Wi no gud gud wan bɔt Kɔma we gɛt fɔ du wit Dayabitis?

Yu kin mɛmba pɔsin we gɛt dayabitis, sɔntɛm yu fambul ɔ padi. Sɔntɛnde, wi dɔn yɛri bɔt dɛn kayn pipul ya kin lɔs kɔnshɛns wantɛm wantɛm, dɛn nɔ kin ebul fɔ tɔk, ɛn sɔntɛnde dɛn kin fɔdɔm. Dis na rili wan sik we rili denja ɛn we kin mek pɔsin in layf de pan denja. Na dat mek, tide wi bin tink fɔ tɔk bɔt dis sik we kin kam wit dayabitis, ɔ lɛk aw dɔktɔ dɛn kin kɔl am, `(Diabetes-Related Coma)`. We wi no dis fayn, dat go ɛp wi fɔ kia fɔ di wan dɛn we wi lɛk.

Wetin na Kɔma we gɛt fɔ du wit Dayabitis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, dayabitik kɔma na siriɔs tin we kin mek pɔsin in layf de pan denja we kin apin we di shuga na wi blɔd kin tumɔs wantɛm wantɛm (haypa glycemia) ɔ tu smɔl (haypoglycemia). "Kɔma" na wan stet we yu nɔ de no natin, lɛk we yu de slip dip, ɛn we yu nɔ ebul fɔ wek yu we yu de tɔk. Bɔt, dɛn stil de alayv pan ɔl we dɛn nɔ no natin igen. Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.

Tri men rizin dɛn de fɔ dis denja.

Tri men we dɛn de we pɔsin we gɛt dayabitis kin fɔdɔm na kɔma. Lɛ wi tek wan luk pan wetin dɛn bi:

1. Hayperosmolar Haypaglycemik Stet (HHS) .

2. Kεtoasidɔsis we gɛt fɔ du wit dayabitis (DKA) .

3. Siriɔs haypoglycemia

Naw lɛ wi tɔk bɔt ɛni wan pan dɛn tin ya smɔl mɔ, okay?

1. Wetin na di Hyperosmolar Hyperglycemic Stet (HHS)?

Dis sik wae dɛn kɔl HHS, kin bɔrku pan pipul dɛm wae gɛt Tayp 2 Dayabitis. I kin apin we yu blɔd shuga (glukɔs) lɛvɛl rili ay (bɔku tɛm pas 600 mg/dL) fɔ lɔng tɛm. Dis kin mek yu bɔdi lɔs bɔku wata, ɛn dis kin mek yu nɔ gɛt bɛtɛ wata na yu bɔdi, yu kin kɔnfyus, ɛn ɔda tin dɛn kin apin. If dɛn nɔ trit am kwik, i kin mek i go na kɔma.

2. Wetin na Dayabitis-Rɛlayt Kɛtoacidosis (DKA)?

Wan kɔndishɔn we dɛn kɔl ``DKA'' kin mek pɔsin in layf de pan denja bak. I kin afɛkt pipul dɛm wae gɛt ``Type 1 Diabetes'' (i kin afɛkt pipul dɛm wae dɔn ɔlrɛdi gɛt am, ɛn bak di wan dɛm wae nɔr no se dɛn gɛt am). Bɔt sɔmtɛm, e kin kam pan pipul dɛm wae gɛt Tayp 2 Dayabitis bak.

DKA kin apin we yu bɔdi nɔ gɛt inof insulin (we na natura ɔ we dɛn tek am na do). As yu no, insulin impɔtant fɔ mek di shuga we de na wi blɔd, we na glukɔs, go insay wi sɛl dɛn ɛn yuz am fɔ gɛt ɛnaji. So we insulin nɔ de ɔ i nɔ de, di bɔdi kin bigin fɔ brok di fat fɔ gɛt ɛnaji. We dɛn brok di fat, kemikal dɛn we dɛn kɔl ketɔn kin kɔmɔt na di blɔd.

we di amount of `(ketones)` na di bכdi fכ pכsin we gεt dayabεtis de inkrεs, di bכdi de bi `(acidic) sכmtεm.` If dεn nכ trit dis in tεm, i kin kכmכt. di blכd shuga lεvεl fכ pכsin we gεt `(DKA)` kin hכy pas 250 mg/dL. Bɔt mɛmba se di men tin we de mek `(DKA)` na we di `(insulin)` nɔ de ɛn di `(ketones)` we de go ɔp, nɔto jɔs di blɔd shuga. Sɔm pipul dɛn we gɛt dayabitis kin go tru `(DKA)` ivin if dɛn shuga pas 250 mg/dL.

