Yu na pɔsin we dɛn de trit fɔ gɛt dayabitis? So, sɔntɛnde yu kin fil lɛk se yu blɔd shuga lɛvɛl kin go dɔŋ wantɛm wantɛm so dat yu kin fil lɛk se yu go fɔdɔm? Ɔ yu dɔn ɛva fil se i de go ɔp tumɔs? Dɔktɔ dɛn kin kɔl dis kayn dayabitis, we rili at fɔ kɔntrol ɛn we nɔ kin stebul, "Brittle Diabetes." Dɛn kin kɔl am bak "Labile Diabetes." "Brittle" ɔ "Labile" ɔl tu min "i izi fɔ chenj" ɔ "nɔ stebul."
Fɔ tɔk am simpul wan, wetin na ‘Brittle Diabetes’?
Fɔ tɔk am simpul wan, ‘Brittle Diabetes’ na we yu blɔd glukɔs lɛvɛl kin chenj kwik kwik wan frɔm rili lɔw lɛvɛl (we wi kɔl `(Hypoglycemia)') to rili ay lɛvɛl (we wi kɔl `(Hyperglycemia)').
Di impɔtant tin na dat dis nɔto nyu kayn dayabitis. Wi kin tek am se na kɔmplikeshɔn ɔ sɔb-kɔndishɔn fɔ dayabitis, we kin gɛt fɔ du wit Tayp 1 Dayabitis.
Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?
Infakt, ɛni sik we gɛt dayabitis kin nɔ stebul if dɛn nɔ mɛn am fayn. So, i kɔmplikt smɔl fɔ no kɔrɛkt wan fɔ no se yu gɛt ‘Brittle Diabetes’. Bɔku rizin dɛn kin de we mek yu shuga lɛvɛl kin chenj bad bad wan.
Tink bɔt if dɛn tin ya de afɛkt yusɛf:
- Skip fɔ tek mɛrɛsin ɛn tɛst: Yu kin tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek? Yu kin chɛk yu glukɔs lɛvɛl bɔku tɛm insay di de? If yu skip dɛn tin ya, i kin bi wan big rizin.
- Bɔrku strɛs: Tin dɛm lɛk fɔ strɛs pasmak, vɛks, ɛn pwɛl hat kin afɛkt wi bɔdi in ɔmon dɛm dairekt wan ɛn disrɔb di shuga lɛvɛl.
- Dizayd we yu de it: Na tin lɛk fɔ it pasmak, nɔ it fayn, ɔ fɔ it bɔku tin wan tɛm.
- Prɔblɛm dɛn we gɛt fɔ du wit it: Di intestinal nɔ de tek di tin dɛn we de insay di it we yu de it fayn fayn wan. Sɔm ɛgzampul dɛn fɔ dis na tin dɛn lɛk Siliak Disease.
- Bεlε prכblεm: Gastroparesis na wan kכndyushכn we di muvmεnt fכ it frכm di bεlε to di intestines de slo, כ sכmtεm i kin stכp. Dis kin gɛt big impak pan di we aw insulin de wok.
- Insulin sensitivity: Sɔm pipul dɛn kin rili fil fɔ insulin, ɛn ivin smɔl wan kin mek di blɔd shuga go dɔŋ wantɛm wantɛm.
Bɔku tɛm, wan ɔ mɔ pan dɛn tin ya kin mek dis apin. Sɔntɛnde, ivin dɔktɔ dɛn nɔ kin ebul fɔ fɛn wan patikyula tin we mek i sik.
Aw dɛn kin no dis sik? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Di sayn dɛm kin difrɛn fɔ yu blɔd shuga lɛvɛl ɔr smɔl. Lɛ wi luk dɛn sayn ya wan bay wan.
| We di blɔd shuga lɛvɛl go dɔŋ wantɛm wantɛm (Hypoglycemia - less dan 70 mg/dl) . | |
|---|---|
| Fɔ fil lɛk se yu bɔdi de shek | Fɔ fil se yu nɔ de rɛst, yu de wɔri |
| Fɔ swet pasmak, fɔ fil kol | Fɔ vɛks, fɔ vɛks |
| Mɛmori ɛn kɔnshɛns distɔblɛshɔn, kɔnfyushɔn | Di at we de blo |
| Diziz , we pɔsin kin gɛt vertigo | Nɔs, fɔ vɔmit |
| Di vishɔn we nɔ klia | Wiknɛs, wikɛdnɛs |
| Di ed we de at bad bad wan | Seizure ɛn nɔr kin no natin |
| We di blɔd shuga lɛvɛl go ɔp wantɛm wantɛm (Hyperglycemia - pas 200 mg/dl) . | |
|---|---|
| Nid fɔ pis bɔku tɛm | Tɔsti we pɔsin nɔ go ebul fɔ bia |
| Di vishɔn we nɔ klia | Taya pasmak, taya |
| Ed de at | |
Tek tɛm! Di blɔd shuga we bɔku kin denja (Ketoacidosis) .
