Ka Hoʻokele ʻAi no nā Holoholona me ka Maʻi Diabetes
ʻO ka maʻi diabetes i nā holoholona—ʻoi aku hoʻi nā pōpoki a me nā ʻīlio—he maʻi mau loa ia i hōʻike ʻia e ka hoʻoponopono ʻana o ke kō koko (glucose) ma muli o ka nele o ka insulin a i ʻole ka emi ʻana o ka pane ʻana i ka insulin. He kuleana koʻikoʻi ko ka insulin i ka lawe ʻana i ka glucose mai ke koko i nā cell no ka hoʻohana ʻana ma ke ʻano he ikehu. Ke lawa ʻole a maikaʻi ʻole paha ka insulin, piʻi aʻe nā pae glucose koko, e hoʻoulu ai i nā ʻano hōʻailona like ʻole e like me ka inu pinepine ʻana, ka mimi pinepine ʻana, ka makemake nui akā ka pohō kaumaha, a me ka nāwaliwali. Ma waho aʻe o ka lāʻau lapaʻau e like me nā inikini insulin, ʻo ka hoʻokele ʻana i ka ʻai kahi pou nui i ka hoʻoholo ʻana i ke kūpaʻa o ke kō koko no ka wā lōʻihi. Kūkākūkā kēia ʻatikala i nā kumumanaʻo a me nā hoʻolālā o ka hoʻokele ʻana i ka ʻai no nā holoholona me ka maʻi diabetes, me nā ʻokoʻa o nā pono o nā ʻīlio a me nā pōpoki, nā koho meaʻai, a me nā ʻano hānai kūpono.
No ke aha he kuleana nui ka ʻai ʻana i ka maʻi diabetes?
ʻO ka pahuhopu nui o ka ʻai a ka holoholona maʻi diabetes, ʻo ia ka mālama ʻana i nā pae glucose koko paʻa i ka lā a pau, pale i nā piʻi ʻoi ma hope o ka ʻai ʻana, a kōkua i ka hoʻokō ʻana i ke kaumaha o ke kino kūpono. E hoʻopilikia ka ʻai i ka wikiwiki o ke komo ʻana o ka glucose i ke koko. ʻO ka ʻai kiʻekiʻe i nā kalapona maʻalahi e hoʻonui koke i ke kō koko, ʻoiai ʻo ka ʻai me ka hoʻohui kūpono—e like me ka fiber kūpono a me nā kumu protein maikaʻi—hiki ke hoʻolohi i ka omo ʻana o ka glucose a hāʻawi i ka ikehu paʻa. Eia kekahi, kōkua ka ʻai i ka hōʻemi ʻana i ka pilikia o nā pilikia e like me ka ketoacidosis diabetic, ka hōʻino ʻana o ke ake, nā maʻi hou, a me nā pilikia ʻili.
Nā Kumumanaʻo Laulā o ka ʻAi no nā Holoholona Maʻi Diabetic
Aia kekahi mau loina kumu e lawelawe ai ma ke ʻano he kuhikuhi i ka hōʻuluʻulu ʻana i ka papaʻai no nā holoholona maʻi diabetes:
1. He mea nui ke kūlike. Pono ke ʻano o ka meaʻai, ka nui, ka papa kuhikuhi o ka ʻai, a me nā meaʻai māmā e kūlike i kēlā me kēia lā. Hiki i nā loli koke ke hoʻololi i ke kō koko, e paʻakikī ai ka hoʻoponopono ʻana i nā nui o ka insulin.
2. E hoʻokele i nā kalapona. ʻAʻole kēia manaʻo e hoʻopau loa i nā kalapona, akā pono e kāohi ʻia ke ʻano a me ka nui. ʻOi aku ka palekana o nā kalapona paʻakikī me ka helu glycemic haʻahaʻa ma mua o nā kalapona maʻalahi.
3. ʻO ka fiber kūpono no nā ʻīlio. I nā hihia he nui o nā ʻīlio maʻi diabetes, kōkua ka fiber i ka lohi o ka omo ʻana o ka glucose, hoʻonui i ka māʻona, a kōkua i ka hoʻokele kaumaha.
4. ʻAi momona kiʻekiʻe a haʻahaʻa ka carbohydrate no nā pōpoki. He ʻiʻo ʻai pono nā pōpoki. He nui nā pōpoki maʻi diabetes e pane maikaʻi i ka ʻai momona kiʻekiʻe a haʻahaʻa ka carbohydrate, ʻoi aku hoʻi ma ke ʻano o ka meaʻai pulu.
5. E hoʻokele i kou kaumaha. Hoʻonui ka momona i ke kū'ē ʻana o ka insulin. Hiki i ka hōʻemi kaumaha palekana ke hoʻomaikaʻi i ka kaohi ʻana i ke kō koko a hōʻemi i nā koi insulin i kekahi mau holoholona.
6. E pale i nā meaʻai māmā wale nō. ʻO nā meaʻai māmā kiʻekiʻe i ke kō a i ʻole ka starch hiki ke hoʻoulu i nā piʻi glucose. Inā pono ʻoe e hāʻawi i nā meaʻai māmā, e koho i nā mea kūpono no ka ʻai maʻi diabetes a hoʻokomo iā lākou i kāu huina calorie o kēlā me kēia lā.
Nā ʻokoʻa o ke ʻano: ʻĪlio vs Pōpoki
ʻĪlio
Ua like pinepine ka maʻi diabetes i nā ʻīlio me ke ʻano maʻi diabetes type 1 i nā kānaka, kahi i nele ai ke kino i ka insulin a koi ʻia nā inikini insulin no ke ola holoʻokoʻa. No nā ʻīlio, ʻo ka pahuhopu o ka ʻai ʻana, ʻo ia ka hōʻemi ʻana i nā piʻi glucose ma hope o ka ʻai ʻana a me ke kaulike ʻana i ka ikehu me ka lāʻau lapaʻau insulin. Manaʻo ka nui o nā kauka holoholona i kahi ʻai momona i ka fiber waena a kiʻekiʻe, ka momona waena, a me nā kalapona paʻakikī. Hiki i ka fiber soluble ke kōkua i ka lohi o ka omo ʻana o ke kō, ʻoiai ʻo ka fiber insoluble e kākoʻo i ke olakino ʻōpū.
Kikī
I loko o nā pōpoki, pili pinepine ka maʻi diabetes me ke kū'ē ʻana o ka insulin (like me ke ʻano 2), ʻoi aku hoʻi i nā pōpoki momona a me ka hana ʻole. ʻO ka ʻai haʻahaʻa-carbohydrate, kiʻekiʻe-protein ka mea nui. ʻOi aku ka haʻahaʻa o nā carbohydrates i ka meaʻai pulu ma mua o ka meaʻai maloʻo, no laila ua ʻōlelo pinepine ʻia. I kekahi mau pōpoki, hiki i nā hoʻololi ʻana i ka ʻai me ka pohō kaumaha ke hoʻomaikaʻi i ka ʻike o ka insulin a kōkua i ka hoʻokō ʻana i ke kala ʻana, ʻoiai ʻaʻole i hoʻokō mau ʻia ke kala ʻana.
Ke koho ʻana i ke ʻano o ka hānai: ʻAi pulu, maloʻo, a i ʻole ka ʻai hoʻōla
1. Meaʻai pulu.
Nā Pono: kōkua ka nui o ka wai me ka hydration, he nui nā huahana i emi iho i nā carbohydrates, kūpono no nā pōpoki maʻi diabetes.
Nā Pōʻino: e pala koke ma hope o ka wehe ʻana, hiki ke kiʻekiʻe aʻe nā kumukūʻai.
2. Meaʻai maloʻo.
Nā Pōmaikaʻi: pono, maʻalahi ke ana ʻia, lōʻihi ke ola.
Nā Pōʻino: No nā pōpoki, loaʻa pinepine iā ia nā kalapona kiʻekiʻe; no nā holoholona maʻi diabetes, pono e koho pono i ke koho ʻana i kahi hōʻailona me ke ʻano kūpono.
