Yu kin fil taya ɔltɛm? Yu gɛt mɔt we dɔn dray? Ɔ yu nid fɔ pis ɔltɛm? Dɛn tin ya kin bi kɔmɔn sayn dɛm fɔ gɛt dayabitis. Tide, wi go tɔk bɔt dis sik we dɛn kɔl Dayabitis, we bɔku pipul dɛn kin fred, aw fɔ no bɔt am, ɛn aw fɔ trit am na simpul we we yu go ɔndastand.
Aw a go no if a gɛt dayabitis?
If yu gɛt tin dɛn we kin mek yu gɛt dayabitis, ɔ if yu urine sho se yu gɛt bɔku shuga, yu dɔktɔ go tink se yu gɛt dayabitis. Fɔ tɔk am simpul wan, if di ɔmon we di pankrias de mek na wi bɔdi go dɔŋ (Type 1 diabetes) ɔ if di bɔdi nɔ de ansa fayn to insulin (Type 2 diabetes), di lɛvɛl we di shuga de na di blɔd, dat na di glukɔs na di blɔd, go go ɔp.
Bɔku men tɛst dɛn de fɔ no if pɔsin gɛt di sik. Bɔku tɛm, if di dɔktɔ si se wan tɛst valyu ay, i go advays fɔ ripit di tɛst fɔ kɔnfirm am.
| Nem fɔ di tɛst | Aw fɔ du am | Di lɛvɛl we pɔsin kin sɔprayz fɔ gɛt dayabitis |
|---|---|---|
| Blɔd Shuga we yu de fast (FBS) . | Fɔ chɛk di blɔd shuga lɛvɛl na mɔnin bifo yu it ɛnitin. | If 126 mg/dL ɔ pas dat. |
| Ɔral Glukɔs Tolɛreshɔn Tɛst (OGTT) . | Drink drink we gɛt glukɔs ɛn chɛk yu blɔd shuga ɛvri 30-60 minit fɔ te 3 awa. | If 200 mg/dL ɔ pas dat afta 2 awa. |
| HbA1c Tɛst (A1c Tɛst) . | Wan simpul blɔd tɛst we de sho yu avɛrej blɔd shuga lɛvɛl fɔ di pas 2-3 mɔnt. | If 6.5% ɔ mɔ. |
Apat frɔm dat, sɔntɛnde yu dɔktɔ kin ɔda fɔ du tɛst bak we dɛn kɔl Zinc Transporter 8 Autoantibody (ZnT8Ab). Dis blɔd tɛst kin ɛp fɔ no if pɔsin gɛt Tayp 1 dayabitis ɔ ɔda kayn sik. If yu no di sik kwik ɛn kɔrɛkt wan, yu kin bigin di rayt tritmɛnt kwik kwik wan.
Wetin na di tritmɛnt fɔ dayabitis?
Dayabitis nɔto sik we yu kin trit fɔ yusɛf. Na siriɔs sik we pɔsin kin gɛt. So, i impɔtant fɔ mek dɛn mek wan tritmɛnt plan ɔnda dɔktɔ in sɔpɔtishɔn.
Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu ɛn we yu go ɔndastand. Yu kin nid ɔda pipul dɛn we de wok fɔ yu wɛlbɔdi biznɛs fɔ ɛp yu we yu de go. Fɔ ɛgzampul, yu kin nid fɔ ɛp yu frɔm fut dɔktɔ, pɔsin we sabi bɔt it, dɔktɔ we de mɛn yu yay, ɛn dɔktɔ we de mɛn yu ɛndɔkrin.
Di men tin we yu fɔ du fɔ trit dayabitis na fɔ tek mɛrɛsin, ɛksesaiz, ɛn it fɔ mek yu blɔd shuga nɔ rich di say we yu dɔktɔ dɔn tɛl yu. If yu pe atɛnshɔn to wetin yu de it ɛn we yu de it, yu kin mek di shuga we de na yu blɔd go ɔp wantɛm wantɛm (di seesaw effect). Dis kin ɛp fɔ ridyus di nid fɔ ajɔst yu mɛrɛsin, mɔ di insulin doz, ɔltɛm we nid de.
Drugs fɔ Dayabitis
Tritmɛnt fɔ Tayp 1 Dayabitis
If yu gɛt Tayp 1 dayabitis, yu pankrias nɔ de mek di insulin we yu nid fɔ mek yu gɛt ɛnaji igen. So yu fɔ gɛt insulin frɔm ɔdasay, ilɛksɛf na injɛkshɔn ɔ insulin pɔmp . Pan ɔl we fɔ gi yusɛf injɛkshɔn kin tan lɛk se yu de fred smɔl fɔs, i nɔ kin at lɛk aw yu kin tink.
Sɔm pipul dɛn kin yuz kɔmpyuta tin we dɛn kɔl insulin pɔmp, we kin pul insulin insay di bɔdi di rayt tɛm ɛn di rayt we.
Bɔku kayn insulin de we dɛn de yuz naw.
| Tayp fɔ insulin | Tɔk bɔt |
|---|---|
| I de du tin kwik kwik wan | I kin tek ɛfɛkt insay sɔm minit ɛn i kin las fɔ 2-4 awa. |
| Short-term (Rɛgyula ɔ Short-acting) . | I kin tek ɛfɛkt insay 30 minit ɛn i kin las fɔ 3-6 awa. |
| Intɛrmɛdiet-aktin | I kin tek ɛfɛkt insay 1-2 awa ɛn i kin las te to 18 awa. |
| I de du tin fɔ lɔng tɛm | I kin tek ɛfɛkt insay 1-2 awa ɛn i kin las fɔ pas 24 awa. |
| Ultra-lɔng-akt we de akt | I kin tek ɛfɛkt insay 1-2 awa ɛn i kin las te to 42 awa. |
Tritmɛnt fɔ Tayp 2 Dayabitis
Sɔm pipul dɛm wae gɛt tayp 2 dayabitis kin kɔntrol dɛn sik wit it ɛn ɛksesaiz nɔmɔ. Ɔda wan dɛn nid pils ɔ insulin injɛkshɔn. Dɛn mɛrɛsin ya kin wok difrɛn we fɔ mek di blɔd shuga kam bak to nɔmal.
- Mεdikeshכn dεm we de mek di pankrias prodyuz insulin bכku: εgzampl: glimepiride, glipizide, glyburide.
- Mεdisin dεm we de ridyus di abzכpshכn fכ shuga frכm it: εgzampl: acarbose (Precose).
- Mεdikeshכn dεm we de impruv aw di bכdi de yuz insulin: εgzampl: pioglitazone (Actos).
- Mεdikeshכn dεm we de ridyus di shuga we di liva de mek εn we de ridyus insulin rεsistεns: εgzampl: mεtformin (Glucophage). Metformin de ɛp bak fɔ kɔntrol shuga bikɔs i de ɛp fɔ mek yu nɔ gɛt bɔku bɔku bɔdi.
- mεdikeshכn dεm we de blכk di riabsכpshכn fכ di shuga bay di kidni dεm εn inkrεs di εkskrεshכn fכ am na di urine (SGLT2 inhibito dεm): εgzampl: canagliflozin (Invokana), dapagliflozin (Farxiga). Dɛn tin ya gɛt ɔda bɛnifit dɛn bak lɛk fɔ lɛf fɔ it bɔku bɔku it ɛn fɔ mek yu nɔ gɛt at sik.
Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin we yu dɔktɔ gi yu, insay di rayt doz, di rayt tɛm . Nɔ ɛva yuz ɔda pɔsin in mɛrɛsin ɔ stɔp fɔ tek am we yu nɔ go to dɔktɔ.
Wetin fɔ bi di it fɔ gɛt dayabitis?
Fɔ it fayn fayn tin dɛn rili impɔtant fɔ pɔsin we gɛt dayabitis. So tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt it fɔ mek wan it plan we go fayn fɔ yu.
- Di it ɛn di tɛm we yu fɔ it: If yu gɛt tayp 1 dayabitis, di kayn insulin we yu go tek go dipen pan di tin dɛn we yu de du ɛn di it we yu de it. So wetin yu de it, ɔmɔs yu de it, ɛn ustɛm yu de it impɔtant jɔs lɛk dat. Bɔku tɛm, i kin fayn fɔ it tri men it dɛn ɛn tri ɔ 4 snek dɛn.
- Di plet rul: Tray fɔ ful-ɔp af pan yu plet wit vɛjitebul dɛn we nɔ gɛt bɔku stach (e.g. brɔkoli, karɔt, kɔkumba, kabij, tomato, bins).
- Yu fɔ tink bɔt di kabɔhaydrɛt: Fɔ no ɔmɔs kabɔhaydrɛt yu nid ɛn ɔmɔs yu de it rili impɔtant fɔ kɔntrol di blɔd shuga. Pik ɔl grens (e.g., brawn rays, brawn rays, ɔts, bali).
- Fat ɛn prɔtin: Ridyus di sɛtyuret fat. Ɛliminet di trans fat dɛn kpatakpata. Pik mit dɛn we nɔ gɛt bɛtɛ fat, fish, nɛt, ɛn tin dɛn we dɛn mek wit milk we nɔ gɛt bɔku fat.
Di impɔtant tin fɔ du ɛksɛsayz
Ɛksesaiz na ɔda impɔtant tin fɔ mɛn dayabitis. Bɔt yu fɔ rili tɔk to yu dɔktɔ bifo yu bigin ɛni ɛksesaiz program . Ɛksesaiz kin mek yu bɔdi yuz insulin fayn ɛn i kin mek yu blɔd shuga go dɔŋ.
- Wach fɔ di haypoglycemia: Chɛk yu blɔd shuga lɛvɛl lɛk af awa bifo yu du ɛksɛsayz ɛn it smɔl snek we gɛt kabɔhaydrɛt if nid de. If yu gɛt sayn dɛn we de sho se yu blɔd shuga nɔ bɔku (diziz, swet, shek) we yu de du ɛksɛsayz, stɔp fɔ du ɛksɛsayz ɛn it sɔntin we swit wantɛm wantɛm (e.g. wan spunful shuga, sɔm glukɔs).
- Aw bɔku ɛksɛsayz yu fɔ du?: I fayn fɔ du fɔ at le 150 minit fɔ du mɔdaret aerobic ɛksɛsayz, lɛk fɔ waka kwik kwik wan, insay di wik. Start smɔl ɛn smɔl smɔl fɔ mek di tɛm bɔku.
Dɛn chenj ya we pɔsin kin chenj in layf na sɔntin we pɔsin fɔ du.
Nɔ smok.
Lɛf dis abit tide. If yu de smok, i go at fɔ kɔntrol di shuga we yu gɛt na yu blɔd. Ɛn yu risk fɔ gɛt prɔblɛm dɛn frɔm dayabitis (at sik, kidni sik, nerve damej, blayndnɛs) bɔku pasmak.
Nɔ stɔp fɔ drink rɔm.
If yu tek insulin ɔ sɔm dayabitis pils, fɔ drink rɔm kin mek yu blɔd shuga go dɔŋ bad bad wan. Dis na bikɔs we yu de drink rɔm, yu liva de wok fɔ pul di rɔm instead fɔ kɔntrol yu blɔd shuga.
Ridyus strɛs.
Stret kin mek yu blɔd shuga go ɔp, so fɛn we fɔ rilaks. Tin dɛn lɛk fɔ tink gud wan, fɔ du yoga, ɛn fɔ spɛn tɛm wit yu padi dɛn kin ɛp.
Tek kia ɔf yu tit ɛn yu gɔm.
Dayabitis kin mek yu gɛt mɔ sik na yu gɔm, so brus ɛn yuz flos yu tit fayn fayn wan ɛvride.
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we dayabitis na siriɔs sik, if dɛn mɛn am fayn, i pɔsibul fɔ liv nɔmal layf.
- Fɔ fala yu dɔktɔ in tritmɛnt plan di rayt we. Nɔ ɛva chenj ɔ stɔp yu mɛrɛsin fɔ yusɛf.
- Di tri pila dɛm fɔ it, ɛksesaiz, ɛn mɛrɛsin na di fawndeshɔn fɔ mɛn dayabitis.
- I rili impɔtant fɔ chɛk yu blɔd shuga ɔltɛm.
- Nɔ avɔyd bad bad abit dɛn lɛk fɔ smok ɛn fɔ drink rɔm pasmak.
- Mek shɔ se yu go to yu dɔktɔ bifo yu yuz ɛni ɔda tritmɛnt ɔ sɔpɔtmɛnt.
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