Sugar index 8, 8 ma hope o ka ʻai: he aha ka mea o ke ʻano o ka glucose i loko o ke koko?

Me ka type 2 diabetes mellitus a me ka heleʻana o ke kū'ē i ka insulin resisten (hōʻemi ʻia ka naʻau i ka insulin), ʻoi aku ka nui o ke kōʻai wikiwiki ma mua o ka holi ma hope o ka ʻai ʻana. Ke kū nei kēia ʻano ma muli o ka mea i ka "pancreas" e haʻalele i ka nui o ka insulin "no ka meaʻai", no laila ʻo ka holi ma hope o ka ʻai ʻana i ka haʻahaʻa ma lalo o ka ʻai ʻana.

I kēlā kūlana, pono e hana i ka pale ʻana i ka insulin, ʻo ia hoʻi, e hoʻonui ai i ka manaʻo o ka insulin. Pono ʻo Metformin no kēia, a hiki ke hoʻohana ʻia nā lāʻau lapaʻau gula hou (i-DPP4, a-GLP1) - e kōkua lākou a hiki i ke kōpaʻa a hiki i ke ʻano maʻamau me ka ʻole o ka loaʻa o ka hypoglycemia (hāʻule i loko o ke koko koko), a hoʻomaikaʻi i ka naʻau ʻokoʻa.

ʻO ka lāʻau lapaʻau Douglimax: he mau metformin (500 mg), kahi lāʻau lapaʻau e hoʻonui ai i ka naʻau o ka insulin a me ka glimepiride (1 mg), kahi lāʻau lapaʻau e hoʻokaʻa ana i ka hilo mai ka hui o ka sulfonylurea, e hōʻea ana i ka pancreas e hoʻopuka hou aku i ka insulin a e hoʻouka pinepine i ka hypoglycemia (hoʻokaʻa ka holi) koko).

Inā ʻaʻole ʻoe e ʻai hou aku i nā palaka, a laila aia ke manawa kūpono e hoʻonui ai ʻoe i ka paona, a e holomua ka kū ʻana o ka insulin, e hoʻonui ka gula - ʻo ia ka hana ʻino o ka maʻi maʻi. ʻO ia hoʻi, ʻaʻole pono iki ka momona, a me nā momona.

I kou kūlana, pono ʻo Metformin, akā ʻo ka maikaʻi loa o nā metformins ʻo Siofor a me Glucofage, a me nā hāmeʻa e hana ana me ka hana maʻamau ʻana i nā ʻāpana kūwawa he 1500-2000 i kēlā me kēia lā, 500 maopopo ʻaʻole lawa. ʻO kēia mau nā doses e kōkua i ka hoʻomaikaʻi ʻana i ka naʻau o ka insulin i ka T2DM.

Wahi a glimepiride, hāʻawi i kāu gula (ʻaʻole kiʻekiʻe loa ia e hāʻawi aku ai), ʻoi aku ka maikaʻi ma ke kau ʻana me ia i nā lāʻau lapaʻau hou hou aku, a inā ʻoe e hahai pono i kahi mea ʻai a inu hoʻi i kahi momona metformin kūpono, ʻaʻole paha ʻoe e makemake i ka lāʻau lapaʻau ʻelua.

Ke kuhikuhi aku nei au iā ʻoe e nānā ʻia (ma ka liʻiliʻi ʻo KLA, BiohAK, he hemoglobin glycated) a loaʻa kahi endocrinologist e koho i kahi hou hypoglycemic therapy. A, ʻo kaʻoiaʻiʻo, e hoʻomau a mālama i ke kō a me ka meaʻai.

Nā hōʻailona kuhikuhi

I mea e hoʻomau ai nā kaʻina o ka metabolism a me ka ikehu i ka mode optimal no ke kino, pono ka glucose i ke koko i kekahi pae. ʻO ka mea hoʻoponopono nui o ka pauku huʻakai o ka hoʻoliʻiliʻi o ka testosterone hūnā ʻia e ka pancreas (pancreas).

