He aha te whakamātautau manawanui kūhuka? Te kaupapa, ngā taumata/te tikanga me ngā hua

He whakamātautau e ine ana i te pai o tō tinana ki te tukatuka huka i roto i te wā. He whakamātautau toto māmā e āwhina ana i ngā tākuta ki te mārama mēnā ka taea e tō tinana te whakahaere kūhuka tika, he mea nui tēnei mō te tātai i ngā āhuatanga pēnei i te mate huka me te prediabetes.

Whakaarohia he whakamātautau pēhanga mō te pūnaha whakahaere huka o tō tinana. I te wā o te whakamātautau, ka inu koe i tētahi otinga reka, ā, ka tirohia tō toto i ngā wā motuhake kia kite i te pikinga me te hekenga o ō taumata kūhuka. Mā tēnei ka whai whakaahua mārama tō kaiwhakarato hauora mō tō hauora pūkoro.

He aha te whakamātautau manawanui kūhuka?

He whakamātautau rongoā te whakamātautau manawanui kūhuka (GTT) e ine ana i te kaha o tō tinana ki te tukatuka kūhuka, koinei te momo huka matua i roto i tō toto. E whakaatu ana te whakamātautau i te huringa o ō taumata huka toto i roto i te wā i muri i te kai i tētahi rahinga kūhuka motuhake.

E rua ngā momo whakamātautau manawanui kūhuka. Ko te whakamātautau manawanui kūhuka waha (OGTT) te mea tino noa, ka inu koe i tētahi otinga kūhuka, ā, ka whakamātautauhia tō toto i ngā wā maha. Ko te whakamātautau manawanui kūhuka i roto i te uaua (IVGTT) e hāngai ana ki te werohanga kūhuka ki roto i tō uaua, engari he uaua te whakamahi i tēnei i tēnei rā.

I te wā o te OGTT paerewa, ka tangohia tō toto i mua i te inu i te otinga kūhuka (taumata nohopuku), ā, anō i te hāora kotahi, e rua hāora, me te toru hāora i muri mai. Mā tēnei tauira ka āwhina i ngā tākuta ki te kite tika i te urupare o tō tinana ki te kai huka.

He aha te take e mahia ai te whakamātautau manawanui kūhuka?

Ka tono ngā tākuta i ngā whakamātautau manawanui kūhuka i te tuatahi ki te tātai i te mate huka me te prediabetes i te wā e kore ai ētahi atu whakamātautau e whakatau. He tino āwhina tēnei whakamātautau i te wā e tata ana ō taumata huka toto nohopuku, i te wā rānei e whai tohu ana koe e tohu ana i ngā raruraru huka toto.

He maha ngā wā ka whakawhiwhia ngā wahine hapū ki tētahi whakamātautau manawanui mō te kūhuka i waenga i te 24 me te 28 wiki hei tirotiro mō te mate huka i te wā hapū. Ka taea e tēnei āhuatanga te puta i te wā e hapū ana, ā, ka pā ki te āhua o tō tinana e tukatuka ana i te huka, ka pā pea ki a koe me te hauora o tāu pēpi.

Ka tūtohu pea tō tākuta i tēnei whakamātautau mēnā he āhuatanga tūpono tōu mō te mate huka. Kei roto i ēnei ko te taumaha rawa, te whānau e pāngia ana e te mate huka, te neke atu i te 45 tau te pakeke, te pēhanga toto tiketike rānei. Ka taea e te whakamātautau te kite wawe i ngā raruraru, ahakoa i mua i te puta mai o ngā tohu e kitea ana.

I ētahi wā, ka āwhina te whakamātautau ki te aroturuki i te pai o te mahi o ngā rongoā mate huka. Mēnā kua tātaihia koe ki te mate huka, ki te prediabetes rānei, ka whakamahi pea tō kaiwhakarato hauora i ngā whakamātautau manawanui mō te kūhuka i ia wā ki te whai i tō ahunga whakamua me te whakatika i tō mahere rongoā.

