We yu de tɔk bɔt dayabitis, yu go dɔn yɛri bɔt tu kayn, Tayp 1 ɛn Tayp 2, nɔto so? Bɔku pan wi kin tink se Tayp 1 dayabitis kin jɔs afɛkt pikin ɛn yɔŋ pipul dɛn, ɛn Tayp 2 kin afɛkt big pipul dɛn nɔmɔ. Bɔt dat nɔto tru atɔl. Tayp 1 dayabitis kin kam bak we pɔsin big. Sɔntɛnde, dɔktɔ dɛn kin mis dis, ɛn dis kin mek dɛn delay fɔ no di kɔrɛkt tin bɔt di sik. So tide wi go tok abaut dis impotant topik.
Wetin na Tayp 1 dayabitis we pɔsin kin gɛt we i dɔn big?
Fɔ tɔk am simpul wan, dis na di sem tin wit Tayp 1 dayabitis. Bɔt i kin bigin we pɔsin big. Di pankrias na wan ɔgan na wi bɔdi we de mek wan ɔmon we dɛn kɔl insulin. dis insulin de εp di bכdi in sεl dεm fכ tek di shuga (glucose) we de insay di it we wi de it fכ εnεji.
Tayp 1 dayabitis kin apin we wi bɔdi in yon imyun sistɛm mistek atak ɛn pwɛl di sɛl dɛn we de mek insulin. Dis na wan sik we pɔsin kin gɛt we i de fɛt insɛf . We i kin kam pan big pipul dɛn, dɛn kin kɔl am Latent Autoimmune Diabetes in Adults (LADA) .
Bɔrku tɛm dis sik kin bigin afta i dɔn ol 30. Bikɔs di sayn dɛm wae i kin gɛt kin fiba di kayn sik wae de kam wit Tayp 2 shuga, fɔs dɛn nɔ kin no se bɔku pipul dɛn na Tayp 2 dayabitis. Bɔt i impɔtant fɔ ɔndastand di difrɛns bitwin dɛn tu ɛn gɛt di rayt tritmɛnt fɔ yu.
Dis difrɛn frɔm Tayp 1 we kin apin to pikin dɛn?
Tink bɔt dis we: LADA ɛn pikin Tayp 1 dayabitis tan lɛk tu pipul dɛn na di sem stori. Dɛn tu tin ya involv di imyun sistɛm we de atak di pankrias. Bɔt di men difrɛns na di spid we di sik de go bifo.
- Tayp 1 dayabitis na pikin dɛm: Dis kin kam kwik kwik wan. Di sɛl dɛn we de na di pankrias kin pwɛl kwik kwik wan, ɛn di insulin we dɛn kin mek kin stɔp. So, di sayn dɛn kin apin kwik kwik wan, ɛn dɛn fɔ bigin fɔ injɛkshɔn insulin wantɛm wantɛm.
- LADA we kin bigin fɔ big pipul dɛn: Dis kin divɛlɔp smɔl smɔl. di sεl dεm na di pankrias de dכn sכmtεm sכmtεm. So, di bכdi de mek sכm insulin insay di fכs stej dεm. Fɔ dis rizin, dɛn kin mistek kɔl am Tayp 2. Sɔm dɔktɔ dɛn kin kɔl am bak "Tayp 1.5 dayabitis."
Wetin na di rizin dɛn we mek dis kayn tin de apin?
Wi nɔ stil no di rayt rizin we mek wi yon imyun sistɛm de atak di pankrias, bɔt dɛn biliv se sɔm tin dɛn kin du dat.
- Jɛnɛtik inflɔwɛns: If yu mama ɛn papa gɛt Tayp 1 dayabitis, yusɛf kin gɛt dis sik smɔl.
- Vayrɔs ɔ tin dɛn we de apin na di envayrɔmɛnt:Sɔm vayral infɛkshɔn ɔ pɔyzin we de na di envayrɔmɛnt kin mek dis imyun prɔses.
- Layf: Nɔ lɛk Tayp 1 dayabitis pan pikin dɛm, sɔm kayn layf abit kin afɛkt LADA bak pan big pipul dɛm. Fɔ ɛgzampul, we pɔsin fat, we i nɔ de du ɛksasaiz, we i de smok, ɛn we i de drink rɔm, dat kin mek i gɛt prɔblɛm.
Wetin na di sayn dɛm wae dɛn kin no?
Sɔmtɛm dis sik kin de wae nɔr gɛt ɛni sayn. Bɔt di sayn dɛm wae kin mɔna pipul dɛm kin fiba di wan dɛm wae gɛt Tayp 2 dayabitis. Dɛn tin ya kin apin smɔl smɔl fɔ sɔm mɔnt.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Tɔsti pasmak ɛn angri | Nɔ fil satisfay ilɛksɛf yu drink bɔku wata ɔ yu it it. |
| Fɔ pis bɔku tɛm | Nid fɔ pis bɔku tɛm, mɔ na nɛt. |
| Taya we nɔ kɔmɔn | Fɔ fil taya ɛn wik ɔltɛm fɔ natin. |
| We yu de lɔs yu wet wantɛm wantɛm | We yu de lɔs yu wet ɛn yu nɔ go chenj yu it ɔ yu de du ɛksɛsayz. |
| Di vishɔn we nɔ klia | Chenj na di vishɔn, nɔ ebul fɔ si klia wan. |
| Infekshɔn dɛn we kin kam bɔku tɛm | Yist infεkshכn fכ uman dεm na di skin, di urinary tract, כ vagina. |
| Ɔda tin dɛn we de apin | Fruit briz, di limb dεm we de sכmtεm, dray εn itch skin. |
Aw ɛksaktɔli di dɔktɔ kin fɛn dis?
