Yu gɛt dayabitis? Sɔntɛnde, ilɛksɛf yu tray tranga wan, tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm, ɛn kɔntrol di tin dɛn we yu de it, yu blɔd shuga kin go ɔp ɔ tu smɔl wantɛm wantɛm? Ɔ dɛn kin go dɔŋ wantɛm wantɛm we denja? Dis kin ambɔg yu wan ol de ɛn bɔku tɛm yu kin nid fɔ go na ɔspitul? Dɔn yu kin gɛt wan spɛshal sik we dɔktɔ dɛn kin kɔl "Brittle Diabetes." Nɔ fred we yu yɛri dis. Lɛ wi tɔk bɔt ɔltin simpul wan.
Fɔ tɔk am simpul wan, wetin na Brittle Diabetes?
"Brittle Diabetes" nɔto nyu kayn dayabitis. I nɔ ivin bi ɔfishal mɛdikal diagnosis. Fɔ tɔk am simpul wan, na nem we dɛn kin yuz fɔ tɔk bɔt wan sik we rili at, we nɔ kin stebul fɔ gɛt dayabitis we at fɔ kɔntrol. Di wɔd "brittle" min "i izi fɔ brok." Ɛn na dat dis kɔndishɔn tan. di glukoz lεvεl na di bכdi kin chenj bכku bכku wan, wan wan tεm.
pan dis kכndyushכn, plεnti tεm kin de we di bכdi shuga sכmtεm (haypoglycemia) εn hεy blɔd shuga (hyperglycemia). Dis kin mek pɔsin go na ɔspitul ɔltɛm. Sɔntɛnde, dɔktɔ dɛn kin kɔl dis ``labile diabetes''.
Dis sik kin mɔs pan pipul dɛm wae gɛt tayp 1 dayabitis . Bɔt i kin apin bak pan pipul dɛn we gɛt tayp 2 dayabitis, we kin dipen pan insulin injɛkshɔn. Bɔrku tɛm, dis "brittle diabetes" kɔndishɔn kin kam wit ɔda mɛdikal kɔndishɔn ɔr mɛntɛl hεlth prɔblɛm apat frɔm dayabitis.
Wetin mek i nɔ izi fɔ kɔntrol dayabitis? Wetin na di rizin dɛn?
Fɔ kɔntrol di blɔd shuga na wan kɔmpleks tin. Bɔku tin dɛn kin afɛkt am, lɛk di it we wi de it, di ɛksesaiz we wi de du, strɛs, ɛn di chenj we wi de chenj di ɔmon. Bɔrku pipul dɛm wae gɛt shuga kin lan fɔ kɔntrol dɛn tin ya as tɛm de go. Bɔt pan "brittle diabetes," di we aw dɛn tin ya kin apin nɔ kin no. Na dat mek di blɔd shuga kin chenj wantɛm wantɛm.
Wi kin sheb di rizin dɛn to 4 men kategori dɛn:
1. Ɔda mɛrɛsin kɔndishɔn dɛn na di bɔdi.
2. Prɔblɛm dɛn we gɛt fɔ du wit pɔsin in maynd.
3. We pɔsin de ol ɛn i nɔ de mɛmba igen.
4. Insulin ɛn it sefty ishu dɛm.
Lɛ wi luk ɛni wan pan dɛn wan ya.
1. Kɔndishɔn dɛn we de apin togɛda
Sɔm sik kin mek di bɔdi chenj di we aw i de tek insulin (insulin resistance), we kin mek i nɔ izi fɔ kɔntrol di shuga we de na di blɔd.
Di tin dɛn we kin mek di blɔd shuga go ɔp bɔku tɛm:
- di hכmon imbalans: Dis sik dεm we de kכmכt frכm di כmon dεm lεk haypa tayroydism (thyrotoxicosis), akromegaly, εn Cushing syndrome.
- Sɔm tin dɛn we nɔ kin apin we pɔsin bɔn wit (kɔnjɛnital lipodystrophies) .
- Infεkshכn dεm we de spre כlsay na di bכdi (sistεmik infεkshכn).
