Ma ka nīnau e pili ana i keʻano o ka ho'ēmiʻana i ke koko koko, nui nā meaʻepekema e hakakā nei no nā kenekulia. ʻO ka meaʻoiaʻiʻo, aia kahi lālā o nā kauka e noʻonoʻo nei i ke kiʻekiʻe o ka glucose e pāʻaniʻia e kahi pilikino,ʻai pāʻani liʻiliʻi. ʻO ka hui'ē aʻe e pili ana i ka poʻe e manaʻoʻiʻo ana: he mea weliweli e hōʻole i nā hua a me nā huaʻai. ʻO ka mea nui,ʻo ka mālamaʻana i ka maʻalahi o nā meaʻai a mai hoʻopoina i ka laweʻana i nā lāʻau. E nānā i nāʻano likeʻole e ho'ēmi i ke kō koko i loko o kou home.
Pehea e hoʻohaʻahaʻa ai i ke koko koko i loko o ka home?
Ma keʻano he kūlana, ua hoʻonuiʻia ke kiʻekiʻe o ka glucose i loko o ia mauʻano o nā kānaka:
- nā maʻi me ka type 1 a 2 paha o ka maʻi diabetes ;
- nā kānaka me ka maʻi maʻi mua;
- nā kānaka me ka hoʻonuiʻana i ka hana o ka lauroid thyland a me nā glands;
- nā maʻi me nā mea maʻamau i ka pancreas a me ka pituitary gland;
- hiki i nā kānaka ke hele i nā manawa a pau.
Ināʻaʻole i hoʻohaʻahaʻaʻia ke kō, e nui loa nā pilikia no ka olakino no kēia mau pūʻulu a pau. Akā aia kekahi mea kūpono - hiki ke maʻalahi ke emi i ka kiʻekiʻe o ka glucose ma mua o ka hāpaiʻana. A ma hope o nā mea a pau, aia nā pilikia i loko o kaʻoihana olakino!
Hoʻomaopopo nā kānakaʻona i keʻano o ka ho'ēmiʻana i ke koko koko me kaʻole o ka insulin. No ka hanaʻana i kēia, ua lawa kaʻaiʻana i kahi liʻiliʻi o ke kinona. Hiki ke lilo i kahi moa o ka moa, kahi hāmahe o ka waiū, aiʻole 50 grams o ka paʻakai paʻakai. Ma ka maʻamaʻana o kēiaʻano meaʻai e nui ai ka ikaika, i ka manawa likeʻole,ʻaʻole hiki ke kalo i nā calories (sugar) i loko o ke koko a hāʻule ka glucose. No laila ka hapa pololei o nā poʻe o kaʻai pāʻani liʻiliʻi: pono kēia hana. Eia ka papa inoa o nā meaʻai e hiki ke hoʻopauʻia e ka poʻe nānā i nā pae o ke koko:
- kaʻiʻo, iʻa a me nā mea hānai;
- nā'ōmaʻomaʻo'ōmaʻomaʻo me ka lau nahele (kāpena, broccoli, greens, salakeke, kukama, zucchini, a pēlā aku);
- nā'ōmaʻa maʻamau, nā mea wela;
- Nā huahana mea kanu (koe wale nō nā mea momona, nā meaʻala, nā hua);
- nā walaʻau;
- mea soy a me nā hua pua.
ʻO ke kumu kēia o kaʻai, akā no ka hikiʻole i nā palena kūpono ke hana me ka laweʻoleʻiaʻana o ka huaora a me nā minela ma keʻano o nā papa. No laila, ke kauka nei nā kauka i kahi hana likeʻole, akā mai kēlā manawa i kēia manawa e hāʻawi i kahi liʻiliʻi o ka berena,ʻo ka'ōlaʻi,ʻo kaʻaila, a iʻole kekahi pā i papaʻia. Hoʻokahi wale nō kānāwai - pono ke'āpana,ʻaʻoleʻoi aku ma mua o 50-80 g.
Pehea e ho'ēmi ai i ke kō i loko o nā hōʻailona koko?
Hoʻohālike i ka kiʻekiʻe o ka'ōpū kulukose a me nā mea hoʻonanea. ʻAʻole pono ka heleʻana i ka nahele, aiʻole ka lāʻau kaukau. Hiki ke loaʻa nā mea kanu pono i loko o kā lākou māla:
- nā lau lā'ī.
- nā lau lau ;
- nā lau o ka huaʻiku;
- uhie.
Ponoʻia e kāpīpī i kahi lau maloʻo maloʻo me ka waiʻaila e pani ai i ka inu a inu i nā kīʻaha he hoʻokahi lā. He hana maʻalahi a maikaʻi kēia e mālama ai i ke kōpaʻa, akā naʻe, mai hoʻopoina i ka hoʻohanaʻana i ka glucometer i nā manawa he nui ma ka lā, no ka mea he okoa ke kiko a he pono ke kohoʻia kēlā me kēia.
He maʻalahi ka hoʻohanaʻana i nā lāʻau lapaʻau e hoʻoemi i ke koko koko, no ka mea, hana like lākou. Hiki keʻano o nā lāʻau lapaʻau:
- thiazolindinediones (Piogar,'Apope);
- inhibitors o DPP-4 (Januvia, Galvus);
- nā huahana o sulfonylureas (Diabetes, Amaryl);
- nuiuanides (Siofor, Glucophage);
- GGLP-1 'agonists (Baeta, Victoria);
- inhibitors o ka alpha-glucosidase (Glucobay);
- Meglitinides (Novonorm, Starlix).
Hoʻohālikeʻia ka hoʻomākaukauʻana mai nāʻaoʻao hope loa he mea weliweli no ka maʻi maʻi aʻaʻole paha i hoʻohanaʻia. ʻO ka hapa nui o nā kauka e makemake i ka hanaʻana me nāʻano nui a me nā agonists o nā leka uila GLP-1, no ka mea ua loaʻa iā lākou nā hopena maikaʻi loa, ua hana wikiwiki kēia mau lāʻau lapaʻau a ua hoʻoikaikaʻia ka hopena. Akā,ʻaʻole hiki iāʻoe ke kūʻai iā lākou me ke kumuʻole.