin a me nā maʻi diabetes

ʻO ka hapa nui o nā maʻi āpau ma hope o ka hoʻololi ʻana i kahi meaʻai hoʻohaʻahaʻa haʻahaʻa he nui ka hoʻohaʻahaʻa a nui nui i ka kaila koko, inā ma mua o ka hoʻokiʻu ʻia ʻana. Holo ka nui o ke kō ma loko o ka ʻōpū ʻole, a ma hope iho o ka ʻai ʻana. Inā ʻaʻole ʻoe e hoʻololi i ka hapa o ka insulin a me / a i ʻole nā ​​papa maʻi i ka maʻi, a laila hiki pū nō ka hypoglycemia. Pono e hoʻomaopopo ʻia kēia pilikia a me nā hana i hana ʻia ma mua e hōʻemi.

Nā puke ʻōlelo Pelekane e pili ana i ka mālama ʻana i ka maʻi maʻi me ka haʻahaʻa ka haʻahaʻa-wai haʻahaʻa i makemake ʻia e ʻae mua a i kāu papa ʻōlelo me kāu kauka, a hoʻomaka wale ka ʻai ʻana i ke ʻano hou. Pono kēia, e hui pū me kekahi loea, e hoʻolālā i mua o ka hoʻohaʻahaʻa ʻana i nā inikua o ka insulin a me / a me nā papa maʻi diabetes. ʻO ka mea pōʻino, i nā kūlana kūloko ʻaʻole hiki ke hoʻopili ʻia kēia aʻo. Inā ʻike ka endocrinologist a i ʻole nā ​​mea hoʻohana kaiʻai e hele ana ʻoe i ka hoʻololi ʻana i kahi ʻai liʻiliʻi no ka maʻi diabetes, e haʻahaʻa wale ʻoe iā ʻoe, ʻaʻole ʻoe e loaʻa i kahi ʻōlelo aʻo mai iā ia.

Inā ulu pinepine ka pūnaewele Diabet-Med.Com (e kaʻana like i kāu mau hoaaloha!) E like me ka mea i hoʻolālā ʻia, a ma ka manawa 2018-2025, e lilo nā meaʻai haʻahaʻa haʻahaʻa i ka mālama ʻana i ka maʻi maʻi ma nā ʻāina ʻ inlelo ʻo Lūkia. E hoʻoikaika ʻia nā kauka e hoʻomaʻamaʻa aku iā ia a haʻalele i ka ʻai ʻana i ka ʻai. Akā makemake ʻia mākou e ola a hiki i kēia manawa hauʻoli, a ʻoi aku ka maikaʻi o ke kīnā ʻole o nā maʻi maʻi. No laila, pono ʻoe e hana i kēia manawa, ma kāu iho, "me ka pōleʻa, e like me ka pō i ke taiga." ʻO ka mea ʻoiaʻiʻo, ʻaʻole weliweli nā mea āpau a hiki iā ʻoe ke hōʻemi i ka hopena o ka hypoglycemia i aneane ʻole. Pehea e hana ai - heluhelu ma.

ʻO kā mākou pūnaewele kahi kumu waiwai mua e hoʻolaha nei i ka mālamaʻana i nā maʻi diabetes type 1 a me ka type 2 me kahi meaʻai haʻahaʻa haʻahaʻa-i ka Lūkia. Mai ko mākou hoʻouna ʻana, hoʻolaha nui ʻia kēia ʻike ma waena o ka poʻe maʻi maʻi ma o ka waha o ka waha. No ka mea wale nō kēia ke ala maoli e hoʻohaʻahaʻa i ke kōpaʻa koko i ke ʻano maʻamau a no laila ke pale aku i nā hoʻopiʻi maʻi ʻana. ʻO ka hoʻomaʻamaʻa ʻole ʻana o ka maʻi maʻi maʻi me ka "pākeke" i ka meaʻai me ka maikaʻi ʻole, a ua ʻike paha ʻoe i kēia no ʻoe iho.

Diet no ka maʻi diabetes no ka pohō kaumaha

ʻO ka hapa nui o nā mea maʻi me ka maʻi diabetes type 2 ʻaʻole pono e hoʻokaʻawale i ke kōpaʻa koko ma ke ʻano maʻamau, akā e nalo wale nō ke kaumaha. I ka manawa like, ua nalowale nā ​​mea maʻi me ka maʻi type type 1 me ke kaumaha nui loa. ʻO ka hoʻolālā maʻamau ka mea mua: hoʻohana mua mākou i kahi meaʻai haʻahaʻa-haʻahaʻa haʻahaʻa e hoʻemi i ke kō o ke koko. I kēia hihia, kaupaona ʻia hoʻokahi pule i ka hebedoma, akā hopohopo e hopohopo. Hāʻawi ʻia ka ʻike āpau i nā kuhikuhi koko koko!