Di tin dɛn we kin mek di blɔd shuga go dɔŋ bɔku tɛm:
- Gastroparesis: Dis na di kכndyushכn we di it we de insay di bεlε de sεnd to di intestines sכmtεm sכmtεm. Imajin se yu de it rays na mɔnin. Bɔku tɛm, i kin tek lɛk tu awa so fɔ digest. Bɔt bikɔs ɔf dis sik, yu bɛlɛ de wok sloslo. So ivin if yu injekt insulin bifo yu it, di it de digest ɛn ad shuga to di blɔd afta 4-5 awa. Insay da tɛm de, di insulin kin wok ɛn yu shuga kin rili smɔl (haypoglycemia). We di it dɔn digest, di shuga kin go ɔp wantɛm wantɛm rili ay. Yu si aw i at fɔ kɔntrol?
- Addison’s disease: If dɛn nɔ trit dis sik, i kin mek bak di blɔd shuga go dɔŋ ɔltɛm.
- Siliak sik: Dis sik de mek di bɔdi nɔ de tek di tin dɛn we de insay di bɔdi fayn fayn wan, we kin mek di blɔd shuga nɔ stebul.
Sɔm mɛrɛsin dɛm, fɔ ɛgzampul kɔtikosterɔyd, kin mek yu gɛt "brittle diabetes" bak we yu yuz am fɔ lɔng tɛm.
2. Di kɔndishɔn dɛn we pɔsin kin gɛt na in maynd
Wetin wi kin fil na wi maynd kin afɛkt wi bɔdi dairekt wan. Fɔ liv wit wan sik wae nɔr de dɔn lɛk dayabitis na wan pan de big tin wae kin mek yu strɛs.
- Bɔrku strɛs, wɔri, ɛn pwɛl hat: Dɛn tin ya kin mek yu nɔr gɛt bɛtɛ maynd ɛn nɔr kin ebul fɔ kɔntrol yu dayabitis. Yu kin fɔgɛt fɔ tek yu mɛrɛsin di rayt tɛm ɛn chɛk yu blɔd shuga. Stret kin mek bak di ɔmon dɛm we yu bɔdi kin pul, we kin mek yu blɔd shuga go ɔp.
- Wae yu nɔr de it fayn: Kɔndishɔn lɛk anorexia ɛn bulimia kin mek i nɔr izi fɔ kɔntrol dayabitis. Dayabulimia, na wan sik wae dɛn kin si pan pipul dɛm wae gɛt tayp 1 dayabitis, na fɔ skip insulin doz bay wilful fɔ tray fɔ lɛf fɔ it. Dis na tin we rili denja.
- Yuz drɔgs ɛn rɔm: Tin dɛn we de mek pɔsin fil lɛk kɔkɛyn ɛn opioid de mek di shuga we de na di blɔd go ɔp. Bɔku tɛm, rɔm kin mek di blɔd shuga go dɔŋ bad bad wan.
3. We pɔsin de ol ɛn i nɔ de mɛmba igen
Dayabitis mɛnejɛmɛnt kin kɔmplikt bikɔs ɔf tin dɛm lɛk dis maynia sik, wae kin apun wae pɔrsin de ol.
- Yu kin fɔgɛt fɔ tek yu insulin doz.
- Yu kin tek dabl doz bay mistek.
- Dɛn kin kɔnfyus di kayn insulin we de wok fɔ shɔt tɛm ɛn we de wok fɔ lɔng tɛm.
- divays dεm lεk insulin pכmp εn kכntinyu glukכs monita (CGM) kin nכ wok fayn.
4. Insulin ɛn it sefty ishu dɛm
Dis na soshal ɛn ikɔmik tin we de afɛkt sɔm pipul dɛn na wi kɔntri bak.
- Di kɔst fɔ insulin: Bikɔs i nɔ kin izi fɔ bay insulin, sɔm pipul dɛn kin yuz smɔl pas di doz we dɛn tɛl dɛn fɔ gi dɛn. Dis kin mek yu gɛt bɔku bɔku blɔd shuga we denja ɛn gɛt tin dɛn we kin mek yu layf de pan denja lɛk Dayabitik Kɛtoacidosis (DKA) .
- Nɔ gɛt tin fɔ it: If yu nɔ it ɛn drink di rayt tɛm, dat kin mek yu blɔd shuga nɔ de chenj.
Wetin na di sayn dɛm fɔ dis sik?
Pɔrsin wae gɛt brital dayabitis kin gɛt sɔm kayn sik wae de kam ɔltɛm wae de mek pɔrsin gɛt bɔrku shuga na in blɔd (haypoglycemia) ɛn ay blɔd shuga (hyperglycemia).
| Tayp fɔ di simptom | Tin dɛn fɔ si |
|---|---|
| Di sayn dɛn we de sho se yu blɔd shuga nɔ bɔku (Hypoglycemia) . | |
| Smɔl smɔl tin dɛn |
|
| Siriɔs sayn dɛm (nid fɔ gɛt tritmɛnt kwik kwik wan) . |
|
| Di sayn dɛn we de sho se yu gɛt bɔku blɔd shuga (Hyperglycemia) . | |
| Di sayn dɛm we kin kam fɔs |
|
| Di kwaliti dɛn we pɔsin kin gɛt fɔ lɔng tɛm |
|
Us prɔblɛm dɛn dis kin mek?
Di blɔd shuga we de chenj ɔltɛm nɔ kin fayn fɔ di bɔdi. Dis kin mek yu gɛt prɔblɛm dɛn we go de fɔ shɔt tɛm ɛn fɔ lɔng tɛm.
Kɔmplikɛshɔn dɛn we kin apin bikɔs di blɔd shuga nɔ bɔku
If yu blɔd shuga nɔ bɔku ɔltɛm, as tɛm de go, yu kin gɛt wan sik we dɛn kɔl hypoglycemia unawareness . Dis na we yu bɔdi kin yus fɔ gɛt lɔw blɔd shuga ɛn nɔ de sho di wɔnin sayn dɛm fɔ lɛ yu blɔd shuga smɔl, lɛk fɔ shek ɛn swet. Dis kin rili denja bikɔs yu kin lɔs yu kɔnshɛns wantɛm wantɛm ɛn gɛt sik we de mek yu sik ɛn nɔ wɔn yu. If dɛn nɔ trit am, i kin ivin mek pɔsin day.
Kɔmplikɛshɔn dɛn we kin apin bikɔs ɔf di blɔd shuga we bɔku
If dɛn nɔ ebul fɔ kɔntrol di blɔd shuga, wan imejensi we dɛn kɔl dayabitik ketoacidosis (DKA) kin apin. Dis kin mek pɔsin in layf de pan denja. Di sayn dɛm fɔ DKA na:
- Nɔs ɛn vɔmit
- Di wata we nɔ de na di bɔdi
- Bɛlɛ pen bad bad wan
- Briz we gɛt frut
- Dip, kwik brith (Kussmaul brith) .
- Di at we de blo
- Lɔs pan kɔnshɛns ɛn nɔr no natin
DKA na wan mɛdikal imejensi. If yu gɛt dɛn sik ya, yu fɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Apat frɔm dat, if yu gɛt bɔku blɔd shuga fɔ lɔng tɛm, dat kin mek yu gɛt big big prɔblɛm dɛn we kin mek yu gɛt dayabitis.
- Ay damej (Retinopathy) .
- Kidni we de pwɛl (Nephropathy) .
- Nεv dεm we de pwεl (Nyuropati) .
- At sik
- Strok
Aw dɛn kin trit dis?
Di men gol fɔ trit Brittle Diabetes na fɔ adrɛs di ɔndalayn kɔz fɔ di blɔd shuga lɛvɛl nɔ stebul.Fɔ fɛn ɛn trit di ɔndalayn kɔz. Fɔ ɛgzampul, pɔsin we gɛt sik we dɛn kɔl celiac kin ebul fɔ mek in blɔd shuga nɔ de chenj we i de it tin dɛn we nɔ gɛt gluten. Fɔ trit tayroyd prɔblɛm kin ɛp fɔ kɔntrol dayabitis.
We yu de trit di rizin we mek yu gɛt dis sik, yu dɔktɔ kin tɛl yu tin dɛn lɛk:
- Yuz wan Kɔntinyu Glukɔs Monitoring (CGM) divays: Dis divays de kɔntinyu fɔ wach yu blɔd shuga lɛvɛl ɛn gi yu wan alert if yu shuga lɛvɛl ay ɔ smɔl.
- Chek yu blɔd shuga ɔltɛm: Yu dɔktɔ kin tɛl yu fɔ chɛk yu blɔd shuga bay we yu tek wan drop blɔd na yu finga bɔku tɛm insay di de.
- Yuz insulin pɔmp: Dis de gi di insulin we di bɔdi nid mɔ kɔrɛkt wan ɛn ɔltɛm.
- Sɔpɔt frɔm mɛntɛl hεlth pɔrsin: I rili impɔtant fɔ si pɔrsin lɛk sayɛnsman ɛn gɛt advays fɔ mɛn tin dɛm lɛk strɛs ɛn wɔri.
- Ɛp frɔm dɛn fambul ɔ pɔsin we de ɛp nɔs: Ol pipul dɛn ɔ di wan dɛn we nɔ de mɛmba fayn kin nid ɛp frɔm dɛn famili fɔ gi dɛn insulin di rayt tɛm ɛn chɛk dɛn blɔd shuga.
- Sɔpɔt frɔm soshal woka: Di wan dɛn we nɔ ebul fɔ bay insulin ɔ we nɔ gɛt tin fɔ it kin gɛt ɛp fɔ fɛn di rayt sɔlvishɔn.
Insay kes dɛm we rili siriɔs, usay nɔ ɔda tritmɛnt nɔ go ebul fɔ kɔntrol di sik, dɛn kin se dɛn fɔ transplant pankrias .
We yu fɔ go to dɔktɔ wantɛm wantɛm
Brittle Diabetes nɔto sɔntin fɔ ple wit. If tin lɛk dis, i rili impɔtant fɔ du sɔntin wantɛm wantɛm.
If yu gɛt sayn dɛm fɔ DKA (diabetic ketoacidosis) (bɔdi pen bad bad wan, vɔmit, frut briz smel, kɔnfyushɔn), go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
If yu gɛt sayn dɛm fɔ siriɔs haypoglycemia (faint, seizure), kɔl imejensi ambulans wantɛm wantɛm ɔ kɛr yusɛf go na ɔspitul ETU kwik kwik wan.
Fɔ mɛn dis sik kin tranga. Na dat mek i impɔtant fɔ go to yu dɔktɔ ɔltɛm ɛn tɔk bɔt di chenj dɛn we de apin na yu blɔd shuga. Mɛmba se dis nɔto yu fɔlt. If yu trit yu di rayt tritmɛnt, yu ɛp yu wit tɛknɔlɔji, ɛn yu famili de sɔpɔt yu, yu go ebul fɔ kɔntrol dis sik bɔku tɛm.
Mɛsej we dɛn kin kɛr go na os
- ‘Brittle Diabetes’ na wan sik wae kin tranga fɔ kɔntrol dayabitis, wit blɔd shuga lɛvɛl kin go ɔp ɛn fɔdɔm bɔrku tɛm wae yu nɔr bin de ɛkspɛkt.
- Dis nɔto yu fɔlt. Bɔrku tɛm, na ɔda ɔndalayn bɔdi ɔr maynd prɔblɛm kin kam wit am .
- If i nɔ izi fɔ yu fɔ kɔntrol yu dayabitis, tɔk to yu dɔktɔ opin wan bɔt am ɛn tray fɔ no di rizin we mek yu gɛt dis sik.
- Nɔ ɛva ignore di wɔnin sayn dɛm fɔ siriɔs haypoglycemia ɔ DKA. Go to dɔktɔ wantɛm wantɛm.
- Nɔto yu wan de na dis waka. Nɔ shem fɔ aks fɔ sɔpɔt frɔm yu fambul, padi dɛn, ɛn dɔktɔ dɛn.
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