Yu no bɔt Dayabulimia, we na wan denja sik we kin kam wit dayabitis?

If yu de liv wit Tayp 1 Dayabitis, yu no aw e kin tranga. I kin fil lɛk se yu de fɛt ɔltɛm wit di it, insulin, ɛn di shuga we de na yu blɔd. Bɔt wit dɛn prɔblɛm ya, ɔda siriɔs sik de we kin slip pan yu ɛn mek yu layf de pan denja. Tide, wi go tɔk bɔt wan pan dɛn kayn sik ya, we na diabulimia.

Wetin rili na Dayabulimia?

Fɔ tɔk am simpul wan, Dayabulimia na wan sik wae pɔrsin wae gɛt Tayp 1 Dayabitis bay wilful nɔr de tek inof insulin ɔr de tek smɔl insulin fɔ mek i go lɔs in wet. Dis na tin we dɔktɔ dɛn kin rili tek as prɔblɛm wit aw pɔsin de it.

We yu yɛri di nem "diabulimia," sɔm pipul dɛn kin tink se dis na sik we fiba "bulimia nervosa." Dat min se, i tan lɛk se yu de it bɔku tin ɛn afta dat yu de vɔmit bak. Bɔt nɔto ɔlman we gɛt dayabulimia kin du dis. Sɔm pipul dɛn kin jɔs stɔp fɔ yuz insulin ɛn dɛn kin kɔntinyu fɔ it ɔda we dɛn lɛk aw dɛn kin it. So, sɔmtɛm dɛn kin kɔl am "Eating Disorder in Diabetes Mellitus Type 1 (ED-DMT1)."

We yu dɔn ridyus yu insulin ɛn lɔs yu wet, yu kin tink se, "A dɔn dɔn fɔ kɔntrol mi bɔdi." Bɔt di tru tin na dat, dis na tin we rili denja, ɛn i kin ivin mek pɔsin in layf de pan denja. If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin mek pɔsin kin lɔs in wet we insulin dɔn lɔs? Yu tink se i denja?

Wi bɔdi nid wan ɔmon we dɛn kɔl insulin fɔ gɛt ɛnaji frɔm di it we wi de it. Insulin na di tin we de tek di glukɔs ɔ shuga we de na wi blɔd go insay di bɔdi in sɛl dɛn ɛn tɔn am to ɛnaji.

Naw imajin, pɔsin we gɛt Tayp 1 Dayabitis nɔ de mek insulin na in bɔdi. Dɔn da pɔsin de gɛt fɔ tek insulin frɔm ɔdasay. Wetin go apin if yu mek shɔ se yu ridyus di insulin we yu de tek? di bכdi in sεl dεm nכ kin yuz glukכs. Dɔn di bɔdi kin bigin fɔ yuz ɔda we dɛn fɔ fɛn ɛnaji. Dat min se i de tray fɔ gɛt pawa bay we i de bɔn fat ɛn mɔsul dɛn.

I nɔ mata aw yu it, yu bɔdi nɔ kin ebul fɔ gɛt ɛnaji frɔm da it de, so wetin rili de apin na dat yu bɔdi de "angri." Dis na wetin kin mek yu nɔ gɛt bɔku bɔku bɔdi.

Bɔt fɔ lɛf fɔ it bɔku bɔku it dis we , i rili denja.Wan na dat, bad bad kεmεkal dεm we dεn kכl kεtכn kin bכku na di bכdi, we kin mek yu gεt wan kכndyushכn we kin kil yu we dεn kכl "Diabetic Ketoacidosis (DKA). Di כda wan na dat if insulin nכ inof, bכku wata kin lכs na di bכdi, we kin mek yu bכku bכku wata.

Wetin na di sayn dɛm fɔ Dayabulimia?

Na dis kayn sik, yu kin si sɔm kayn sik wae de kam pan pɔrsin in bɔdi, maynd, ɛn bihayvya.

Sayn dɛn we pɔsin kin gɛt na in bɔdi

• Wan HbA1c valyu we na 9.0% ɔ pas dat: Dis de sho se yu avɛrej blɔd shuga lɛvɛl fɔ di pas tri mɔnt rili ay.
• We yu de lɔs yu wet fɔ natin.
• Diziz ɛn fɔdɔm.
• di ilektrolayt imbalans na di bכdi in ilektrolayt dεm (sכdiכm, potashכm).
• Fɔ fil taya ɛn taya ɔltɛm.
• Nɔs ɛn vɔmit.
• Fɔ tɔsti pasmak bɔku tɛm ɛn fɔ pis bɔku tɛm.
• Menstrual saykl we nɔ de ɔltɛm na uman dɛn.
• Vishɔn de chenj, blurred vishɔn.

Sayn dɛn we de sho aw pɔsin de fil ɛn aw i de biev

• Mis di mɛdikal apɔntinmɛnt dɛn we gɛt fɔ du wit dayabitis.
• Fɔ fred fɔ lɛ yu blɔd shuga nɔ bɔku (hypoglycemia) bikɔs yu fɔ it.
• Fɔ fred fɔ "gɛt fat we yu de tek insulin."
• Fɔ manej dayabitis kin fil lɛk big big lod ɛn prɛshɔn (diabetes distress ɛn burnout).
• Nɔ fɔ tek insulin prɛskrishɔn ɔltɛm ɔ fɔ tek am let.
• Fɔ vɛks wantɛm wantɛm, fɔ chenj di we aw yu de fil ɔltɛm.
• Fɔ kip sikrit frɔm ɔda pipul dɛm bɔt aw yu de mɛn yu dayabitis.
• Fכku tεm we dεn kin gεt כ we kin kam nia dayabεtik kεtoasidכsis (DKA).
• Nɔ gi di insulin (bolus) we dɛn nid fɔ it ɔ fɔ gi am tumɔs smɔl.