Ma hope o ko mākou aʻo ʻana e mālama i kahi kōpaʻa koko ma mua a ma hope o ka ʻai ʻana, noho mākou i ke aupuni hou no kekahi mau pule a nānā. A laila wale nō, inā pono ʻoe e pono, e hana i nā loli hou e hoʻolilo i ka momona ma mua. E hoʻokaʻawale i nā ʻatikala ma kā mākou pūnaewele e pili i kēia pilikia koʻikoʻi.

Inā hoʻāʻo ʻoe e hōʻemi i ka paona a me / a hoʻohaʻahaʻa i kāu kōkē koko me ke kōkua o ke kīʻaha haʻahaʻa haʻahaʻa haʻahaʻa, a ʻike paha ʻoe ʻaʻole lākou e kōkua wale nō, akā e hōʻeha pū kekahi. Manaʻo ʻoe e pāʻina, akā, e ala ana ʻoe mai ka papa ʻaina me ka manaʻo i ka pōloli a me ka ʻāʻī ʻole ʻana. Ka poʻe hoʻihoʻi ʻole i ka lewa a hoʻihoʻi iā ʻoe i ka friji, ʻaʻole ia he kumu e pale aku ai iā lākou, a pau ka hoʻopau ʻana i ke koʻi o ka pōʻaiapuni i ka pō.

I ka wā o ka orgies ʻole i kaohi ʻia, nā mea maʻi me ka maʻi ʻaʻai e ʻai i nā meaʻai kiʻekiʻe a ka momona, ma muli o ke kahe o ko lākou koko koko i ka nui. A he mea paʻakikī loa paha e hoʻohaʻahaʻa iā ia i ka honua mai ke kiʻekiʻe kiʻekiʻe. ʻO ka hopena ke pono ʻoe e ʻai i nā meaʻai i ʻai ʻia a ʻai nui hoʻi e ala mai ka papaʻaina piha, akā ʻaʻole overeating. E like me ka mea e pono ai, e hoʻokomo i nā meaʻai āu e makemake ai i ka papa o kāu papaʻaina.

Hana mākou i hoʻokahi papa pilikino

Ma kēia e noʻonoʻo mākou pehea e hana ai i kahi papaʻaina no kahi meaʻai haʻahaʻa haʻahaʻa o ka maʻi diabetes i hoʻomaʻamaʻa maikaʻi iā ʻoe. No ka pōloli make ʻole! E hoʻolālā i kahi mea kanu olakino no ka maʻi maʻi e kōkua iā ʻoe me kahi mākaukau a me ka papa ʻaina, a me nā papa kikoʻī o ka ʻona aʻoaʻo o nā meaʻai.

ʻO ka mea mua, kūkulu mākou i ka nui o nā hāmeʻe e ʻai ai mākou ma kēlā me kēia ʻai. Hoʻomaopopo ʻia ka poʻe maʻi maʻi makua ma kahi haʻahaʻa-mea liʻiliʻi ʻai i ka ʻai ʻana a hiki i ka 6 mau kākeka o ke kōlea no ka ʻaina kakahiaka, a hiki i ka 12 grika no ka ʻaina awakea a me ka nui o ka pāʻina. ʻO ka huina o 30 kalama o nā kalaiwa i kēlā me kēia lā, hiki aku. ^ E Ha yM. ʻO kēia mau kalaiwa āpau e hoʻolōʻihi nei, nā mea huahana wale nō i nā papa inoa i ʻae ʻia. Maiʻai i nā meaʻai i pāpā ʻia, ʻoiai ma nā helu hiki ʻole.

No nā keiki me ka maʻi maʻi, e hoʻemi ʻia ka nui o ka pākoleka i kēlā me kēia lā i ka like me ko lākou paona. Hiki i ke keiki ke hoʻomohala maikaʻi a ma mua ʻole me ka mea ʻole momona. Pono nā waikina amino a me nā momona koʻikoʻi. Akā ʻaʻole ʻoe e ʻike i ka ʻōlelo nui loa i nā kalaiwa hea. Mai hānai i kahi keiki maʻi maʻi me nā mea kalaka inā ʻaʻole ʻoe makemake i nā pilikia pono ʻole iā ia a me ʻoe iho.

No ke aha e hāʻawi ʻole ai i nā pileka i loko o ka papa ʻaina o ka poʻe me ka maʻi maʻi? No ka mea he ʻai a me nā huaʻai mai nā papa inoa i ʻae ʻia i nā huaora nui, nā minerala, nā minelala a me nā fiber. Aia nō hoʻi, paha, kekahi mau mea waiwai i loaʻa ʻole i ka ʻepekema e ʻike.

