He aha ka Insulin Lispro Protamine a me Insulin Lispro: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka insulin lispro protamine a me ka insulin lispro he lāʻau lapaʻau maʻi diabetes hui pū e kōkua ana i ka mālama ʻana i nā pae kōpaʻa koko i ka lā a pau. Hoʻohui kēia lāʻau lapaʻau injectable i ʻelua ʻano o ka insulin e hana ana ma nā wikiwiki like ʻole e hoʻohālike i ke ʻano o kou kino e hana maoli ai i ka insulin.

Inā ʻoe e mālama nei i ka maʻi diabetes, e noʻonoʻo paha ʻoe pehea e hiki ai i kēia lāʻau lapaʻau ke komo i kāu hoʻolālā lapaʻau. ʻO ka hoʻomaopopo ʻana i ke ʻano o kāna hana a me ka mea e manaʻo ai hiki ke kōkua iā ʻoe e manaʻoʻiʻo e pili ana i kāu huakaʻi mālama maʻi diabetes.

He aha ka Insulin Lispro Protamine a me Insulin Lispro?

ʻO kēia lāʻau lapaʻau he insulin premixed i loaʻa nā insulin wikiwiki a me ka waena i hoʻokahi injection. Hana wikiwiki ka ʻāpana insulin lispro e mālama i nā spike kōpaʻa koko ma hope o nā meaʻai, ʻoiai hāʻawi ka mea protamine i ka uhi lōʻihi ma waena o nā meaʻai a me ka pō.

E noʻonoʻo iā ia he hopena ʻelua-i-hoʻokahi e mālama iā ʻoe mai ka pono e lawe i nā injections kaʻawale. Hoʻokuʻu maʻamau kou pancreas i ka insulin ma nā ʻano ʻelua: nā pahū wikiwiki ke ʻai ʻoe a me ka nui o ke kāʻei paʻa i ka lā a pau. Hoʻāʻo kēia lāʻau lapaʻau hui e kope i kēlā ʻano maoli.

Hele mai ka lāʻau lapaʻau ma ke ʻano he suspension e nānā i ke ao ke hui pū ʻia. Pono ʻoe e ʻōwili mālie a i ʻole e lulu ma mua o kēlā me kēia injection e hōʻoia i ka hāʻawi like ʻia ʻana o nā ʻano insulin ʻelua.

No ke aha i hoʻohana ʻia ai ka Insulin Lispro Protamine a me Insulin Lispro?

Hoʻohana nui ʻia kēia hui pū ʻana o ka insulin e mālama i nā pae kōpaʻa koko i ka poʻe me ka maʻi diabetes mellitus, ʻo ke ʻano 1 a me ke ʻano 2. Kōkua ia i ka pale ʻana i nā kiʻekiʻe a me nā haʻahaʻa weliweli e hiki ke hana ke hana ʻole kou kino i ka insulin lawa a i ʻole hiki ʻole ke hoʻohana pono.

Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau inā pono ʻoe i ka uhi ʻana i ka insulin i ka wā ʻai a me ke kāʻei kua akā makemake ʻoe i nā injections liʻiliʻi. He mea kōkua nui ia no ka poʻe i loaʻa nā ʻano ʻai i hiki ke wānana ʻia a makemake e hoʻomaʻalahi i kā lākou hana insulin.

Hoʻohana kekahi poʻe i kēia lāʻau lapaʻau ke hoʻololi nei lākou mai nā injections insulin kaʻawale i kahi regimen ʻoi aku ka maʻalahi. Hiki ke kuhikuhi ʻia me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe e like me ka metformin e hāʻawi i ka mana kōpaʻa koko piha.

Pehea e hana ai ka Insulin Lispro Protamine a me ka Insulin Lispro?

Hana kēia lāʻau lapaʻau ma ka hāʻawi ʻana i kou kino i ka insulin e pono ai e hoʻoneʻe i ke kō mai kou kahe koko i loko o kāu mau cell no ka ikehu. Hoʻomaka ka insulin lispro wikiwiki e hana i loko o 15 mau minuke o ka injection a hiki i ka piko ma kahi o 1-2 mau hola ma hope.