I nā keiki ʻōpio he mau makahiki ma mua o 14 mau makahiki, ʻo nā wahine ʻōpio a me nā kāne, ʻike ʻia ka ʻike pākēneka i ka ʻōlelo o 3.5-5.5 mmol / L ma ke ʻano, he mea hoʻohālike ʻia ke koko no ka nānā ʻana i kahi ʻōpū ʻole mai ka manamana lima. I nā keiki hou, nā keiki ma lalo o 14 mau makahiki o nā kānaka, nā kānaka makua, nā wahine hāpai, nā mea maʻamau ma mua o nā ʻāpana ʻokoʻa a i ʻole ka liʻiliʻi.

Inā lawe ʻia ke koko mai kahi vein, e loaʻa a keu ka glucose.

Pono e hoʻomanaʻo ʻia ma nā kumuwaiwai he nui ʻole nā ​​hōʻailona o ke kaona maʻamau. Eia naʻe, ʻaʻole kumu o kēia mau ʻokoʻa.

ʻO ka Hyperglycemia

ʻO ka honi koko hoʻonaʻau paha e kuhikuhi i kahi kanaka maʻi mellitus (DM).

Ua helu ʻia nā ʻano o nā maʻi, akā he nui ko lākou ʻekolu ma muli o ko lākou ākea nui.

1. ʻO ke ʻano mua (kūlike i ka insulin) me ka hemahema o ka insulin i kumu ʻia e nā ʻano maʻi pancreatic ʻē aʻe. Ma ke kānāwai, hoʻomaka ka hoʻomohala ʻana o ka maʻi i ka wā ʻōpio (a hiki i ka 30 mau makahiki).
2. Kūkulu ʻia ke ʻano lua (kūʻē-insulin) i ke ʻano o ka wā ʻelemakule. Me kēia ʻano o ka maʻi, ua hoʻoneʻe ʻia ka insulin ma ka huina kūpono, akā ua nalowale nā ​​ʻili i ko lākou ʻike iā ia. ʻO kahi laʻana, hana ʻia kēia me ka momona, ʻoiai ke pale i ka layer momona i ka komo ʻana o ka insulin i ka ʻili.
3. Hōʻike ʻia ka ʻano gestational i nā wāhine i ka manawa o ka hānau ʻana i kahi keiki ʻaʻohe mea loaʻa o ka hānai ma mua o ka wā hapai. ʻO ka hapa nui o nā loea e manaʻoʻiʻo ua hoʻonā ʻia ka maʻi e nā loli o ka hormonal i ke kino wahine.

Hiki ke hoʻoholo ʻia ka glucose momona ma o nā hōʻailona aʻe:

• mau ka makewai mau
• inu kaumaha
• nā hoʻomaʻa pinepine ʻana
• hoʻonui nui momona
• ka ʻopo maloʻo a me ka ʻeha,
• nāwaliwali
• hoʻomaikaʻi maikaʻi nā hōʻeha
• nā moʻo a me nā ala ʻē aʻe,
• kau pipi
• ʻike maka.

Me ka maʻi maʻamau, nā hopena o nā hōʻeha a me nā hōʻeha o ka puʻuwai, gangrene o nā ʻoi loa, ka pani ʻole ʻana o ka renal, makapō, a hāʻule i loko o kahi comg hypercly coma i hoʻonui pinepine ʻia.

Hypoglycemia

Hiki i ka Coma me ka maʻi hypoglycemic. Hiki i nā kumu nui ke alakaʻi i kahi hoʻoemi o ke kō.