ʻO ka hana hou e hoʻoholo ai i ka nui o ka protein e pono ai e hoʻohui i ka hāmeʻe mai ke kū aʻe mai ka papaʻaina me kahi manaʻo haʻahaʻa, akā ʻaʻole e overeat. Pehea e hana ai - heluhelu i ka ʻatikala "Proteins, Fats and Carbohydrates on a Diet for Diabetes". I kēia kula, pono nui ke ʻano o ka huki. Me kā lākou kōkua, hiki maopopo iā ʻoe ke kī he 100 g o ke kao mea, pehea ka 100 g o ka ʻioa lau i ka ʻokoʻa mai 100 g o ka iʻa kīkē kī ʻia, a pēlā aku. E nānā i nā papa meaʻai e ʻike ai i ka nui o ka nui o ka protein a me ka momona e loaʻa ana i ka ʻiʻo, ka moa, nā iʻa, nā hua manu, nā mea ʻona a me nā meaʻai ʻē aʻe. Inā ʻaʻole makemake ʻoe e ʻai i nā kalama no ka ʻaina kakahiaka, a laila ʻaʻole hiki iā ʻoe ke hana i kēia, akā e noʻonoʻo ʻoe e loaʻa i ka ʻaina kakahiaka me nā protein.

E hoʻohaʻahaʻa i kou koko koko i ka papa lolo, ʻo ka mea nui ka palena i nā mea kālai i kou papaʻai, a haʻalele manawaleʻa i nā polokalamu kālaiʻai wikiwiki. Mālama pū ka nui o ka protein e hoʻopau ai. E like me ke kānāwai, ʻaʻole hiki ke hoʻoholo ʻia ka nui o ka protein e pono ai no ke kakahiaka kakahiaka, ka ʻaina awakea a me ka pāʻina. Kuhi pinepine ʻia kēia kumukūʻai i loko o kekahi mau lā.

Pehea e hoʻoponopono ai i ka papa kuhikuhi e like me nā hopena o nā lā mua

Manaʻo ʻoe e hoʻoholo mua ʻoe e ʻoluʻolu me ka ʻai ʻana i ka 60 kaleka o ka protein i ka ʻaina awakea. ʻO kēia o 300 mau kalama o ka hua o ka protein (ka ʻiʻo, ka iʻa, ka moa, ke kō) a i ʻole nā ​​moa 5 mau moa. I ka hoʻomaʻamaʻa, ʻike ʻia he 60 ka nui o ka protein e lawa ai a i ʻole, ʻoi aku ka nui. I kēia hihia, e hoʻololi ana i ka ʻaina awakea i ka nui o ka protein, me ka hoʻohana ʻana i nā haʻawina o nehinei. He mea nui ia e hoʻololi i ka loli ʻana o ka insulin a i ʻole nā ​​mea maʻi i ka lolo ma mua o ka papaʻaina. Hoʻomaopopo mākou iā ʻoe ʻaʻole lawe ʻia ka intake protein i ka helu ʻana o ka nui o ka insulin, akā ma ka meaʻai haʻahaʻa-paʻakai, ua hoʻokomo ʻia. Heluhelu i ka ʻatikala "Calculation Dose and Technique no Insulin Administration" pehea e hana ai.

I loko o kahi mau lā, e hoʻoholo ʻoe i ka nui o ka protein no ʻoe iho no kēlā me kēia pākahi. Ma hope o kēlā, e ho'āʻo e mālama mau i nā manawa a pau, e like me ka nui o nā kākā. ʻO ka ʻike ka nui o kāu kōʻai koko ma hope o ka ʻai ʻana e hilinaʻi i ka ʻike o ka nui o ka protein a me nā ʻaloli āu e ʻai ai. I ka manawa like, he mea nui ia e hoʻomaopopo maopopo pehea ka dosis o ka insulin ma mua o ka ʻai e hilinaʻi nei i ka nui o nā meaʻai āu e hoʻolālā ai e ʻai ai. Inā hele koke ʻoe i ka ʻai iki a ʻoi aku paha ma mua o ka maʻamau, a laila hiki iā ʻoe ke hoʻoponopono pololei i ka maʻi o ka insulin.

ʻO ke kūpono, ʻo kou kō koko koko ma hope o ka ʻai ʻana e hoʻomau mau ʻia e like me ka wā ma mua o ka ʻai ʻana. Hoʻonui ʻia ka hoʻonui ʻana ma kahi o 0.6 mmol / l. Inā kū nui ka kō koko koko ma hope o ka ʻai ʻana, a laila pono e loli kekahi mea. E nānā no nā ʻōkapu huna i kāu meaʻai. Inā ʻaʻole, a laila pono ʻoe eʻai i nā meaʻai i liʻiliʻi ʻia a lawe ʻia i nā lāʻau pāpaʻu ma mua o ka ʻai. ʻO ka pehea e hoʻokō ai i ka mālama kōpono maikaʻi ma hope o ka ʻai ʻana e wehewehe ʻia ma loko o ka ʻatikala, "Pehea e pili ai ka ʻai o ka papa ʻai, ka aila, a me ka insulin i ka kō koko."

