Yu kin bɔn pikin we gɛt wɛlbɔdi ilɛksɛf yu gɛt dayabitis? (Dayabetes in Pregnancy) Lɛ wi tɔk bɔt dis!

Adu! If yu de op fɔ bɔn pikin dɛn tɛm ya, mɔ if yu gɛt dayabitis, sɔntɛm yu gɛt bɔku kwɛstyɔn ɛn fred na yu maynd, nɔto so? "O, prɔblɛm go de wit di pikin we a gɛt dayabitis?" "Dɛn go de manej dis fayn fayn wan?" Sɔntɛm yu de tink bɔt tin dɛn lɛk dat. Nɔ wɔri, nɔto yu wan de. Bɔku mama dɛn kin gɛt dis kayn tin. Di tin we impɔtant pas ɔl na dat, if yu ɔndastand di rayt we ɛn fala di advays dɛn we di dɔktɔ gi yu, yusɛf go gɛt wɛlbɔdi pikin. Lɛ wi tɔk bɔt dis smɔl mɔ, nɔto so?

Aw dayabitis kin afɛkt uman we gɛt bɛlɛ?

Fɔ tɔk am simpul wan, if yu gɛt Tayp 1 ɔ Tayp 2 dayabitis bifo yu gɛt bɛlɛ, dɛn kin kɔl am "pregestational diabetes." dis difrεn frכm di jεstεshכnal dayabεtis, we de divεlכp we uman bεlε. Di dayabitis we yu gɛt we yu gɛt bɛlɛ kin go afta yu dɔn gɛt di pikin.

If yu dɔn gɛt dayabitis, fɔ kɔntrol di shuga na yu blɔd we yu gɛt bɛlɛ kin tranga smɔl. Yu no wetin? We wi gɛt bɛlɛ, wi ɔmon dɛn kin chenj bɔku bɔku wan. We yu chenj dɛn chenj dɛn de, yu go nid fɔ chenj di tin dɛn we yu de it, di we aw yu de du ɛksɛsayz, ɛn ivin di mɛrɛsin dɛn we yu de tek. Bɔku tɛm, dɛn go gɛt fɔ chenj dis plan fɔ mɛn di sik we dɛn kɔl dayabitis bɔku tɛm te di de we dɛn bɔn yu pikin. So, e fayn fɔ tɔk to yu mɛdikal tim ɔltɛm ɛn tɛl dɛn bɔt yu sik. Na da tɛm de nɔmɔ dɛn go disayd ustɛm yu nid fɔ tek di tritmɛnt dɛn ɛn if yu nid fɔ chenj dɛn.

Bɔt mɛmba dis bak, fɔ gɛt dayabitis nɔ min se yu nɔ go ebul fɔ gɛt wɛlbɔdi pikin. I at smɔl, bɔt i nɔ pɔsibul. Yu mɛdikal tim de fɔ ɛp yu.

Yu tink se Tayp 1 dayabitis na tin we kin mek yu gɛt bɛlɛ we kin mek yu gɛt bɔku prɔblɛm?

Yɛs, Tayp 1 dayabitis ɛn Tayp 2 dayabitis de mek di risk fɔ gɛt prɔblɛm dɛn we i gɛt bɛlɛ. So, yu ɔbstetrishan go de wach yu pikin in wɛlbɔdi gud gud wan ɛn di shuga we yu gɛt na yu blɔd ɔl di tɛm we yu gɛt bɛlɛ fɔ mek shɔ se yu de gɛt wɛlbɔdi. If yu blɔd glukɔs lɛvɛl de tu ay ɔ tu smɔl, i kin denja ɛn i kin mek yu gɛt prɔblɛm dɛn.