3. Ka lāʻau lapaʻau ʻai mai ke kauka holoholona.
Hāʻawi ka nui o nā mea hana i nā meaʻai "diabetic" a i ʻole "glycemic control" i hoʻolālā ʻia e kōkua i ka hoʻopaʻa ʻana i ke kō koko. He mau koho palekana pinepine kēia no ka mea ua hoʻopilikino ʻia kā lākou macronutrient i nā kūlana olakino kikoʻī. Eia nō naʻe, pono e loiloi ʻia ke kūpono ma ke ʻano pākahi, me ka palatability, nā maʻi puʻupaʻa, ka pancreatitis, a i ʻole nā maʻi ʻē aʻe.
Papa Kuhikuhi ʻAi a me kona Pilina me ka Insulin
Pono ka papa hana hānai e kūlike me ke ʻano o ka insulin i hoʻohana ʻia a me ka hana maʻamau o ka mea nona. I loko o nā protocols he nui o nā ʻīlio, hāʻawi ʻia nā meaʻai i ʻelua manawa i ka lā i ka manawa like me nā inikini insulin (a i ʻole e like me ke kuhikuhi a kāu kauka holoholona). He mea nui ka kūlike o ka manawa: hiki i nā meaʻai lohi a i ʻole nā ʻāpana ʻokoʻa loa ke hoʻoulu i ka hypoglycemia (haʻahaʻa ke kō koko) a i ʻole hyperglycemia (kiʻekiʻe ke kō koko).
I nā pōpoki, hiki ke loli iki ka papa hana ma muli o ke ʻano o ka insulin a me kā lākou ʻano ʻai. Makemake kekahi mau pōpoki i nā lāʻau liʻiliʻi i nā manawa he nui i ka lā, akā pono nō ke kūkākūkā me kāu kauka holoholona i mea e pale aku ai i ka hoʻopilikia ʻana i ke kaohi ʻana i ke kō koko. Inā pilikia kāu pōpoki i ka ʻai mau ʻana, e hoʻoponopono kāu kauka holoholona i ke ʻano hoʻokele insulin a me ka ʻai e hōʻoia i ka palekana.
E helu i nā calorie a e hōʻemi palekana i ke kaumaha
Inā momona kāu holoholona, he pahuhopu koʻikoʻi ka pohō kaumaha. Eia nō naʻe, pono e lohi ka pohō kaumaha. ʻO ka pohō kaumaha wikiwiki loa, ʻoi aku hoʻi i nā pōpoki, hiki ke alakaʻi i ka lipidosis hepatic weliweli (ʻāke momona). ʻO ke kūpono, ʻo kahi papahana pohō kaumaha e pili ana i:
- Ka hoʻoholo ʻana i ke kaumaha o ke kino kūpono,
- Ka helu ʻana i nā koi calorie i kēlā me kēia lā,
- Ke koho ʻana i ka meaʻai e kākoʻo ana i ka manaʻo o ka piha,
- Ka nānā ʻana i ke kaumaha o kēlā me kēia pule a ʻelua paha manawa i ka pule,
- E hoʻoponopono i nā ʻāpana i kēlā me kēia manawa.
He mea nui nō hoʻi ka hana kino, ʻoiai hoʻi i nā ʻīlio. Kōkua ka hele wāwae mau i ka hoʻomaikaʻi ʻana i ka ʻike o ka insulin a mālama i ke kaumaha. Eia nō naʻe, pono e kūlike ka ikaika o ka hoʻoikaika kino; hiki i ka hoʻonui koke ʻana i ka hana ke hoʻohaʻahaʻa nui i ke kō koko.
Nā Meaʻai Māmā Palekana
Maikaʻi nā meaʻai māmā, akā pono lākou e hoʻokō i ʻelua mau kūlana: haʻahaʻa lākou i ke kō/nā kalapona maʻalahi a lawelawe ʻia i nā nui kūpono. ʻO nā hiʻohiʻona i ʻoi aku ka palekana (akā e hilinaʻi mau ana i nā kūlana pilikino) penei:
– Nā ʻāpana ʻiʻo liʻiliʻi me ka ʻole o ka mea ʻala (i hoʻolapalapa ʻia),
– Nā meaʻai māmā kūikawā “aloha no ka maʻi diabetes” mai ke kauka holoholona mai,
– Kekahi mau mea kanu no nā ʻīlio (e laʻa me nā pīni ʻōmaʻomaʻo a i ʻole nā kāloti ma nā ʻāpana liʻiliʻi).