3. Wetin na siriɔs haypoglycemia?

Dis na di tɔd rizin. if di bכdi shuga lεvεl dכn dכn 40 mg/dL, dεn kin kכnsida am as siriכs ``haypoglycemia`` kכndishכn. Dis kin rili denja bak fɔ layf.

yu no se di men sos fכ enεji fכ wi bכdi εn spεshal wan na di bren na `(glucose)`. So we di shuga we de na di blɔd go dɔŋ, di bɔdi nɔ kin ebul fɔ wok fayn. If di shuga lɛvɛl go dɔŋ pas 40 mg/dL, lɛk aw wi bin dɔn tɔk, yu kin gɛt chenj na yu bɔdi ɛn maynd, we kin mek yu nɔ ebul fɔ du ɛnitin. If dɛn nɔ trit dis siriɔs `(haypoglycemia)` kɔndishɔn fɔ lɔng tɛm, yu kin go na kɔma.

Dis bad bad sik wae de kam wit hapoglycemia kin bɔrku pan pipul dɛm wae de tek insulin fɔ dayabitis ɔr sɔm kayn dayabitis pils lɛk sulfonylureas.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt dayabitis kɔma? Aw wi kin no am?

Tri men tin dɛn de we pɔsin kin du we i de na kɔma:

• Nɔ no natin: I tan lɛk se yu de slip dip dip wan. I nɔ mata aw yu tɔk, i rili at, i nɔ go izi fɔ wek yu.
• Lack of eye response: Di yay dɛn kin stil lɔk. No ansa nɔ de we pɔsin opin in yay. Bɔt sɔm tɛm dɛn kin gɛt sɔm riflɛks rispɔns dɛn na di yay to tin dɛn lɛk layt.
• Lak di mכtalman rεspכns: Nɔ kכnsεns muvmεnt. כltu, sכm rεflεks muvmεnt dεm kin de.

Naw lɛ wi si wetin na di sayn dɛm we de sho bifo wi go na kɔma na di `(DKA)`, `(HHS)` ɛn siriɔs `(haypoglycemia)` kɔndishɔn dɛm we wi bin dɔn tɔk bɔt. If yu no dɛn tin ya kwik kwik wan, yu go avɔyd big aksidɛnt.

Di simptom dɛm wae de bifo kɔma na DKA:

• Nɔs ɛn vɔmit.
• Bɛlɛ de at.
• Rapid, dip brith (dכkta dεn kכl dis ``Kussmaul brith''). I kin bi insay wan ritm.
• Wan frut smel pan di briz.
• Fɔ fil se yu taya bad bad wan ɛn yu wik.
• Fɔ fil se pɔsin nɔ de tink ɔ kɔnfyus, lɛk se in maynd de ambɔg.
• Di we aw pipul dɛn kin wach dɛnsɛf igen.

Di simptom dɛm we de bifo kɔma na `(HHS)` kɔndishɔn:

• Mental chenj: kɔnfyushɔn, delirium, hallucinations.
• I tan lɛk se yu de kam lɔs kɔnshɛns.
• Dray mɔt ɛn tɔsti pasmak (polydipsia).
• Fɔ pis bɔku tɛm.
• Yu nɔ de si fayn ɔ yu nɔ de si fayn igen.
• Numbness, sɔmtɛm mɔr na wan say na di bɔdi.