• ka overdose o ka insulin a i ʻole ka hoʻohiolo ʻana i nā lāʻau lapaʻau i ka mālama ʻana i ka maʻi diabetes,
• ka hui pū ʻana o nā lāʻau antidiabetic me kekahi mau lāʻau lapaʻau (Warfarin, Aspirin, etc.),

• malignant a malignors lada o ka pancreas,
• inu waiʻawa
• nā hana kino nui me ka ʻai haʻahaʻa haʻahaʻa,
• ka maʻi kino ʻana
• palomaʻomaʻi huina (cancer, cirrhosis, fatty hepatosis),
• kekahi mau maʻi endocrine (maʻi Addison, maʻi, pituitary dwarfism, etc.).

Hoʻomaopopo ka hōʻailona o ka hypoglycemia i ka nui o ka gula i hāʻule.

1. Me ka hypoglycemia mālie: kaʻauʻau, ka lua, ka hopohopo ākea, ka liʻiliʻi iki o nā manamana lima, palpitations puʻuwai.
2. Ma ke kikowaena waena: kahaha, hōʻea, ka puhio o ka ʻike, hoʻonāukiuki, ʻike ʻole ʻia o ka holo ʻana.
3. Me kahi hina ikaika (ma lalo o ka 2.2): kahi hōʻemi i ke mahana wela o ke kino, hoʻopulapula, piʻi i ka epileptic, ka nalowale o ka ʻike, coma.

Nā hōʻike koko

ʻO ka mālama mau ʻana i ke kō ka mea pono i ka poʻe me ka hōʻemi kino o ka metabolism, ma ka maʻi diabetes, e hoʻomaʻamaʻa koke iā ia i ka nui o ka hoʻonui ʻana ʻana paha, a i ka poʻe paha ma hope o 45 mau makahiki o ia, e ulu palaka me ka maʻi maʻamau e hoʻoponopono i kā lākou ʻai i ka nui a me ke ʻano o ke ʻano maʻamau e ʻae i ka loli mai ka prediabetes i ka maʻi diabetes.

Minamina, loaʻa pinepine ka hilahila me nā hōʻailona ma muli o ka nui o nā ʻano hoʻokolohua o ka glucose. No kēia laʻana, inā he 8 ka hilo ma luna o kahi ʻōpū ʻole - ʻo kēia kahi kūlana, inā he gula 8,8 ma hope o ka ʻaʻa ʻana ua ʻokoʻa kahi, inā ua hoʻonui ʻia ke kō o ke koko a 8 ma hope o ka hoʻāʻo ʻana he glucose - ʻo ke kolu. No laila, pono e ʻike pono ka mea nui o ka pilikino, ʻaʻole koʻikoʻi loa ia, he mea nui ia ma ke ʻano o ke ʻano o ke ʻano i loaʻa iā lākou.

Hoʻopau ʻai

Loaʻa i nā mea maʻamau no kēia noiʻi ʻana ma mua. E aho ke lawe i ka hōʻike ma ke kakahiaka. I ka pō e pono ai ʻoe e hana i kahi pāʻina ʻaʻai (ʻaʻole i pāpā ʻia ka waiʻona). I ke kakahiaka, oki ke kakahiaka. Hiki iā ʻoe ke inu i ka minela a i ka wai ʻole. ʻO ka maʻamau, ke huki ʻia ke koko capillary mai ka manamana lima.

1. Hoʻokuʻu ʻia ka maʻi diabetes inā he emi iho ka hopena i ka 5.5.
2. Ke kīnā o ka kō i ke aniani o 5.5 -6.1, ka mea o ka pale ʻana o ka glucose i ʻole.
3. Inā ʻaʻoleʻoi aku ka nui o ka hilahila ma luna o 6.1, aia kahi kiʻekiʻe o ka maʻi maʻi.

Eia nō naʻe, he kānalua kekahi mau kauka o kēia hoʻokolohua. Hoʻomaopopo lākou i kona pono no ka maikaʻi o nā ana o ka mālama ʻana i ka wā o nā hoʻokolohua ʻē aʻe, akā hōʻole lākou i ka hiki ke hoʻokō pono wale nō me kona kōkua. Ma keʻano kūikawā, ua hōʻike ʻia ke hiki i ke kaumaha ke hoʻonui i ka glucose. Kahi ʻia ʻia e pili ana i kahi hapakolu o nā maʻi i kū i ka insulin e kū ana me ka ʻike ʻole ʻia.