He aha te tikanga mō te whakamātautau manawanui mō te kūhuka?

He tika tonu te tikanga whakamātautau manawanui mō te kūhuka engari e hiahia ana ki te wā me te whakarite. Ka tīmata koe mā te tango i tētahi wāhanga iti o te toto mai i tō ringa hei ine i tō taumata kūhuka i te wa e nohopuku ana, e mahi ana hei pūtake mō tō ine.

Muri iho, ka inu koe i tētahi otinga kūhuka he reka rawa, he rite ki te inu ngawari he nui rawa te huka. Kei roto i te otinga paerewa te 75 karamu o te kūhuka mō ngā pakeke, ahakoa ka whiwhi pea ngā wahine hapū i tētahi rōrahi rerekē. Me whakaoti e koe te inu katoa i roto i te rima meneti.

I muri i te inu i te otinga, ka tatari koe i te wāhi whakamātautau i te wā e tukatuka ana tō tinana i te kūhuka. Koinei te mea ka tupu i te wā tatari:

• Ka tangohia anō tō toto i te kotahi hāora i muri i te inu i te otinga
• Ka tangohia anō tētahi tauira toto i te tohu rua hāora
• Ka hiahia pea ētahi whakamātautau ki te tango toto tuatoru i te toru hāora
• Me noho koe i te whare whakamātautau i te wā o te tukanga katoa
• Kāore e taea e koe te kai, te inu, te pōka rānei i te wā o te whakamātautau

He torutoru meneti noa te tango toto, ā, tata ki te toru hāora te roa o te whakamātautau katoa. Ko te nuinga o te tangata e kī ana ko te wā tatari te wāhanga tino uaua, nā reira whakaarohia te mau mai i tētahi pukapuka, i tētahi mea rānei hei noho puku i a koe.

Me pēhea te whakarite mō tō whakamātautau manawanui mō te kūhuka?

He mea nui te whakarite tika mō ngā hua tika o te whakamātautau manawanui mō te kūhuka. Me nohopuku koe mō te 8 ki te 12 hāora i mua i te whakamātautau, ko te tikanga kāore he kai, he inu (haunga te wai), he mea rānei he kārohi i tēnei wā.

Ka pā te kai i ngā rā i mua i te whakamātautau ki ō hua. Mō ngā rā e toru i mua i tō whakamātautau, kai noa, kaua e ngana ki te whakawhāiti i ngā warowaihā, ki te huri rānei i ō tikanga kai. Me noho tō tinana i tōna āhua noa kia whai tikanga ai te whakamātautau.

Koinei ngā mahi whakarite matua hei whai:

• Haere tonu te tango i ō rongoā auau ki te kore te tākuta e kī atu kia mutu
• Aukati i te whakakōkiri kaha, i te pēhanga tinana rānei i te rā o te whakamātautau
• Kia pai te moe i mua i te rā whakamātautau
• Mau mai he rārangi o ngā rongoā katoa me ngā tāpiringa e tango ana koe
• Mau i ngā kākahu pai me ngā rōpū wātea mō te tango toto
• Whakarite kia noho koe ki te whare whakamātautau mō te roanga o te whakamātautau

Whakamōhiotia tō kaiwhakarato hauora mō ngā rongoā e tango ana koe, nā te mea ka pā ētahi ki ngā taumata huka toto. Ka tohutohu rātou ki a koe mēnā me haere tonu, me mutu rānei ētahi rongoā i mua i te whakamātautau.

Me pēhea te pānui i tō whakamātautau manawanui mō te kūhuka?

Ko te māramatanga ki ō hua whakamātautau manawanui mō te kūhuka ko te titiro ki ō taumata huka toto i ngā wā rerekē. E whakaatu ana ngā hua noa ka piki ake tō huka toto i muri i te inu i te otinga kūhuka, engari ka hoki ki ngā taumata hauora i roto i ngā hāora e rua.