Sɔntɛnde, i kin tranga fɔ no se pɔsin gɛt tayp 1 dayabitis pan big pɔsin. Dis na bikɔs di sayn dɛm kin apia sloslo, ɛn bikɔs i kin kam pan pipul dɛm wae gɛt nɔrmal wet wae nɔr fat, lɛk bɔrku pipul dɛm wae gɛt tayp 2 dayabitis, ivin dɔktɔ nɔr kin saspek am fɔs.
Di tin we impɔtant pas ɔl na dat, if yu gɛt sayn dɛn fɔ gɛt dayabitis, go to dɔktɔ wantɛm wantɛm ɛn du di tɛst dɛn we yu nid.
Bɔku tɛst dɛn de we dɛn kin yuz fɔ chɛk if pɔsin gɛt dayabitis:
- Glycated hemoglobin (A1c) test: Dis de chɛk yu avrej blɔd shuga lɛvɛl fɔ di pas 2-3 mɔnt.
- Fasting blood sugar test: Na tɛst we dɛn kin du na mɔnin bifo dɛn it ɔ drink ɛnitin.
- Random blood sugar test: Na tɛst we dɛn kin du ɛni tɛm insay di de.
Wae dɛn tɛst ya dɔn kɔnfirm se yu gɛt dayabitis, dɛn kin du mɔ spɛshal tɛst fɔ no if na Tayp 1 (LADA) ɔ Tayp 2.
- Antibodi Tεst: Dis de tεst di bכdi fכ si spεshal antibodi dεm (autoantibodies) we dεn kin si pan Tayp 1 dayabεtis. Dɛn nɔ de si dɛn tin ya na Tayp 2.
- C-peptide Test: C-peptide na ɔda tin we wi bɔdi de mek we i de mek insulin. If dis tin smɔl, dat min se dɛn nɔ de mek insulin. di C-pεptida lεvεl dεm lכw na LADA, bכt insay Tayp 2, dεn kin nכmal כ hכy.
Aw dɛn kin trit am?
If dɛn no se yu gɛt LADA, di men gol fɔ tritmɛnt na fɔ kɔntrol yu blɔd shuga ɛn slo di sik fɔ mek i nɔ wɔs.
We di fɔs tɛm, i nɔ kin nid fɔ tek insulin injɛkshɔn. Dɛn kin kɔntrol di sik wit wɛl bɔdi it, ɛksɛsayz ɔltɛm , ɛn sɔntɛm dayabɛt mɛrɛsin (e.g., `Metformin`, `Dipeptidyl peptidase (DPP)`).
Bɔt as di pankrias nɔ de wok fayn as tɛm de go, i kin nid fɔ gɛt insulin tritmɛnt. Yu fɔ tɔk to yu dɔktɔ us tritmɛnt plan we go fayn fɔ yu.
Di we aw pipul dɛn de liv dɛn layf kin chenj
- If yu de smok, stɔp.
- If yu bɔdi bɔku pasmak, lɛf fɔ it bɔku bɔku it dɛn.
- Fɔ du ɛksasaiz fɔ at le 150 minit insay di wik.(Bɔt i impɔtant fɔ tɔk to yu dɔktɔ bifo yu bigin fɔ du ɛksɛsayz ɛn gɛt advays bɔt aw fɔ kɔntrol yu blɔd shuga we yu de du ɛksɛsayz).
- Tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt it bɔt aw fɔ it tin dɛn we go mek yu gɛt dayabitis.
Us prɔblɛm dɛn kin apin if dɛn nɔ kɔntrol am?
Lɛk ɛni dayabitis kɔndishɔn, LADA kin mek yu gɛt siriɔs prɔblɛm dɛn we go de fɔ lɔng tɛm if dɛn nɔ kɔntrol am fayn. Bɔt mɛmba se if yu kɔntinyu fɔ kɔntrol di shuga na yu blɔd fayn fayn wan , dat kin mek yu nɔ gɛt dɛn prɔblɛm dɛn ya bad bad wan.
- Prɔblɛm dɛn we de na di yay (e.g. glaukoma) .
- Kidni sik
- At sik, ay blɔd prɛshɔn ɛn strok
- Nɛv dɛn we dɔn pwɛl
- Fut injury ɛn infɛkshɔn
So, i rili impɔtant fɔ go to dɔktɔ di rayt tɛm, tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am, ɛn chɛk yu blɔd shuga ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Tayp 1 dayabitis kin kam bak pan big pipul dɛm. Dɛn kɔl am spɛshal wan LADA (Latent Autoimmune Diabetes in Adults).
- Dis kin kam bikɔs ɔf prɔblɛm wit di imyun sistɛm ɛn i kin divɛlɔp sloslo pas Tayp 1, we kin apin to pikin dɛn.
- Bikɔs di sayn dɛm kin tan lɛk Tayp 2 dayabitis, bɔku tɛm dɛn nɔ kin no di rayt we.
- Blɔd tɛst kin chɛk di shuga lɛvɛl ɛn sɔm patikyula antibodi dɛm fɔ gi kɔrɛkt diagnosis.
- Di tritmɛnt kin bi fɔ chenj di we aw pɔsin de liv in layf, fɔ tek mɛrɛsin, ɛn as tɛm de go, fɔ gi insulin injɛkshɔn. Ɔltɛm fala wetin yu dɔktɔ tɛl yu fɔ du.
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