Bɔku tɛm yu go wok wit wan spɛshal dɔktɔ we de mɛn mama ɛn pikin (MFM). Apat frɔm yu ɔbstetrishan, yu mɛdikal tim kin gɛt:

• Endocrinologist: Na spɛshal pɔsin we sabi bɔt sik dɛn we gɛt fɔ du wit ɔmon.
• Registered dietitian: Na pɔsin we kin ɛp fɔ kɔntrol dayabitis ɛn gi advays bɔt aw fɔ it fayn we i gɛt bɛlɛ.
• Dayabitis ɛdyukeshɔn pɔsin: Na spɛshal pɔsin we gɛt bɔku trenin ɛn no bɔt dayabitis mɛnejɛmɛnt.

Aw pɔsin we gɛt dayabitis go rɛdi fɔ gɛt bɛlɛ?

If yu gɛt dayabitis ɛn yu de tray fɔ bɔn pikin, di fɔs tin fɔ du na fɔ tɔk to yu dɔktɔ. I bεst fɔ tɔk bɔt dis lɛk siks mɔnt bifo yu bigin tray fɔ bɔn pikin.

I impɔtant fɔ kɔntrol yu blɔd shuga lɛvɛl fayn fayn wan bifo yu gɛt bɛlɛ. di gol we yu bεlε na fכ kip yu bכdi glukכs lεvεl insay wan rili sכm rεnj. I kin tranga fɔ mek yu kɔntinyu fɔ gɛt dis afta yu gɛt bɛlɛ.

Bɔku gaydlain dɛn kin se yu fɔ kip yu A1C na 6.5% ɔ smɔl pas dat bifo yu gɛt bɛlɛ . Dis na fɔ ridyus yu risk fɔ gɛt kɔmplikeshɔn. Yu bin no? di pikin in כgan dεm εn כda imכtant tisu dεm de bigin fכ fכm insay di fכs tri mכst we di bεlε de. If yu blɔd shuga kɔntinyu fɔ bɔku insay da tɛm de, i kin afɛkt di pikin in divɛlɔpmɛnt.

If yu mit wit yu mɛdikal tim bifo yu tray fɔ bɔn pikin, i go gɛt dɛn bɛnifit ya:

• Dɔktɔ dɛn kin tɔk bɔt aw fɔ ɛp fɔ mek yu blɔd shuga kam to wɛlbɔdi lɛvɛl.
• Wan dɔktɔ we sabi bɔt it kin ɛp yu fɔ mek plan fɔ it we fit fɔ mek yu gɛt bɛlɛ ɛn fɔ mɛn yu sik.
• Yu kin nid fɔ chenj yu dayabitis mɛrɛsin afta yu gɛt bɛlɛ.
• yu kin ebul fכ yus fכ yus nyu dayabεtis tεknכlכji dεm (fכ egzampl, wan kכntinyu glukכs mכnitor - CGM) we kin εp spεshal wan we yu bεlε.
• Yu dɔktɔ kin tɛl yu fɔ mek dɛn chɛk yu yay (di risk fɔ gɛt retinopathy), yu kidni (di risk fɔ gɛt nephropathy), ɛn yu at bifo yu gɛt bɛlɛ, bikɔs sɔntɛnde we uman gɛt bɛlɛ kin wɔs ɔ mek yu gɛt nyu prɔblɛm dɛn frɔm dayabitis.

Aw di we aw a de manej mi dayabitis go chenj we a gɛt bɛlɛ?

Bɔku impɔtant tin dɛn de we kin afɛkt aw yu kin kɔntrol dayabitis we yu gɛt bɛlɛ:

• di nid fכ kip di blכd glukכs lεvεl insay wan sכm rεnj fכ ridyus di risk fכ bεlε kכmplikεshכn.
• Fɔ ajɔst to di chenj we yu nid fɔ gɛt insulin.
• fכ mεnεj di nyutrishכnal nid dεm we uman bεlε bay we yu de kip di bכdi shuga lεvεl bεlε.