Hana ka mea protamine ma ke ʻano he buffer e hoʻolohi i ka hoʻokuʻu ʻana o kekahi insulin, e hana ana i kahi hopena waena e mau ana no 12-24 mau hola. Hāʻawi kēia iā ʻoe i ka uhi ʻana i ka insulin background e like me ka mea e hāʻawi ai ka pancreas olakino.

Ua manaʻo ʻia he lāʻau lapaʻau insulin ikaika loa e hiki ke hoʻohaʻahaʻa nui i nā pae kōpaʻa koko. ʻO ke ala hui pū ʻana, ʻo ia hoʻi, ke loaʻa nei iā ʻoe ka hana insulin wikiwiki a paʻa, hiki ke maikaʻi loa akā pono nō hoʻi ka nānā pono ʻana e pale i nā hanana kōpaʻa koko haʻahaʻa.

Pehea wau e lawe ai i ka Insulin Lispro Protamine a me ka Insulin Lispro?

E hoʻokomo ʻoe i kēia lāʻau lapaʻau ma lalo o kou ʻili (subcutaneously) me ka hoʻohana ʻana i ka syringe, ka peni insulin, a i ʻole nā mea hana injection ʻē aʻe. Lawe ka hapa nui o nā kānaka i ʻelua manawa i ka lā, maʻamau ma mua o ka ʻaina kakahiaka a me ka ʻaina ahiahi, ʻoiai e hoʻoholo kāu kauka i ka manawa kūpono e hana maikaʻi ai iā ʻoe.

Ma mua o kēlā me kēia injection, e ʻōwili mālie i ka vial ma waena o kou mau lima a i ʻole e hoʻokiʻekiʻe i ka peni i luna a i lalo ma ka liʻiliʻi he 10 mau manawa e hui pono ai i ka insulin. Pono ke waihoʻoluʻu like ʻole ka wai, ʻaʻole maopopo me nā puʻupuʻu e lana ana i loko.

E koho i nā wahi injection like ʻole i kēlā me kēia manawa e pale ai i nā pilikia o ka ʻili. ʻO nā wahi maikaʻi e komo pū ana me kou ʻūhā, nā lima luna, nā ʻūhā, a i ʻole ka ʻōpū. E pale i nā wahi i puʻupuʻu, palupalu, a i ʻole nā ʻōpala mai nā injections mua.

Hiki iā ʻoe ke lawe i kēia insulin me ka ʻole o ka meaʻai, akā e hoʻāʻo e mālama i ka manawa kūpono me kāu mau meaʻai. Inā ʻoe e ʻai ana i ka meaʻai nui ma mua o ka maʻamau, hiki i kāu kauka ke hoʻoponopono i kāu mahele.

Pehea ka lōʻihi e lawe ai au i ka Insulin Lispro Protamine a me ka Insulin Lispro?

Pono ka hapa nui o ka poʻe me ka maʻi diabetes e lawe i ka insulin no ke koena o ko lākou ola, no ka mea, he pani ia no ka mea ʻaʻole hiki i kou kino ke hana pono. ʻAʻole kēia he mea e pau ai ʻoe i ka lawe ʻana ke hoʻomaka ʻoe, ke ʻole e ʻike kāu kauka i kahi ala lapaʻau ʻē aʻe e hana maikaʻi ai iā ʻoe.

Eia naʻe, hiki ke loli kāu dosage a me ka manawa i ka wā e pili ana i nā mea e like me kāu kaohi kōpaʻa koko, nā loli kaumaha, ka pae hana, a me nā kūlana olakino ʻē aʻe. E nānā kāu kauka i kāu holomua ma o nā hoʻokolohua koko maʻamau a hoʻoponopono i kāu hoʻolālā lapaʻau e like me ka mea e pono ai.

Hiki i kekahi poʻe ke hoʻololi i nā ʻano insulin like ʻole a i ʻole e hoʻohui i nā lāʻau lapaʻau ʻē aʻe i kā lākou regimen. ʻO ka pahuhopu ka loaʻa ʻana o ka hui e hāʻawi iā ʻoe i ka mana kōpaʻa koko maikaʻi loa me nā hopena ʻaoʻao liʻiliʻi loa a kūpono i kou ola.

He aha nā hopena ʻaoʻao o ka Insulin Lispro Protamine a me ka Insulin Lispro?

