Lɛ wi lan ɔltin bɔt Dayabitis Mɛlitɔs simpul wan ɛn kɔrɛkt wan!

Dayabitis na sik we bɔku pipul dɛn de tɔk bɔt tide, ɛn sɔntɛm i kin ivin mek yu fred smɔl na yu maynd. Sɔm pipul dɛn kin kɔl am bak ‘shuga sik’. Wetin rili na dayabitis? Lɛ wi tɔk bɔt am klia wan, di we we yu go ɔndastand. Nɔ fred, wans yu ɔndastand am fayn, fɔ manej am nɔto big tin.

Fɔ tɔk am simpul wan, dayabitis na wan sik we yu blɔd shuga (ɔ glukɔs ) kin bɔku ɔltɛm. Dis kin apin bikɔs yu pankrias nɔ de mek inof pan di ɔmon insulin , ɔ bikɔs yu bɔdi in sɛl dɛn nɔ de ansa di insulin we i de mek fayn fayn wan. I kin divɛlɔp pan ɛni ej. Bɔrku kayn shuga kin de fɔ ɔl yu layf (krεse), bɔt ɔl kayn shuga kin kɔntrol am wit mɛrɛsin ɛn chenj na yu layf.

Wi bɔdi kin gɛt bɔku pan in glukɔs ɔ shuga frɔm di it dɛn we wi de it, mɔ di it dɛn we gɛt kabɔhaydrɛt (lɛk rays, bred, ɛn swit). Dis glukɔs na di men fiul we de gi ɛnaji to wi bɔdi in sɛl dɛn. I tan lɛk petrol fɔ motoka. So, dis glukכs nid fכ go insay di sεl dεm frכm di bכdi fכ mek εnεji. Tink bɔt glukɔs lɛk pɔsin we de tray fɔ go insay os, ɛn dɛn nid ki fɔ go insay da os de. Dat ki na insulin. Dis ɔmon we dɛn kɔl insulin na wi pankrias de mek am.

naw, if yu pankrias nכ mek inof fכ dis insulin ki, כ if i mek, bכt yu bכdi in sεl dεm nכ opin di do fayn fayn wan (i.e., nכ de rεspכnd to insulin fayn fayn wan), dat glukכs nכ kin go insay di sεl dεm. Dɔn ɔl da glukɔs de kin gɛda na di blɔd, ɛn di shuga we de na di blɔd kin jɔs go ɔp. Dis na wetin wi kɔl ay blɔd shuga (haypa glycemia) .

If di shuga we de na di blɔd kɔntinyu fɔ bɔku fɔ lɔng tɛm, bɔku prɔblɛm dɛn kin apin to pɔsin we gɛt wɛlbɔdi, lɛk at sik, di nerv we de pwɛl, ɛn di yay prɔblɛm.

Di mɛrɛsin nem fɔ dayabitis na Dayabitis Mɛlitɔs . Wan ɔda sik de we gɛt di wɔd ‘dayabitis’ insay, we dɛn kɔl Dayabitis Insipidus . Bɔt i rili difrɛn frɔm di dayabitis we wi de tɔk bɔt. Dɛn dɔn gi dɛn ɔl tu di nem ‘dayabitis’ bikɔs dɛn ɔl tu kin mek dɛn tɔsti pasmak ɛn dɛn kin pis bɔku tɛm. Bɔt, Dayabitis Insipidus nɔ kin bɔku.

Di Kɔmɔn Tayp dɛn fɔ Dayabitis

Okay, naw lɛ wi luk di men kayn dayabitis. Sɔntɛm yu dɔn yɛri bɔt dɛn nem dɛn ya.

Tayp 2 Dayabitis

Dis na di kayn sik we dɛn kin gɛt pas ɔl. I kin apin we yu bɔdi nɔ de mek insulin, ɔ yu bɔdi in sɛl dɛn nɔ de ansa insulin fayn. Dɛn kɔl dis insulin rɛsistɛns.Imajin se yu gɛt di ki, bɔt di domɔt lɔk dɔn rɔsti ɛn i nɔ de wok fayn. Dis kin apin mɔ to big pipul dɛm, bɔt sɔmtɛm i kin apin to yɔŋ pikin dɛm bak.

