No ke aha eʻai ai i nā haʻawaʻe liʻiliʻi no ka maʻi type a me ka type 2

I kēiaʻatikala i kēia lā, e loaʻa mua kahi ʻenehana abstract. A laila, pili mākou i kēia ʻikepili e wehewehe i kahi ala maikaʻi e hoʻohaʻahaʻa ai i ke kōpaʻa koko i ke ʻano 1 a me ka maʻi diabetes type 2. ʻAʻole hiki iā ʻoe ke hoʻoemi wale i kāu holi i ke maʻamau, akā mālama pono ʻia ʻoe i nā maʻamau. Inā makemake ʻoe e ola lōʻihi a pale aku i nā hoʻopiʻi o ka maʻi maʻi, a laila e lawe i ka pilikia e heluhelu i ka ʻatikala a kau mai.

Manaʻo mākou e kāohi i ka maʻi diabetes type 1 a me ka type 2 me kahi meaʻai haʻahaʻa-haʻahaʻa, hoʻohui i ia me nā dosis haʻahaʻa o ka insulin inā pono. Kūlike ʻole kēia i nā ʻano kuʻuna e hoʻohana ʻia nei e nā kauka.

E aʻo ʻoe iā ʻoe:

• ʻAi ʻia ma ka papa momona a hōʻoluʻolu i ka momona haʻahaʻa-momona, e kōkua nui ana me ke ʻano type a ʻano type 2;
• Mālama i ke kōpaʻa koko ma ke ʻano maʻamau, hoʻopau i kona lele;
• Hoʻemi i ka nui o ka insulin a i ʻole haʻalele iā ia i ka maʻi type 2;
• I nā manawa he nui i hoʻemi ʻia i ka hopena o nā maʻi me ka hoʻopiʻi o ka maʻi maʻi;
• ... a pau kēia me ke kīpē ʻole a me ka hoʻolako ʻana i nā meaʻai.

ʻAʻole pono ʻoe e lawe i ka hilinaʻi i ka ʻike e pili ana i ka mālama ʻana i ka maʻi diabetes āu e ʻike ai ma kēia ʻatikala a ma ka laulā o kā mākou pūnaewele. E ana pinepine i kāu kōloli koko me kahi mita glucose koko - a ʻike koke inā kōkua mākou i kā mākou ʻōlelo aʻo ʻole ʻaʻole paha.

He aha ke ala o ka ukana māmā?

Hōʻike ka hana hana i kēia. Inā ʻoe e ʻai i ka mea ʻai liʻiliʻi, ʻaʻole iʻoi aʻe ma mua o 6-12 mau grama i ka manawa, e hoʻonui lākou i ke kahe o ke koko o ka maʻi maʻi ma o ka nui wānana. Inā e ʻai i ka nui o nā kālaiʻawa i ka manawa hoʻokahi, a laila ʻaʻole e kū ka kō o ke koko, akā lele pono me ka ulu ʻole. Inā hoʻokomo ʻoe i kahi liʻiliʻi o ka insulin, e hoʻohaʻahaʻa ia i ke kō o ke koko e ka nui o ka wānana. ʻO nā dosis nui o ka insulin, ʻaʻole like me nā mea ʻuʻuku, e hana ʻole ʻia. ʻO ka like nui o ka insulin like (ʻoi aku ma mua o 7-8 mau paena i hoʻokahi ʻekena) e hana ʻokoʻa i kēlā me kēia manawa, me nā kuʻe ʻana a hiki i ± 40%. No laila, ua hana ʻo Dr. Bernstein i kahi ala o nā ukana liilii liʻiliʻi no ka maʻi type a me ka type 2 - e ʻai i nā haʻahaʻa haʻahaʻa a hōʻemi ʻia me nā dosis liʻiliʻi o ka insulin. ʻO kēia ke ala wale nō e hoʻoponopono ai i ke kōpaʻa koko me kahi pololei o ka ± 0.6 mmol / L. Ma kahi o nā mea kalaie, ʻai mākou i nā protein momona a me nā momona maikaʻi.

ʻO ke ala o nā hana liʻiliʻi e hiki ai iā ʻoe ke mālama i ke kō o ke koko me ka maʻamau 24 mau lā i ka lā, e like me ka poʻe olakino ʻole me ka maʻi maʻi. ʻO ka mea nui e hana no kēia ka hahai ʻana i ka ʻai haʻahaʻa-haʻahaʻa. Mai ka pau ʻana o ke kōpaʻa koko, hele koke ka maʻi maʻi maʻa mau i ka momona mau. A hala kekahi mau manawa, nalowale nā ​​palu koʻikoʻi o ka maʻi diabetes. E nānā i nā kumu kumu ʻike ʻoiai ua kūkulu ʻia ka "ʻano hana maʻalahi" e hoʻomalu i ka maʻi type 1 a me ke ʻano type 2. Nui nā ola ola (ola) a me nā ʻōnaehana uila i loaʻa ai i kēia hiʻohiʻona. Hoʻoikaika ia i ka wā o ka liʻiliʻi o nā "kumu waihona". Akā inā he nui ka nui o nā kumu kumu, i.e., ua kiʻekiʻe ke kaumaha ma luna o ka pūnaehana, a laila ua lilo ʻole ka hopena o kāna hana. E kāhea mākou i ke "kānāwai o ka hopena o nā hopena ma nā uku haʻahaʻa."

E noʻonoʻo mua mākou i nā nīhou ma ke ʻano he kumu hoʻohālike o kēia ʻano hana. Inā e holo iki kekahi wahi liʻiliʻi o nā kaʻa i ke alanui, a laila hele lākou āpau i ko lākou wahi e hiki ai i kahi manawa manawa. No ka mea hiki ke mālama pono ʻia kēlā me kēia kaʻa ʻoi loa ka wikiwiki, ʻaʻohe mea e hoʻopili kekahi i kekahi. He haʻahaʻa ka laʻa o nā pilikia ma muli o nā hana a nā mea hoʻokele. He aha ka mea inā e pālua i ka helu o nā kaʻa i ke kaʻa like ʻole i ke ala? Ka mea i hoʻololi ʻia ʻaʻole e loli maoli ka hopena o nā kaʻa a me nā mea i hōʻino ʻia, akā e hoʻonui nui aʻe, no ka hoʻohālikelike, me 4 mau manawa. I kēlā mau hihia, ua ʻōlelo ʻia e hoʻonui a exponentially a i ʻole. Inā hoʻomau ka nui o nā mea i komo i ka neʻe, a laila e ʻoi aku ia ma mua o ka pono o ke alanui e holo nei. I kēia kūlana, lilo i mea paʻakikī loa. Ua kiʻekiʻe loa ka ala ʻana o nā pilikia, a ua aneʻa ʻole ke kaʻa kaʻa.