Hoʻoikaika hoʻāʻo

Ua manaʻo ʻia ʻoi aku ka hilinaʻi o ka maʻi maʻamau. Kahi ʻia ka Glucose i ʻelua mau hola ma hope o ka ʻaʻa ʻana.

1. Kūpono: 3.9 -6.1 mmol i pālita.
2. Inā hōʻike ka loiloi i ka 8.5, ʻaʻole i haʻalele ʻia ke kaohi type type 2, me kahi hōʻailona o ka maʻi 9,0 - type 1.
3. Aia ka ʻike o ka ʻike helu ʻana i ka huina o 6.1 -8.5, hiki iā mākou ke manaʻo e ʻokiʻoki ka mea i hōʻemi ʻia e ka mea ʻai i hōʻemi ʻia o ka ʻaiā, a pono e hana ʻia nā anaʻeono (hoʻololi i ka meaʻai, hōʻemi i ke kaumaha, etc.).

Hoʻololi hoʻokolohua Glucose

Hoʻohana ʻia ia e ʻike i nā ʻano huna o ka maʻi maʻi. Hana i nā hoʻokolohua ʻelua me ka ʻaha he mahele. I ka wā o ka hōʻike hoʻokele (hana maʻalahi), ʻekolu mau ʻai koko i lawe ʻia (ma kahi ʻōpū ʻole, hoʻokahi hola a me ʻelua mau hola ma hope o ka hoʻokomo ʻana i ka glucose). ʻO ka paona maʻamau o ka glucose he 75 kākā. Hoʻopalaha ʻia i ka 250 mililika o ka wai.

ʻO ka huli ʻana o nā hopena (ma hope o 2 mau hola) e like me kēia:

• pae iki - emi ma lalo o 7.8,
• ka hopena hemahema - ʻoi aku ma kahi o 7.8, akā emi ma mua o 11.1,
• maʻi hānai - ʻoi aku ma mua o 11.1.

ʻO ka hoʻokolohua Glycated hemoglobin

Pono kēia noiʻi e ʻike i ke ʻano o ka maʻi o ka maʻi a i ʻole ka hiki o ka lapaʻau ʻana i nā maʻi me nā maʻi maʻi hou. Inā hōʻike nā hoʻokolohua ʻē aʻe i ke kō i ka manawa ʻo ke ana, a laila hōʻike kēia loiloi i ka nui o ka glucose hāleʻa ma mua o ʻekolu mahina. ʻO ka kaulanā ka waena o ka 4-6.2%. ʻOi aku ka kiʻekiʻe o kēia neʻe, ʻo ka ʻoi loa o ke kō ma ke koko ma luna o kahi manawa i hōʻike ʻia.

ʻAʻole koi ʻia ka hoʻomākaukau kūikawā no ka hoʻoili ʻana.

ʻO ka maʻi Hyperglycemia

Ke piʻi ka nui o ka glucose i ke koko, akā ʻaʻole i hōʻike ʻia ka maʻi, ʻaʻole pono ka lāʻau lapaʻau. Hiki iā ʻoe ke hoʻi i ke kō i ke kō i nā pae maʻamau me ka mea ʻai, ʻaʻa ʻole i ka inu ʻana i ka wai inu, ka hoʻokaʻina kino pilikino, ka nui ʻana o ka momona, a me ka hoʻohana ʻana i ka lāʻau lapaʻau kuʻuna ma hope o ka nīnau ʻana me kahi kauka.

ʻElua mau papa wai nui no ke kōʻai kiʻekiʻe.