Blɔd shuga target dɛm we uman gɛt bɛlɛ wit dayabitis

Tipikli, di blɔd shuga target fɔ mama dɛn we gɛt bɛlɛ we gɛt dayabitis na dɛn wan ya:

• Fastin: I nɔ rich 95 mg/dL
• Wan awa afta yu it: I nɔ rich 140 mg/dL
• Tu awa afta yu it: less dan 120 mg/dL

in oda wod, dεn kin tink bכt dεn gol dεm ya as `taym in rεnj (TIR)`. in jεnarכl, `TIR` gol fכ big pipul dεm we gεt `Type 1` dayabεtis we dεn bεlε na:

• at le 70% pan di tεm bitwin 63 εn 140 mg/dL (insay di tכgεt rεnj) .
• lεs dan 5% pan di tεm we de dכn 63 mg/dL
• lεs dan 25% pan di tεm we de oba 140 mg/dL

Bɔku pan di gaydlain dɛn kin se we uman gɛt bɛlɛif yu mεnten wan `A1C` valyu dכn 6% i kin ridyus di risk fכ komplikεshכn dεm.

Bikɔs ɔf dɛn strikt gol ya, yu dɔktɔ kin se yu fɔ yuz wan kɔntinyu glukɔs monita (CGM) we yu gɛt bɛlɛ. Bifo yu yuz finga stik, CGM de gi yu bɛtɛ pikchɔ bɔt aw yu glukɔs lɛvɛl de chenj as tɛm de go, we de mek am izi fɔ mek di rayt chenj dɛn to yu dayabitis manejmɛnt.

Fɔ mek yu kɔntinyu fɔ gɛt dis smɔl blɔd shuga, yu go nid fɔ fala sɔm we dɛn:

• Tek tɛm kɔnt di bɔku bɔku kabɔhaydrɛt dɛn we yu de it ɛn snek dɛn.
• Fɔ tek insulin 10-15 minit bifo (ɔ ivin bifo) it.
• Yuz fyzikal aktiviti fɔ kɔntrol di blɔd shuga lɛvɛl.

Yu dɔktɔ go tɔk to yu bɔt dɛn we ya ɛn ɔda we dɛn fɔ du tin.

Di chenj we yu nid fɔ chenj insulin we yu gɛt bɛlɛ

Ekspekt se yu insulin nid fɔ chenj ɔltɛm we yu gɛt bɛlɛ. Dis kin bi mɔ bikɔs ɔf di difrɛn ɔmon dɛn we de na yu bɔdi. Jɔs lɛk aw dayabitis kin afɛkt ɔlman difrɛn we, na so bak pikin dɛn we gɛt bɛlɛ kin afɛkt. So, e fayn fɔ woke klos wit yu mɛdikal tim fɔ mek ɛni ajɔstmɛnt we yu nid fɔ du to yu plan fɔ mɛn yu dayabitis. Dɛn chenj ya go bi fɔ yu ɛn di tin dɛn we yu nid.

If yu gɛt Tayp 1 dayabitis, i kɔmɔn fɔ mek yu nid smɔl insulin insay di fɔs tri mɔnt – bɔt nɔto ɔlman gɛt am. arawnd di 16 wik we di bεlε de, di insulin nid fכ bigin fכ inkrεs. dis na biכs di plasεnta de mek כmon dεm we de mek di insulin rεsistεns bכku. Dis kin apin pan ɔl di bɛlɛ, nɔto jɔs di wan dɛn we gɛt dayabitis.

I go mɔs bi se yu go nid mɔ insulin te di wik we mek 36 ɔ 37 we yu gɛt bɛlɛ. Da tɛm de, di insulin rɛsistɛns kin stebul. Bɔku pipul dɛn kin nid tu to tri tɛm pas di insulin we dɛn bin de tek bifo dɛn gɛt bɛlɛ.

Yu go wok wit yu dɔktɔ fɔ mek ɛni chenj we nid fɔ chenj to insulin we yu gɛt bɛlɛ. Dis kin inklud:

• Yu `basal` ɔ insulin we de wok fɔ lɔng tɛm (bakgrɔn) (`insulin we de wok fɔ lɔng tɛm`) .
• Insulin-to-kab rεshכn (ICR) .
• Insulin sɛnsitiviti faktɔ (ISF) .

di imכtant tin na dat, we dεn dכn bכn di plasεnta, di insulin we yu nid go dכn bכku bכku wan. insay lεk 30 minit we di plasεnta dεn de gi yu, di insulin we yu nid go kam bak to di lεvεl we i bin de bifo yu bεlε – כ ivin lכs. Yu dɔktɔ go tɔk to yu bɔt aw fɔ ajɔst yu insulin we yu de yuz afta yu bɔn. I impɔtant fɔ gɛt plan fɔ dis.