If yu nɔ trit di ay blɔd shuga (haypa glycemia) kwik kwik wan, i kin tɔn to wan sik we rili denja we dɛn kɔl ketoacidosis . dis na we di bכdi nכ kin yuz glukכs fכ enεji, εn i kin bigin fכ bכn fεt insted. Dis kin mek pɔyzin kemikal dɛn we dɛn kɔl ketɔn kin bɔku na di blɔd ɛn di urine. Dis na mɛdikal imejensi.
Di sayn dɛm fɔ Ketoacidosis:
- Wan frut smel pan di briz
- Nɔs ɛn vɔmit
- I nɔ kin izi fɔ yu fɔ blo
- I kin wik bad bad wan
- Lɔs fɔ no bɔt sɔntin
- Bɛlɛ de at
- Fɔdɔm insay kɔma
If yu gɛt ɛni wan pan dɛn sik ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm, ɛn nɔ go te. Dis na siriɔs sik we kin ivin mek pɔsin in layf de pan denja.
Udat kin gɛt dis sik?
Brittle diabetes nɔto wan sik wae kin pasmak. I kin afɛkt lɛk 3 pan ɛvri 1,000 pipul dɛn we gɛt dayabitis we de yuz insulin. Pan ɔl we i kin afɛkt pipul dɛn we gɛt ɛni ej, i kin apin smɔl pan uman dɛn pas man dɛn.
Wan ɔda impɔtant tin na dat if yu gɛt aypoglycemic episodes ɔltɛm, yu de pan risk smɔl. Bikɔs we yu blɔd shuga go dɔŋ tumɔs, as tɛm de go, yu bɔdi in ebul fɔ no am kin go dɔŋ. Dɔn ɛvri tɛm we yu blɔd shuga go dɔŋ, i kin wɔs, we kin mek yu gɛt ‘brittle diabetes’.
Aw yu de liv wit dis? Wetin na di tritmɛnt dɛn?
Dis sik kin rili ambɔg yu ɛvride layf. Bikɔs yu nɔ go ebul fɔ tɔk ustɛm yu blɔd shuga go drɔp ɔ go ɔp. Yu kin gɛt fɔ go ɔspitul ɔltɛm, we kin mek i nɔ izi fɔ wok ɔ du os wok. I kin ivin mek pɔsin in layf de pan denja.
We yu de trit yu, yu dɔktɔ go fɔs pe atɛnshɔn pan wetin yu nid wantɛm wantɛm fɔ yu blɔd shuga. Dɔn, dɛn go mek wan plan fɔ kɔntrol yu dayabitis gud gud wan. Laki, di nyu teknɔlɔji ɛn tritmɛnt dɛm tide kin ɛp yu fɔ mɛn dis sik.
Dɛn kin gi yu tritmɛnt dɛn lɛk:
- Continuous Glucose Monitor (CGM): Dis na smɔl tin we gɛt sɛns we dɛn kin put ɔnda ɔ pan di skin. I de kɔntinyu fɔ mɛzhɔ yu blɔd shuga lɛvɛl ɛn mek alam if i denja ɔ i go ɔp.
- Insulin pɔmp: Dis na smɔl mashin bak we yu kin wɛr ɔl di de. I de mek insulin ɔtomɛtik wan insay di bɔdi di rayt tɛm ɛn di rayt amɔnt. Dis kin ɛp fɔ mek di blɔd shuga nɔ chenj.
- Pankrias Transplant Ɔpreshɔn: Dis na ɔpreshɔn we rili kɔmpleks. insay dis, dεn de transplant wan hεlty pankrias frכm wan dכna we dεn day insay di bכdi fכ ri-stimulate insulin prodakshכn.
Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu. Na in go disayd wetin mek yu sik. We yu dɔn gɛt tritmɛnt plan, yu gɛt big wok fɔ mek i go bifo.
- Ɛksesaiz ɔltɛm.
- Fɔ fala di advays we dɛn gi yu bɔt it fayn fayn wan jɔs lɛk aw i de.
- Nɔ ɛva mis di tɛm ɔ di doz fɔ tek mɛrɛsin.
- Di tin we pas ɔl, na fɔ tɔk to yu dɔktɔ we gɛt dayabitis ɛn di wan dɛn we de mɛn yu. Gɛt di mɛrɛsin ɛn imɔshɔnal sɔpɔt we yu nid frɔm dɛn.
Mɛsej we dɛn kin kɛr go na os
- ‘Brittle Diabetes’ nɔto nyu kayn dayabitis, na wan sik we nɔ de stebul we de mek i nɔ izi fɔ kɔntrol dayabitis.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu blɔd shuga (hyperglycemia).
- Ketoacidosis, na wan sik wae kin kam wae yu gɛt bɔrku shuga na yu blɔd, kin rili denja. If yu notis ɛni wan pan in sayn dɛm, go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Tide, di mכdan tεknכlכjik divays dεm de lεk `CGM` εn `Insulin Pump` fכ mεnεj dis kכndishכn.
- I rili impɔtant fɔ de tɔk to yu dɔktɔ ɔltɛm ɛn fala in instrɔkshɔn dɛn di rayt we.
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