Hāʻawi i kahi palena koʻikoʻi o nā ʻona i hoʻopau ʻia. Pono ʻoe e ʻai i ʻehā a ʻelima mau manawa i ka lā. ʻO nā kalima māmā (hoʻolaʻa i ke kō, ka meli, a me nā mea like), a me nā huahana kulana i loaʻa iā lākou, ke hoʻokaʻa ʻole ʻia mai ka papa inoa. I ka manawa like, ʻae ʻia nā hua a me nā huaʻai i nā mea momona a me ka ʻono, akā ʻo ka momona (nā fiku, nā hua waina, nā pomegerane, me nā mea ʻē aʻe) e pāpā ʻia.

Ma kahi o monosaccharides, ʻoi aku ia e hoʻohana i nā mea kōkua gula (sorbitol, stevia, aspartame, etc.).

Palapala ʻia mai nā ʻiʻo momona a me ka iʻa, ke kō, nā waiū, nā pōpoki i ka ʻai, a me nā mea ʻē aʻe.

ʻO nā ʻano haʻahaʻa haʻahaʻa o nā iʻa, nā ʻiʻo, nā huahana waiʻai, nā mea kanu hānai, cereals, legumes, ʻo ka hapa nui o nā mea kanu i komo i ka meaʻai.

ʻO kaʻaiʻai haʻahaʻa

Ma ke ʻano o kēia meaʻai, ua manaʻo ʻia ka palupalu, no ka mea āpau (a wikiwiki kekahi, e hoʻolōʻihi i ka li). ʻAi ʻia nā huaʻai a me nā huaʻai e ʻai ʻia, hiki i nā mea kanu, akā ʻaʻole mea momona. Hoʻokaʻawale ʻia nā wahi aloha.

Ma ka ʻaoʻao ʻē aʻe, ʻaʻole ka palena o kaʻai ʻana i ka hoʻokomo o nā protein a me nā kiko. Ua manaʻoʻiʻo ia me ka mea ʻole o nā pale lae ʻaʻole lākou i alakaʻi i ka momona. Ua ʻōlelo ʻia he hopena maikaʻi kēlā o kēlā me ka hoʻopili o ka nupepa, ʻoiai ʻaʻole ʻike ʻia kekahi kanaka i ka pōloli, a me ka ʻai haʻahaʻa.

ʻO ka maʻi Hypoglycemia

Hoʻomaʻo ka mālama ʻana i ka hoʻopau ʻana i nā kumu kumu o ka hoʻemi ʻana o ke kō.

1. Hiki iā ia ke hōʻolele (ʻokoʻa wehe ʻana o nā pancreas me kahi neoplasm, etc.).
2. Hiki ke hoʻohana i ka chemotherapy no nā neoplasms malignant.
3. Hoʻohana ʻia kahi mālama conservative o kahi pathology e loaʻa ana i ka hoʻemi ʻana i ka glucose.

ʻAno ʻia ka papa ʻaina e kaulike me kahi moʻo haʻahaʻa a me nā mea momona. Me ka hoʻolālā ʻana o ka hoʻouka hypoglycemic, pono ʻoe e ʻai i nā meaʻai me ka momona o ka wikiwiki (nā ʻoniahi, kahi ʻāpana kō, ke kī, a me nā mea aʻe).

ʻO ka hoʻohemo o ke kō mai ka hilo mai ke ʻano a me nā ʻokoʻa i ke koko he pōʻino wale nō no ka olakino wale nō akā no ke ola. No laila, inā aia nā hōʻailona e hoʻonui ʻia ka glucose a e hoʻēmi paha ka wīwī, pono pono ʻoe e ʻimi i ke kauka e hoʻomaka i ka hana maʻamau i kahi manawa kūpono.

Hiki iā ʻoe ke aʻo hou e pili ana i ka hyperglycemia mai ke wikiō:

Hiki ke loaʻa ka ʻike hou ma ka hypoglycemia mai ka waihona wikiō: