ʻO ka maʻi maʻi maʻi he maʻi weliweli a mau loa i hiki ʻole i ke kino ke hoʻohana i ka ikehu mai ka meaʻai a mākou e ʻai ai. ʻO ka maʻi diabetes ka nui o ʻekolu ʻano; gestational, type 1, a me type 2 diabetes.
Wahi a ka noiʻi, ʻoiai ʻokoʻa nā ʻano maʻi diabetes a pau mai kekahi i kekahi, aia kekahi mau mea like. ʻO ke kō a me ka waiʻala mai ka meaʻai a mākou e ʻai ai, ua wāwahi ʻia i ka glucose e hana i ka wahie no nā cell āpau. Eia nō naʻe, no ke kino e komo i ka glucose a hoʻohana pono iā ia, pono nā cell i kahi hormone i loko o ke kahe koko i kapa ʻia ʻo insulin. I ka maʻi maʻi, ʻaʻole hiki i ke kino ke hana i ka nui o ka insulin a ʻaʻole hiki ke hoʻohana i ka insulin āna e hana ai. I kekahi mau hihia, hiki ke hui pū ʻia nā mea ʻelua.
ʻAʻole hiki i nā cell ke lawe i ka glucose no ka mea e hoʻomau ʻia ke kūkulu ʻana i loko o ke koko. Hiki ke hōʻino ʻia ka glucose koko ma nā pae kiʻekiʻe no nā kīʻaha koko i loko o ka ʻōnaehana nerve, naʻau, nā maka, a me nā puʻupaʻa. No laila, ʻo ka maʻi diabetes, inā ʻaʻole mālama ʻia, hiki ke alakaʻi i ka makapō, ka pōʻino o ke aʻalolo, ka maʻi kīkī, ka maʻi puʻuwai, a me ka hahau.
ʻO ka hoʻokaʻawale ʻana i ka maʻi diabetes type 1 a me type 2
Ke hele mai nei i nā ʻokoʻa, I ka maʻi maʻi type 1 a me ke ʻano 2, loaʻa i ke kanaka kahi pae ʻano ʻole o ke kō koko; akā naʻe, ʻokoʻa nā mea ʻelua i ke ʻano o ka hoʻomohala ʻana a me nā kumu e hoʻoulu ai i ka maʻi diabetes.
Kūlike ʻole i ka manaʻo nui, ʻaʻole maopopo ke ʻano o ka maʻi diabetes i ke kanaka. No ka laʻana, manaʻo ka poʻe inā ʻoi aku ke kaumaha o kekahi a ʻaʻole i hoʻokomo i ka insulin, a laila loaʻa iā lākou ka maʻi diabetes type 2. Pēlā nō, manaʻo pinepine ʻia ka poʻe i loaʻa i ka maʻi diabetes type 1 e emi ke kaumaha.
ʻO ka ʻoiaʻiʻo, ʻaʻole kēia ka hihia; ma kahi o hoʻokahi hapalima o ka poʻe i loaʻa i ka maʻi maʻi maʻi type 2 ke kaumaha olakino ke ʻike ʻia lākou a hilinaʻi i ka insulin. Pēlā nō, hiki i ka poʻe i ʻike ʻia me ka maʻi diabetes type 1 ke paʻakikī pū kekahi.
ʻO ka maʻi diabetes type 1 vs type 2
No ka mea ʻaʻole hiki ke ʻike ʻia a ʻokoʻa nā ʻano maʻi diabetes ʻelua, hiki ke maʻalahi ka hoʻoholo ʻana i ke ʻano o ka maʻi diabetes. No ka laʻana, ʻo ka manaʻo ʻana he kanaka paona nui me ke kiʻekiʻe o ka glucose koko he maʻi diabetes type 2 hiki ke hewa no ka mea ʻo nā kumu i hoʻokumu ʻia ai kēia maʻi i pili i ka maʻi diabetes type 1.
Kākau like 1 Diabetes
ʻIke ʻia hoʻi ʻo ka maʻi diabetes-hilinaʻi i ka insulin, hoʻomaka ka maʻi diabetes type 1 i ka wā kamaliʻi. He maʻi autoimmune ia i ka wā e hana ai ke kino i nā antibodies e hoʻouka i kāna pancreas ponoʻī. Ma muli o ka pōʻino o ka pancreas, ʻaʻole ia e hana i ka insulin.
Hiki i nā kumu he nui ke kumu i ka maʻi diabetes type 1. No ka laʻana, hiki paha ma muli o kahi predisposition genetic. Pēlā nō, ma muli paha o nā pūnae beta hewa o ka pancreas nona ke kuleana no ka hana ʻana i ka insulin.
ʻO ka maʻi maʻi type 1 e pili ana i nā pilikia olakino, a ʻo ka hapa nui o ia mau mea ma muli o ka pōʻino o nā kīʻaha koko e hele ana ma nā puʻupaʻa, nā aʻalolo, a me nā maka. Eia kekahi, ʻoi aku ka nui o ka poʻe me ka maʻi diabetes type 1 i ka maʻi ʻaʻai a me ka maʻi puʻuwai.
ʻO ke kaʻina hana no ka maʻi maʻi type 1 e pili ana i ke kanaka e hoʻokomo i ka insulin i loko o ka ʻiʻo momona ma o ka ʻili. Eia kekahi, ʻo ka poʻe i loaʻa i ka maʻi maʻi type 1 pono hoʻi e hana i nā loli nui i ko lākou nohona me ka hoʻolālā ʻana i kā lākou meaʻai me ke akahele, hoʻoikaika kino i kēlā me kēia lā, hoʻāʻo pinepine i ke kiʻekiʻe o ke kō koko, a me ka lawe ʻana i nā lāʻau lapaʻau a me ka insulin i ka manawa.