Mō te whakamātautau manawanui kūhuka waha paerewa, koinei ngā awhe hua noa:

• Te nohopuku (i mua i te inu kūkō): He iti iho i te 100 mg/dL te tikanga
• Kotahi haora i muri i te kūkō: He iti iho i te 180 mg/dL te tikanga
• E rua haora i muri i te kūkō: He iti iho i te 140 mg/dL te tikanga
• E toru haora i muri i te kūkō: He iti iho i te 140 mg/dL te tikanga

Ka tātaritia te mate huka-mua ina taka tō hua e rua-haora i waenga i te 140 me te 199 mg/dL. Ko te tikanga kei te raru tō tinana ki te tukatuka kūkō, engari kāore anō koe i te mate huka. He tohu whakatūpato tēnei e whai wāhi ana koe ki te whakarerekē i tō oranga.

Ka tātaritia te mate huka ina 200 mg/dL neke atu rānei tō hua e rua-haora, ki te 126 mg/dL neke atu rānei tō taumata nohopuku. E tohu ana ēnei tau kāore tō tinana e tukatuka kūkō i te pai, ā, me whai tonu koe i te manaaki hauora.

Mō ngā wāhine hapū, he rerekē iti ngā paepae. Ka tātaritia te mate huka hapū ki te neke ake tētahi o ēnei uara: te taumata nohopuku o te 92 mg/dL, te taumata kotahi-haora o te 180 mg/dL, te taumata rua-haora o te 153 mg/dL.

Me pēhea te whakatika i ō taumata whakamātautau tūāhua kūkō?

Ki te he te hua o tō whakamātautau tūāhua kūkō, ko te rongo pai ka taea e koe te whakapai ake mā ngā whakarerekētanga o te oranga, me te rongoā hauora ina tika. E whakawhirinaki ana te huarahi ki te whai mate huka-mua koe, ki te mate huka rānei.

Mō te mate huka-mua, ka taea e ngā whakarerekētanga o te oranga te ārai, te whakaroa rānei i te whanaketanga o te mate huka momo 2. Ko te whakaheke taumaha o te 5 ki te 7 ōrau noa iho o tō taumaha tinana ka whai pānga nui. Arā pea ko te ngaro i te 10 ki te 15 pauna ki te 200 pauna tō taumaha.

Ko ēnei ngā huarahi whai hua ki te whakapai ake i tō tūāhua kūkō:

• Whakanuia te mahi tinana ki te iti rawa 150 meneti o te korikori tinana i ia wiki
• Kōwhiria ngā kākano katoa, ngā pūmua hiroki, me te nui o ngā huawhenua i roto i tō kai
• Whakawhāititia ngā huka parakore me ngā kai tukatuka
• Kia mau ki te taumaha hauora mā te whakahaere i ngā wāhanga kai
• Kia nui te moe, me te whai kia 7 ki te 9 haora i ia pō
• Whakahaerehia te ahotea mā ngā tikanga whakangāwari, mā te tohutohu rānei

Mēnā he mate huka tō, tērā pea ka hiahia rongoā koe me ngā huringa o te oranga. Ka tohutohu pea tō tākuta i te metformin, i ētahi atu rongoā mate huka rānei hei āwhina i tō tinana ki te whakamahi i te kūkōhi i runga i te whai hua. He mea nui te aroturuki i ngā wā katoa me ngā whakaritenga whai-ake.

He tino whai hua te mahi tahi me tētahi kaiwhakarato kai rēhita mō te prediabetes me te mate huka. Ka taea e rātou te hanga i tētahi mahere kai whaiaro e āwhina ana ki te whakapumau i tō huka toto i te wā e pai ana, e mau tonu ana.

He aha te taumata whakamātautau manawanui kūkōhi pai rawa atu?

Ko ngā taumata whakamātautau manawanui kūkōhi pai rawa atu ko ngā mea e taka ana i roto i te awhe noa, e tohu ana kei te tukatuka tō tinana i te kūkōhi i runga i te whai hua. E whakaatu ana ngā hua pai i te pikinga āhua o tō huka toto i muri i te inu kūkōhi, me te hoki ki ngā taumata tūāpapa i roto i ngā hāora e rua.