ʻO ka hōʻailona koko koko o kahi maʻi maʻi maʻi e hana like ma nā ʻano like. ʻO nā "kumu hoʻomaka" nona nā nui o nā mea laʻa a me nā ʻaina e ʻai ʻia, a me ke ʻano o ka insulin i nā maʻi hou. Hoʻonui iki i nā protein liʻiliʻi me ka liʻiliʻi. No laila, ʻae mākou i nā pahuhopu. ʻO kaʻaiʻai i ke kōʻai e hoʻonui ai i ke kōpaʻa koko i ka nui loa. Eia kekahi, ʻaʻole lākou e hoʻonui iā ia, akā hoʻokō i kona wikiwiki wikiwiki. Eia kekahi, ʻoi aku ka nui o ka insulin i ka nui o nā kapehu. Hoʻolālā ʻia nā ʻōmole liʻiliʻi o nā minamina a me nā insulin, a hiki ʻole ke ʻano nui nā dosis nui. Hoʻomaopopo i nā momona momona e hoʻonui i ke kōpaʻa koko i nā manawa āpau.

He aha ka pahuhopu o ka maʻi diabetes

He aha ka mea nui no ka mea maʻi maʻi maʻi inā makemake ʻo ia e hoʻomalu pono i kāna maʻi. ʻO ka pahuhopu nui iā ia ka hoʻokō pono i ka wānana o ka ʻōnaehana. ʻO ia, ia oe e hiki ke wānana pono i ka pae o ke kō i loko o ke koko, ma ke ʻano o nā a a me nā mea aʻai āu i ʻai ai a me ka wai o ka insulin i hoʻopaʻa ʻia. E hoʻomanaʻo i ke "kānāwai o ka wānana i ka hopena ma nā haʻahaʻa haʻahaʻa", a mākou i kamaʻilio i luna. Hiki iā ʻoe ke hoʻokō i ke kōʻai koko ma hope o ka ʻai ʻana inā e hāhai ʻoe i ka ʻai haʻahaʻa-haʻahaʻa. No ka mālama pono ʻana i ka maʻi maʻi, ʻōlelo ʻia e hoʻokaʻawale i nā meaʻai kiʻekiʻe (nā papa inoa o nā meaʻai i pāpā ʻia), a ʻai i nā mea waiwai i nā momona a me nā momona kūlohelohe (papa inoa o nā meaʻai i ʻae ʻia).

No ke aha e kōkua ai kahi meaʻai haʻahaʻa haʻahaʻa i ka maʻi diabetes? No ka mea ke hoʻohaʻahaʻa ʻia ka nui o nā ʻaina āu e ʻai ai, e piʻi ka liʻiliʻi o ke kō o ke koko a koi ʻia ka liʻiliʻi o ka insulin. ʻO ka lāʻau i hoʻonāuki ʻia ka insulin, ʻoi aku ka nui o ka wānana a hōʻemi ʻia hoʻi ka pilikia o ka hypoglycemia. Heʻike nani kēia, akā hana ia ma ka hoʻomaʻamaʻa? E hoʻāʻo a e ʻike iā ʻoe iho. Heluhelu wale i ka ʻatikala, a laila hana :). Hoʻopili pinepine i kou koko koko me ka glucometer. E hōʻoia mua i ka pololei o kāu mita (pehea e hana ai). ʻO kēia wale nō ke ala maoli e hoʻoholo ai inā ke hana nei kahi lāʻau lapaʻau kūikawā.

ʻO ka Ahahui ʻAmelika ʻAmelika Hui Pū ʻIa, a ma hope o ia ʻano, ko mākou ʻoihana Kuhina no ke olakino, e hoʻomau i ka hāʻawi ʻana i ka ʻai "kaulike" no ka maʻi type o ka maʻi type a me ka 2. Ua pili kēia i ka papaʻai kahi e ʻai ai ka mea maʻi i ka liʻiliʻi o 84 mau kekona o nā powa i kēlā me kēia pāʻina, i.e. ʻoi aku ma mua o 250 g ka mau o nā haʻalulu i kēlā me kēia lā. Hoʻokumu ka pūnaewele Diabet-Med.Com i kahi mea haʻahaʻa-mau haʻahaʻa haʻahaʻa, ʻaʻole iʻoi aku ma mua o 20-30 mau kāmoli i kēlā me kēia lā. No ka mea, ʻaʻohe pōpilikia a “maikaʻi” a maikaʻi loa ia i ka maʻi diabetes. Ma ka hahai ʻana i kahi meaʻai hoʻohaʻahaʻa haʻahaʻa, hiki iā ʻoe ke mālama i ke kō koko koko ma hope o ka ʻai ʻana ma mua o 6.0 mmol / L a ʻaʻole hoʻi e kiʻekiʻe ma mua o 5.3 mmol / L, e like me ka poʻe olakino.

Pehea e huelo ai nā hāmeʻe i ka kōhi koko

ʻO 84 mau kalama o ka mauʻu e pili ana i ka nui o nā waihona i loko o kahi pā i kuke ʻia i ka nui o ka pā nui. Ke manaʻo nei ʻoe e heluhelu nei i ka ʻike no ka mea kanu ma ka pōpau pasta. Maʻalahi ka heluʻana i ka nui o ka pasta maloʻo pono ʻoe e kaupaona a kuke i mea e ʻai ai i ka 84 mau kalama. ʻO ka papaʻaina inā loaʻa i kahi ʻōnaehana kīhini. Inā paha he kau ma ka papa ʻaina 1, kaupaona ʻoe ma kahi o 65 kg, a ʻaʻole maoli kou kino i ka hana ponoʻī o ia. Ma kēia hihia, ʻo ka mea nō paha e hoʻonanea i ka punetēa o ka waiʻu i kāu koko koko ma kahi o 0.28 mmol / L, a me 84 mau karama o nā paʻowaʻe - me kēlā, ma kēia mau o 23.3 mmol / L.

Ma ka noʻonoʻo, hiki iā ʻoe ke helu pololei i ka nui o ka insulin āu e pono ai e komo i mea e "hoʻopau" i kahi pāpaʻi o ka pasta a me nā 84 kalona o nā haʻalū he ia. Ma ka hoʻomaʻamaʻa, ʻike ʻia nā helu lae no nā meaʻai momona a pau. No ke aha la hoi? No ka mea hiki i nā ʻāpana ke kūleʻa i ka hoʻokaʻawale ʻana o nā mea moʻomeheu i nā huahana ± 20% o nā mea i kākau ʻia ma ka helu. ʻOi aku ka hewa, ma ka hoʻomaʻamaʻa ʻana, ʻoi aku ka nui o kēia kūloko. He aha ka 20% o 84 kalama? ʻO kēia ka 17 grika o nā mea kalaka e hiki ke hoʻonui i ke kō o ke koko o ka "average" type 1 maʻi maʻi maʻi e 4.76 mmol / L.

A hiki ke alapine paha o ka ± 4.76 mmol / L ʻo ia ka mea ma hope o ka hoʻopau ʻana i kahi pā i ka pasta a me ka "uku" ia me ka insulin, hiki i kou kahe koko i kahi āpau mai nā kiʻekiʻe a hiki i ka hypoglycemia koʻikoʻi. He ʻokoʻa kēia i ka makemake inā makemake e hoʻokele pono i kou maʻi maʻi. ʻO ke kaupaona ʻana ma luna, he mea hoʻoikaika i hoʻāʻo ai e hoʻāʻo i ka mea ʻai ʻai liʻiliʻi no ka maʻi maʻi maʻi. Inā ʻaʻole lawa kēia, a laila heluhelu ma luna. E nānā pū mākou i ka ʻano o nā loli like ʻana o nā meaʻai o ka ʻai me ke kī ʻole ʻana o nā dosis nui o ka insulin.

E heluhelu e pili ana i nā hopena o nā pākana a me ka insulin ma ke kō o ke koko ma nā ʻatikala:

Ke kalapu ʻana i ka ʻai o ka maʻi maʻi maʻi āpau 2

E nānā kāua i kekahi hiʻohiʻona ʻē aʻe e pili kokoke ana i ke kūlana o ka hapa nui o nā mea heluhelu o kēia ʻatikala. Manaʻo ʻoe he type type 2 a ʻoi ke kaumaha. Ke hoʻomau nei kāu pancreas e hana i ka insulin, ʻoiai ʻaʻole lawa ia e hoʻomalu i ke kō koko koko ma hope o ka ʻai ʻana. Ua loaʻa iā ʻoe i 1 kaloli o ka nui o ka mauʻu i ke kō o ke koko ma o 0.17 mmol / L. No ka mea maʻi me ka maʻi pālolo ʻano 1, ke kuihue o ke kōʻai koko ma hope o ka ʻai ʻana o ka pasta ma hope o ka 4. 4.76 mmol / L, a no ʻoe ± 2.89 mmol / L. E ʻike i ke ʻano o ka hoʻomaʻamaʻa ʻana.

I kahi kanaka palupalu olakino, kaʻai koko ma hope o ka ʻai ʻana ʻaʻole eʻoi aku i ka 5.3 mmol / L. Manaʻo kā mākou lāʻau lapaʻau i ka mālama ʻana i ka maʻi maʻi mika inā he kīpī ma hope o ka ʻai ʻana ʻaʻole iʻoi aku i ka 7.5 mmol / L. E nānā i kāu kō koko. ʻIke ia he 7.5 mmol / L ma kahi o 1.5 mau manawa i ʻoi aku ma mua o ka pālākiō no ke kanaka olakino. No ka ʻike ʻoe, hoʻomohala koke nā hoʻopiʻi maʻi diabetes inā heʻai koko ma hope o ka ʻai ʻana ma mua o 6.5 mmol / L.

Inā he koko koko ma hope o ka ʻai ʻana e piʻi ka 6.0 mmol / L, a laila ʻaʻole hoʻoweliweli kēia i ka makapō a i ʻole ʻohiʻī o ka wāwae, akā e holomua nō ka atherosclerosis, ʻo ia hoʻi nā ʻano no ka hōʻeha ʻana o ka puʻuwai a me kahi hōʻeha. No laila, hiki ke noʻonoʻo pono i ka mana maʻamau o ka maʻi maʻi inā he kaohi koko ma hope o ka ʻai ʻana ma lalo o 6.0 mmol / l, a ʻoi aku ka maikaʻi - ʻaʻole i kiʻekiʻe ma mua o 5.3 mmol / l, e like me ka poʻe olakino. A ke kiʻekiʻe kiʻekiʻe o nā kō kō koko kōpana e hōʻoia i ka hiki ʻana o nā kauka a me ka palaualelo o nā maʻi e komo pū iā lākou iho.

Inā ʻoe e helu i ka nui o ka insulin a i ʻole ke koko koko ma hope o ka ʻai ʻana he 7.5 mmol / L, a laila ma ka hopena maikaʻi loa ʻoe e loaʻa ai ka 7.5 mmol / L - 2.89 mmol / L = 4.61 mmol / L. ʻO ia ka mea, ʻaʻole hoʻoweliweli iā hypoglycemia iā ʻoe. Akā i ke kūkākūkā i luna, ʻaʻole hiki i kēia ke manaʻo ʻia kahi mana maikaʻi o ka maʻi diabetes, a i loko o kekahi mau makahiki e pono ai ʻoe e kamaʻilio me nā hoʻopiʻi. Inā hoʻokomo ʻoe i ka nui o ka insulin, e hoʻāʻo ana e hoʻohaʻahaʻa i ka meli i ka 6.0 mmol / l, a laila ma ka hihia maikaʻi loa, ʻo kāu kaila koko ka 3.11 mmol / l, a me kēia hypoglycemia. A i ʻole, inā piʻi ke kū aʻe, a laila eʻoi aku kāu gula ma mua o ka palena i manaʻo ʻia.

Ke hele koke aku nei ka mea maʻi i kahi meaʻai haʻahaʻa haʻahaʻa-wai e hoʻokele i ka maʻi diabetes, a laila hoʻololi koke nā mea a pau no ka ʻoi aku ka maikaʻi. ʻO ka mālama maikaʻiʻana i ke kō koko ma hope o ka ʻai ʻana ma lalo o 6.0 mmol / L he maʻalahi. ʻO ka hoʻohaʻahaʻa ʻana i ka 5.3 mmol / L he mea maoli nō ia inā ʻoe e hoʻohana i ka ʻai liʻiliʻi-paʻuhū a me ke ʻano leʻaleʻa me ka leʻaleʻa e mālama i ka maʻi diabetes type 2. I nā hihia paʻakikī o ka maʻi diabetes type 2, ua hoʻohui mākou i ka papa ʻo Siofor a i ko Glucofage papa, a me nā kuhi ʻana i nā wai liʻiliʻi o ka insulin, i ka ʻai a me ka hoʻōla.

Palapala ʻaihue haʻahaʻa haʻahaʻa no ke ʻano 1 a me ka type 2 i ka maʻi maʻi

No ke aha kahi meaʻai hoʻohaʻahaʻa haʻahaʻa loa i hiki ai ke mālama maikaʻi i ka maʻi diabetes:

• Ma kēia kīʻai, ʻaʻai ka mea maʻi i nā kaikina liʻiliʻi, no laila ma ke kumu kuʻu koko hiki ʻole ke piʻi nui aʻe.
• Māhuahua ka nui o nā protein i ka waiʻai, akā lohi lākou a wānana, a ʻoi aku ka maʻalahi o ka "hoʻopau" i nā wai liʻiliʻi o ka insulin.
• Hōʻuluʻulu ka koko gula.
• Hoʻokomo nā dosis o ka insulin i ka nui o nā waihonaolaʻai āu e hoʻolālā ai e ʻai ai. No laila, ma kahi meaʻai haʻahaʻa-liʻiliʻi, pono ka hoʻemi ʻana i ka insulin.
• Ma muli o ka emi ʻana o ka insulin, ua emi pū ka hopena o ka hypoglycemia koʻikoʻi.

Ke hōʻemi nei kahi meaʻai haʻahaʻa haʻahaʻa i ka hiki ke hoʻokaʻawale ʻia o ke kō o ke koko mai ka pae kūpono no ka poʻe maʻi me ka maʻi type o ka maʻi ma ka maʻi 4. 4.4 mmol / L, a mākou i kamaʻilio i luna, a i ka ± 0.6-1.2 mmol / L. No nā poʻe maʻi me ka maʻi diabetes type 2 e hoʻomau nei i ka synthesize i kā lākou iho ponoʻī, ua emi iki kēia lana.

No ke aha e hoʻokaʻawale ʻole ai i ka ʻāpana mai kahi papa pākaha i ka papa ʻelua o ka pasta like ʻole? ʻO kēia kahi koho maikaʻi, no nā kumu penei:

• ʻO nā meaʻai i nā momona e hōʻeuʻeu ai i nā kōpono o ke kō, inā paha ua ʻai ʻia lākou i nā ʻano kala.
• E noho nō ʻoe me ke ʻano mau ʻana o ka pōloli, no ka mea ʻoi koke a i ʻole ʻoe e wāwahi. ʻAʻohe pono e hōʻeha iā ʻoe iho me ka pōloli, hiki iā ʻoe ke hoʻi mai i ke kō koko koko i ka maʻamau me ka ʻole o ia.

ʻO ka ʻai haʻahaʻa haʻahaʻa, ʻo nā huahana holoholona i hui pū ʻia me nā lau ʻai. E nānā i ka papa inoa o nā huahana i ʻae ʻia. Hoʻonui ka paʻakai i ka koko koko a me ka wikiwiki, no laila e hoʻāʻo mākou e ʻai ʻole iā lākou. Ma ke ʻano, ʻai iki mākou iā lākou, i nā lau maikaʻi maikaʻi a me nā momona. Māhuahua ka protein i ke kō koko, akā me ka lohi a hoʻolōʻihi. ʻO ka hoʻonuiʻana o ke kō i hoʻomake ʻia e nā huahana protein e maʻalahi i ka wānana a kāpae me nā kāpena he nui o ka insulin. Ke waiho nei nā huahana Protein i kahi leʻaleʻa maikaʻi o ka ʻoluʻolu no ka manawa lōʻihi, ʻo ia ka mea pono like me nā poʻe me ka maʻi type 2.

Ma ke ʻano, hiki i kahi mea maʻi maʻi maʻi ke ʻai i kekahi mea inā ke kaupaona ʻo ia i nā mea ʻai a pau me ka paila kekona i ka pākaʻi kokoke loa, a laila helu ʻia ka nui o ka insulin e hoʻohana ana i ka ʻike mai nā papa ʻaina. Ma ka hoʻomaʻamaʻa, ʻaʻole holo ka hana o kēia ala. No ka mea ma nā papa ʻaina a ma luna o ka pale ʻana o nā huahana e hōʻike wale ʻia ka ʻike. I ka mea maoli, hiki ke ʻokoʻa ka ʻona o ka kalaiwa i nā meaʻai. No laila, kēlā me kēlā me kēia manawa āu e noʻonoʻo pono ai i kāu mea e ai maoli ai, a he aha kēia hopena e loaʻa ai i ke kō koko koko.

ʻO ka meaʻai haʻahaʻa-haʻahaʻa haʻahaʻa ma ka maʻi maʻamau ke ala maoli i ke ola. He ʻoluʻolu a me ka momona, akā pono e mālama pono ia. E lilo ʻoe i hoʻomana hoʻomana hou. Hāʻawi ka meaʻai haʻahaʻa-haʻahaʻa i ka manaʻo piha a me ka nui o ke kō koko. Hoʻopili ʻia nā wai o ka insulin, a laila e hōʻemi i ka hiki o ka hypoglycemia.

Pehea ka liʻiliʻi a me nā nui o ka hana a nā insulin

Makemake wau e noʻonoʻo i ka like o ka like o ka insulin i kēlā me kēia manawa e hoʻohaʻahaʻa i kāu kō koko. Eia naʻe, ʻaʻole kēia ka hihia i ka hoʻomaʻamaʻa. Hoʻomaopopo maikaʻi ʻia ka maʻi diabetes me "ʻike" i ka like ka nui o ka insulin i nā lā ʻē aʻe e hana like ʻole. No ke aha kēia mea e hana nei:

• I nā lā ʻē, he ʻano ʻē ka kino i ka hana o ka insulin. I ka lā mahana, e hoʻonui pinepine kēia ʻano maʻalahi, a i ke anu anuanu, ma ke ʻano heʻe lā, ua emi ia.
• ʻAʻole hiki i nā inikini insulin i hele mai i ke kahe koko. I kēlā me kēia manawa ke kau ʻia kekahi ʻano like o ka insulin.

Hoʻokomo ʻia ka Insulin me ka syringe, a i ʻole paha me ka mea i loaʻa i kahi mea insulin, ʻaʻole hana like e like me ka insulin, kahi mea e hōʻiliʻili pono i ka pancreas. ʻO ka insulin o ke kanaka i ka hana mua o ka hoʻonāʻana o ka insulin i komo koke i ka kahe koko a hoʻomaka koke e hoʻohaʻahaʻa i nā pae o ke kō. I ka maʻi maʻamau, hana pinepine nā inikini insulin i ka momona subcutaneous. ʻO kekahi mau mea maʻi e makemake nui ana i ka pīpī a me ka hauʻoli, hoʻomohala i nā inikini intramuscular o ka insulin (mai hana i kēia!). I kekahi hihia, ʻaʻohe mea e hōʻeha i ka insulin intravenously.

ʻO ka hopena, ʻo ka insulin wikiwiki loa e hoʻomaka i ka hana wale nō ma hope o 20 mau minuke. A hōʻike ʻia kona hopena piha i loko o 1-2 mau hola. Ma mua o kēia, hoʻomau nā kiʻekiʻe o ke kōpaʻa koko.Hiki iā ʻoe ke hōʻoia maʻalahi i kēia ma ke ana ʻana i kou koko koko me ka glucometer i kēlā me kēia 15 mau minuke ma hope o ka ʻai ʻana. Hoʻopilikia kēia kūlana i nā ʻeha, nā kīʻaha koko, nā maka, nā ʻōpū, a me nā mea hou aku o nā maʻi maʻi i ka holo ʻana, ʻoiai nā manaʻo maikaʻi loa o ke kauka a me ka mea maʻi.

Manaʻo paha e kahi maʻi maʻi maʻi maʻa me ka insulin. Ma muli o kēia, ʻike ʻia kahi mea i loko o ka ʻōpū subcutaneous, kahi mea e noʻonoʻo nei ka ʻano like ʻole o ka haole a hoʻomaka e hoʻouka. Hoʻopau mau ka hoʻokaʻawale ʻana i kekahi o ka insulin mai ka maʻi i ka neʻe ʻana ma mua o ka manawa ke komo i ke kahe koko. ʻO ka ʻāpana o ka insulin e hoʻonaninani ʻia, a hiki ke hana, e hilinaʻi i kekahi mau mea.

ʻOi aku ka nui o ka dosis o ka insulin i hoʻoponopono ʻia, ʻoi aku ka ulu ʻana o ka huhū a me ka hoʻowalī ʻia e kumu ai kēlā. ʻOi aku ka ikaika o ka ʻaʻa, ʻoi aku ka nui o nā "sentinel" aela o ka ʻōnaehana pale i ka wahi i hoʻopaʻa ʻia. Ke alakaʻi nei kēia i kaʻoiaʻiʻo i ʻoi aku ka nui o ka nui o ka insulin i hōʻemi ʻia, ʻoi aku ka wānana. Eia nō hoʻi, ʻo ka pākuʻi o ke kaʻau ʻana i ka insulin e hilinaʻi ana i ka hohonu a me kahi o ka hōʻola.

I kekahi mau makahiki i hala aku nei, ua hoʻokumu ʻia nā mea noiʻi ma ke Kulanui o Minnesota (USA) i kēia. Inā kau ʻoe iā 20 U o ka inika i ka poʻohiwi, a laila i nā lā ʻē aʻe e ʻokoʻa ka ʻokoʻa o 39 ka 39%. Kūʻai ʻia kēia kūloko ma nā ʻano o nā ʻano o nā kalapona i ka meaʻai. I ka hopena, loaʻa i nā maʻi me ka maʻi 'maʻi' nui i nā "koko" koko. No ka mālama pono i ke kō o ke koko maʻamau, huli i kahi meaʻai haʻahaʻa haʻahaʻa. ʻO ka liʻiliʻi i nā kalama e ʻai ai ʻoe, ka mea i koi ʻia i ka insulin. ʻO ka haʻahaʻa o ka dosis o ka insulin, ʻoi aku ka nui o ka wānana. He maʻalahi nā mea āpau, maʻalahi a kūpono hoʻi.

Ua ʻike ʻia nā mea noiʻi like mai Minnesota inā inā ʻoe e hoʻoiho i kahi insulin i loko o ka ʻōpū, a laila hoʻēmi ka luhi i ka ± 29%. Wahi a ia, e like me nā hopena o ke aʻo ʻana, ua hōʻike ʻia no nā mea maʻi me ka maʻi maʻi maʻi e huli i nā injections i loko o ka ʻōpū. Hāʻawi mākou i kahi mea hana e ʻoi loa e lawe i ka mālama koko a hoʻōloe aʻe i kāna mau "ihu". He meaʻai haʻahaʻa-low a ka mea e hiki ai iā ʻoe ke hōʻemi i ka nui o ka insulin a no laila e hoʻomau maikaʻi ʻia kona hopena. A hoʻokahi hana hoʻopunipuni hoʻokahi, ka mea i wehewehe ʻia i ka pauku e hiki mai ana.

Manaʻo kahi mea maʻi i ka maʻi maʻi e paʻi 20 i nā ʻāpana o ka insulin i loko o kona ʻōpū. I kahi pākeke paona ʻia 72 kg, ʻo ka awelika o 1 PIECE o nā insulin e hoʻemi ana i ke kō koko koko ma o 2.2 mmol / L. Ke hoʻōki nei i ka hana o ka insulin 29% ka mea e hoʻoneʻe ʻia ke kumukūʻai o ke kōʻai koko e ka ʻae i ka 12. 12.76 mmol / L. He pōʻino kēia. No ka pale ʻana i ka hypoglycemia koʻikoʻi me ka nalowale o ka ʻike, nā maʻi maʻi maʻi maʻi e loaʻa ana i nā dosis nui o ka insulin e koi ʻia e mālama i ke kō koko kiʻekiʻe i nā manawa āpau. No ka hana i kēia, hāpau pinepine lākou i nā meaʻai maikaʻi ʻole i ke aʻalapona. E like me ka maʻi maʻamau o lākou no ka hopena o nā maʻi maʻi maʻi maʻi. He aha ka mea e hana? Pehea e hoʻomaikaʻi ai i kēia kūlana? ʻO ka mea mua, e hoʻololi mai i ka ʻai "kūpono" i ka ʻai haʻahaʻa. E loiloi i kahi e emi ai ka makemake o kāu insulin a pehea ka pili ʻana o ke kō o kou koko i kāu target.

Pehea e hoʻokomo ai i nā dosis nui o ka insulin

Nui nā maʻi maʻi maʻi maʻi, a ma ka ʻai haʻahaʻa e hoʻoneʻe nei, pono mau e kuhi i nā dosis nui o ka insulin. I kēia hihia, hoʻokaʻawale i ka nui o ka insulin i kekahi mau inikini, kahi e hana ai ma hope o kekahi i nā ʻāpana like ʻole o ke kino. Kukini i kēlā me kēia injection i ʻoi aku ma mua o 7 PIECES o ka insulin, a ʻoi aku ka maikaʻi - ʻaʻole iʻoi aku ma mua o 6 PIECES. Ma muli o kēia, aneane like ke komo ʻana o ka insulin. ʻAʻole ia he mea koʻikoʻi i kahi e waiho ai - ma ka poʻohiwi, i ka ʻōpū a i ʻole ka ʻōpū. Hiki iā ʻoe ke hana i kekahi mau inikipiki ma hope o kekahi me ka like pū me nā ʻano like ʻole, me ka hōʻiliʻili ʻole ʻana o ka insulin mai ka pākahi, i ʻole e meʻa ai ia mea. E heluhelu pehea e hoʻopili ai i nā pupuhi insulin. ʻO ka haʻahaʻa o ka dosis o ka insulin i kahi maʻi hoʻokahi, ʻoi aku ka hana e ʻike.

E noʻonoʻo i kahi hana pono. Aia kahi maʻi me ka maʻi maʻamau ʻoi aku me 2 ka nui o ke kaumaha a ma muli, me ke kūpaʻa kū ʻana o ka insulin. Ua hoʻololi ʻo ia i kahi meaʻai haʻahaʻa haʻahaʻa, akā makemakeʻo ia i 27 mau "o ka nui" insulin "i ka pō hoʻokahi. No ka hoʻokolohua ʻana i ka hana hoʻonaʻauao kino i hiki ke hoʻonui i ka naʻau o nā ʻili i ka insulin, ʻaʻole naʻe i hāʻawi i kēia mea maʻi. E hoʻokaʻawale ʻo ia i kāna 27 mau ʻāpana o ka insulin i nā 4 injections, kahi āna e hana ai i kēlā me kēia i nā ʻaoʻao ʻē aʻe o ke kino me nā syringe like like. A ʻo kahi hopena, ua lilo ka hana o ka insulin i ka mea nui aʻe.

ʻO ka pōkole a me ka ultrashort insulin ma mua o ka papaʻaina

Ke kuhi ʻia nei kēia mahele no nā mea maʻi me ka maʻi diabetes type 1 a me nā ʻano lā ʻelua e loaʻa hou i nā inikini insulin hana wikiwiki ma mua o ka papaʻaina. ʻO ke hoʻonuiʻana i ke kōpaʻa koko ma hope o ka ʻai ʻana, "māhai ʻia" e ka ʻaina o ka insulin a pōkole a ultrashort paha. Hoʻokomo ʻia nā mea momona i ka meaʻai - he mea, pōkole (!) - lele i loko o ke kōʻai koko. I nā poʻe olakino, ua neʻe ʻia e ka hoʻomaka mua o ka mea huna o ka insulin i ka pane ʻana i kahi pāʻina. He kūpono kēia i loko o 3-5 mau minuke. Akā me kēlā me kēia ʻano maʻi o ka maʻi maʻi, ka hana mua ʻana o ka huna ʻana o ka insulin i ka mea mua.

ʻAʻole hoʻi ka hoʻomaka o ka insulin ultrashort e hana wikiwiki e hoʻomaʻamaʻa mua i ka hana mua o ka hana huna o ka insulin. No laila ʻoi aku ka maikaʻi o ka haʻalele ʻana mai i nā meaʻai kiʻekiʻe. Kālei iā lākou me nā protein e hoʻonui mālie ai i ke kō o ke koko a hoʻoikaika maikaʻi. Ma kahi kīʻaha hoʻemi haʻahaʻa, hāmi ʻia e hoʻohana i ka pōkole loa, akā i ka pōkole o ka insulin, inikini iā ​​40-45 mau minuke ma mua o ka ʻai ʻana. Aʻe, e nānā hou mākou i ke kumu hou aku no ke aha kēia ke koho maikaʻi loa.

ʻO nā mea maʻi maʻi maʻi e ʻai nei i ka meaʻai liʻiliʻi haʻahaʻa ke koi nei i nā haʻahaʻa ma lalo o ka insulin wikiwiki, ma mua o ka papaʻaina ma mua o ka poʻe e mālama nei i ka pākana "paʻali". Hoʻomaka ka hana nui o nā insulin i ka wikiwiki, a ʻoi aku ka lōʻihi o kā lākou hopena. ʻOi aku hoʻi ka paʻakikī o ka wānana inā pau ka hopena o kahi nui nui o ka insulin. Hoʻomaka nā wai liʻiliʻi o ka insulin puʻupuʻu e hana ma hope, no laila pono ʻoe e kali lōʻihi ma mua o ka hoʻomaka ʻana i ka ʻai. Akā e loaʻa iā ʻoe ke koko koko maʻamau ma hope o ka ʻai ʻana.

Ma ka hoʻomaʻamaʻa, ʻo ia ke ʻano o kēia penei:

• Me ka meaʻai maʻamau nui-kalapine, mālama ʻia nā insulins "ultrashort" i loko o nā koina nui ma mua o ka papaʻaina, a hoʻomaka lākou e hana ma hope o 5-15 mau minuke. Me kahiʻai haʻahaʻa-lowates, ʻo nā insulins "ultra-pōkole" liʻiliʻi i loko o nā piliki liʻiliʻi e hoʻomaka i ka hana iki ma hope o hope - ma hope o 10-20 mau minuke.
• Me ka ʻai momona kiʻekiʻe, koi ʻia nā "insulins" pōkole ma mua o ka papaʻai i nā ʻaina nui a no laila hoʻomaka e hana ma hope o 20-30 mau minuke. Me kahi meaʻaiʻai haʻahaʻa, pono lākou e kāhiko ʻia i nā pahu liʻiliʻi 40-45 mau minuke ma mua o ka papaʻaina, no ka mea ke hoʻomaka lākou e hana ma hope.

No ka heluʻana, ke manaʻo nei mākou ua pau ka hana o kahi maʻi injection o ka ultrashort a i ʻole ka insulin ʻokiʻoki ma hope o 5 mau hola. I ka ʻoiaʻiʻo, ua mau loa kona hopena i nā hola 6. Akā i nā hola hope loa he mea waiwai loa ia hiki ke haʻalele ʻia.

He aha ka mea e hopohopo ai i nā mea maʻi me ka maʻi ʻaʻai 1 a i ʻole 2 e ʻai ana i ka'ʻai 'kūpono? Hoʻokomo ʻia nā kaakai momona i ka piʻi koke i ke kō kōʻai koko, e hoʻomau ana a hiki i ka hoʻomaka ʻana a i ka insulin ultrashort e hoʻomaka. Hiki i ka manawa o ke kōʻai nui ke mau i nā minuke 15-90, inā ʻoe e hoʻohana wikiwiki i ka insulin ultrashort. Ua hōʻike ʻia ka hoʻomaʻamaʻa ʻana ua lawa kēia no nā hoʻopiʻi o ka maʻi diabetes i ka hihiʻo, nā wāwae, nā ʻōpū, a me nā mea e hoʻomohala ʻia i loko o kekahi mau makahiki.