ʻO ka nūhou maikaʻi ʻo ka poʻe i loaʻa i ka maʻi maʻi type 1 hiki ke hauʻoli i ke ola ikaika a lōʻihi ke nānā pono lākou i ko lākou glucose koko, hahai i ka hoʻolālā lapaʻau i kuhikuhi ʻia, a hana i nā loli kūpono i ko lākou nohona.
Kākau like 2 Diabetes
Manaʻo ʻia ka maʻi maʻi type 2 ʻo ia ke ʻano maʻamau o ka maʻi diabetes a ʻo ia ke kumu o 95% o nā hihia i nā pākeke. Ma mua, ua hoʻohana ʻia ke ʻano 2 e kapa ʻia ʻo ka maʻi maʻi maʻi makua, akā naʻe, me ka piʻi ʻana o ka nui o nā keiki keu a me ka momona i kēia mau lā, ʻoi aku ka nui o nā ʻōpio e ulu nei i ka maʻi diabetes type 2.
ʻIke ʻia ka maʻi maʻi type 2 ma ke ʻano he maʻi diabetes non-insulin dependent a he ʻano maʻi maʻalahi ke hoʻohālikelike ʻia me ke ʻano 1. Eia naʻe, hiki i ke ʻano maʻi diabetes type 2 ke alakaʻi i nā pilikia olakino nui, ma mua o nā kīʻaha koko liʻiliʻi e hele ana ma nā maka, nā aʻalolo. , a me nā puʻupaʻa a na lākou ke kuleana e hānai iā lākou. E like me ka maʻi maʻi type 1, hoʻonui pū ka ʻano 2 i ka pilikia o ka maʻi ʻaʻai a me ka maʻi puʻuwai.
ʻO ka pancreas, i nā poʻe me ka maʻi maʻi type 2, e hana i kekahi nui o ka insulin; akā naʻe, ʻaʻole lawa ka nui no ka hoʻokō ʻana i nā pono o ke kino, a i ʻole nā pūnaewele kūʻē iā ia. ʻO kēia kū'ēʻana i ka insulin a iʻole ka nele o kaʻikeʻole i ka hormone insulin e hana nuiʻia i loko o nā pūnaewele muscle, ate, a me ka momona.
ʻO ka poʻe obese i ʻoi aku ma mua o 20% o ko lākou paona kino kūpono e like me ko lākou kiʻekiʻe e piʻi aʻe ka pilikia o ka lilo ʻana i ka maʻi diabetes type 2 a me nā pilikia olakino e hiki mai ana me ia maʻi. ʻO ka poʻe obese ke kūpaʻa maʻamau i ka insulin, ʻo ia hoʻi, pono ka pancreas e hoʻokomo i ʻelua o ka nui o ka hoʻoikaika ʻana, ma ka liʻiliʻi loa, e hana i ka nui o ka insulin. Eia naʻe, ʻaʻole lawa ka insulin no ka hoʻoponopono ʻana i ke kō koko.
ʻOiai ʻaʻohe lāʻau lapaʻau no ka maʻi maʻi diabetes, hiki ke mālama ʻia ke ʻano 2 me ke kōkua o ka hoʻoikaika kino, ka meaʻai, a me ka mālama ʻana i ke kaumaha. Eia nō naʻe, ke holomua nei kēia ʻano maʻi diabetes, a koi pinepine ʻia nā lāʻau lapaʻau.
Nā lāʻau lapaʻau no ka maʻi diabetes type 1 a me type 2
Eia kekahi mau lāʻau lapaʻau i hiki ke hoʻohana ʻia no ka mālama pono ʻana i ka maʻi diabetes type 1 a me type 2.
Actos (Pioglitazone)
Hoʻohana ʻia ʻo Actos me ka hoʻoikaika kino a me ka meaʻai no ka hoʻomaikaʻi ʻana i ke kō koko o ka poʻe i loaʻa i ka maʻi diabetes type 2. Eia kekahi, ʻO Actos hiki ke hoʻohana pū me nā lāʻau ʻē aʻe a i ʻole ka insulin; akā naʻe, ʻaʻole kūpono ia no ka mālama ʻana i ka maʻi diabetes type 1.
ʻO Glucophage XR (Metformin XR)
Hiki ke hoʻohana ʻia ʻo Glucophage XR a i ʻole me nā lāʻau lapaʻau ʻē aʻe a i ʻole ka insulin no ka mālama ʻana i ka maʻi diabetes type 2. He mea pono no ka hoomalu ana i ke koko koko.
Nā koho lāʻau ʻē aʻe no ka maʻi maʻi me Alphatrak meterkit, Avapro (Irbesartan), Glucophage Metformin, Glucotrol XL Glipizide ER, Amaryl (Glimepiride), Janumet, a me nā mea hou aku.
E like me ka mea i ʻōlelo ʻia ma luna, aia nā ʻokoʻa ke kamaʻilio e pili ana i ka hoʻopaʻapaʻa ʻana o ka maʻi diabetes Type 1 vs Type 2. Eia kekahi, loaʻa nā lāʻau lapaʻau no nā ʻano ʻelua i manaʻo ʻia e hui pū ʻia me nā loli ola no ka noho maikaʻi ʻana.