Ko tō taumata kūkōhi pōkai pai kia i waenga i te 70 me te 99 mg/dL. E whakaatu ana tēnei awhe kei te pupuri tō tinana i ngā taumata huka toto pūmau i te wā kāore anō koe i kai mō ētahi hāora. E whakaatu ana ngā taumata i roto i tēnei awhe i te hauora metabolic pai me te mahi tika o te insulin.

I muri i te inu i te otinga kūkōhi, me eke tō huka toto ki te piko i te tata ki te hāora kotahi, ā, ka heke haere. Ko te taumata e rua hāora kia i raro i te 140 mg/dL, me te nuinga o ngā kaiwhakarato hauora e pai ana ki te kite i ngā taumata i raro i te 120 mg/dL mō te hauora pai.

Heoi anō, he rerekē pea te "pai" i runga i ō āhuatanga ake. Ko te pakeke, te hapū, me ētahi āhuatanga hauora ka pā pea ki ngā whāinga e whakaarohia ana e tō tākuta he pai mōu. Mā tō kaiwhakarato hauora e whakamāori ō hua i roto i te horopaki o tō pikitia hauora whānui.

He aha ngā āhuatanga mōrearea mō te whakamātautau manawanui mō te kūhuka koretake?

He maha ngā āhuatanga ka whakanui i tō mōrearea ki te whai hua whakamātautau manawanui mō te kūhuka koretake. Mā te māramatanga ki ēnei āhuatanga mōrearea ka āwhina i a koe me tō tākuta ki te whakatau mēnā he tika te whakamātautau me ngā hua e tūmanakohia ana.

Ko te pakeke tētahi o ngā āhuatanga mōrearea nui, me te piki haere o te mōrearea mō te mate huka i muri i te 45 tau. I te wā e pakeke haere ana koe, ka heke pea te kaha o tō tinana ki te tukatuka kūhuka, ka nui ake te tūponotanga o ngā hua koretake.

Anei ngā āhuatanga mōrearea matua ka pā ki tō manawanui kūhuka:

• Te taumaha rawa, te momomo rānei, ina koa he nui te ngako o te puku
• He hītori whānau tō te mate huka i roto i ngā mātua, tuākana, tēina rānei
• Te noho noho noa me te iti o te mahi tinana
• He toto tiketike (140/90 mmHg neke atu rānei)
• He taumata koretake o te kōreretai, ina koa he iti te HDL, he tiketike rānei te triglycerides
• He mate pōkai hua (PCOS)
• He hītori o te mate huka hapū, te whānau rānei i tētahi pēpi neke atu i te 9 pauna te taumaha

He nui ake hoki te mōrearea o ētahi rōpū iwi, tae atu ki ngā Āfrika-Amerika, ngā Amerika-Hipānia, ngā Amerika-Taketake, ngā Amerika-Āhia, me ngā Moutere o te Moana-nui-a-Kiwa. Ko tēnei pikinga o te mōrearea e hāngai ana ki ngā āhuatanga ira i honoa ki te oranga me ngā pānga o te taiao.

Ka pā pea ētahi rongoā ki te manawanui kūhuka, tae atu ki ngā corticosteroids, ētahi rongoā toto tiketike, me ētahi rongoā hinengaro. Mēnā kei te tango koe i ēnei, kōrerohia me tō tākuta me pēhea te pā o ēnei ki ō hua whakamātautau.

He pai ake te whai hua o te whakamātautau manawanui ki te kūhuka teitei, iti rānei?

He pai ake te hua o te whakamātautau manawanui ki te kūhuka, e tohu ana kei te tukatuka pai tō tinana i te kūhuka. Heoi, ehara te whāinga i te whai i ngā tau iti rawa atu, engari ko te whai i ngā hua e uru ana ki roto i te awhe noa, hauora.

Ko te manawanui kūhuka noa e whakaatu ana kei te whakaputa te pūkahukahu i te nui o te insulin, ā, e tika ana te urupare o ō pūtau ki a ia. Ko te tikanga ka taea e tō tinana te neke i te kūhuka mai i tō toto ki roto i ō pūtau e hiahiatia ana mō te pūngao.

Ko te hua o te whakamātautau manawanui ki te kūhuka teitei e tohu ana kei te uaua tō tinana ki te tukatuka i te kūhuka. Ko te tikanga kāore pea te pūkahukahu e whakaputa ana i te nui o te insulin, kāore rānei ō pūtau e urupare ana ki te insulin, ki te rua rānei. Ko ēnei hua teitei ka piki ake te tūponotanga ki te whakawhanake i te mate huka me ōna raruraru.

He mea noa ngā hua kūhuka iti rawa i te wā o te whakamātautau, engari ka puta i ētahi wā. Mēnā ka tino heke tō huka toto i te wā o te whakamātautau, ka tohu pea i te hypoglycemia urupare, i te wā e heke rawa ana tō huka toto i muri i te kai. E hiahia ana tēnei āhuatanga ki te whakahaere rerekē atu i te mate huka.

He aha ngā raruraru ka puta mai i ngā hua o te whakamātautau manawanui ki te kūhuka iti?

Ko ngā hua o te whakamātautau manawanui ki te kūhuka iti kāore i te nuinga o te wā e pā ana ki ngā raruraru nui, i te mea e tohu ana i te pai o te pākia kūhuka. Heoi, ko ngā hua iti rawa pea ka tohu i te hypoglycemia urupare, ka taea te whakaputa i ōna ake tohu.

Ka puta te hypoglycemia urupare i te wā e heke rawa ana tō huka toto i roto i ngā hāora ruarua i muri i te kai. Ka taea tēnei te puta mēnā ka whakaputa tō tinana i te nui rawa o te insulin hei urupare ki te kūhuka, ka heke ai tō huka toto i raro i ngā taumata noa.

Anei ngā tohu me ngā raruraru ka puta mai i te hypoglycemia urupare:

• Te wiri, te mataku, te āwangawanga rānei
• Te werawera me te makariri
• Te tere o te ngākau, te pōkaungā rānei
• Te hiakai me te whakapairuaki
• Te whanoke, te māmā rānei te mahunga
• Te uaua ki te arotahi, te rangirua rānei
• Te riri, te huringa rānei o te ngākau

Ko te tikanga ka tere te ngaro o ēnei tohu i te wā e kai ana koe i tētahi mea kei roto he warowaihā. Heoi, ko ngā wā maha ka raru pea i ngā mahi o ia rā, ā, he tohu pea tēnei i tētahi āhuatanga kei raro e hiahia ana kia rongoā.

I ngā wā onge, ko te tino iti o te taumata kūkō i te wā o te whakamātautau ka tohu pea i ētahi atu āhuatanga rongoā, pērā i te insulinomas (puku e whakaputa ana i te insulin) me ētahi mate hākinakina. E hiahia ana ēnei āhuatanga ki te arotake rongoā motuhake me te rongoā.

He aha ngā raruraru ka puta mai i ngā hua whakamātautau manawanui kūkō tiketike?

Ko ngā hua whakamātautau manawanui kūkō tiketike e tohu ana i te prediabetes, te mate huka rānei, e rua nei ka arahi ki ngā raruraru nui i te wā roa ki te kore e tika te whakahaere. Ko te tiketike o ō taumata kūkō, ko te nui ake o tō tūponotanga ki te whakawhanake i ēnei raruraru i te roanga o te wā.

Ka whakawhanake haere ngā raruraru mate huka, ā, ka pā ki ngā pūnaha okana maha i tō tinana. Ko te rongo pai ko te pupuri i te mana pai o te huka toto ka ārai, ka whakaroa rānei i te nuinga o ēnei raruraru, koinei te take he mea nui te kitenga wawe mā te whakamātautau manawanui kūkō.

Anei ngā raruraru pea i te wā roa o te kūkō toto tiketike kāore i te whakahaere:

• Te mate ngākau me te whiu i te mea kua pakaru ngā oko toto
• Te mate tākihi ka taea te ahu whakamua ki te rahunga tākihi
• Ngā raruraru kanohi, tae atu ki te retinopathy diabetic ka taea te pāpō
• Te kino o ngā io (neuropathy) e pā ana ki te mamae, te ngau, te ngū rānei
• Te kore pai o te whakaora i ngā patunga me te piki ake o te tūponotanga ki te mate
• Ngā raruraru niho me te mate kapia
• Ngā āhuatanga kiri me te whakaora puhoi

Ka piki ake te tūponotanga o ēnei raruraru i te pikinga o te taumata huka toto me te roa o te kore e pai te whakahaere i te huka. Koinei te take he mea nui kia kaha te tango i ngā hua o te whakamātautau manawanui huka kino, me te mahi tahi me tō kaiwhakarato hauora ki te whakawhanake i tētahi mahere whakahaere whai hua.

Ahakoa te mate huka i mua, he nui ake te tūponotanga o te mate ngakau me te whiu. Heoi, ko ngā huringa o te oranga i tēnei wāhanga ka ārai i te haere whakamua ki te mate huka momo 2 me te whakaiti i tō tūponotanga o ngā raruraru.

Āhea au e kite ai i te tākuta mō ngā hua o te whakamātautau manawanui huka?

Me kite koe i te tākuta ki te kōrero mō ngā hua o te whakamātautau manawanui huka ahakoa te putanga. Me whakamāori e tō kaiwhakarato hauora ngā hua i roto i te horopaki o tō hauora whānui, ngā tohumate, me ngā mea tūpono.

Mēnā he noa ō hua, kāore pea koe e hiahia ki te whakamātautau whai muri tonu, engari ka tūtohu pea tō tākuta kia tūruatia te whakamātautau i roto i te kotahi ki te toru tau i runga i ō mea tūpono. He mea nui te aroturuki i ngā wā katoa nā te mea ka huri te manawanui huka i te roanga o te wā.

Me whakarite e koe tētahi hui wawe mēnā e whakaatu ana ō hua i te mate huka i mua, i te mate huka rānei. Anei te wā ki te rapu āwhina hauora:

• Ko ngā hua whakamātautau manawanui huka kino katoa e hiahia ana ki te whakamāoritanga ngaio
• Mēnā ka pā ki a koe ngā tohumate pēnei i te matewai nui, te mimi auau, te ngaronga taumaha kāore i whakamāramahia
• Mēnā he wā anō ō tohumate huka toto iti
• Mēnā e hapū ana koe, ā, he hua kino ō hua
• Mēnā he pātai āu mō ō hua, mō te aha rānei te tikanga mō tō hauora

Kaua e whakaroa ki te rapu āwhina hauora mēnā he tohumate e pā ana ki te mate huka, ahakoa kāore anō kia hoki mai ō hua whakamātautau. Ko ngā tohumate pēnei i te matewai nui, te mimi auau, te tirohanga pōkaikaha, te patunga rānei e puhoi ana te rongoa e hiahia ana ki te āwhina hauora wawe.

Ka āwhina tō tākuta i a koe ki te mārama ki te tikanga o ō hua, ā, ka whakawhanake i tētahi mahere mō te whakahaere i tō hauora i ngā rā e haere ake nei. Ka uru pea tēnei ki te tohutohu mō te noho ora, te rongoā, te tuku rānei ki ngā tohunga pērā i ngā endocrinologists, i ngā kaiwhakaako huka toto rānei.

Ngā pātai e pātai pinepine ana mō te whakamātautau manawanui glucose

Q.1 He pai te whakamātautau manawanui glucose mō te tātai mate huka?

Āe, he taputapu pai te whakamātautau manawanui glucose mō te tātai mate huka me te prediabetes. E kiia ana ko tētahi o ngā whakamātautau paerewa koura nā te mea e whakaatu ana i te āhua o te tukatuka a tō tinana i te glucose i roto i te wā, kaua ki te whakarato noa i tētahi whakaahua pērā i te whakamātautau glucose toto nohopuku.

He tino whai hua te whakamātautau i te wā e homai ana e ētahi atu whakamātautau ngā hua tātā, i te wā rānei e whai tohu ana koe e whakaatu ana i ngā raruraru huka toto engari he taumata glucose nohopuku noa. Ka taea e ia te hopu i te mate huka ka ngaro pea i ngā whakamātautau māmā ake, ina koa i ngā wā tuatahi.

Q.2 Ka pā te hua whakamātautau manawanui glucose tiketike ki te mate huka?

Kāore ngā hua whakamātautau manawanui glucose tiketike e pā ki te mate huka, engari e whakaatu ana kei te noho kē te mate huka, te prediabetes rānei. Ko ngā hua whakamātautau he ine i te pai o te tukatuka a tō tinana i te glucose i tēnei wā, ehara i te take o te āhua.

Whakaarohia he pērā i te pānui pāmahana i te wā o te kirika - kāore te pānui pāmahana tiketike e pā ki te mate, engari e whakaatu ana kei te he tētahi mea e hiahia ana ki te aro. Waihoki, ko ngā hua whakamātautau manawanui glucose kōaro e tohu ana e hiahia ana tō pūnaha tukatuka glucose o tō tinana ki te manaaki hauora.

Q.3 Ka taea e au te kai noa i muri i te whakamātautau manawanui glucose?

Āe, ka taea e koe te hoki ki ō tikanga kai noa i muri tonu i te whakaoti i te whakamātautau manawanui glucose. Inaha, he maha ngā tāngata e pōhara ana i muri i te nohopuku me te haere i te whakamātautau, nō reira he whakaaro pai te kai i tētahi kai taurite.

E paku ngenge ana ētahi tāngata, he paku whakapairuaki rānei i muri i te whakamātautau, inā koa i te inu hukahuka reka. Mā te kai i te kai noa me te pūmua me ngā warowaihā matatini ka āwhina i a koe kia pai ake te tū, me te whakapumau i tō huka toto i te ara māori.

Q.4 Kia pēhea te auau o taku tūnga i te whakamātautau manawanui huka?

Ko te auau o te whakamātautau manawanui huka e whakawhirinaki ana ki ō hua me ngā āhuatanga tūpono. Mēnā he noa ō hua, ā, kāore ō āhuatanga tūpono, ka tūtohu pea tō tākuta kia tūngia te whakamātautau ia toru tau i muri i te 45 tau.

Mēnā he prediabetes tō, ka hiahia koe ki te whakamātautau ā-tau hei aroturuki i tō āhua. Ko te hunga e mate huka ana, kāore rātou e hiahia ki te whakamātautau manawanui huka i te nuinga o te wā, i te mea he pai ake ētahi atu tikanga aroturuki pēnei i te hemoglobin A1C mō te tiaki tonu.

Q.5 Ka pānga te pēhanga ki ngā hua o taku whakamātautau manawanui huka?

Āe, ka pānga te pēhanga tinana, arā rānei te pēhanga aronganui ki ngā hua o tō whakamātautau manawanui huka mā te whakanui i ō taumata huka toto. Ka taea e ngā homoni pēhanga pēnei i te cortisol te whakararu i te mahi insulin me te pākia huka.

Mēnā kei te pēhanga koe i te rā o tō whakamātautau, whakamōhio atu ki tō kaiwhakarato hauora. Ka tūtohu pea rātou kia whakarite anō i te whakamātautau mēnā he nui te pēhanga, ka whakamāori rātou i ō hua mā te mōhio kua whai wāhi pea te pēhanga ki ngā pānui kua piki ake.