Dayabitis ɛn di tin dɛn we pɔsin nid fɔ it we i gɛt bɛlɛ

Fɔ it fayn fayn tin dɛn rili impɔtant fɔ mek uman gɛt bɛlɛ we gɛt wɛlbɔdi. fכ bεlε di nyutrishכnal nid dεm fכ bεlε εn fכ mεnten di sכm bכdi shuga rεnj kin bi sכm triki. If yu gɛt nɔs ɛn/ɔ vɔmit we yu gɛt bɛlɛ, i kin ivin kɔmplikt.

Wan rɛjista dayatist we spɛshal pan bɛlɛ uman dɛn we gɛt dayabitis kin ɛp yu fɔ mek wan plan fɔ it. Dɛn go gayd yu pan di amount ɔf `macronutrients` (major nutrients) – dat na, `carbohydrates` (carbohydrates), `protein` (protein) ɛn `dietary fat` (dietary fat) – yu fɔ it ɛvride. Di tin dɛn we dɛn kin tɔk kin difrɛn frɔm di tin dɛn we dɛn kin tɔk bɔt fɔ uman dɛn we gɛt bɛlɛ we nɔ gɛt dayabitis. Dɛn go rikɔmɛnd bak fɔ it ɛn snek dɛn we balans insay `macronutrients` fɔ ɛp fɔ kip di blɔd shuga lɛvɛl stebul.

Manejmɛnt fɔ Tayp 1 Dayabitis we yu gɛt bɛlɛ

Bɔku pipul dɛn we gɛt tayp 1 dayabitis kin si se dɛn insulin nid kin chenj bɔku tɛm – bɔku tɛm frɔm wik to wik – we dɛn gɛt bɛlɛ. Fɔ kip yu yay pan yu glukɔs lɛvɛl ɛn fɔ no wetin de apin kin ɛp yu ɛn yu dɔktɔ fɔ mek di rayt chenj dɛn na yu tritmɛnt plan.

If yu de tek bɔku injɛkshɔn dɛn ɛvride (MDI), yu dɔktɔ kin se yu fɔ chenj to insulin pɔmp fɔ mek yu ebul fɔ ajɔst di we aw yu de yuz insulin. Bɔt yu kin stil gɛt wɛlbɔdi bɛlɛ wit MDI. If yu bin de tek ɔda mɛrɛsin bifo yu gɛt bɛlɛ, mek shɔ se yu tɔk if yu go kɔntinyu fɔ yuz dɛn mɛrɛsin dɛn de we yu gɛt bɛlɛ.

As ɔltɛm, i impɔtant fɔ kɔntrol di ay blɔd shuga ɛn lɔw blɔd shuga lɛvɛl kwik kwik wan. If yu de gɛt ay ɛn/ɔ lɔw blɔd shuga ɔltɛm, tɔk to yu dɔktɔ.

Fɔ Manej Tayp 2 Dayabitis we yu gɛt bɛlɛ

Bɔku pan di mɛrɛsin dɛn we dɛn kin tek bay mɔt ɛn di wan dɛn we dɛn kin injɛkt we nɔ gɛt insulin fɔ tayp 2 dayabitis nɔ fayn fɔ yuz we uman gɛt bɛlɛ. Di wangren tin we nɔ de de na di mɛtfɔmin. So, yu kin nid fɔ yuz insulin fɔ di fɔs tɛm fɔ mek yu ebul fɔ kɔntrol di shuga we yu gɛt na yu blɔd we yu gɛt bɛlɛ. Dɔn bak, di insulin we yu nid kin bɔku as yu bɛlɛ de go bifo.

Yu mɛdikal tim go wok klos wit yu fɔ mek wan manejmɛnt plan. If yu nɔ de yuz wan yet, dɛn kin se yu fɔ yuz CGM (kɔntinyu glukɔs monita).

Wetin yu kin ɛkspɛkt we yu gɛt bɛlɛ wit dayabitis?

If yu gɛt dayabitis, yu kin ɛkspɛkt fɔ gɛt mɔ visit ɛn tɛst bifo yu bɔn pas aw yu go du we yu gɛt nɔmal bɛlɛ. Dis na fɔ mek di pɔsin we de kia fɔ yu pikin bifo i bɔn go ebul fɔ wach yu pikin in divɛlɔpmɛnt ɛn yu ɔl wɛlbɔdi. apat frכm di tεst dεm we dεn kin du bifo uman bכn (lεk bכdi tεst εn anatomy skan), yu kin εkspεkt dεn "εkstra" tεst dεm ya bak:

• Fetal echocardiogram: Yu dɔktɔ kin tɛl yu fɔ du dis tɛst fɔ chɛk aw yu pikin in at tan, bikɔs if yu gɛt dayabitis, dat kin mek yu gɛt prɔblɛm wit in at we yu bɔn wit.
• Skan fɔ gro (ultrasounds): Yu dɔktɔ kin se yu fɔ skan ɛvri sɔm wiks fɔ chɛk aw yu pikin de gro. Dis impɔtant mɔ bikɔs i gɛt bɔku risk fɔ mek yu pikin big pas aw i fɔ bi. Bɔt mɛmba se dɛn ɔltra saund ya na jɔs ɛstimat. Yu pikin kin big ɔ smɔl pas aw di skan sho.
• Tεst dεm we nכ strεs (NST): Insay di tכd trimεst we di bεlε de, yu dכkta kin rεkכmand fכ du NST dεm evri wik. Dɛn tɛst ya kin chɛk di pikin in at rit ɛn aw i de muv.
• Bayofizikal profayl (BPP): Yu dɔktɔ kin tɛl yu bak fɔ tek BPP ɛvri wik. dis na כltra saund dεm we de chεk di pikin in brith, mכsul tכn, εn muvmεnt. dεn de mכsu bak di כmכnt fכ di amniotic fluid.

Yu go nid bak fɔ tɔk ɔltɛm wit yu ɛndokrinɔlɔjis ɔ dayabitis ɛdyuketɔ. Dɛn go tɔk bɔt we ɛn chenj fɔ ɛp fɔ kip yu glukɔs lɛvɛl as klos to yu target rɛnj as i pɔsibul.

Wetin na di risk ɛn prɔblɛm dɛn we kin apin we pɔsin gɛt Tayp 1 ɔ Tayp 2 dayabitis we i gɛt bɛlɛ?

I impɔtant fɔ tek step fɔ manej dayabitis we yu gɛt bɛlɛ. If yu blɔd shuga de kɔntinyu fɔ bɔku, yu go gɛt sɔm prɔblɛm dɛn. If yu blɔd shuga nɔ bɔku ɔltɛm ɔ i rili bad, dat kin mek yu denja bak.

Dɛn pipul ya kin gɛt bɔku prɔblɛm bikɔs dɛn gɛt dayabitis bifo dɛn bɔn pikin:

• εmbriyo εn bεlε
• Yu pikin afta dɛn bɔn am
• Yu

Di kɔmplikɛshɔn dɛn we kin apin bifo dɛn bɔn pikin ɛn afta dɛn bɔn pikin

we yu gεt dayabitis we yu bεlε, i kin mek di pikin gεt kכmplikεshכn dεm lεk:

• difεkt dεm we dεn bכn (di kכndishכn dεm we dεn bכn pikin): difεk we dεn bכn kin apin pan 6% to 12% pan di bεlε dεm we bin gεt jεstεshכnal dayabεtis bifo. di hat dεm we dεn bכn wit dεn kin kכmכn pas כl, bכt di nyural tyub dεfεkt εn כda abnכmal tin dεm kin apin bak.
• Fetal macrosomia: dis na we di pikin we dεn bכn we i pas 9 paund εn 15 כns. we yu bכn big pikin, i kin mek yu εn yu pikin injuri we yu de bכn.
• Polyhydramnios: dis na di inkris we di amniotic fluid de insay di amniotic sak. Dis kin mek dɛn bɔn pikin bifo tɛm ɛn bɔn pikin we dɔn day.
• Di pikin we dɛn bɔn bifo tɛm:If kɔmplikeshɔn kam, yu de pan ay risk fɔ bɔn pikin bifo tɛm, bikɔs yu dɔktɔ kin disayd se fɔ bɔn pikin na di bɛst we fɔ du am ivin if yu nɔ rich di ful tɛm.
• We yu bɔn pikin we dɔn day: If yu dɔn gɛt dayabitis we yu gɛt bɛlɛ bifo dat, dat kin mek yu bɔn pikin we dɔn day.

Afta dɛn bɔn yu pikin, yu pikin kin gɛt sɔm kayn wɛlbɔdi prɔblɛm dɛn bak. Pan ɔl we bɔku pipul dɛn we gɛt dayabitis kin bɔn pikin dɛn we gɛt wɛlbɔdi, dɛn kin gɛt dɛn tin ya smɔl:

• Di blɔd shuga lɛvɛl smɔl afta dɛn bɔn am
• I nɔ izi fɔ blo
• Jandis we gɛt di sik

If yu pikin gɛt ɛni wan pan dɛn prɔblɛm ya, dɛn kin nid fɔ trit am na di NICU ( neonatal intensive care unit).

Bebi dɛn we pipul dɛn we gɛt dayabitis bɔn kin fat bak we dɛn dɔn day.

Kɔmplikɛshɔn dɛn we kin afɛkt yu

If yu gɛt dayabitis we yu gɛt bɛlɛ, dat kin mek yu gɛt mɔ prɔblɛm fɔ:

• Prieklampsia: Prieklampsia na wan sik we de sho se yu gɛt ay blɔd prɛshɔn ɛn prɔtin we de na di urine. Dayabitis na big tin we kin mek pɔsin gɛt prɛeklampsia. Fɔ ridyus di risk fɔ gɛt prɛeklampsia, yu dɔktɔ kin se yu fɔ tek smɔl smɔl aspirin afta 12 wiks we yu gɛt bɛlɛ.
• Nid fɔ sizarian sɛkshɔn (`C-section`): di men rizin fɔ dis na di risk fɔ mek di pikin tu big we dɛn bɔn am.
• Lɔw blɔd shuga: Bikɔs yu de tray fɔ kip yu blɔd shuga lɛvɛl na smɔl say, yu de pan risk fɔ gɛt bɔku bɔku blɔd shuga lɛvɛl ɛn/ɔ siriɔs lɔw blɔd shuga.
• Dayabitis-rilayt ketoacidosis (DKA): Yu de pan ay risk fɔ gɛt DKA we yu gɛt bɛlɛ bikɔs di insulin rɛsistɛns de go ɔp. Vɔmit bikɔs ɔf mɔnin sik kin ɛp bak fɔ gɛt DKA.
• Di prɔblɛm dɛn we kin apin we pɔsin gɛt dayabitis: We uman gɛt bɛlɛ, i kin mek i wɔs ɔ i kin mek i gɛt nyu prɔblɛm dɛn we gɛt fɔ du wit dayabitis (lɛk retinopathy, nephropathy, ɛn neuropathy).

Aw dayabitis kin afɛkt di pikin we i de bɔn ɛn di pikin we i de bɔn?

bכku tεm, dכkta dεm kin rεkכmand fכ plan indukshכn (`scheduled induction`) fכ bεlε uman dεm we gεt dayabitis. di tεm we dεn rεkomεnd fכ indukshכn dipכnt pan sεvεra tin dεm, bכt i kin apin na כ bifo 39 wiks we di bεlε de. Ɔlman ɛn ɛvri bɛlɛ difrɛn. Yu ɛn yu dɔktɔ go disayd togɛda wetin bɛtɛ fɔ yu.

biכs fכ di כmon εn fכshal chenj dεm we yu de bכn, yu bכdi shuga lεvεl kin go כp כ dכn – i at fכ se fכ sכri. Dipen pan yu dɔktɔ ɛn ɔspitul polisi, yu kin ebul fɔ manej yusɛf wit insulin pɔmp ɔ injɛkshɔn we yu de bɔn ɛn bɔn, ɔ yu kin nid fɔ tek IV insulin drip.

afta dεn dכn pul di plasεnta, di insulin we yu nid go dכn bכku bכku wan – כltεm to di sem lεvεl we yu bin gεt bifo yu bεlε כ ivin lכs. Tɔk to yu dɔktɔ bɔt aw fɔ mek plan fɔ ri-adjɔst yu dayabitis mɛnejɛmɛnt plan afta yu bɔn.

Aw a kin bia wit di chenj dɛn we kin kam wit dayabitis ɛn bɛlɛ?

Dayabitis ɛn bɛlɛ kin briŋ nyu prɔblɛm dɛn. Yu bɛlɛ kin difrɛn pas aw yu bin de tink, ɛn yu kin gɛt kwɛstyɔn bɔt yu plan fɔ mɛn yu sik. Pan ɔl we ɔlman in joyn difrɛn, ɛnibɔdi we gɛt dayabitis kin fala dɛn advays ya fɔ mek dɛn ɛkspiriɛns gɛt wɛlbɔdi as i pɔsibul we dɛn gɛt bɛlɛ:

• Chek yu blɔd shuga lɛvɛl ɔltɛm (as yu dɔktɔ tɛl yu).
• Kip yu blɔd shuga lɛvɛl insay di target rɛnj.
• Fɔ fala wetin yu dɔktɔ tɛl yu bɔt insulin, mɛrɛsin, ɛn ɔda tritmɛnt dɛn.
• Atɛnd yu prɛnatal klinik apɔntin ɛn chɛk-ap.
• Stay fɔ du tin wit yu bɔdi. Tɔk to yu dɔktɔ bɔt yu aktiviti lɛvɛl ɛn if yu nid fɔ chenj am.
• It it dɛn we gɛt wɛlbɔdi, we balans ɛn snek dɛn.
• Nɔ drink tin dɛn we gɛt rɔm ɛn tin dɛn we dɛn mek wit tabak.
• Tek kia ɔf yu maynd wɛlbɔdi. Na nɔmal tin fɔ fil strɛs insay dis tɛm. Nɔ fred fɔ tɔk bɔt am ɛn aks fɔ ɛp.

Ustɛm a fɔ go to mi dɔktɔ?

If yu gɛt dayabitis ɛn yu notis ɛni wan pan dɛn tin ya, tɔk to di pɔsin we de kia fɔ yu bifo yu bɔn:

• If yu nɔ ebul fɔ kip yu blɔd shuga lɛvɛl na di target rɛnj pan ɔl we yu de tray tranga wan. (If i tu smɔl ɔ i tu ay.)
• If yu blɔd shuga lɛvɛl go ɔp ɔ chenj wantɛm wantɛm fɔ rizin dɛn we yu nɔ ɔndastand.
• If yu fil se di pikin we de insay di pikin de muv smɔl.
• If yu gɛt ɛni wata ɔ blɔd we de kɔmɔt na yu vagina.
• If yu nɔ de si fayn ɔ yu tɔsti pasmak.
• I fayn if yu de vɔmit, i fayn if yu nɔ ebul fɔ kip it ɛn drink dɔŋ.

Mɛmba se, i bɛtɛ ɔltɛm fɔ de sef pas fɔ sɔri ɛn aks kwɛstyɔn. Apat frɔm we yu de wɔri bɔt bɛlɛ, fɔ wɔri bɔt aw fɔ kɔntrol dayabitis kin mek yu strɛs. Nɔ sɛkɔn-gɛs yu filin ɔ ignore am – tɔk to yu dɔktɔ fɔ gayd yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt dayabitis ɛn yu gɛt bɛlɛ, yu kin aks yu dɔktɔ bɔt dɛn tin ya:

• Aw ɔltɛm a fɔ chɛk di shuga we a gɛt na mi blɔd?
• Wetin fɔ bi mi target rɛnj?
• Us kɔmplikeshɔn dɛn kin apin if dɛn nɔ kip di blɔd shuga lɛvɛl insay di say we dɛn want fɔ du am?
• A go nid fɔ chenj di insulin we a de yuz?
• A fɔ stɔp ɔ bigin fɔ tek ɔda mɛrɛsin dɛn?
• Yu kin se yu fɔ chenj di we aw yu de liv yu layf?
• Aw ɔltɛm a go gɛt fɔ kam fɔ fala mi?
• A go gɛt fɔ gɛt indukshɔn kwik kwik wan?

Pipul dɛm wae gɛt Tayp 1 dayabitis kin gɛt wɛl bɔdi pikin dɛm?

Yɛs, bɔku pipul dɛn we gɛt Tayp 1 dayabitis (ɛn Tayp 2 dayabitis) kin gɛt pikin dɛn we gɛt wɛlbɔdi. Fɔ manej yu blɔd shuga lɛvɛl ɛn fɔ kɔntinyu fɔ tɔk to yu mɛdikal tim na di men tin dɛn we go mek yu gɛt wɛlbɔdi bɛlɛ.

Fɔ kɔntrol dayabitis we uman gɛt bɛlɛ kin tranga mɔ, ivin fɔ di wan dɛn we dɔn liv wit dayabitis fɔ bɔku bɔku ia. Fɔ kip yu blɔd shuga lɛvɛl na di wɛlbɔdi rɛnj we yu gɛt bɛlɛ kin mek yu maynd ɛn bɔdi wok tranga. Bɔt if yu gɛt di rayt sɔpɔt sistɛm ɛn yu gɛt plan fɔ mɛn yu sik, yu kin ebul fɔ win di prɔblɛm dɛn we dayabitis kin kam wit we yu gɛt bɛlɛ.

Kɔntinyu fɔ tɔk to yu mɛdikal tim. Tɛl dɛn we yu de fil bad. tru ɔl dis, fכkus pan di layt we de na di εnd pan di tכnel – mit yu pikin.

Wan las mɛsej we pɔsin kin kɛr go na os

Okay, so frɔm wetin wi dɔn tɔk bɔt, yu fɔ klia bɔt fɔ gɛt bɛlɛ wit dayabitis. No rizin nɔ de fɔ mek yu fred, bɔt yu fɔ tek tɛm.

• Plan bifo tɛm: If yu de tink bɔt fɔ bɔn pikin, go to dɔktɔ sɔm mɔnt bifo tɛm.
• Blɔd shuga kɔntrol: Tray yu bɛst fɔ kip yu blɔd shuga lɛvɛl insay di gol dɛn we yu dɔktɔ dɔn sɛt fɔ yu ɔl di tɛm we yu gɛt bɛlɛ. Tin dɛm lɛk `CGM` kin ɛp wit dis.
• Wok togɛda wit di mɛdikal tim: tɔk to dɛn ɔltɛm, aks kwɛstyɔn, ɛn tɛl dɛn aw yu de fil.
• Fɔ liv fayn layf: Fɔ it gud it, fɔ du ɛksɛsayz if nid de (as dɔktɔ tɛl yu fɔ du am), ɛn fɔ gɛt wɛlbɔdi na yu maynd rili impɔtant.

Mɛmba se ilɛksɛf yu gɛt dayabitis, if yu de kia fɔ yu fayn fayn wan ɛn di dɔktɔ de kia fɔ yu, yusɛf kin briŋ pikin we gɛt wɛlbɔdi ɛn gladi at na dis wɔl. Mek yu gɛt di trɛnk ɛn maynd we yu nid fɔ du dat!

` Dayabitis, bɛlɛ, blɔd shuga, insulin, bɔn pikin, kɔmplikeshɔn, wɛlbɔdi pikin