E pale i nā bisiketi ʻono, ka berena, nā koena momona kanaka, a i ʻole nā meaʻai starch kiʻekiʻe. No nā pōpoki, ʻoi aku ka palekana o nā meaʻai inā he protein holoholona maʻemaʻe me ka ʻole o nā kalapona i hoʻohui ʻia.
Nānā ʻana: Ke kī i ka holomua o ka ʻai
ʻAʻole kū hoʻokahi ka hoʻokele ʻana i ka meaʻai. He mea nui ka nānā ʻana i ke kō koko a me ka pane lapaʻau. ʻO nā hōʻailona e hōʻike ana ʻaʻole kūpono ka ʻai ʻana:
- Ke nui nei ka makewai a me ka mimi ʻana,
- Ke hoʻomau nei ke kaumaha i ka hāʻule ʻana me ke kumu ʻole,
- Makemake nui,
– Nāwaliwali, haʻalulu, a i ʻole nā hopu ʻana (hiki ke hōʻike i ka hypoglycemia),
– Ka luaʻi ʻana, ka hanu ʻala acetone, a i ʻole ka luhi nui (pilikia, hiki ke ketoacidosis).
Hiki i kāu kauka holoholona ke ʻōlelo aku i nā nānā mau ʻana, me nā piʻo glucose, nā ana fructosamine, nā loiloi kaumaha, a me nā hoʻoponopono insulin. I ka hoʻololi ʻana i ka ʻai, ʻoi aku ka nui o ka nānā ʻana no ka mea hiki ke loli nā koi o ka insulin.
Nā Hewa Maʻamau i ka Hoʻokele ʻAi ʻana i ka Maʻi Diabetes
ʻO kekahi o nā hewa maʻamau i hana ʻia e nā mea nona nā holoholona maʻi diabetes:
- Ke hoʻololi koke nei i nā lama hānai me ka ʻole o kahi hoʻololi mālie,
– ʻO ka hāʻawi ʻana i nā meaʻai māmā me nā kalapona kiʻekiʻe "i kekahi manawa" kahi e hoʻoulu ai i nā piʻi koko,
– ʻAʻole kaupaona i nā ʻāpana a "kuhi wale nō,"
- Nā papa hana ʻai a me ka insulin like ʻole,
– E kau wale i ke kō koko me ka nānā ʻole i ke kaumaha o ke kino a me ke kūlana o ke kino.
Pani
ʻO ka hoʻokele ʻana i ka ʻai no nā holoholona me ka maʻi diabetes he hana lōʻihi ia e pono ai ke kūlike, ke koho ʻana i ka meaʻai kūpono, a me ka hoʻonohonoho pono ʻana me ke kauka holoholona. I nā ʻīlio, hoʻoikaika pinepine nā papaʻai hoʻopaʻa glucose i ka fiber a me nā kalapona paʻakikī me kahi papa hana hānai maʻamau. I nā pōpoki, makemake nā hoʻolālā i nā meaʻai kiʻekiʻe-protein, haʻahaʻa-kalapona, pinepine ma ke ʻano o ka meaʻai pulu. Me ka papaʻai i hoʻolālā maikaʻi ʻia, ka kaohi ʻana i ka hapa, nā papa hana hānai mau, a me ka nānā mau ʻana, hiki i nā holoholona maʻi diabetes he nui ke ola ʻoluʻolu, hana, a kiʻekiʻe ke ola. Inā kānalua ʻoe he maʻi diabetes kāu holoholona a makemake paha e hoʻololi i kāna ʻai, e kūkākūkā mua me ke kauka holoholona e hōʻoia i kahi hoʻolālā papaʻai palekana a maikaʻi a me ka lāʻau lapaʻau insulin.