Hiki i kahi maʻi maʻi maʻi hilahila a hiki i ka hoʻomaka ʻana o kāna kīʻaha "pākī" a hiki i ka insulin hoʻomaka ʻana e hana. Hoʻomaopopo mākou ua maʻi ʻo ia i kahi maʻi hefty o ka insulin e uhi i ka wahi paʻa o nā pale. Inā nalowale ʻo ia i ka liʻiliʻi a hoʻomaka i ka ʻai ʻana i mau minuke ma mua o ka mea e pono ai, a laila me ka kiʻekiʻe kiʻekiʻe e loaʻa iā ia ka hypoglycemia koʻikoʻi. Pēlā e hana pinepine ʻia ai, a ʻo ka mea hoʻomanawanui i ka pīkī wikiwiki e hōʻuluʻulu i nā ʻono i hiki ke hoʻonui hou i kona koko koko a pale aku i ka palupalu ʻana.

ʻO ka wikiwiki wikiwiki i ka neʻe o ka inikini insulin i ka pane ʻana i ka ʻai i ka meaʻai i loko o nā ʻano maʻi āpau. ʻOiai ka wikiwiki o ka insulin ultrashort wikiwiki e hana i ka pōkole e hoʻoliʻoli hou iā ia. No laila, e kūpono ke ʻai i nā huahana o ka protein e hoʻonui i ke kō o ke koko a me ka pae maikaʻi. Ma kahi kīʻaha haʻahaʻa-carbonates ma mua o ka papaʻaina, ʻoi aku ka maikaʻi o ka insulin ma mua o ka ultra-pōkole. No ka mea ʻoi ka maikaʻi o ka manawa o kāna hana me ka manawa e hoʻonui ai ka hoʻomakeʻa o ka meaʻai i ka puna koko ma mua o ka manawa o ka hana a ka ultrashort insulin.

Pehea e hoʻokomo ai i ka hana i ke ala o nā wahi liʻiliʻi

I ka hoʻomakaʻana o ka ʻatikala, ua hoʻopuka mākou i ka "Law of predict of the result at low low." E noʻonoʻo i kona noi pono ʻana no ka kaohi ʻana i ke koko koko i ke ʻano type type 1 a me ke ʻano type type 2. I mea e pale ai i ka hoʻoulu ʻana i ke kō, pono ʻoe e hoʻopau i kahi nui o nā calcium. Hoʻolālā kēia e ka ana i kahi ukana liʻiliʻi ma luna o ka pancreas. Eʻai wale i nā palaka hana hoʻomalu. Loaʻa ʻia lākou i nā mea kanu a me nā huaʻai mai ka papa inoa o nā meaʻai i ʻae ʻia. A noho lōʻihi e like ai me ka nui o nā minamina o ka ʻai (ka papa inoa o nā meaʻai i pāpā ʻia). I ka mea pōʻino, ʻoi ka lohi a "hoʻolōʻihi", inā e ʻai nui, hiki iā ia ke hoʻonui i ka nui o ke kō o ke koko.

Manaʻo ʻia no ka hoʻohālikelike ʻana i ka ʻai kālaiola no ka maʻi diabetes: ʻaʻole iʻoi aku ma mua o 6 mau grika o ka nui o ka "haʻahaʻa" ʻawaʻawa no ka ʻaina kakahiaka, a laila ʻaʻole iʻoi aʻe ma mua o 12 mau grika no ka ʻaina awakea, a me 6-12 mau grika no ka pāʻina. E hoʻohui i ka nui o ka protein i mea e piha ai, akā ʻaʻole he overeating. Loaʻa nā karbohale i nā maʻi maʻi maʻi i nā mea kanu a me nā kinipona, aia ma ka papa inoa o nā meaʻai i ʻae ʻia. Eia kekahi, ʻo kēia mau meaʻai momona hiki ke hoʻopau i ka nui ʻole. ʻO ka ʻatikala "A Diet-Carbohydrate Diet for Diabetes: Nā Kūlana Mua" e wehewehe i ka pehea e hoʻolālā ai i ka ʻai a hana i kahi papa no ka maʻi maʻi.

Inā e mālama pono ʻoe i ka ʻai o nā kalaiwa, e like me ka mea i ʻōlelo ʻia ma luna, a laila e piʻi iki ka nui o ke kōpaʻa koko ma hope o ka ʻai. ʻAʻole paha ia e ulu nui i ka wā. Akā inā e pāpālua ʻoe i ka nui o nā huamina i ʻai ʻia, a laila e lele ʻole ka kōpaʻa i loko o ke koko ʻelua, akā ʻoi aku ka ikaika. A ʻo ke kō me ke koko kiʻekiʻe e hoʻoulu ai i kahi pōʻaiʻai ʻino e alakaʻi ai i ke kō.

ʻO nā maʻi me ka maʻi type type 1 a me 2 ke makemake e mālama i ko lākou maʻi i ka maʻi e pono e mālama pono ʻia me nā kānana hoʻokaʻina glucose mika. Hana i nā manawa he nui. E ana i kāu kōpiha koko ma hope o ka papaʻaina ma waena o 5 mau minuke. E nānā pehea i kāna hana ʻana ma lalo o ka mana o nā huahana like ʻole. A laila e nānā i ka wikiwiki a me ka nui o ka hoʻemi ʻana o ka insulin. I ka wā lōʻihi, e aʻo pono ʻoe i ka helu helu ʻana i ka nui o nā meaʻai haʻahaʻa haʻahaʻa i kahi kīʻaha a me ke ʻano o ka insulin puʻupuʻu a no laila, ʻo ka "hiʻi" i loko o ke kōhi koko. ʻO ka pahuhopu nui loa ka hōʻoia ʻana ma hope o ka ʻai ʻana i ke kō koko koko ʻaʻole iʻoi aku i ka 6.0mmol / L, a i ʻole ka maikaʻi aʻe, 5.3 mmol / L, e like me ka poʻe olakino.

No nā maʻi he nui me ka maʻi type 2, ke huli nei i kahi meaʻai hoʻohaʻahaʻa haʻahaʻa e hiki ke hoʻopau i ka inikini insulin ma mua o ka papaʻaina a mālama mau i ke kō koko maʻamau. Hiki ke hoʻomaopopo ʻia kēlā mau kānaka. ʻO kēia ka mea ua mālama lākou iā lākou iho i ka manawa, ʻaʻole i hoʻokō ʻia ka lua o ka hoʻonaʻauao ʻana i ka insulin. ʻAʻole mākou e hoʻohiki i mua o kekahi e ʻae i kaʻai haʻahaʻa-ʻohi aʻe iā ʻoe e "holo" maoli i ka insulin. Akā ʻo ka mea pono ia e hōʻemi i ka pono o ka insulin, e hoʻomaikaʻi hou i kou kaohi koko.

No ke aha hiki ʻole iā ʻoe ke overeat me nā huahana ʻae ʻia

Inā ʻoe i ʻai i nā kuke ʻaeʻawa a me / a me nā mea i hoʻopiha ʻia ʻoe i nā paia o kou ʻōpū, a laila e piʻi koke ka nui o kāu kōʻai koko, e like me nā mea laikini kīʻaha kiʻekiʻe. Ua kapa ʻia kēia pilikia ʻo ka "hopena o kahi hale ʻaina Kina," a ke hoʻomanaʻo nei he mea nui loa ia. E nānā i ka ʻatikala “No ke aha e kolo ai nā kime Sugar ma kahi pākahi haʻahaʻa, a pehea e hoʻoponopono ai.” ʻO ka overe with type 1 a me ke ʻano type type 2 ʻaʻole hiki ke kaha. I mea e pale ʻole ai i kaʻai, me ka ʻaihue type 2 ʻoi aku ka maikaʻi ma ka ʻai ʻana ʻaʻole 2-3 mau manawa i kēlā lā i kēia lā, akā 4 mau manawa iki ka nui. Pili ka noi ʻana i nā maʻi me nā maʻi maʻi type 2 ʻaʻole i mālama ʻia me ka insulin a pōkole a i ʻole.

ʻO ka overeating ka hopena a me / a me nā hōʻeha gluttony kahi hiʻohiʻona o nā mea maʻi me ka maʻi diabetes 2 ʻano. Hāʻawi ka huahana ʻo Protein i ka luhi i ka lōʻihi o ka lōlū a pēlā e hōʻemi ai i ka nui o kēia pilikia. Akā i nā nui he nui ʻole kēia. E ʻimi i nā leʻaleʻa ʻē aʻe i ke ola e hoʻohuli iā ʻoe me ka overeating. E ho'āla e kū i ka papaʻaina pōloli iki. E nānā pū i ka ʻatikala "Pehea e hoʻohana ai i nā lāʻau lapaʻau maʻi e pale ai i kāu makemake." Mahia paha ma muli o kēia e hiki ke haʻalele loa i ka insulin. Akā ʻaʻole mākou e hoʻohiki i kēia i kekahi i mua. E aho i ke wailua i nā insulin ma mua o ka mālama ʻana i nā ʻōmua o ka maʻi diabetes i kou mau maka, nā ʻōpū, a me nā wāwae paha.

Ma ke ʻano ʻo ka maʻi āpau 2, ʻo ka ʻai ʻana i nā ʻāpana liʻiliʻi e hiki iā ʻoe ke hoʻomau maikaʻi i ka holi koko me ka lua o ka hana o ka ʻimi ʻana o ka insulin, e waiho mau ana ia ia. Maikaʻi kēlā inā hiki iā ʻoe ke hoʻololi i kēia ʻano o ka meaʻai, ʻoiai me ka pilikia e hoʻolalelale ai. Ma ka manawa like, nā mea maʻi me ka maʻi type type type type 2 a nāna e inikini i ka insulin i kēlā me kēia manawa ma mua o ka ʻai e ʻai ai i nā manawa 3 i ka lā. ʻAʻole kōkua ʻia nā snacking ma waena o nā meaʻai.

Hoopuu

Ua ʻōkuhi ke ʻano he lōʻihi, akā, no ka mea, he pono iā ʻoe. E hoʻohālikelike i nā ʻōlelo pōkole:

• ʻO ka liʻiliʻi o nā calcium e ʻai ai ʻoe, ka mea e hoʻohaʻahaʻa ʻia ke kō o ke koko a emi ʻia ka liʻiliʻi o ka insulin.
• Inā ʻoe e ʻai wale i nā koina liʻiliʻi, a laila hiki iā ʻoe ke kuhikuhi pono i ke ʻano o ke kōʻai koko ma hope o ka ʻai ʻana a me ka nui o ka insulin e pono ai. ʻAʻole hiki ke hana i kēia ma kahi 'ai momona kiʻekiʻe kahi "kaleka".
• ʻO ka liʻiliʻi o ka insulin e hoʻonāukiuki ai, ʻoi aku ka nui o ka wānana a me ka hoʻohaʻahaʻa ʻia ka hypoglycemia.
• Ke kīleʻomaʻa haʻahaʻa haʻahaʻa ʻana i ka maʻi diabetes no ka ʻai ʻana ma mua o ka 6 mau momoli o ka nui o ka mauʻu no ka ʻaina kakahiaka, ʻaʻole iʻoi aʻe ma mua o 12 mau gr o lākou no ka ʻaina awakea a me kekahi 6-12 mauʻu no ka ʻaina. Eia kekahi, hiki ke ʻai ʻia nā mea momona i nā mea kanu a me nā kinala mai ka papa inoa o nā meaʻai ʻae ʻia.
• ʻO ka hoʻopili ʻana i ka maʻi diabetes me kahi meaʻai koʻo-kaola helu ʻole, ʻaʻole ia he manaʻo pono e pōloli ʻoe iā ʻoe iho. ʻAi ʻia nā protein nui a me nā momona momona i ke ʻano, akā ʻaʻole e inu. E nānā i ka ʻatikala "A Diet-Carbohydrate Diet for Diabetes: Steps first" e aʻo pehea e hana ai i kahi papa ʻaina ʻono e momona ai nā mea momona, nā huaora, nā minerala, a me nā mea he trace ...
• ʻAʻole hiki loa ke overeating. Heluhelu i ke ʻano o ka hopena o kahi hale ʻaina Kina a pehea e pale aku ai.
• Mai kulu i kahiʻoi aku ma mua o 6-7 mau pūʻulu o ka inika i kahi lāʻau hoʻokahi. E hoʻokaʻawale i ka nui o ka insulin i nā inikini he nui, pono ʻoe e hana i kekahi ma hope o kekahi i nā ʻāpana like ʻole o ke kino.
• No ka maʻi type 2, inā ʻaʻole ʻoe e kau i ka insulin ma mua o ka papaʻaina, e hoʻāʻo e ʻai i nā meaʻai liʻiliʻi i nā manawa 4 i ka lā.
• ʻO nā mea maʻi me ka maʻi type type 1 a me 2, e loaʻa ana i ka insulin pōkole i kēlā me kēia manawa ma mua o ka ʻai, pono e ʻai ʻia 3 mau lā i ka lā me ke anuanu o nā hola 5 a i ʻole kali i waena o nā pāʻina.

Loaʻa iā ʻoe paha he mea pono e mālama i kēia ʻatikala i loko o kāu leka uila i hiki ke heluhelu hou ʻia. E nānā pū i kā mākou mau wahi i koe no ka pāʻai haʻahaʻa loa i ka maʻi diabetes. E hauʻoli wau e pane i kāu mau nīnau ma nā ʻōlelo.