Ruwan (we ol 45 ia), we na softwea injinia, bin kam na mi klinik las Wednesde mɔnin. I bin sidɔm na in chia, i bin tan lɛk se i rili wɔri ɛn i nɔ ebul fɔ du natin.
"Dɔkta Priya, a dɔn de fil tɔsti we a nɔ ebul fɔ bia dis biɛn tɛm. Ivin as a de drink 5-6 lita wata ɛvride, mi tɔsti nɔ de dɔn. Dɔn bak, a fɔ go tɔylɛt ɛvri 30-45 minit. A fɔ wek 5-6 tɛm na nɛt fɔ go tɔylɛt. Apat frɔm dat, ilɛk aw a it, mi angri nɔ de go. A de fil." incredibly hungry Bɔt pan ɔl dis, mi wet dɔn go dɔŋ bay lɛk 4 kilo insay di las mɔnt," Ruwan ɛksplen in diskɔmfɔt.
a luk Ruwan in blɔd shuga tɛst ripɔt ɛn ɛksplen se: "Ruwan, yu fasting blɔd shuga dɔn go ɔp to 280 mg/dL. Di simptom dɛm we yu de diskraib na wetin mɛdikal sayɛns kɔl di 3 Ps of Diabetes . Dɛn tin ya na:
1. Polyuria: Na fɔ pis bɔku tɛm.
2. Polidipsia: Fɔ fil se yu tɔsti pasmak.
3. Polyphagia: Fɔ fil se yu angri pasmak.
"Tide, lɛ wi jɔs tɔk bɔt wetin mek dɛn 3 sayn ya kin apin bikɔs ɔf di ay shuga na yu bɔdi ɛn aw fɔ avɔyd dɛn."
🚨 Rɛd Flag dɛn we nid fɔ go na dɔktɔ wantɛm wantɛm
We di 3 Ps fɔ dayabitis de, mɔ pan di wan dɛn we gɛt Tayp 1 Dayabitis, if dɛn nɔ kɔntrol di ay shuga na dɛn blɔd, dat kin mek dɛn gɛt wan sik we de mek pɔsin in layf de pan denja we dɛn kɔl Dayabitik Kɛtoacidosis (DKA) . If yu gɛt dɛn sik ya, yu fɔ go na di imejensi dipatmɛnt na di ɔspitul we de nia yu wantɛm wantɛm:
- Wan frut ɔ asɛtɔn smel we de na di briz (Fruity breath odor).
- Kɔntinyu fɔ blo kwik ɛn dip (Kussmaul brith).
- Nɔs ɛn vɔmit wit siriɔs bɛlɛ kramp.
- I kin slip pasmak, i kin slip, i kin kɔnfyus, ɔ i nɔ kin no natin.
- di blכd shuga lεvεl dεm we pas 250 mg/dL εn di prεsεns fכ di kεtכn dεm na di urine.
Di sayɛns bakgrɔn biɛn di 3 Ps fɔ dayabitis
Dɛn tri sayn ya kin kam bikɔs di bɔdi de wok we gɛt fɔ du wit dɛnsɛf:
1. Polyuria - we yu de pis bɔku tɛm
we di glukoz lεvεl na di bכdi pas 180 mg/dL (Renal Threshold), di kidni dεm nכ kin ebul fכ abzכp כl di glukכs bak insay di bכdi. afta dat di glukכs we pasmak de kכmכt na di urine. we glukכs kכmכt, i de pul bכku wata bak frכm di bכdi tכwεd insεf bikoz fכ di osmotik prεshכn. Dɛn kɔl dis prɔses Osmotic Diuresis . Dis kin mek di pɔsin we sik kin pis bɔku tɛm ɛn bɔku bɔku wan.
2. Polidipsia - Fɔ tɔsti pasmak
we bɔku wata lɔs na di bɔdi bikɔs ɔf polyuria, di bɔdi in sɛl dɛn nɔ gɛt wata. afta dat di tכsti sεntr na di bren (Hypothalamus) de stimulate, we de mek di bכdi tכsti pasmak fכ mek di bכdi in wata bεlε. I nɔ mata ɔmɔs wata yu drink, dis tɔsti nɔ de go te yu blɔd shuga go dɔŋ.
3. Polyphagia - Angri pasmak
Insay wɛlbɔdi bɔdi, di ɔmon insulin impɔtant fɔ mek glukɔs go insay di sɛl dɛn ɛn mek ɛnaji. Bɔt pan dayabitis, bikɔs i nɔ gɛt insulin ɔ insulin rɛsistɛns, glukɔs nɔ kin ebul fɔ go insay di sɛl dɛn. Dis dɔn mek pan ɔl we bɔku shuga de na di blɔd, di sɛl dɛn kin stil angri. di bren kin gεt di mεsej כltεm "nכ inof εnεji", so di sikman kin angri bad bad wan. Bikɔs di sɛl dɛn nɔ de gɛt ɛnaji, di bɔdi kin bigin fɔ brok di fat ɛn di mɔsul dɛn, ɛn dis kin mek di bɔdi nɔ gɛt bɔku bɔku bɔdi.
Ɔda wɛlbɔdi kɔndishɔn dɛn we gɛt fɔ du wit di 3 Sam
| Di sayn we de sho se di sik de | Kɔz ɔda tin dɛn pas dayabitis |
|---|---|
| Poliyuria we gɛt bɔku bɔku sik dɛn | Dayabitis Insipidus (ɔda ɔmon prɔblɛm we di kidni dɛn nɔ kin ebul fɔ kɔntrol wata), fɔ yuz diuretik, fɔ drink pasmak kafin ɔ fɔ drink rɔm. |
| Polidipsia we dɛn kɔl polidipsia | Saykojɛnik polydipsia, we kin kam bikɔs ɔf strɛs, na wan kɔndishɔn we di bɔdi in kalsiɔm lɛvɛl kin bɔku. |
| Pɔlifajia we pɔsin kin gɛt | Hapa tayroyd, pwɛl hat, ɛn sɔm mɛrɛsin dɛn we gɛt stɛroyd. |
Di tin dɛn we yu fɔ du & wetin yu nɔ fɔ du
| ✔️ Tin dɛn fɔ du (Du) | ❌ Nɔ fɔ du am |
|---|---|
| If dɛn 3 simptom ya de, mek dɛn du Fasting Blood Sugar (FBS) ɛn HbA1c blɔd tɛst wantɛm wantɛm. | Nɔ ɛva drink frut jus we gɛt shuga, sɔft drink, ɔ drink we gɛt swit fɔ mek yu nɔ tɔsti. Dis kin mek yu blɔd shuga go ɔp mɔ ɛn mɔ ɛn i kin kil yu. |
| Na klin wata nɔmɔ yu fɔ drink ɛnitɛm we yu fil se yu tɔsti. | Nɔ bigin fɔ tek dayabitis pils (e.g. metformin) fɔ yusɛf if yu nɔ gɛt dɔktɔ advays. |
| Ad grɛn vɛjitebul ɛn bran siriɔs tin dɛn we gɛt fayv to yu it ɛvride. | Nɔ panik ɛn stɔp fɔ it ɔltogɛda jɔs afta di sayn dɛn dɔn sho. Dis kin mek di blɔd shuga lɛvɛl go dɔŋ bad bad wan (haypoglycemia). |
❓ Sɔm ɔda kwɛstyɔn dɛn we yu kin gɛt (FAQ)
Aw dɛn sayn ya difrɛn bitwin Tayp 1 ɛn Tayp 2 dayabitis? ▼ we dɛn kɔl
Insay tayp 1 dayabitis, di bɔdi kin stɔp fɔ mek insulin kɔmplit wan, so di 3 Ps simptom dɛn kin rili bad insay sɔm wiks. Bɔt bikɔs tayp 2 dayabitis kin kam smɔl smɔl fɔ lɔng tɛm, dɛn sayn ya nɔ kin klia we i bigin.
Dɛn simptom ya kin apin di tɛm we yu gɛt di prɛdiabetes stej? ▼ we dɛn kɔl
Nɔ, ɔltɛm, nɔr simptom nɔ de di tɛm we di prɛdiabɛtis stej, as di blɔd shuga lɛvɛl nɔ de go ɔp to di say we 3 Ps simptom dɛn kin apin (above di Renal Threshold). Na blɔd tɛst nɔmɔ dɛn kin no bɔt am.
Yu tink se di 3 Ps simptom dɛm kin go wans dɛn dɔn kɔntrol dayabitis? ▼ we dɛn kɔl
yes, we dεn de mεnten di bכdi shuga lεvεl insay di nכmal rεnj (lεs dan 140 mg/dL) tru tritmεnt εn layf stεyl chenj, di kidni dεm stכp fכ rilis shuga εn di prכsεs fכ osmotik diuresis de stכp. Tɔsti, fɔ pis ɔltɛm, ɛn fɔ angri pasmak kin wɛl kpatakpata.
Dɛn sayn ya kin apin pan Gestational Diabetes? ▼ we dɛn kɔl
Yɛs, dayabitis kin kam bikɔs ɔf di chenj dɛn we di ɔmon dɛn kin chenj we uman gɛt bɛlɛ (jestational diabetes), we kin mek bak i kin pis bɔku tɛm ɛn i kin tɔsti pasmak. Mama we gɛt bɛlɛ fɔ rili gɛt OGTT tɛst bitwin 24-28 wik.
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