Yu na pɔsin we gɛt dayabitis? If yu de op fɔ bɔn pikin, sɔntɛm yu gɛt bɔku kwɛstyɔn dɛn na yu maynd. Na nɔmal tin fɔ wɔnda, "Mi dayabitis go afɛkt mi pikin?", "Wetin a fɔ du dis tɛm?", "A go ebul fɔ du ɔltin rayt?" Bɔt nɔ wɔri. If yu manej am fayn, yu kin rili briŋ wɛlbɔdi, fayn pikin na di wɔl ilɛksɛf yu gɛt dayabitis. Lɛ wi tɔk bɔt dis klia wan ɛn simpul wan.
Fɔs, lɛ wi ɔndastand: Dis nɔto gestational diabetes!
Dis na di say we bɔku pipul dɛn kin kɔnfyus. Sɔm pipul dɛn kin gɛt dayabitis nɔmɔ we dɛn gɛt bɛlɛ. Wi kin kɔl am gestational diabetes. di sik kin go afta dεn bכn di pikin.
Bɔt nɔto dat wi de tɔk bɔt na dis atikul. Wi de tɔk bɔt aw fɔ manej yu bɛlɛ if yu gɛt dayabitis we bin dɔn de bifo , we na Tayp 1 ɔ Tayp 2. Dɔktɔ dɛn kin kɔl dis bak "Pregestational Diabetes." I nɔ mata aw yu dɔn yus fɔ liv wit dayabitis, fɔ gɛt bɛlɛ na nyu prɔblɛm.
Wetin mek bɛlɛ wit dayabitis na ‘high-risk’?
Yes, we pɔsin we gɛt Tayp 1 ɔ Tayp 2 dayabitis gɛt bɛlɛ, wi kin kɔl am ‘high-risk’ . Dis nɔto fɔ mek yu fred, bɔt na fɔ mɛmba yu se yu ɛn yu pikin nid spɛshal kia. Yu mɛdikal tim go wach yu gud gud wan bikɔs di blɔd shuga lɛvɛl we ay ɔ smɔl nɔ fayn fɔ yu ɔ yu pikin.
Insay dis tɛm, yu kin nid ɔda spɛshal dɔktɔ dɛn fɔ ɛp yu apat frɔm yu jenɛral ɔbstetrishan ɛn uman dɛn we de mɛn uman dɛn.
- Maternal-Fetal Medicine Specialist (MFM): Na dɔktɔ we gɛt spɛshal no bɔt dɛn kayn spɛshal kes ya.
- Endocrinologist: Na dɔktɔ we spɛshal pan ɔmon ɛn dayabitis.
- Wan Rejistret Dietitian: Go ɛp yu fɔ pripia it we fayn fɔ bɛlɛ ɛn dayabitis.
- Dayabitis Ɛdyuketɔ: Na pɔsin we dɛn tren spɛshal wan we go ebul fɔ ansa yu kwɛstyɔn dɛn ɛn gi yu advays bɔt aw fɔ mɛn dayabitis.
Mɛmba se dɛn pipul ya de ya fɔ ɛp yu. So nɔ shem fɔ tɔk to dɛn bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Aw yu fɔ rɛdi bifo yu bɔn pikin?
If yu gɛt dayabitis, bigin fɔ tink bɔt fɔ bɔn pikin at le 6 mɔnt bifo yu gɛt bɛlɛ.I bɛtɛ fɔ mek yu tɔk to yu dɔktɔ. Bikɔs yu go nid fɔ kɔntrol di shuga na yu blɔd ɔl di tɛm we yu gɛt bɛlɛ, i impɔtant fɔ rɛdi fɔ dat bifo tɛm.
Bɔku tɛm, dɔktɔ dɛn kin se yu fɔ kip yu A1C na 6.5% ɔ smɔl pas dat bifo yu gɛt bɛlɛ. dis na biכs di pikin in men כgan dεm lεk di bren εn at de fכm insay di fכs wik dεm we i bεlε. If yu nɔ ebul fɔ kɔntrol di shuga na yu blɔd insay dis tɛm, i kin afɛkt di we aw yu pikin de gro.
Di bɛnifit dɛn we yu go gɛt we yu mit wit di mɛdikal tim kwik kwik wan na:
- Dɛn go ɛp yu fɔ briŋ yu shuga lɛvɛl bak to wɛlbɔdi lɛvɛl.
- Yu kin tɔk to pɔsin we sabi bɔt it ɛn mek wan plan fɔ it fayn fayn wan we fit fɔ gɛt bɛlɛ.
- Yu kin nid fɔ chenj yu dayabitis mɛrɛsin we yu gɛt bɛlɛ. Yu kin no bɔt dis bifo tɛm.
- Dɛn kin se yu fɔ yuz nyu teknɔlɔji, lɛk Kɔntinyu Glukɔs Monitɔ (CGM) ɔ Insulin Pɔmp. Dis na fayn tɛm fɔ yus to am kwik kwik wan.
- yu kin chɛk di wɛlbɔdi fɔ yu yay, kidni, ɛn at bifo yu gɛt bɛlɛ, bikɔs sɔm prɔblɛm dɛn we kin kam wit dayabitis (lɛk ``Retinopathy'' ɛn ``Nephropathy'') kin bɔku ɔ divɛlɔp we yu gɛt bɛlɛ.
Aw di we aw dɛn de manej dayabitis kin chenj we uman gɛt bɛlɛ?
Bɔku big chenj dɛn de pan yu dayabitis manejmɛnt we yu gɛt bɛlɛ.
1. Kip di blɔd shuga lɛvɛl ɔnda kɔntrol: Fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn, yu nid fɔ tek tɛm mɔ bɔt di shuga we yu gɛt pas aw yu kin tek tɛm.
2. Chenj insulin nid: Di amount of insulin we yu nid kin chenj bɔku tɛm wit di chenj dɛn we di ɔmon dɛn de chenj na di bɔdi.
3. Fכ balans di tin dεm we yu nid fכ it: fכ kכntrכl di shuga lεvεl we yu de gεt di it we di pikin nid fכ gro na wan chalenj.
Gol fɔ mek yu blɔd shuga kɔntinyu fɔ de we yu gɛt bɛlɛ
Dis na di target lεvεl dεm we dכkta dεm kin rεkomεnd. Bɔt dɛn tin ya kin difrɛn smɔl fɔ di kayn sik we yu gɛt. So , i impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
| Fɔ chɛk di tɛm | Target shuga lεvεl (mg/dL) . |
|---|---|
| Fastin (bifo yu it brɛf) . | I nɔ rich 95 mg/dL |
| Wan awa afta wan men it | I nɔ rich 140 mg/dL |
| Tu awa afta wan men it | I nɔ rich 120 mg/dL |
Fɔ mek yu ebul fɔ du dɛn tin ya, yu go nid fɔ du dɛn tin ya:
- Tek tɛm wit di bɔku bɔku kabɔhaydrɛt dɛn we de insay di it dɛn we yu de it.
- Injekt insulin 10-15 minit bifo yu it.
- Ɛksesaiz fɔ ɛp fɔ kɔntrol yu blɔd shuga lɛvɛl (tɔk to yu dɔktɔ bɔt dis).
Aw insulin nid fɔ chenj we uman gɛt bɛlɛ
Dis na di big prɔblɛm fɔ bɔku pipul dɛn. We yu gɛt bɛlɛ, di ɔmon dɛn na yu bɔdi kin chenj bad bad wan. Bikɔs ɔf dis, di insulin we yu nid kin chenj bak ɔltɛm.
- Fɔs tri mɔnt (fɔs 3 mɔnt): Sɔm pipul dɛn kin gɛt smɔl smɔl nid fɔ insulin insay dis tɛm, bɔt dis nɔ kin apin to ɔlman.
- afta 16 wik: Insay dis tεm, di כmon dεm we di plasεnta de kכmכt de mek di bכdi rεsistεns fכ insulin. Dis kin apin ivin to pipul dɛn we nɔ gɛt dayabitis. Dis kin mek di insulin we yu nid kin go ɔp smɔl smɔl.
- bay 36-37 wik: bay naw yu kin nid dכbl כ tripl di insulin we yu bin nid bifo yu bεlε.
- Afta di pikin bכn: I sɔprayz fכ no se afta dεn bכn di pikin εn di plasεnta dεn bכn, yu insulin nid dεm dכn dכn bכku bכku wan. Yu kin nid di sem mɔni we yu bin nid bifo yu gɛt bɛlɛ ɔ ivin smɔl. I impɔtant fɔ tɔk bɔt dis wit yu dɔktɔ bifo tɛm ɛn kam wit wan plan.
Us ɔda tɛst dɛn a fɔ ɛkspɛkt we a gɛt bɛlɛ?
Bikɔs yu gɛt dayabitis, yu go nid fɔ du mɔ mɛdikal tɛst ɛn skan pas nɔmal mama we gɛt bɛlɛ. Dɛn kin du dɛn tin ya fɔ mek shɔ se yu pikin de divɛlɔp ɛn yu gɛt wɛlbɔdi.
| Tɛst | Wetin mek dɛn kin du am? |
|---|---|
| Fetal Ekokardiogram fɔ di pikin | Bikɔs dayabitis kin mek di pikin gɛt at sik we dɛn bɔn wit, chɛk aw di pikin in at tan. |
| Skan fɔ Grɔw | dεn de mכnitor di pikin in growth εvri fכ wik. di pikin dεm we mama dεm we gεt dayabitis bכn de pan risk fכ big pas nכmal (Fetal Macrosomia). |
| Tɛst we nɔ gɛt strɛs (NST) . | dεn kin du am lεk wan tεm insay di wik insay di las haf pan di bεlε. dεn de chεk di pikin in at bit εn di muvmεnt dεm. |
| Bayofizikal Profayl (BPP) . | Dis na skan bak. i de mכsu di pikin in brith muvmεnt, mכsul tכn, muvmεnt, εn di amount of amniotic fluid na di uterus. |
Wetin na di prɔblɛm dɛn we kin apin ɛn di prɔblɛm dɛn we kin apin?
I impɔtant fɔ kip yu blɔd shuga lɛvɛl ɔnda kɔntrol fɔ mek yu nɔ gɛt dɛn prɔblɛm ya. I impɔtant fɔ no bɔt dɛn tin ya, bɔt nɔ fred se ɔl dis go apin to yu.
Di prɔblɛm dɛn we kin apin to di pikin
- Bɔn pikin dɛn we nɔ fayn: Di risk fɔ gɛt prɔblɛm wit pikin we dɛn bɔn, mɔ we dɛn gɛt at prɔblɛm, kin bɔku smɔl.
- di pikin we big pas nכmal (Fetal Macrosomia): di pikin in wet kin pas 4 kg. Dis kin mek i nɔ izi fɔ di mama ɛn di pikin we dɛn de bɔn pikin.
- Di pikin we dɛn bɔn bifo tɛm: If ɛni prɔblɛm kam, dɛn kin gɛt fɔ bɔn di pikin bifo di de we dɛn fɔ bɔn am.
- Afta dɛn bɔn am: Afta dɛn dɔn bɔn di pikin, tin dɛn lɛk we di blɔd shuga nɔ de bɔku, i nɔ kin izi fɔ blo, ɛn jaundice kin apin. na dεn tεm dεm ya, i kin nid fכ kip di pikin na di nyu bכbi intensiv kεriכn yunit (NICU).
Risk to yu (di mama) .
- Preeclampsia: di bכdi prεshכn εn protin we de insay di urine we uman bεlε. Dayabitis na wan big tin we kin mek pɔsin gɛt dis.
- Nid fɔ sizarian sɛkshɔn (C-section): Nɔmal dilivri kin at bikɔs di pikin in big saiz.
- Di blɔd shuga lɛvɛl smɔl (Hypoglycemia):We yu de tray fɔ kɔntrol di shuga na yu blɔd, sɔntɛnde di shuga na yu blɔd kin go dɔŋ tumɔs.
- Dayabitik Kεtoasidכsis (DKA): Dis kכndyushכn kin apin mכr we uman bεlε biכs di insulin rεsistεns de bכku. Mɔnin sik kin bi bak wan tin we kin mek pɔsin sik.
- Ɔda prɔblɛm dɛn we gɛt fɔ du wit dayabitis: Di ifɛkt we dayabitis gɛt pan ɔgan dɛn lɛk di yay ɛn kidni kin bɔku we uman gɛt bɛlɛ.
Aw yu de bia wit dis prɔblɛm? Ustɛm yu fɔ go to dɔktɔ?
Fɔ liv wit dayabitis we yu gɛt bɛlɛ kin mek yu taya na yu maynd ɛn yu bɔdi, bɔt if yu fala dɛn step ya kɔrɛkt wan, yu kin ebul fɔ pas dis joyn fayn fayn wan.
- Chek yu blɔd shuga lɛvɛl ɔltɛm lɛk aw yu dɔktɔ tɛl yu.
- Tray yu bɛst fɔ kip yu blɔd shuga lɛvɛl insay di say we yu want fɔ gɛt.
- Yuz insulin ɛn ɔda mɛrɛsin dɛn jɔs lɛk aw yu dɔktɔ tɛl yu.
- Nɔ skip ɛni klinik ɔ tɛst.
- It fayn it ɛn balans it.
- Stɔp fɔ drink rɔm ɛn smok kpatakpata.
- Tink bɔt yu maynd wɛlbɔdi bak. If yu de fil strɛs, tɔk to yu padi ɔ dɔktɔ.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| If yu nɔ ebul fɔ kɔntrol yu shuga lɛvɛl | I nɔ mata aw yu tray tranga wan, yu shuga lɛvɛl de ɔp ɔ dɔŋ di target ɔltɛm. |
| If di pikin in muvmɛnt nɔ de muv | If yu fil se yu pikin nɔ de muv bɛtɛ pas aw i kin muv. |
| Dischaj we de kɔmɔt na di vagina ɔ we de blɔd | If wata de kɔmɔt ɔ blɔd de kɔmɔt. |
| Ɔda tin dɛn we de apin | If yu nɔ de si fayn, yu kin tɔsti bad bad wan, ɔ yu kin vɔmit ɔltɛm. |
Mɛmba se if yu gɛt ɛnitin we de mɔna yu bɔt ɛnitin, nɔ ɛva fred fɔ tɔk to yu dɔktɔ. I rili impɔtant fɔ yu ɛn yu pikin in sef.
Mɛsej we dɛn kin kɛr go na os
- Ivin if yu gɛt dayabitis, if yu plan ɛn manej di rayt we, yu kin bɔn pikin we gɛt wɛlbɔdi.
- Bifo yu tink bɔt fɔ bɔn pikin, tɔk to yu dɔktɔ sɔm mɔnt bifo tɛm ɛn kɔntrol di shuga we de na yu blɔd.
- Bɛlɛ tan lɛk ‘tim spɔt.’ Yu, yu famili, ɛn yu mɛdikal tim nid fɔ go tru dis joyn togɛda.
- Di insulin we yu nid go chenj ɔltɛm we yu gɛt bɛlɛ, so mek ɛni ajɔstmɛnt we yu nid lɛk aw yu dɔktɔ tɛl yu.
- If yu gɛt ɛnitin we de mɔna yu ɔr kwɛstyɔn, tɔk to yu mɛdikal tim opin wan. Dɛn de de fɔ ɛp yu.
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