Prediabetes we yu gɛt

Dis na rili wan stej bifo di divεlכpmεnt fכ Tayp 2 Dayabitis. Yu blɔd shuga lɛvɛl pas aw i fɔ bi, bɔt nɔto ay fɔ mek dɛn no se yu gɛt Tayp 2 Dayabitis. I tan lɛk yɔlɔ layt, we na sayn we de wɔn pipul dɛn . If yu manej am fayn fayn wan na dis stej, yu kin mek yu nɔr gɛt ɔr delay fɔ gɛt Tayp 2 Dayabitis.

Tayp 1 Dayabitis

Dis na sik we pɔsin kin gɛt we i de fɛt insɛf . Dat min se yu yon bɔdi in imyun sistɛm, fɔ sɔm rizin we wi nɔ no, de atak ɛn pwɛl di sɛl dɛn we de mek insulin na yu pankrias. I tan lɛk se wi yon ami de atak wi yon kamp. Na lɛk 10% pan di pipul dɛm wae gɛt shuga gɛt dis kayn. Bɔrku tɛm, dɛn kin no am pan pikin ɛn yɔŋ pipul dɛm, bɔt i kin kam pan ɛni ej.

Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ

Dis na wan kayn dayabitis we sɔm uman dɛn kin gɛt we dɛn gɛt bɛlɛ. Bɔku tɛm i kin go afta dɛn bɔn di pikin. Bɔt if yu gɛt dayabitis we yu gɛt bɛlɛ, yu go gɛt Tayp 2 Dayabitis leta we yu dɔn day.

Ɔda Tayp dɛn fɔ Dayabitis

Apat frɔm dɛn men kayn sik ya, sɔm ɔda kayn dayabitis de. Dɛn nɔ kin bɔku smɔl, bɔt i fayn fɔ no bɔt dɛn.

• Tayp 3c Dayabitis: Dis kin apin we damej (nɔto ɔtoimyun damej) de pan yu pankrias, we kin afɛkt di ebul we i ebul fɔ mek insulin. Fɔ ɛgzampul, sik dɛn lɛk pankrias, pankrias kansa, sistik fibrosis, ɛn ɛmokromatosis kin mek dis sik. Dis kayn dayabitis kin apin bak if dɛn du ɔpreshɔn fɔ pul di pankrias (pancreatectomy).
• Latent Autoimmune Diabetes in Adults (LADA): Dis kin kam bak bikɔs ɔf wan ɔtoimyun riakshɔn, lɛk Tayp 1 Dayabitis, bɔt i kin kam pan pipul dɛn we dɔn ol pas Tayp 1. Pipul dɛn we dɛn kin no se gɛt LADA kin pas 30 ia.
• Maturity-Onset Diabetes of the Young (MODY): Dɛn kin kɔl dis bak monojenik dayabitis . Na wan jenɛtik muteshɔn we kin pas to jɛnɛreshɔn dɛn kin mek am. Dis mכtεshכn de afekt di we aw yu bכdi de mek εn yuz insulin. I pas 10 kayn MODY. Na lɛk 5% pan di pipul dɛm wae gɛt shuga kin gɛt dis kayn, ɛn bɔrku tɛm i kin rɔn na famili.
• Nyu bɔn pikin dɛn we gɛt dayabitis:Dis na wan kayn dayabitis we nɔ kin apin so ɔltɛm we kin kam pan yɔŋ pikin dɛn insay di fɔs siks mɔnt we dɛn de liv. Dis na wan kayn dayabitis bak we gɛt wan bɔdi.
• Brittle Diabetes: Dis na wan kayn bad bad sik wae de kam wit Tayp 1 Dayabitis. I kin bi se i kin gɛt bɔku bɔku blɔd shuga ɛn di blɔd shuga we nɔ kin bɔku.

Aw Kɔmɔn Na Dayabitis?

Dayabitis na rili sik we bɔku pipul dɛn kin gɛt pas aw yu go tink. Bɔku bɔku pipul dɛn ɔlsay na di wɔl gɛt dayabitis. Tayp 2 Dayabitis na di kayn sik we dɛn kin gɛt pas ɔl. Statistikin sho se di nɔmba fɔ pipul dɛn we gɛt dayabitis de bɔku na wi kɔntri bak. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt shuga? (Wetin na di Simptom dɛm fɔ Dayabitis?)

De sayn dɛm fɔ gɛt shuga kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn dɛn kin difrɛn bak fɔ di kayn shuga sik. Bɔt sɔm kɔmɔn sayn dɛn de we yu kin gɛt. If yu gɛt ɛni wan pan dɛn tin ya, i go fayn fɔ mek yu go to dɔktɔ fɔ advays yu.

Di sayn dɛn we kin apin:

• Fɔ tɔsti pasmak bɔku tɛm (polydipsia) ɛn yu mɔt kin dray.
• Yu nid fɔ pis bɔku tɛm (espɛshali na nɛt) .
• Taya pasmak ɛn taya pan ɔl we yu de slip fayn.
• Di vishɔn we nɔ klia.
• We yu nɔr ɛksplen to yu wet (espɛshali pan tayp 1 dayabitis) .
• Di an ɛn fut dɛn we nɔ gɛt bɛtɛ trɛnk ɔ we de swɛt.
• Wund dɛn kin tek tɛm fɔ wɛl.
• Yist infεkshכn dεm we de fכm na di skin εn/כ vagina.

Impɔtant: If yu ɔ yu pikin gɛt dɛn sik ya, mek shɔ se yu go to dɔktɔ.

Naw lɛ wi si aw de sik kin difrɛn difrɛn wan fɔ di kayn shuga sik:

Di sayn dɛm fɔ Tayp 1 Dayabitis:

Di sayn dɛm fɔ Tayp 1 Dayabitis kin apin kwik kwik wan, fɔ sɔm wik ɔr mɔnt. Sɔntɛnde, di sayn dɛm kin bigin wit sayn dɛm fɔ wan denja kɔmplikeshɔn we dɛn kɔl Dayabitis-rilayt Kɛtoacidosis (DKA) . DKA na wan sik we de mek pɔsin in layf de pan denja ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm. Di sayn dɛm fɔ DKA na fɔ vɔmit, bɛlɛ de pen, frut smel to di briz, ɛn i nɔ izi fɔ blo.

Di sayn dɛm fɔ Tayp 2 Dayabitis ɛn Prediabetes:

Na dɛn kayn tin ya, yu nɔ go gɛt ɛni sayn atɔl. Ɔ yu nɔ go notis dɛn bikɔs di sayn dɛn kin kam sloslo. Sɔntɛnde, if yu du simpul blɔd tɛst, yu go si se yu blɔd shuga bɔku. Wan ɔda sayn fɔ prediabetes na we di skin de dak na sɔm say dɛn na yu bɔdi (lɛk yu nɛk ɛn yu armpit). Dɛn kɔl dis acanthosis nigricans .

Di sayn dɛm fɔ Gestational Dayabitis:

Yu nɔ kin notis di sayn dɛm fɔ gestational dayabitis we yu gɛt bɛlɛ. yu dכkta go tεst yu fכ am bitwin 24 εn 28 wiks we yu bεlε.

Wetin kin mek pɔsin gɛt Dayabitis?

I nɔ mata us kayn dayabitis yu gɛt, dayabitis kin apin we yu blɔd glukɔs tu bɔku. Bɔt di tin we kin mek pɔsin gɛt dis ay blɔd shuga kin difrɛn difrɛn wan bay di kayn dayabitis.

Na di men rizin dɛn ya:

• Insulin Resistance: Dis na di men tin we kin mek pɔsin gɛt Tayp 2 Dayabitis. I kin kam bikɔs i fat, i nɔ de du ɛksɛsayz, i nɔ de it fayn, i nɔ de balans di ɔmon, i gɛt di tin dɛn we i gɛt fɔ du wit in jɛnɛtiks, ɛn sɔm mɛrɛsin dɛn.
• Awtoimyun Sik: Tayp 1 Dayabitis ɛn LADA kin apin we yu yon imyun sistɛm atak di sɛl dɛn we de mek insulin na yu pankrias.
• di כmon dεm we nכ de balans: we uman bεlε, di כmon dεm we di plasεnta de kכmכt kin mek di insulin rεsistεns. Dɔn bak, ɔda sik dɛn we gɛt fɔ du wit ɔmon lɛk akromegaly ɛn Cushing’s syndrome kin mek pɔsin gɛt dayabitis.
• Pankrias Damej: Di pankrias we de pwɛl di bɔdi kin afɛkt di we aw i ebul fɔ mek insulin, we kin mek i gɛt Tayp 3c Dayabitis.
• Jεnεtik Mכtεshכn: Sכm jεnεtik mכtεshכn kin mek MODY εn nyu bכbi dayabεtis.

If yu yuz sɔm mɛrɛsin fɔ lɔng tɛm (e.g., mɛrɛsin fɔ HIV/AIDS, kɔtikosterɔyd) kin mek yu gɛt dayabitis bak.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt dayabitis? (Wetin na di Kɔmplikɛshɔn dɛm wae kin kam wit Dayabitis?)

If dɛn nɔ kɔntrol dayabitis fayn fayn wan, bɔku akyu ɛn lɔng tɛm prɔblɛm dɛn kin apin.

Akyu kɔmplikɛshɔn dɛn we kin kam wit dayabitis:

Dɛn tin ya kin mek pɔsin in layf de pan denja ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm:

• Hyperosmolar Hyperglycemic State (HHS): Di blɔd shuga lɛvɛl kin rili ay, we kin mek yu nɔ gɛt wata bad bad wan ɛn yu kin kɔnfyus.
• Dayabitis-rilayt Ketoacidosis (DKA): We di bɔdi nɔ gɛt insulin, dɛn kin bɔn di fat fɔ mek ketɔn, we kin mek di blɔd gɛt asid.
• Siviɔs haypoglycemia: Na di blɔd shuga lɛvɛl we rili smɔl. Kɔmɔn fɔ pipul dɛn we de tek insulin. I kin nid fɔ gɛt tritmɛnt fɔ glukagon wantɛm wantɛm.

Di prɔblɛm dɛn we kin apin we pɔsin gɛt dayabitis fɔ lɔng tɛm:

If di blɔd shuga de ɔp fɔ lɔng tɛm, di blɔd vesel ɛn nerv dɛn kin pwɛl.

• Prɔblɛm dɛn we de na di at ɛn di blɔd: Koronari at sik, at atak, strok, atrɔsklɛrosis.
• Nεv dεm we dεn dכn pwεl (Nyuropati): yu de sכmtεm sכmtεm, yu de fil pen.
• Nɛfrɔpati: Kidni nɔ de wok fayn.
• Ay sik (Retinopathy): blayndnɛs.
• Prɔblɛm wit fut we gɛt fɔ du wit dayabitis, infɛkshɔn na in skin, ɛn we dɛn kɔt dɛn an.
• sεkswal disfכnkshכn, gastroparesis, yu nכ de yεri, כral hεlth prכblεm (e.g., periodontal sik).

Fɔ liv wit dayabitis kin afɛkt yu maynd wɛl bɔdi bak. Pipul wae gɛt dayabitis kin gɛt pwɛl hat sik .

Aw Dɛn kin no se pɔsin gɛt Dayabitis?

Dɔktɔ dɛn kin no if yu gɛt dayabitis bay we dɛn kin chɛk yu glukɔs lɛvɛl wit blɔd sɛmpul. Tri men tɛst dɛn de:

• Fastin Blɔd Glukɔs Tɛst: Na tɛst we dɛn kin du afta dɛn dɔn fast fɔ 8 awa.
• Random Blood Glucose Test: Dɛn kin du am ɛnitɛm.
• A1c test (HbA1c test): I de sho di avrej blɔd shuga lɛvɛl fɔ di pas 2-3 mɔnt.

Dɛn kin du wan ɔral glukɔs tolɛreshɔn tɛst fɔ no if pɔsin gɛt dayabitis we i gɛt bɛlɛ.

Aw Dɛn De Manej Dayabitis?