If yu ɔr pɔrsin wae yu sabi gɛt wan ɔr mɔr pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ kwik kwik wan. Wan stɔdi dɔn sho se dayabulimia kin afɛkt te to 1 pan ɛvri 11 big pipul dɛm wae gɛt tayp 1 dayabitis. Dis min se i kin kɔmɔn pas aw wi kin tink.

Wetin na de tin wae kin mek pɔrsin gɛt Dayabulimia?

No wan tin nɔ de we kin mek pɔsin gɛt dayabulimia. Di prɔblɛm dɛn we kin apin to pɔsin we i de it lɛk dis na tin dɛn we rili kɔmpleks. Dɛn kin kam bikɔs ɔf wan kɔmbayn prɔblɛm dɛn we gɛt fɔ du wit bɔdi, soshal, ɛn maynd.

Di mental strɛs fɔ manej dayabitis kin bi bak wan tin. Tink bɔt:

• Fɔ tink ɔltɛm bɔt it, mɔ fɔ kɔnt di kabɔhaydrɛt.
• I impɔtant fɔ tek tɛm rid di nyutrishɔn lɛbl dɛn.
• I impɔtant fɔ rikodɔ ɛn wach tin dɛn ɔltɛm lɛk di blɔd shuga lɛvɛl, di HbA1c lɛvɛl, ɛn di bɔdi wet.

Apat frɔm dɛn tin ya, bɔku ɔda tin dɛn kin mek pɔsin gɛt dayabulimia:

• Wan strɔng want fɔ lɛf fɔ it bɔku bɔku it dɛn.
• Bɔdi imej ishu dɛn.
• Distress wit dayabitis.
• Insay sɔm kɔlchɔ, dɛn kin idealiz "skinny" bɔdi as fayn.
• Fɔ fil lɛk se dɛn nɔ gɛt sɔpɔt.
• Mental hεlth prכblεm, spεshal wan klinik diprεshכn εn wɔri hat.
• We di blɔd shuga go dɔŋ, yu fɔ it.
• Di prɛshɔn we dɛn kɔmpin dɛn kin mek.
• If yu dɔn gɛt prɔblɛm wit aw yu de it bifo.
• Tin dɛn we kin mek pɔsin fil bad na layf.
• Di want fɔ kɔntrol sɔntin na layf.
• We yu gɛt wet afta yu gɛt dayabitis na in dɛn kin no fɔs ɛn dɛn kin bigin fɔ trit yu.

If yu ɔr pɔrsin wae de nia yu gɛt dɛn kayn sik ya, i rili impɔtant fɔ go to ɛp.

Wetin na di prɔblɛm dɛn we kin kam wit dis?

Dayabulimia kin mek yu gɛt siriɔs wɛl bɔdi prɔblɛm fɔ shɔt tɛm ɛn fɔ lɔng tɛm.

Sɔm prɔblɛm dɛn we kin apin fɔ shɔt tɛm

Bɔku pan dɛn tin ya kin apin bikɔs di shuga we de na di blɔd kin kɔntinyu fɔ bɔku.

• Dayabitik Ketoacidosis (DKA): Dis kin kil pɔsin.
• Di wata we de kɔmɔt na di bɔdi bad bad wan.
• Dilay we wund de wɛl.
• Baktri infεkshכn dεm lεk Staph.
• Yist infεkshכn εn urinary tract infεkshכn (UTIs).
• Mɔsul dɛn we de atrofi.

Kɔmplikɛshɔn dɛn we kin apin fɔ lɔng tɛm

Dɛn tin ya na kɔmɔn prɔblɛm dɛn we kin kam wit dayabitis, bɔt dɛn kin apin kwik ɛn tranga wan pan pipul dɛn we gɛt dayabitis.

• Di sik we de ambɔg di at ɛn di blɔd.
• di damej pan di nεv dεm na di yay (Retinopathy) - Dis kin ivin mek yu blaynd.
• di damej pan di nεv dεm na di limb dεm (Nyuropathy) - Dis kin mek yu sכmtεm sכmtεm, pen, εn lכs fכ fil ivin afta yu injuri.
• Gastroparesis - Dilay we di it de digεst.
• Kidni sik - Dis kin mek di kidni nɔ wok fayn ɛn ivin nid fɔ dayalaysis.
• Liva sik.

Dɛn prɔblɛm ya kin mek pɔsin go na ɔspitul bɔku tɛm ɛn ivin day bifo tɛm.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Bɔku tɛm, i nɔ kin izi fɔ no di prɔblɛm dɛn we pɔsin kin gɛt we i de it bikɔs bɔku tɛm i kin ayd. Bɔrku pipul wae gɛt dis sik nɔr kin kam bifo fɔ go fɛn tritmɛnt. Dis kin bi tru mɔ fɔ pipul dɛm wae gɛt dayabulimia. Bɔku tɛm, pipul dɛn we gɛt dayabitis kin fred se dɛn dɔktɔ ɔ dɛn fambul go blem dɛn fɔ we dɛn nɔ de manej dɛn shuga fayn fayn wan.

Bikɔs ɔf dis, bɔrku pipul dɛm wae gɛt diabulimia nɔr kin no bɔt dis sik.

If pɔsin we de nia yu gɛt HbA1c lɛvɛl we na 9.0% ɔ pas dat, ɔ if dɛn kin gɛt DKA bɔku tɛm we nɔ gɛt ɛni ɔda ɛksplen, yu kin sɔprayz se dɛn gɛt dayabulimia.

Bikɔs i nɔ kin izi fɔ no di rayt tin we kin mek pɔsin gɛt bɔku bɔku blɔd shuga ɔltɛm, bɔku tