Laʻau maualalo le suka ile toto

O le maualalo o le suka i le toto e maua i le vailaʻau e maualalo le suka i le toto e maua mai ile inuina o vailaʻau.

Ole suka i lalo ile toto (hypoglycemia) e masani ai tagata e maua ile ma isuka o loʻo inuina ni inisalini poʻo isi vailaʻau e faʻatonutonu ai le maʻi suka.

E ese mai isi vailaʻau, o mea nei e mafai foi ona faʻapa'ū ai le suka ile toto (kulukose):

• Inu 'ava malosi
• Maua tele gaioiga nai lo masani
• Faʻaaoga tele pe le fuafuaina ma le le mafaufauina vailaʻau na faʻaaoga e togafitia ai le maʻisuka
• Le lava meaai

Tusa lava pe o le maʻi suka e vaʻaia ma le faʻaeteete, o vailaʻau e faʻaaoga e togafitia ai le maʻisuka e mafai ona maua ai le suka maualalo ole suka i le toto. E mafai foi ona tupu le tulaga pe a inu e se tasi e leai se maʻi suka se vailaʻau e faʻaaoga e togafitia ai le maʻisuka. I ni tulaga e seasea tupu, o vailaʻau e leʻo faʻaaoga i le maʻisuka e mafai ona mafua ai le maualalo o le suka i le toto.

O vailaʻau e mafai ona mafua ai le maualalo ole suka ile toto e aofia ai:

• Beta-blockers (pei o atenolol, poʻo propanolol overdose)
• Cibenzoline ma quinidine (fatu arrhythmia fualaʻau)
• Indomethacin (o se faʻamafanafana tiga)
• Inisalini
• Metformin pe a faʻaaogaina ma sulfonylureas
• SGLT2 mea taofi (pei o dapagliflozin ma empagliflozin) ma pe leai ni sulfonylureas
• Sulfonylureas (pei o glipizide, glimepiride, glyburide)
• Thiazolidinediones (pei o le pioglitazone ma le rosiglitazone) pe a faʻaaogaina ma sulfonylureas
• Fualaʻau e tau ai faʻamaʻi (pei o le gatifloxacin, pentamadine, quinine, trimethoprim-sulfamethoxazole)

Hypoglycemia - faʻatosina fualaʻau; Maualuga le kulukose ole toto - faʻatosina fualaʻau

• Lafoaia o meaai ma inisalini

Cryer PE. Glycemic sini i le maʻisuka: fefaʻatauaiga i le va o le glycemic control ma le iatrogenic hypoglycemia. Maʻi suka. 2014; 63 (7): 2188-2195. PMID: 24962915 www.ncbi.nlm.nih.gov/pubmed/24962915.

Gale EAM, Anderson JV. Maʻi suka I totonu: Kumar P, Clark M, eds. Kumar ma Clarke's Togafitiga Togafitiga. 9th ed. Filatelefia, PA: Elsevier; 2017: mata 27.