Ehia mau lā i kahi lā e pono ai ʻoe e ʻai

He ʻokoʻa nā papa ʻōleloʻai no ka maʻi maʻi maʻi maʻi e mālama ʻia me ka insulin a me nā poʻe ʻole ʻole. Inā ʻaʻole ʻoe e kau i ka insulin, a ʻoi aku ka maikaʻi o ka ʻai liʻiliʻi i nā manawa 4 i ka lā. Me kēia ʻano, hiki ʻole iā ʻoe ke kīwī nui ʻole, kaohi i ke kō koko koko a mālama i ia maʻamau, e like me i ka poʻe me ka maʻi ʻole o ka maʻi maʻi. I ka manawa like, ua kauoha ʻia e ʻai ʻole i hoʻokahi manawa i kēlā me kēia 4 mau hola. Inā e hana ʻoe i kēia, a laila e hopena i ka hopena o ka hoʻonui ʻana i ke kōhi koko mai ka papaʻai mua ʻana i ka manawa e hoʻopau ai ma mua o kou noho hou ʻana i ka papaʻaina.

Inā ʻoe e kuhi i ka "pōkole" a i ʻole ka "ultrashort" insulin ma mua o ka ʻai, pono ʻoe eʻai i kēlā me kēia 5 mau hola a i ʻole hoʻi e emi, ʻo ia ka 3 mau lā i ka lā. Pono e hōʻalo wale ʻia ka hopena o ka maʻa o ka insulin i mua ma mua o ka hana ʻana i ka maʻi hou aʻe. No ka mea ʻoiai ke ʻano mau nei ka dosis i mua o ka insulin pōkole, hiki ʻole ke helu pono i ke ʻano o ka hopena hou. Ma muli o kēia pilikia e pili ai i ka maʻi kanikele o ka insulin, he mea kūpono ʻole ia e ka manaʻo.

ʻO ka nūhou maikaʻi ka mea e mālama ai i nā kīleʻaʻai, ʻaʻole i like me nā kāluna, e hāʻawi i kahi lōlū o ka luhi. No laila, ke kū nei i nā hola 4-5 a hiki i ka manawa ʻai e ʻai mau ai. No nā maʻi he nui me ka maʻi maʻamau ʻo ka maʻi 2, he nui ka hopena o ka overeating a i ʻole ka hopena o ka gluttony nui. ʻO ka pāʻina haʻahaʻa-haʻahaʻa i ka nui e pale i kēia pilikia.Eia kekahi, e loaʻa iā mākou nā moʻolelo hou me nā ʻōlelo aʻo maoli e pili ana i ka hoʻopili ʻana i ka meaʻai meaʻai.

ʻAina kakahiaka

Inā makemake kekahi ma ka maʻi maʻi maʻi e mālama nui ʻia, a laila ma mua o nā mea āpau e pono ai ʻo ia he mau wiki he 1-2 e hana ka nui o ke kō. Ma muli o kēia hopena, ʻike ʻo ia i ka ʻano o nā ʻōnaehana aʻoaʻo koko i nā manawa like ʻole o ka lā. ʻO ka hapa nui o ka poʻe maʻi huki iāi ka mea e hoʻowalewale i ke kōpaʻa i ke kōʻai koko ma hope o ka ʻaina kakahiaka. O ke kumu o keia, oia paha, o ke ʻano ia o ke kakahiaka kakahiaka. No kekahi mau kumu, i ke kakahiaka, ʻoi aku ka maikaʻi o ka insulin ma mua o ka maʻamau.

Ke koi nei no kēia ʻano, ua ʻōlelo ia e ʻai i 2 mau manawa he liʻiliʻi no ka ʻaina kakahiaka ma mua o ka ʻaina awakea a me ka ʻaina awakea. Hiki iā ʻoe ke kakahiaka i ka ʻaina kakahiaka ʻole me nā ʻaina ʻai nui, akā no kekahi mea, e hoʻāʻo ʻole e lele i ka ʻaina kakahiaka. Eʻai i nā meaʻai protein i kēlā kakahiaka. E pili pono i kēia aʻo ʻana i nā kānaka keu. Inā pono, hiki iā ʻoe ke lele i ke kakahiaka kakahiaka ʻana. Inā ʻaʻole kēia e huli i kahi ʻōnaehana. I ke kūlana like, me ka ʻai ʻana, e hala ana ka maʻi diabetes i kahi pua o ka insulin pōkole ma mua o kaʻai ʻana a ʻaʻole ia e lawe i kāna mau kīʻaha kōkōlima maʻamau.

ʻO ka hapa nui o nā poʻe i hoʻomohala i ka ulia ma waena o nā makahiki 35-50 i hiki i ke ola me ka loaʻa ʻole o ka ʻaina kakahiaka. A i ʻole e hoʻohana ʻia iā lākou i ka ʻaina kakahiaka me nā palaka, no ka laʻana, nā pīpī cereal. Ma muli o ka hopena, e pōloli loa kēlā kanaka ma ka waena o ke ao a no ia mea nui loa i ka ʻaina awakea. Hiki i ka hoʻowalewale e hoʻoiho i ka ʻaina kakahiaka a hiki i ka ikaika, no ka mea e mālama ai i ka manawa, a i ke kakahiaka ʻaʻole hoʻi ʻoe i ka pōloli. Akā, he mea ia no ka maikaʻi, a ʻo nā hopena lōʻihi e hoʻopau ʻia no kāu kiʻi, ke olakino a me ka maikaʻi.

He aha nā mea eʻai ai i ka ʻaina kakahiaka? ʻAi ʻia nā meaʻai i ʻae ʻia no ka pāʻai haʻahaʻa. Hōʻole loa i nā huahana mai ka papa inoa o ka pāpā ʻia. ʻO nā koho maʻamau ka momona, nā hua manu i kēlā me kēia ʻano, ka mea soy ʻai, ka kō me ka kirimo. No nā kumu ākea, ua ʻōlelo ʻia nā mea maʻi me ka maʻi type type 1 a me nā type 2 e ʻaina i ka pāʻina ma mua o 6 p.m. - 6.30 p.m. I ke aʻo ʻana pehea e hana ai, e kau i ka hoʻāla i kāu kelepona paʻalima ma ka hola 17.30. I ke kani kani ʻana, kāhekau i nā mea āpau, e hele i ka pāʻina, "e kali a ke ao nei." Aia ka lilo ʻana o ka ʻahaʻaina mua i kahi ʻano, ʻike maopopo ʻoe i ka lā aʻe, ʻai ka ʻiʻo, kahi moa, a iʻa paha no ka ʻaina kakahiaka. A hiamoe wale oe.

ʻO ka nui o nā huamina a me ke kōpaʻa no ka ʻaina kakahiaka e hoʻomau i kēlā me kēia lā, e like me kāu mauʻaina. Ke hoʻāʻo mākou e hoʻokaʻawale i nā meaʻai like ʻole a me nā kīʻaha e ʻai ma ke ʻano he like. I ka manawa like, ke heluhelu nei mākou i nā papa o nā waihona o nā waihona a koho i kēlā me kēia hapa nui a ke hoʻomau mau nei ka nui o ka protein a me nā haʻalulu.

ʻAi awakea

Hoʻolālā mākou i ke papa ʻaina awakea e like me nā loina like i ke kakahiaka. Hiki ke hoʻonui ʻia ka nui o nā hāmeʻe mai 6 a 12 kekela. Inā ʻoe e hana i loko o ka keʻena a ʻaʻole i loaʻa ka ʻai, a laila e hoʻonohonoho pono i nā meaʻai maʻamau a noho lākou i loko o ka hoʻolālā o ka meaʻai haʻahaʻa-paʻakikī. A i ʻole e hoʻoulu ʻia paha ia, ma kahi o nā mea maʻi me ka maʻi maʻamau kīkē 2 o kahi kino nui a me kahi mea maikaʻi maikaʻi.

Pono e hōʻalo i nā keʻena wikiwiki. Manaʻo ʻoe i hele mai i kahi meaʻai wikiwiki me nā hoa hana a kauoha i kahi hamburger. Haʻalele lākou i nā ʻupena ʻelua i luna o ke pā, a ʻai wale nō ka hoʻopiha ʻana i nā ʻiʻo. Me he mea lā pono nā mea āpau, akā heʻe maʻa ke kō ma hope o ka ʻai ʻana. ʻO ka ʻoiaʻiʻo ke kipi i loko o ka hamburger e loaʻa ka kō, a ʻaʻole ʻoe e pau ia.

Kai ʻaina

Ma ka papa ʻaina kakahiaka ma luna, ua wehewehe mākou i ke kumu e pono ai ʻoe e aʻo pehea e ʻai ai i ka pāʻina awakea a pehea e hana ai. I kēia hihia, ʻaʻole ʻoe e hele e moe me ka pōloli. No ka mea ʻo nā protein i ʻai e hāʻawi i kahi luhi i ka lōʻihi. ʻO kēia kā lākou kumuhana nui ma mua o nā palaka a me ka hauʻoli o ka poʻe e ʻai ana i ka mea haʻahaʻa haʻahaʻa haʻahaʻa. Hele mākou i nā manawa a pau i hānai ʻia a hoʻohuihui, a me nā mea lawelawe o ka papa haʻahaʻa haʻahaʻa a me ka haʻahaʻa, ua pōloli lākou a no laila hopohopo.

ʻO ka maʻamau o ka ʻahaʻaina kakahiaka e loaʻa i nā pōmaikaʻi nui ʻelua:

• E hiamoe maikaʻi ʻoe.
• Ma hope o kahi ʻaina kakahiaka nui, e hauʻoli ʻoe i ka ʻai i ka iʻa, nā iʻa a me nā mea “kaumaha” ʻē aʻe no ka ʻaina kakahiaka.

Inā makemake ʻoe e inu i ka waina i ka ʻaina awakea, a laila e noʻonoʻo pono kahi meaʻai maloʻo wale nō i kaʻai haʻahaʻa. ʻO kahi awelika kūpono kūpono o ka inu ʻona no ka maʻi ʻaina hoʻokahi kīʻaha waina a i ʻole hoʻokahi aniani o ka wai māmā a i ʻole ka ipo hoʻokahi, me ka honi a me nā wai momona. E heluhelu hou i ka ʻatikala "ʻAlohila i ke Kuhi ʻAkēwē 1 a me ʻAkēne 2: Hiki iā ʻoe, akā ʻoluʻolu loa". Inā mālama ʻoe i ka maʻi maʻi me ka insulin, a ma kēia ʻatikala he mea koʻikoʻi ke aʻo ʻana i ke kumu o ka alkohol hypoglycemia a pehea e hoʻopaʻa ai iā ia.

Aia nā mea kūleʻa o ka hoʻolālā ʻana i ka ʻahaʻaina no nā poʻe maʻi i hoʻomohala i ka gastroparesis maʻi, i.e., lohi i ka nalo ʻana o ka ʻōpū ma muli o ka hānai ʻana i nā aʻa. I loko o kēlā mau maʻi maʻi, e ʻokoʻa loa ka meaʻai mai ka ʻōpū a i ka ʻawa i kēlā me kēia manawa, ʻo ia ke kumu a me kā lākou kōhi ma hope o ka ʻai ʻana i ʻole e kuhi ʻole ai. ʻO ka gastroparesis ka maʻi maʻi he pilikia koʻikoʻi ka hoʻopiʻi ʻana i ka kaohi o ke kō koko, a ma ka manawa ʻaina ke hōʻeha ia i kekahi pilikia.

Hiki i ke gastroparesis Diabetic ke alakaʻi i ke koko koko kiʻekiʻe a hōʻemi paha i ka wā hiamoe. ʻO kēia ka manawa ke hiki ʻole ʻoe e ana i ke kō o kāu kōkō a hoʻoponopono iā ia me kahi inikini a i ʻole nā ​​papa glucose. Aia i ka manawa e mālama ai ka maʻi maʻi ma ka mea ʻai haʻahaʻa i ka wai paʻakai ka hoʻomau nei i ka kaila koko maʻamau i ke ao, akā, no ka gastroparesis i ka pō, mau nō ia. I kēia kūlana, e holomua nā ʻōnaehana diabetes.

He aha nā mea e pono ai - pono ʻoe e lawe i nā hana e e wikiwiki ai i ke kī ʻana o ka ʻōpū. I ka mahina e hiki mai ana, e hōʻike ʻia kahi ʻatikala ʻōlelo wehe e pili ana i ka gastroparesis maʻi me kona mālama ʻana i kā mākou pūnaewele. E kāohi i nā lau ʻai maka no ka ʻaina ʻaina a mea ʻala. Hoʻomaopopo a ʻoi aku lākou iʻoi aku ka paʻakikī. No laila, loaʻa i kahi kikoʻī liʻiliʻi o nā mea kanu wela i mālama ʻia i ka nui o nā mea laʻe. A ua ʻai ʻoe ma ka liʻiliʻi o ka momona no ka ʻaina awakea ma mua o ka ʻaina awakea.

Nā kīlapa ma waena o nā papaʻai nui

Hoʻohana ʻia nā ʻano mea e hōʻoluʻolu ai i ka pōloli, ke makemake nui ʻoe e ʻai, a me ka ʻai ʻaina e hiki mai ana. ʻO ka maʻi maʻi i mālama ʻia me nā hana maʻamau, ʻo ia hoʻi, e hahai i kahi meaʻai "kūpono", e koi ʻia i nā puhaka nui o ka insulin i ka pō a i ʻole ke kakahiaka. No laila, no lākou, pono mau kīʻaha ma waena o nā meaʻai nui.

Ua koi ʻia lākou i ka ʻai, no ka mea, ʻo nā ʻaina nui o ka insulin haʻahaʻa e hoʻohaʻahaʻa loa. Pono e uku ʻia kēia hopena. Inā ʻaʻole ʻoe e snack, a laila i ka lā e loaʻa i ka maʻi maʻi maʻamau i nā manawa he nui o ka hypoglycemia. Ma lalo o kēia kalana, ʻaʻole ke kāohi koko koko mai waho o ka nīnau.

Inā ʻoe e ʻimi i kahi meaʻai haʻahaʻa-haʻahaʻa, a laila ʻokoʻa loa ke kūlana. ʻAʻole kūpono ke kīleʻaleʻa. No ka mea, me kahiʻai haʻahaʻa-wai, ka mea maʻi maʻi maʻi nui i nā haʻahaʻa haʻahaʻa o ka nui o ka insulin. Ma muli o kēia, e hoʻomau nā kaila o ke kō koko koko, e like me ka poʻe olakino. Eia kekahi, hoʻāʻo e kāohi i nā ʻāpana holoʻokoʻa ma waena o nā meaʻai nui. Kūpono maoli nō kēia no nā poʻe maʻi me ka maʻi diabetes e inikini i ka inika pōkole ma mua o ka papaʻaina.

Ma kahi pākoi haʻahaʻa-kaohiola no ka maʻi maʻi, e hāʻawi ʻia e hoʻopau i nā mea kaua he 6 o ka nui o nā kalama i ke kakahiaka, a laila ʻaʻole ma mua o 12 mau mau o nā mau kāloli ma ke ahiahi a hiki i ka nui o ka huina. Hoʻohana kēia kānāwai i ka ʻai nui a me nā kīʻaha. Inā loaʻa ʻoe i kahi mea pōkā, ʻo kā mākou mau ʻōlelo laka, a laila e hoʻāʻo e ʻai i nā meaʻai i loaʻa nā kīkala kala ʻole. ʻO kahi laʻana, kahi liʻiliʻi o ka puaʻa liʻiliʻi mai ka ʻiʻo kūlohelohe a i ʻole ʻoki lau iʻa. ʻO ka meaʻai wikiwiki a i ʻole ka meaʻai mai nā mīkini kūʻai e pāpā ʻia ʻole ʻia! E ana i kou kaila koko ma mua a ma hope o ka ʻike ʻana i ka ʻano o nā kīʻaha e hoʻopilikia ai.

Inā ʻoe eʻai ai i kahi kīʻaha, a laila e noʻonoʻo ʻoe ua ʻeli ʻia kā kāu ʻahu mua. Pono kēia e hiki i kona hopena i ke hoʻonui ʻana i ke kōhi koko me ka pale ʻole o ka hopena like. Inā hoʻokomo ʻoe i ka inika pōkole ma mua o ka papaʻaina, a ma mua o ka ʻaina, pono nō ʻoe e kuhi i kahi ala e pono ai e "hoʻopau" iā ia. Hiki paha i ka hopena o ke kau hou ʻana i nā inanini me ka hopena o ka hopena o ka wā i hala, a he alakaʻi kēia i ka hypoglycemia. Ma ka hoʻomaʻamaʻa, ʻo kēia āpau o ka liʻiliʻi loa o nā hola 4, a ʻoi aku ka 5 mau hola, pono e hoʻohemo mai ka papaʻai o mua.

He mea pīpī loa ʻole ia i kahi kīmaki i nā lā mua ma hope o ka hoʻololi ʻana i kahi ʻai haʻahaʻa haʻahaʻa. I loko o kēia manawa, ʻaʻole i hoʻokō ka noho o kāu hoʻoponopono hou, a ke hoʻomau nei ʻoe i ka hoʻokolohua ʻana i nā ʻano kūpono o ka insulin, nā ʻaluna a me nā protein. Inā ʻoe he māmakou, ʻaʻole ʻoe e hiki ke hoʻoholo i nā huahana a me / a i ʻole nā ​​dosis o ka insulin e "kuhihewa" no nā huki ʻana i ke kō koko koko.

He mea paʻakikī paha ia e nānā i kahi moʻokāki ponoʻī ʻana inā he maʻi a ka pōkole i ka pō ma hope o ka ʻaina. Inā e ala ʻoe i ke kakahiaka aʻe me ke kiʻekiʻe loa, a ʻo ia hoʻi, me ka wai haʻahaʻa loa i ke koko, a laila ʻaʻole ʻoe e ʻike i ke kuhi hewa āu e hana ai. Hoʻokomo i ka hewa hewa o ka nui o ka insulin i ka pō nui? A i ʻole he kala wale ia o ka inanini pōkole ma mua o ka snack? A i hewa paha ʻoe i ka nui o nā kalapika i loko o nā pā? ʻAʻole hiki ke ʻike. Nui ka pilikia me nā kīʻaha i nā manawa ʻē aʻe o ke ao.

E hoʻāʻo e kali a hiki i ka ʻohi ʻana o kāu ʻahaʻaina mua ma mua o ka ʻai ʻana. Eia nō hoʻi, ʻo ka hana ma ke ʻano o ka inika pōkole ʻoiaʻiʻo āu i hōʻeha ai i ka manawa hope ma mua o ka ʻaʻa ʻana e pau. Inā ʻoe e hoʻohana i ka inika pōkole ma mua o ka papaʻaina, a laila hiki i ka 5 mau hola e hoʻopau i waena o nā meaʻai. Inā ʻaʻole e hoʻohana ʻia, a laila lawa ka lōʻihi o 4 hola.

Inā makemake ʻoe e pōloli ma mua o ka maʻamau a makemake ʻoe e loaʻa ka pōpoki, a laila ma mua o ke ana ʻana o ka nui o ke kōpaʻa o kou koko me kahi o ka glucometer. ʻO ka pōloli ke hōʻailona mua o ka hypoglycemia ma muli o ke kauʻana i ka nui o ka insulin. Inā hoʻololi maoli ke kōpae haʻahaʻa loa, a laila pono ʻoe e hoʻomaʻamaʻa koke iā ia ma ka lawe ʻana i nā papa glucose glucose. No laila e pale aku i ka hypoglycemia koʻikoʻi, ka mea i lawe i ka hopena o ka make a i ʻole ka hemahema.

ʻO ka meaʻai Protein, ʻaʻole e like me nā kālena, hāʻawi i kahi manaʻo mau i ka lohi. Ka rula kapu no ka mea maʻi āpau: pōloli - e nānā i kāu kō koko koko! Ma kahiʻai haʻahaʻa-low, ʻaʻole pono ʻoe e loaʻa ka manaʻo nui o ka pōloli ma mua o 4-5 mau hola ma hope o ka ʻai ʻana. No laila, pono ʻoe e makaʻala inā he ʻike. Inā ʻoe e ʻike ana i ka hypoglycemia, e kāpae koke iā ia, a laila e nānā no hea ʻoe i kuhi hewa ai. Maʻa liʻiliʻi paha lākou i ʻai ʻia a hōʻeha paha i ka insulin.

Ke koho ana i kahi hapa o nā insulin pōkole e "hoʻoʻauheʻe ʻia" i ka snack

Hana ʻia kēia ʻāpana no nā mea maʻi me ka maʻi maʻi i mālama ʻia me ka injections o "short" a i ʻole "ultrashort" insulin ma mua o ka papaʻaina. Ua kuhi ʻia ua kēnā ʻimi nei iā ʻoe i ka ʻatikala "Ka helu ʻana o ka maʻa a me ke ʻano o ka lawelawe ʻana i ka insulin", a maopopo nā mea āpau iā ʻoe. He mea ʻaʻole maopopo - hiki iā ʻoe ke nīnau i nā ʻōlelo. Ua noʻonoʻo ʻia ua helu mua ʻoe i ke kumu e ʻoi aku ai ka maikaʻi e hoʻololi mai nā mea pōkole i loko o ka ultra-pōkole ke kaʻai haʻahaʻa me ka haʻahaʻa haʻahaʻa haʻahaʻa. ʻO ke koho i ka dole o ka insulin, ka mea e "hoʻopau" "i ke kīmona, he mau ʻano ponoʻī ia, a ua hōʻike ʻia ma lalo nei.

Hoʻomaopopo hou iā mākou: no nā mea maʻi me ka maʻi maʻi type 1 e loaʻa ana i nā inikini o ka insulin hana wikiwiki ma mua o ka ʻai ʻana, ʻoi aku ka maikaʻi ʻole ka loaʻa ʻana o kahi meaʻai. Eia nō naʻe, aia nā maʻi maʻi o ka palaki haʻalulu ʻaʻole hiki i ke kino ke ʻai nui i ka meaʻai nui i ka manawa e ola ai maʻamau ʻo 4-5 mau hola ma mua o ka ʻai e hiki mai ana. I kekahi hihia, pono lākou e ʻai pinepine.

ʻO ke koho ʻana i kahi mahele o ka insulin pōkole e "quench" hiki i ka mea hana ʻia ke hana ma ke ʻano he "maʻalahi" a i ʻole ka hana. He ʻano maʻalahi kahi ʻano maʻalahi. Loaʻa iā ʻoe me kahi meaʻai like ʻole e ʻai mau ai ʻoe a no laila ʻoe i ʻike ai i kāu ʻano kūpono o ka insulin. Manaʻo ʻoe e hoʻoholo e loaʻa i kahi kiki a ʻai i ka 1/3 o kāu pāʻina maʻamau. I kēia hihia, ma mua o snacking, ke kiʻi wale nei ʻoe ⅓ o kāu maʻi maʻamau o ka inika pōkole.

Hoʻopili wale ʻia kēia ala wale nō inā ua hōʻoia ma mua iā ʻoe i kahi glucometer e maʻamau ka maʻamau o ke kō o kāu koko, i.e. ʻaʻole pono ka bolus hoʻoponopono. He aha kahi meaʻai a me ka hoʻoponopono ʻana - pono ʻoe e ʻike i loko o ka ʻatikala "Ka Inikini Pahu a me ka ʻenehana no ka ʻĀina Kūʻai." ʻO ke ala kūpono e hana mau i nā helu e like me ke ʻano i hōʻike ʻia i loko o ka ʻatikala. No kēia mea, hoʻomanaʻo mākou ʻo ka nui o ka inika no ka wīwī pōkole ma mua o ka papaʻaina o ka nui o kahi bolus ʻai a me ka bolus hoʻoponopono.