Di simptom dɛm wae kin kam bifo yu kɔma wae yu gɛt siriɔs haypoglycemia na:

• Blɔr vishɔn ɔ dabl vishɔn.
• Fɔ mek wɔd dɛn miks we yu de tɔk.
• Fɔ lɛf fɔ balans ɛn fɔ gɛt prɔblɛm fɔ du tin.
• Disoriɛnteshɔn.
• Di sik we pɔsin kin gɛt kin tan lɛk pɔsin we fit.

If yu notis ɛni wan pan dɛn sayn ya, nɔ ignore dɛn. I bɛtɛ fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Wetin wi kin du if pɔrsin nɔr no natin bikɔs ɔf dayabitis? (Fɔs ɛp)

Imajin se sɔmbɔdi na yu eria kin lɔs kɔnshɛns wantɛm wantɛm bikɔs ɔf dayabitis. Sɔm tin dɛn de we yu kin du:

• Kɔl 1990 wantɛm wantɛm ɛn gɛt ambulans. If yu no se di pɔsin gɛt dayabitis, tɛl di 1990 ɔpreshɔn dat bak.
• Nɔ gi dɛn ɛnitin fɔ it ɔ drink. Dɛn bin ebul fɔ chok.
• Tek tɛm tɔn di pɔsin na in sayd so dat saliva ɔ vɔmit nɔ go blok di say we di briz de blo.
• Te di ambulans kam, fala di instrɔkshɔn dɛn we di pɔsin we de wok na di 1990 bin gi.

If dɛn du am di rayt we, dis kin rili ɛp fɔ sev da pɔsin de in layf.

Wetin mek dayabitis kin mek i nɔ ebul fɔ no natin? (Di rizin dɛn simpul)

As wi bin dɔn tɔk bifo tɛm, tri men tin dɛn de we kin mek pɔsin gɛt dayabitis kɔma, nɔto so? Dɛn na:

• Hyperosmolar haypa glycemic stet `(HHS)`.
• Dayabitik ketoasidכsis (DKA) we de mek pɔsin gɛt sik.
• Sivɛri haypoglycemia (di blɔd shuga we rili smɔl).

כl tu di HHS εn DKA na kכndishכn dεm we di bכdi in wata lεvεl dεm de dכn bכku bכku wan, we de mek di wata we de na di bכdi bכku bכku wan. Dis we aw yu nɔ gɛt wata na yu bɔdi kin mek yu go na kɔma.

na di כda say, insay siriכs haypoglycemia, di bren nכ de gεt di כmכnt כf glukכs (shuga) we i nid. Shuga impɔtant fɔ mek di bren wok fayn fayn wan. We i dɔn go, di bren "shut dɔŋ" ɛn yu kin go insay kɔma. Got dat?

Udat dɛn kin gɛt mɔ risk fɔ gɛt dayabitis kɔma?

Ɛnibɔdi we gɛt dayabitis (ivin di wan dɛn we nɔ gɛt dayabitis) de pan denja fɔ gɛt dayabitis kɔma. Bɔt dis risk kin difrɛn smɔl fɔ di kayn dayabitis:

• Pipul wae gɛt Tayp 1 Dayabitis kin gɛt bɔrku risk fɔ go na kɔma, ilɛksɛf na DKA ɔr siriɔs haypoglycemia. Dis na bikɔs pipul dɛm wae gɛt Tayp 1 Dayabitis nid insulin ɔltɛm ɛn dɛn blɔd shuga lɛvɛl kin chenj pas pipul dɛm wae gɛt Tayp 2 Dayabitis.
• Pipul wae gɛt Tayp 2 Dayabitis kin go na kɔma bikɔs ɔf HHS pas fɔ gɛt DKA ɔr siriɔs haypoglycemia.

Wetin na ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm?

Apat frɔm dɛn tin ya, sɔm ɔda tin dɛn kin mek pɔsin gɛt dayabitis kɔma:

• Fɔ gɛt ɔda sik dɛn.
• Dɛn de du ɔpreshɔn pan am.
• Injuri dɛn we pɔsin kin gɛt na in bɔdi (Trauma).
• Prɔblɛm wit di insulin delivri sistɛm (e.g., insulin pen, pɔmp nɔ de wok fayn).
• Fɔgɛt, skip, ɔ tek tumɔs insulin.
• Nɔr fɔ de manej dayabitis fayn fayn wan (e.g. nɔr de chɛk di blɔd shuga lɛvɛl ɛvride, nɔr de tek mɛrɛsin fayn fayn wan).
• `(Hypoglycemia unawareness)` (dat na fɔ nɔ no di fɔs sayn dɛm we de sho se yu blɔd shuga nɔ bɔku).
• Fɔ drink rɔm.
• Yuz drɔgs.