Fo men tin dɛn de fɔ mɛn di sik we dɛn kɔl dayabitis:

• Blɔd Shuga Monitoring: Dɛn kin du dis wit glukɔs mita ɔ kɔntinyu glukɔs monita (CGM).
• Oral Diabetes Medications: Mɛrɛsin dɛm lɛk Metformin, we dɛn kin gi fɔ tayp 2 dayabitis ɛn prɛdiabitis.
• Insulin: I impɔtant fɔ gɛt tayp 1 dayabitis. Sɔm tayp 2 pasɛnt dɛn bak nid am. Yu kin tek am lɛk sirinj, pen, pɔmp, ɔ insulin we yu inhal.
• Di it: Na it we gɛt wɛlbɔdiƐn fɔ kɔnt di kabɔhaydrɛt impɔtant.
• Ɛksesaiz: We yu de du ɛksɛsayz ɔltɛm, dat kin mek yu gɛt mɔ insulin.

Dɔn bak, fɔ mek yu gɛt wɛlbɔdi wet , blɔd prɛshɔn , ɛn kɔlɔstrel lɛvɛl rili impɔtant.

Prognosis fɔ Dayabitis

Di fiuja fɔ gɛt dayabitis kin dipen pan di kayn sik, aw dɛn kin mɛn am, di ej we dɛn kin gɛt we dɛn no di sik, ɔda sik dɛn, ɛn di prɔblɛm dɛn we kin apin.

Bɔt, de tin wae impɔtant pas ɔl na fɔ liv wɛl bɔdi layf wit dayabitis. Fɔ du dis, i impɔtant fɔ chenj di we aw pɔsin de liv in layf, fɔ du ɛksɛsayz ɔltɛm, fɔ kɔntrol di it we i de it, ɛn fɔ tɛst di blɔd shuga ɔltɛm.

stכdi dεm sho se fכ mεnten di A1c lεvεl dεm dכn 7% i kin ridyus di risk fכ komplikεshכn dεm.

Aw A Go Mek A Nɔ Gɛt Dayabitis?

Dɛn nɔ kin ebul fɔ stɔp di kayn dayabitis we de mek pɔsin nɔ ebul fɔ fɛt insɛf ɛn we de mek pɔsin gɛt jɛnɛtiks. Bɔt yu kin ridyus di risk fɔ gɛt prɛdiabɛtis, tayp 2 dayabitis, ɛn gestational dayabitis bay we yu du dɛn tin ya:

• It fayn it (e.g. Mɛditarenian it ).
• Bi fyzikal aktiv (at le 30 minit insay di de, 5 dez insay di wik).
• Mek yu gɛt wɛlbɔdi wet.
• Manej di strɛs.
• Limit fɔ drink rɔm.
• Gɛt inof slip.
• Lɛf fɔ smok.

Ustɛm A Fɔ Si Mi Wɛlbɔdi Prɔvayda?

If dɛn nɔ dɔn no se yu gɛt dayabitis yet, go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn fɔ dayabitis (e.g., yu tɔsti pasmak, yu de pis bɔku tɛm).

If yu gɛt shuga, go to dɔktɔ we de ɛp yu fɔ mɛn yu shuga (e.g., ɛndokrinɔlɔjis) ɔltɛm.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

We dɛn no se yu gɛt dayabitis, dat kin chenj yu layf. Bɔt dat nɔ min se yu nɔ go ebul fɔ liv fayn layf ɛn gɛt wɛlbɔdi. Fɔ mek yu ebul fɔ kɔntrol dayabitis, yu nid fɔ kɔntinyu fɔ kia ɛn pe atɛnshɔn to yu. Pan ɔl we i kin tan lɛk se i nɔ go izi fɔ yu fɔs, as tɛm de go yu go ɔndastand mɔ bɔt aw fɔ kɔntrol di sik ɛn bigin fɔ fil fayn bɔt yu bɔdi.

Mek shɔ se yu de go to yu dɔktɔ dɛn ɔltɛm. Fɔ kɔntrol dayabitis na wan tim wok we dɛn de du. Yu go nid di sɔpɔt frɔm dɔktɔ dɛn, padi dɛn, ɛn fambul dɛn. Nɔ fred fɔ aks dɛn fɔ ɛp if yu nid am. Mɛmba se nɔto yu wangren de!

` Dayabitis, shuga sik, insulin, blɔd shuga, dayabitis simptom dɛm, dayabitis mɛnejɛmɛnt, kayn shuga