ʻO ke kōpaʻa koko haʻahaʻa (hypoglycemia) ka hopena ʻaoʻao maʻamau a koʻikoʻi āu e ʻike ai. Hiki kēia inā ʻoe e lawe i ka insulin nui loa, e lele i nā meaʻai, e hoʻoikaika kino ma mua o ka maʻamau, a i ʻole e inu i ka waiʻona me ka ʻai ʻole i ka meaʻai.

Eia nā hōʻailona o ke kōpaʻa koko haʻahaʻa e nānā ai, mai nā hōʻailona maʻalahi a i nā mea e pili ana:

• Ka haʻalulu, ka hou ʻana, a i ʻole ka manaʻo hopohopo
• Ka pōloli, ka wili, a i ʻole ke poʻo
• Ka puʻuwai wikiwiki a i ʻole ka manaʻo hopohopo
• Ka huikau, ka paʻakikī o ka noʻonoʻo ʻana, a i ʻole ka huhū
• Ka ʻike ʻana i ka noe a i ʻole ka manaʻo nāwaliwali
• I nā hihia koʻikoʻi: ka nalowale o ka ʻike a i ʻole nā ʻāʻī

Inā ʻike ʻoe i kēia mau hōʻailona, e nānā i kou kōpaʻa koko inā hiki a e mālama koke i ke kōpaʻa koko haʻahaʻa me nā papa glucose, wai, a i ʻole ke kanakē. Hiki i ka loaʻa ʻana o kahi hoʻolālā lapaʻau mākaukau ke kōkua iā ʻoe e pane wikiwiki a palekana.

ʻO nā hopena ʻē aʻe āu e ʻike ai, ʻo ia nā hopena ma kahi o ka wahi injection. He maʻalahi kēia mau mea akā hiki ke hoʻopilikia:

• ʻUlaʻula, pehu, a i ʻole ka ʻūhā kahi āu i hoʻokomo ai
• Nā puʻupuʻu a i ʻole ka mānoanoa o ka ʻili (lipodystrophy)
• ʻO ka ʻeha a i ʻole ka palupalu ma nā wahi injection

Hoʻomaikaʻi pinepine kēia mau hopena ʻili ke hoʻololi ʻoe i nā wahi injection i kēlā me kēia manawa a hoʻohana i ka ʻenehana injection kūpono.

Hiki i kekahi poʻe ke loaʻa ke kaumaha i ka wā e lawe ana i ka insulin, no ka mea, lilo kou kino i mea maikaʻi i ka hoʻohana ʻana i ke kōpaʻa no ka ikehu. He hōʻailona maʻamau kēia e hoʻomalu maikaʻi ʻia ana kāu maʻi diabetes, ʻoiai hiki ke hopohopo inā nui.

ʻO nā hopena ʻaoʻao laha akā koʻikoʻi hiki ke komo i nā hopena maʻi maʻi koʻikoʻi, ʻoiai ʻaʻole maʻamau kēia me nā hoʻomākaukau insulin hou. ʻO nā hōʻailona e komo i ka ʻōpala ākea, ka pilikia o ka hanu ʻana, a i ʻole ka pehu ʻana o kou maka, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī.

ʻO wai ka mea pono ʻole e lawe i ka Insulin Lispro Protamine a me ka Insulin Lispro?

ʻAʻole pono ʻoe e lawe i kēia lāʻau inā e ʻike nei ʻoe i ke kōpaʻa koko haʻahaʻa (hypoglycemia) a i ʻole inā he maʻi ʻoe i ka insulin lispro a i ʻole kekahi o nā mea ʻē aʻe i loko o ka formulation. E nānā kāu kauka i kāu moʻolelo olakino me ka akahele ma mua o ka kau ʻana i kēia lāʻau.

Pono kekahi mau maʻi olakino i ka mālama hou a me ka nānā pono ʻana i ka wā e hoʻohana ai i kēia hui ʻana o ka insulin. Pono kāu kauka e ʻike e pili ana i kēia mau maʻi e hoʻoponopono palekana i kāu lapaʻau:

• Ka maʻi kīkī, hiki ke hoʻopilikia i ke ʻano o ka hana ʻana o kou kino i ka insulin
• Nā pilikia o ke ake, no ka mea, he hana ko ke ake i ka hoʻoponopono ʻana i ke kō koko
• Ka maʻi puʻuwai a i ʻole ke koko kiʻekiʻe
• Nā maʻi thyroid, hiki ke hoʻopilikia i kāu kaohi kō koko
• Nā pilikia o ka ʻāʻī adrenal
• Mōʻaukala o nā hanana haʻahaʻa haʻahaʻa koko

Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, ʻaʻole ia he manaʻo pono ʻole ʻoe e hoʻohana i kēia lāʻau, akā pono kāu kauka e nānā pono iā ʻoe a hiki ke hoʻoponopono i kāu mahele hoʻomaka.

Pono ka hāpai ʻana a me ka hānai ʻana i ka umauma i ka noʻonoʻo kūikawā. ʻOiai palekana ka insulin i ka wā hāpai, hiki ke loli nui kāu pono insulin. E hana kāu kauka me ʻoe e hoʻoponopono i kāu ʻōnaehana e mālama i ke olakino o ʻoe a me kāu pēpē.

Inā ʻoe ma luna o 65, hiki i kāu kauka ke hoʻomaka iā ʻoe ma kahi mahele haʻahaʻa no ka mea hiki i nā mākua kahiko ke ʻoi aku ka naʻau i nā hopena o ka insulin a loaʻa paha ka pilikia kiʻekiʻe o ke kō koko haʻahaʻa.

Nā inoa inoa o Insulin Lispro Protamine a me Insulin Lispro

Loaʻa kēia hui pū ʻana o ka insulin ma lalo o ka inoa inoa ʻo Humalog Mix 75/25 a me Humalog Mix 50/50, ma muli o ka lakio kikoʻī o nā ʻano insulin ʻelua. E pili ana nā helu i ka pākēneka o kēlā me kēia mea insulin i ka hui.

Aia i loko o Humalog Mix 75/25 ka 75% insulin lispro protamine (hana waena) a me 25% insulin lispro (hana wikiwiki). Loaʻa i ka Humalog Mix 50/50 nā ʻāpana like o kēlā me kēia ʻano. E koho kāu kauka i ka lakio e kūpono i kāu mau hiʻohiʻona kō koko a me ke ʻano o ke ola.

Hana ʻia kēia mau lāʻau e Eli Lilly and Company a loaʻa i nā ʻano like ʻole me nā hue no ka hoʻohana ʻana me nā syringes a me nā peni i hoʻopiha mua ʻia no ka injection ʻoi aku ka maʻalahi.

Nā koho ʻē aʻe o Insulin Lispro Protamine a me Insulin Lispro

He nui nā koho ʻē aʻe o ka insulin i hui pū ʻia inā ʻaʻole kūpono kēia hui pū ʻana iā ʻoe. Hana like kēia mau mea ʻē aʻe akā he manawa ʻokoʻa a i ʻole ka lōʻihi o ka hana.

ʻO nā hui pū ʻana o ka insulin i hui pū ʻia ʻo NovoLog Mix (insulin aspart protamine a me insulin aspart) a me Humulin 70/30 (NPH insulin a me ka insulin maʻamau). He ʻano ʻokoʻa ko kēlā me kēia ma ke ʻano o ka wikiwiki o kā lākou hana a me ka lōʻihi o ko lākou noho ʻana.

Hiki i kāu kauka ke noʻonoʻo i ka hoʻokaʻawale ʻana i kāu insulin i nā injections pākahi me ka hoʻohana ʻana i ka insulin lōʻihi (e like me ka insulin glargine a i ʻole insulin detemir) no ka uhi ʻana i ke kāʻei kua a me ka insulin wikiwiki (e like me ka insulin lispro a i ʻole insulin aspart) no nā meaʻai.

Aia nā mea ʻē aʻe ʻaʻole insulin no ka poʻe me ka maʻi diabetes type 2, me nā lāʻau lapaʻau e like me metformin, sulfonylureas, a i ʻole nā koho hou e like me GLP-1 agonists. Eia naʻe, ʻaʻole paha e hāʻawi kēia i ka mana o ke kō koko no nā mea a pau, ʻoiai ka poʻe me ka maʻi diabetes type 1.

Ua ʻoi aku ka maikaʻi o ka Insulin Lispro Protamine a me Insulin Lispro ma mua o Humulin 70/30?

He mau insulins i hui pū ʻia nā lāʻau lapaʻau ʻelua, akā hana lākou i nā wikiwiki like ʻole a kūpono paha i nā ʻano ola like ʻole. Hana wikiwiki ka insulin lispro protamine a me ka insulin lispro ma mua o Humulin 70/30, ʻo ia hoʻi hiki iā ʻoe ke hoʻokomo iā ia kokoke i ka manawa ʻai a hiki ke hāʻawi i ka mana maikaʻi o nā spikes kō koko ma hope o ka ʻai ʻana.

Aia i loko o Humulin 70/30 ka insulin maʻamau a me ka NPH insulin, e hoʻomaka ana e hana mālie akā hiki ke lōʻihi. Hiki ke kōkua kēia inā he mau hiʻohiʻona ʻai hiki ke wānana a makemake i ka hopena lōʻihi.

Aia ka koho

E noʻonoʻo kāu kauka i nā mea e like me kāu mana i kēia manawa i ke kōpaʻa koko, ka manawa āu e ʻai ai i nā meaʻai, kou pae hana, a me nā hopena ʻaoʻao āu i ʻike ai me nā insulins ʻē aʻe e kōkua ai i ka hoʻoholo ʻana i ka koho e hana maikaʻi loa iā ʻoe.

Nā Nīnau i Nīnau pinepine ʻia e pili ana i ka Insulin Lispro Protamine a me Insulin Lispro

He palekana anei ka Insulin Lispro Protamine a me Insulin Lispro no ka maʻi puʻuwai?

ʻAe, palekana maʻamau kēia hui ʻana o ka insulin no ka poʻe me ka maʻi puʻuwai, a ʻo ka mana maikaʻi o ke kōpaʻa koko e kōkua maoli nō i ka pale ʻana i kou puʻuwai a me nā kīʻaha koko. Eia naʻe, pono ʻoe e nānā pono ʻia no ka mea hiki i nā lāʻau lapaʻau puʻuwai ke hoʻopilikia i nā pae kōpaʻa koko.

E hoʻopili kāu kauka i kāu mālama maʻi diabetes a me ka puʻuwai e hōʻoia i ka hana maikaʻi ʻana o kāu mau lāʻau lapaʻau a pau. Pono paha lākou e hoʻoponopono i nā ʻano a i ʻole ka manawa e like me ka holomua ʻana o kāu lapaʻau. ʻO ke kī, ʻo ia ka mālama ʻana i nā pae kōpaʻa koko paʻa, e hōʻemi ana i ke kaumaha ma kāu ʻōnaehana cardiovascular.

He aha kaʻu e hana ai inā ua hoʻohana hewa au i ka nui o ka Insulin Lispro Protamine a me Insulin Lispro?

Inā ua hoʻokomo ʻoe i ka nui o ka insulin, mai hopohopo, akā e hana koke e pale i ke kōpaʻa koko haʻahaʻa. E nānā i kāu glucose koko i kēia manawa inā hiki, a e hoʻomaka e mālama i ke kōpaʻa koko haʻahaʻa inā maikaʻi ʻoe i kēia manawa.

E ʻai a inu paha i kekahi mea me nā carbohydrates hana wikiwiki e like me nā papa glucose, wai hua, a i ʻole soda maʻamau. E hahai me kahi mea ʻai e komo pū ana i ka protein a me nā carbohydrates lōʻihi. E nānā pono i kou kōpaʻa koko no nā hola e hiki mai ana, no ka mea, hiki ke mau ka hopena no kekahi manawa.

E hoʻokaʻaʻike i kāu kauka a i ʻole ka mea mālama ola e haʻi iā lākou i ka mea i hana ʻia a loaʻa ke alakaʻi i ka nānā ʻana a me nā hoʻoponopono ʻana i ka mahele no nā injections e hiki mai ana. Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka huikau, nā hopu ʻana, a i ʻole ka nalowale o ka ʻike, e ʻimi koke i ka mālama olakino pilikia.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o ka Insulin Lispro Protamine a me Insulin Lispro?

Inā ʻike ʻoe ua hala ʻoe i ka lāʻau i loko o kekahi mau hola o kou manawa hoʻokomo maʻamau, hiki iā ʻoe ke lawe koke i kou hoʻomanaʻo ʻana. Eia naʻe, inā ua hala ma mua o kekahi mau hola a i ʻole kokoke i kāu lāʻau i hoʻonohonoho ʻia e hiki mai ana, e kelepona i kāu kauka no ke alakaʻi ʻana ma mua o ka pāpālua ʻana.

E nānā pinepine i kou kōpaʻa koko ke hala ʻoe i ka lāʻau, no ka mea, ʻoi aku paha kou pae ma mua o ka maʻamau. Pono paha ʻoe e hoʻoponopono i kāu ʻai ʻana i ka meaʻai a i ʻole ka pae hana e kōkua i ka mālama ʻana i kou kōpaʻa koko a hiki i kāu hoʻokomo ʻana i hoʻonohonoho ʻia e hiki mai ana.

Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e uku ai i ka lāʻau i hala, no ka mea, hiki i kēia ke hoʻoulu i ke kōpaʻa koko haʻahaʻa weliweli. ʻOi aku ka maikaʻi o ka loaʻa ʻana o ke kōpaʻa koko kiʻekiʻe iki no ka manawa ma mua o ka pilikia o kahi hanana kōpaʻa koko haʻahaʻa nui.

Iāhea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Insulin Lispro Protamine a me ka Insulin Lispro?

Pono ka hapa nui o ka poʻe me ka maʻi diabetes i ka lāʻau insulin no ka wā lōʻihi, ʻoiai ka poʻe me ka maʻi diabetes type 1 ʻaʻole e hana ke kino i ka insulin maoli. Eia naʻe, hiki i kekahi poʻe me ka maʻi diabetes type 2 ke hōʻemi a i ʻole ke hooki i ka insulin inā hana lākou i nā loli ola nui a i ʻole inā loaʻa i kā lākou kauka nā lāʻau ʻē aʻe e hana maikaʻi.

Mai hooki i ka lawe ʻana i ka insulin ma kāu iho, ʻoiai inā maikaʻi kāu pae kōpaʻa koko. Pono kāu kauka e loiloi i kāu mālama ʻana i ka maʻi diabetes a makemake paha e nānā pono iā ʻoe i ka wā o nā loli lāʻau.

Hiki i kekahi poʻe ke hoʻololi i nā ʻano insulin like ʻole a i ʻole nā ​​lāʻau hui ʻana i ka loli ʻana o kā lākou pono i ka manawa. ʻO ka pahuhopu ka mālama mau ʻana i ka mana kōpaʻa koko maikaʻi me ka hōʻemi ʻana i nā hopena ʻaoʻao a me ka hoʻopili ʻana i kāu lapaʻau i kou ola.

Hiki iaʻu ke hoʻoikaika kino i ka wā e lawe ana i ka Insulin Lispro Protamine a me ka Insulin Lispro?

ʻAe, paipai ʻia ka hoʻoikaika kino maʻamau a he mea pono ia no ka mālama ʻana i ka maʻi diabetes, akā pono ia i kekahi hoʻolālā ke lawe ʻoe i ka insulin. Hiki i ka hana kino ke hoʻohaʻahaʻa i kou kōpaʻa koko, no laila pono paha ʻoe e hoʻoponopono i kāu mahele insulin, ʻai i nā carbohydrates keu, a i ʻole e hoʻonohonoho pono i kāu hoʻoikaika kino.

E nānā i kou kōpaʻa koko ma mua, i ka wā (no nā hana lōʻihi), a ma hope o ka hoʻoikaika kino e hoʻomaopopo i ke ʻano o ka pane ʻana o kou kino. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻomohala i kahi hoʻolālā hoʻoikaika kino e hana palekana me kāu regimen insulin.

E hoʻomaka mālie inā he mea hou ʻoe i ka hoʻoikaika kino, a e lawe mau i kahi kumu o nā carbohydrates wikiwiki me ʻoe inā hāʻule kou kōpaʻa koko i lalo loa i ka wā a i ʻole ma hope o ka hana kino.