ʻO ka maʻi diabetologist he endocrinologist ka mea loea i ka mālama ʻana i ka maʻi diabetes a me kona mau pilikia. I ka manawa, no ke aha a pehea ka manawa e nīnau ai i kahi maʻi diabetologist? He aha kāna kuleana ? He aha ka mea e manaʻo ai ma ke kūkākūkā? 

ʻO ka diabetologist he endocrinologist ka mea loea i ka hoʻopaʻa ʻana, ka maʻi maʻi, ka nānā ʻana a me ka mālama ʻana i ka maʻi diabetes a me kāna mau pilikia. Hana pū ka mea maʻi diabetologist me ke kauka lapaʻau o ka mea maʻi. Ke hana nei kēia kauka ma ka haukapila a i ʻole ka hana pilikino. Hoʻopau piha ʻia nā kūkākūkā e ka mālama ola ke ʻae ʻia kāna mau uku.

Hoʻomaopopo nui ʻia, hāʻawi ka diabetologist i ka mea maʻi i nā mea lapaʻau āpau e pili ana i ka nānā pono ʻana i ka glucose koko, nā lāʻau lapaʻau a i ʻole nā ​​​​mea hana injector insulin. Hoʻopili pū ʻo ia i ka mea maʻi me nā pūnaewele olakino maʻi diabetes a kuhikuhi iā lākou i nā loea like ʻole inā loaʻa nā pilikia.

ʻO ka maʻi maʻi maʻi he maʻi maʻi maʻi nui e pono ai ka mālama pono. Inā loaʻa iā ʻoe nā hoʻāʻo koko e hōʻike ana i ke kūpaʻa ʻana o ka insulin, prediabetes a i ʻole i hōʻike ʻia i ka maʻi diabetes, hiki i ke kauka lapaʻau ke ʻōlelo aku e nīnau ʻoe i kahi endocrinologist i loea i ka diabetology: ka diabetologist.

ʻO ka maʻamau, mālama ke kauka lapaʻau a me ka maʻi diabetologist i ka hoʻololi ʻana i mea e hōʻoia ai i ka maikaʻi a me ke kūlike o ka hahai ʻana i ka therapeutic.

ʻIke ke kauka lapaʻau i ka mōʻaukala, ka nohona o ka mea maʻi a me ke ʻano o ka hoʻomaka ʻana o ka maʻi. ʻO ia ke alakaʻi o ka mālama lapaʻau a kuhikuhi i ka mea maʻi i ka diabetologist a i ʻole i nā loea ʻē aʻe i ka wā e komo ai nā nīnau hohonu. ʻO ke kauka lapaʻau ka mea nāna e kuhikuhi i nā hoʻokolohua maʻamau (kolesterol, triglycerides, glycated hemoglobin ...) I mea e nānā ai i ka holomua o ka mea maʻi. Loaʻa ke kauka lapaʻau i ka mea maʻi no ke alakaʻi a i ʻole ka ʻōlelo aʻo wikiwiki.

Ma ka ʻaoʻao ʻē aʻe, ʻo nā pilikia a i ʻole pono no ka hoʻololi ʻana i ka lāʻau lapaʻau pono ke kumuhana o ke kūkākūkā me ka diabetologist nāna e hoʻolaha i kāna mau hoʻoholo i ke kauka lapaʻau. ʻO ka hoʻopiʻi maʻamau he ʻili, renal, ocular a i ʻole cardiovascular. Hiki i ka mea maʻi maʻi ke kelepona i kekahi loea ʻē aʻe ke hele ka nīnau ma mua o kāna ʻoihana loea.

I ka hihia o ka maʻi diabetes type 1

Inā loa'a ka ma'i ma'i ma'i type 1 (a i 'ole ka ma'i ma'i ma'i i hilina'i i ka insulin): he mea nui ka nānā 'ana e ke kauka ma'i ma'i. ʻOiaʻiʻo, aʻo kēia loea i ka mea maʻi e loaʻa i kona mana kūʻokoʻa. Hoʻomaka ka mea maʻi e ʻike i ke ʻano o ka insulin e pono ai, ka loiloi ʻana o kāna dosage a me ka pinepine a me ka ʻike ʻana o nā injections.

I ka hihia o ka maʻi diabetes type 2

ʻAʻole pono ke kamaʻilio ʻana i kahi diabetologist. Hoʻomaʻamaʻa pinepine ka lāʻau lapaʻau a me ka endocrinologist. ʻO ke kumu o nā kūkākūkā ʻana, ʻo ia ka hōʻiliʻili ʻana i nā hana mālama ola olakino e lawe ai (ʻai kaulike me ka haʻahaʻa glycemic index, hoʻoikaika kino maʻamau, etc.).

Inā lawa ʻole ka mālama ʻana i kēia mau ʻāpana, hiki i ke kauka ke kuhikuhi i kahi lāʻau lapaʻau waha: metformin (biguanides), sulfonylureas, glinides, gliptins (a i ʻole dipeptidyl-peptinase 4 inhibitors), GLP 1 analogues, intestinal alpha-glucosidase inhibitors, glifozins (inhibitors of). he enzyme i loko o ka puʻupaʻa: SGLT2), insulins.

Manaʻo ʻia e hoʻomaka i ka mālama ʻana me ka metformin (a i ka hihia o ka intolerance a i ʻole contraindication iā ia, me ka sulfonylurea). I ka hopena o ke kūʻē ʻana i kēia mau molekala, hoʻohui ke kauka i ʻelua mau antidiabetics hoʻohui. I kekahi manawa pono e hāʻawi i ke kolu o ka lāʻau maʻi diabetes, a i ʻole ka insulin.

I ka hihia o ka maʻi diabetes type 1

Pono nā maʻi e ʻike i kā lākou diabetologist ma kahi o hoʻokahi manawa i ka makahiki. ʻO ke kūpono, e kipa ka mea maʻi i kāna kauka lapaʻau 4 mau manawa i ka makahiki (ka pinepine e like me ka helu o nā hoʻokolohua glycated hemoglobin (HbA1c) e hana ʻia i kēlā me kēia makahiki) i mea e nānā pono ai i ka hahai ʻana o kāna mālama injectable.

I ka hihia o ka maʻi diabetes type 2

ʻAʻole koʻikoʻi ke kūkākūkā ʻana o ka mea maʻi maʻi maʻi akā e hoʻomau mau ʻia ia ma ka liʻiliʻi o hoʻokahi manawa i ka makahiki (a ʻoi aku ka maikaʻi 4) i mea e hoʻoponopono ai i nā ʻōlelo aʻoaʻo meaʻai a me ka hoʻokele waha.

I ka wā kūkākūkā mua, hana ka diabetologist i kahi hoʻokolohua lapaʻau, nīnauele a heluhelu i nā palapala i manaʻo ʻia e lawe pū me ʻoe:

• ka palapala kuhikuhi mai kāu kauka lapaʻau;
• nā hoʻokolohua lapaʻau a me nā palapala e hiki ai ke ʻike i ka moʻolelo o ka maʻi;
• nā hōʻike koko hou loa.

I ka pau ʻana o ke kūkākūkā ʻana, hiki i ka diabetologist ke hoʻoponopono hou i kāu mālama ʻana, e kuhikuhi i nā hoʻokolohua hou e hana ʻia a i ʻole e kuhikuhi iā ʻoe i kahi loea ʻē aʻe inā loaʻa nā pilikia.