Aw dɔktɔ dɛn kin no kɔrɛkt wan se pɔsin gɛt dayabitis kɔma?

Dayabitik kɔma na wan mɛdikal imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan. Ɛnibɔdi we de na kɔma nid fɔ go na ɔspitul.

Bɔku tɛm, dɔktɔ dɛn kin no kwik kwik wan se yu gɛt dayabitis kɔma bay we dɛn tek yu mɛdikal histri, chɛk yu blɔd shuga lɛvɛl (blɔd glukɔs tɛst), ɛn du ɔda tɛst fɔ chɛk fɔ ketɔn ɛn yu ɔl wɛlbɔdi.

Na dat mek i impɔtant fɔ mek pipul dɛn we gɛt dayabitis wɛr mɛdikal alert breslɛt ɔ nɛks. If ɛnitin apin we nɔ izi fɔ du, dɔktɔ dɛn kin si am ɛn disayd fɔ du sɔntin kwik kwik wan. I impɔtant bak fɔ mek yu famili, padi dɛn, ɛn yu kɔmpin wokman dɛn no se yu gɛt dayabitis. Da we de, dɛn kin no wetin fɔ du we tin nɔ izi fɔ dɛn.

Aw yu kin trit pɔsin we gɛt dayabitis kɔma?

Di tritmɛnt fɔ pɔsin we gɛt dayabitis kɔma kin difrɛn difrɛn wan bay wetin mek i de , bɔt i nid fɔ de na ɔspitul ɔltɛm.

Tritmɛnt fɔ kɔma we `(DKA)` ɔ `(HHS):

• IV fluid dεm: dεn kin gi dεm fכ kכrekt dihaydreshכn εn εlektrolayt imbalans.
• Insulin: Di mɛdikal tim kin gi yu insulin ɔ tru IV ɔ as shot we dɛn kin put ɔnda yu bɔdi.
• Ɔda tritmɛnt dɛn: Dɛn kin gi yu ɔda tritmɛnt dɛn fɔ ɛp yu fɔ wɛl. Dɛn tin ya kin bi fɔ trit ɛni ɔndalayn mɛdikal kɔndishɔn ɔ infɛkshɔn we kin mek yu gɛt ay shuga na yu blɔd.

Tritmɛnt fɔ kɔma we kin kam wit siriɔs haypoglycemia:

• Imejɛnsi glukagɔn:Dis na wan sεntetik fכm fכ di כmon glukagon. Pɔsin we yu lɛk ɔ dɔktɔ kin gi am as injɛkshɔn ɔ as sprɛy na yu nos (dipen pan di kayn). sεntetik glukagon de wok bay we i de rilis di glukכs we dεn stכr na di liva, we de mek di bכdi shuga lεvεl go כp.

Di tin we impɔtant pas ɔl: Ivin if pɔsin we de nia yu gi yu `(glucagon)`, yu rili nid ɔspitul tritmɛnt. Dɛn fɔ gi yu `(glucagon)` ɛn kɔl 1990 wantɛm wantɛm.

If ɔda prɔblɛm dɛn apin, lɛk we di ɔgan dɛn nɔ wok, dɛn kin nid ɔda mɛrɛsin bak.

Wetin wi kin du fɔ mek wi nɔ gɛt dayabitis kɔma?

Fɔ mek yu nɔ gɛt dayabitis kɔma, i impɔtant fɔ no di sayn dɛm we de sho se yu gɛt ay blɔd blɔd (DKA), blɔd blɔd (HHS), ɛn blɔd blɔd. Tɔk to yu dɔktɔ bɔt us step yu kin tek fɔ trit dɛn sik ya bifo dɛn bi siriɔs.

