Yu gɛt dayabitis, yu dɔn ol smɔl? Ɔ yu mama, papa, grani, granpa gɛt dayabitis? Wi ɔl no aw i impɔtant fɔ mek wi blɔd shuga kɔntinyu fɔ de di rayt say. Bɔt yu no se sɔntɛnde, we wi de tray fɔ kɔntrol wi shuga tumɔs, i kin rili du mɔ bad pas gud? Dis na wetin wi de tɔk bɔt tide.
If pɔsin trit am pasmak, i kin kil pɔsin
Dɔktɔ dɛn se bɔku pipul dɛn we gɛt dayabitis fɔ de du wɛl bɔdi HbA1c (Hemoglobin A1c) tɛst , we de sho aw di blɔd shuga gɛt avrej insay di las sɔm mɔnt dɛn. Dis na bikɔs we di blɔd shuga bɔku fɔ lɔng tɛm, we dɛn kɔl haypa glycemia , kin rili ambɔg di bɔdi. Dis kin mek yu gɛt siriɔs prɔblɛm dɛn we go de fɔ lɔng tɛm lɛk we yu bren nɔ de wok fayn, di ɔgan dɛn we de insay di bɔdi pwɛl, ɛn at sik.
Bɔt di impɔtant tin ya na dat, dɛn prɔblɛm ya we kin tek lɔng tɛm kin tek 10 ia ɔ mɔ fɔ mek dɛn bigin. Dis tɛm kin lɔng pas di layf we ol pɔsin kin liv, mɔ we i gɛt ɔda sik dɛn.
Bɔt wan sik we dɛn kɔl haypoglycemia , we kin mek di blɔd shuga go dɔŋ tumɔs, kin gɛt bɔku tin dɛn we kin apin wantɛm wantɛm. Dis risk kin go ɔp wit di ej. If pɔsin gɛt siriɔs aypa blɔd, i kin mek i fɔdɔm, i kin go na ɔspitul, ɛn i kin ivin day .
Wan stɔdi we dɛn jɔs dɔn du sho se wan pan ɔl tri big pipul dɛn we gɛt siriɔs haypoglycemic episode bin day insay tri ia afta di tin apin. Dis min se haypoglycemia na wan sik we denja pas aw wi kin tink.
Wetin mek di risk fɔ lɛ yu blɔd shuga nɔ bɔku kin bɔku we yu de ol?
Fɔ tɔk am simpul wan, na bikɔs ɔf di chenj dɛn we de apin na wi bɔdi. As wi de ol, wi mɛtabolism de chenj. Insulin rɛsistɛns kin bɔku. Dɔn bak, di sɛl dɛn na di pankrias we de mek insulin nɔ go ebul fɔ ansa kwik kwik wan we di shuga we de na di blɔd chenj.
Lɛ wi pe atɛnshɔn fɔ mek di shuga nɔ drɔp
Dɛn kin advays bɔrku pipul dɛm wae gɛt shuga fɔ kip dɛn A1c lɛvɛl dɔŋ 7%. Sɔmtɛm dis gol nɔr kin chenj ivin wae pɔrsin dɔn ol, aw pɔrsin de liv in layf, ɛn aw pɔrsin gɛt wɛl bɔdi.
Mek wi tink bɔt Anti Kamala. Naw i ol 71 ia. I dɔn gɛt dayabitis frɔm we i ol 40 ia. I bin gɛt dɛn strikt gol dɛn ya bak. Bɔku tɛm, i bin gɛt di sik we dɛn kɔl hypoglycemic episodes, mɔ na midul nɛt ɔ ali mɔnin. Bay di tɛm we i kam fɔ no, di shuga we de na in blɔd bin dɔn go dɔŋ bad bad wan.
Anti Kamala se: “I bin rili mek a fred.” " Mi at bin de bit fast, a bin de swet, ɛn a bin de fil diziz.""
Pipul dɛn we dɔn ol kin mis dɛn sayn ya we de sho se dɛn gɛt smɔl shuga na dɛn blɔd bikɔs sɔm pan di sayn dɛn lɛk fɔ taya, fɔ vɛks, fɔ mek yu skin nɔ gɛt bɛtɛ blɔd, ɛn fɔ gɛt ed we de at, dɛn kin mistek kɔl ɔda sik dɛn ɔ as nɔmal ol ol.
Aw fɔ kɔntrol di shuga lɛvɛl we yu nɔ de inkrisayz mɛrɛsin?
Pan ɔl we Kamala bin fɛn wan mɛrɛsin plan we fit am, in blɔd shuga lɛvɛl bin bigin fɔ kɔntrol ivin bifo dat. Di sikrit na fɔ it ɛn ɛksesaiz .
Wan pɔsnalayz it plan frɔm wan kwalifay dietist ɛn ɛksesaiz ɔltɛm bin ɛp am fɔ lɔs bɔku wet.
No wan saiz-fit-ɔl it plan nɔ de. Wan pɔsin we sabi bɔt it go tek yu layf, di ripɔt dɛn we yu de gi na di lab, ɛn wetin yu lɛk ɛn nɔ lɛk fɔ mek wan plan we go spɛshal fɔ yu.
We wi de du ɛksɛsayz, wi mɔsul dɛn kin strɔng mɔ ɛn mɔ. Di mɔ mɔsul dɛn we wi gɛt, na di mɔ wi go ebul fɔ du tin kwik kwik wan, ɛn dis go ɛp wi fɔ kɔntrol di shuga we wi gɛt na wi blɔd. So, ivin as wi de ol, wi kin kɔntinyu fɔ liv fayn layf ɛn kɔntrol wi bɔdi.
Fɔ rijɛkt di ‘wan saiz fit ɔlman’ we dɛn de yuz
Bikɔs ɔf dɛn tin ya, ivin big big ɔganayzeshɔn dɛn we de mɛn pipul dɛn lɛk di American Diabetes Association dɔn ɔpdet di tin dɛn we dɛn dɔn tɔk bɔt fɔ big pipul dɛn dis biɛn tɛm. Fɔ fala dis, di tin dɛn we dɛn kin tɔk bɔt na dɛn wan ya:
| Di wɛlbɔdi stetmɛnt fɔ di ol pɔsin we sik | A1c target we dɛn kin rɛkɔmɛnd |
|---|---|
| Big pipul dɛn we gɛt wɛlbɔdi ɛn we de wok tranga wan | I nɔ rich 7.5% . |
| Pipul dɛm wae gɛt mɔdaret wɛl bɔdi wit ɔda sik dɛm | I nɔ rich 8.0% . |
| Pipul wae gɛt bɔrku sik, wae nɔr gɛt wɛl bɔdi, ɔr wae nɔr de liv bɛtɛ layf | A1c target dεm nכ fכ rili pan dεm nכmכ. Di men gol fɔ tritmɛnt fɔ bi fɔ ridyus di sayn dɛm ɛn fɔ mek di pɔsin gɛt bɛtɛ layf. |
Fɔ ɛgzampul, imajin wan man we ol 86 ia we nem Siripala. In A1c bin pas smɔl pas 7. Pan ɔl we di dɔktɔ bin want fɔ gi am mɛrɛsin, di wan dɛn we bin de kia fɔ am bin disayd fɔ chenj in it ɛn kɛr am go fɔ shɔt tɛm ɛvride. I sɔprayz fɔ no se in blɔd shuga bin kam bak to nɔmal ɛn i nɔ bin chenj bɛtɛ.
As wi de ol, we wi de plan tritmɛnt, i impɔtant fɔ put di pɔsin in kɔmfɔt fɔs pas strikt kɔntrol.
Tɔk fɔ yusɛf.
Dɔn, di tin we impɔtant pas ɔl na fɔ bi di payɔnia fɔ yu yon wɛlbɔdi. Mek wi mɛmba di stori bɔt Kamala Aunty. Afta sɔm ia, i aks in dɔktɔ bɔt wan `Continuous Glucose Monitor (CGM)` , we go alaw am fɔ chɛk in shuga lɛvɛl insay rial tɛm we i nɔ nid fɔ prik in finga. Bɔt di dɔktɔ in at pwɛl.
Kamala se: “So a chenj dɔktɔ dɛn.” Naw we i dɔn gɛt CGM, i kin mek di chenj dɛn we i nid kwik kwik wan, ɛn in shuga lɛvɛl dɔn stebul naw.
"Fɛn dɔktɔ we ɔndastand wetin yu bɔdi de fil."
If yu fil se yu dɔktɔ nɔ de lisin to yu, nɔ fred fɔ go to ɔda dɔktɔ. Wetin kin wok fɔ wan pɔsin nɔ kin wok fɔ ɔlman. Ɔlman fɔ tɔk to in dɔktɔ ɛn mek wan tritmɛnt plan we go wok fɔ dɛn, in layf, ɛn in wɛlbɔdi gol.
Mɛsej we dɛn kin kɛr go na os
- Fɔ big pipul dɛn we gɛt dayabitis, di lɔw blɔd shuga (haypoglycemia) kin bi kwik ɛn denja pas di ay blɔd shuga (hyperglycemia).
- Nɔto ɔl big pipul dɛn we gɛt dayabitis nid fɔ kip strikt A1c target (<7%). I kin denja.
- Di tritmɛnt plan nɔ fɔ bi "wan saiz fit ɔlman." Dɛn fɔ mek am spɛshal fɔ yu, bay yu ej, ɔl yu wɛlbɔdi, ɛn aw yu de liv yu layf.
- Fɔ it ɛn ɛksesaiz na tu pawaful tin dɛn we nɔ gɛt wan kɔmpitishɔn pan mɛrɛsin.
- Tɔk to yu dɔktɔ opin wan bɔt yu wɛlbɔdi gol, wetin yu de wɔri bɔt, ɛn wetin yu tink. Stand op fɔ yusɛf.
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