Si dɔktɔ wantɛm wantɛm if:

• If yu blɔd shuga lɛvɛl na 300 mg/dL ɔ pas dat tu tɛm kɔnsɛkutiv fɔ no rizin.
• If yu gɛt lɔw blɔd shuga ivin (dɔwn 70 mg/dL) ɛn i nɔ kam bak to nɔmal afta yu dɔn tray fɔ trit yu tri tɛm (e.g., glukɔs tablɛt, drink we gɛt shuga), kɔl yu dɔktɔ ɔ 911 wantɛm wantɛm.

Sɔmbɔdi go ebul fɔ sev we i gɛt dayabitis kɔma? Ɛnitin de we kin ambɔg am fɔ lɔng tɛm?

Yɛs, dɛn kin avɔyd fɔ mek pɔsin nɔ gɛt dayabitis kɔma if dɛn trit di tin we mek i sik kwik kwik wan. Bɔt sɔm pipul dɛn bak kin gɛt prɔblɛm wit dɛn bren fɔ ɔltɛm. If dɛn nɔ trit am kwik ɛn fayn, i kin ivin day.

di mכtalman rεt fכ DKA de bitwin 0.2% εn 2.5%. Di wan dɛn we kin go na kɔma, we gɛt haypotɛmia, ɛn we nɔ kin gɛt bɛtɛ urine (oliguria) kin gɛt di bad tin we kin apin.

Na lɛk 20% pan di pipul dɛm wae gɛt HHS kin day bikɔs ɔf dis sik. Di wan dɛn we kin gɛt kɔma ɛn/ɔ lɔw blɔd prɛshɔn nɔ kin gɛt bɛtɛ prɔgnosis.

Aw lɔng yu kin de na kɔma we gɛt dayabitis?

De lɔng tɛm wae yu kin spɛn na kɔma wae gɛt shuga kin dipen mɔ pan aw yu kin gɛt di rayt tritmɛnt kwik kwik wan. Di onli we fɔ dɔn kɔma lɛk dis na fɔ briŋ yu blɔd glukɔs ɛn insulin lɛvɛl bak to wɛlbɔdi lɛvɛl. Dɛn kin jɔs du dis wit di ɛp we di wan dɛn we sabi bɔt mɛrɛsin kin ɛp. Pɔsin we de na kɔma wit dayabitis nɔ go gɛt kɔnshɛns bak fɔ insɛf.

If pɔsin we de na kɔma lɛk dis nɔ gɛt tritmɛnt insay di tɛm, i go mɔs bi se i go day. "In tɛm" kin difrɛn frɔm wan kes to ɔda kes ɛn pɔsin to ɔda pɔsin. Na dat mek i rili impɔtant fɔ gɛt ɛp kwik kwik wan.

Fɔ sɔmtin, na di tin dɛn we wi nid fɔ mɛmba (Take-Home Message):

Pan ɔl we dayabitis kɔma na tin we rili denja, bɔku tɛm dɛn kin ebul fɔ avɔyd am.

• Di men tin na, .Yu fɔ no bɔt di wɔnin sayn dɛm fɔ `(DKA)`, `(HHS)` ɛn lɔw blɔd shuga ɛn du sɔntin kwik kwik wan we yu si dɛm.
• If yu gɛt sayn fɔ dis sik, kɔl yu dɔktɔ wantɛm wantɛm.
• Di prɔblɛm dɛn we kin apin to pɔsin we gɛt dayabitis kin rili mek pɔsin fred, bɔt fɔ no ɛn rɛdi na di bɛst we fɔ mek yu nɔ gɛt am.
• Nɔ ɛva shem fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt aw fɔ kɔntrol yu dayabitis ɔ dɛn prɔblɛm ya. Yu wɛlbɔdi valyu to yu.

` Dayabitis, Kɔma, DKA, HHS, Haypoglycemia, Blɔd Shuga, Insulin, Fɔs Ɛd, Dayabitis Kɔmplikeshɔn, Lɔs pan Mɛmori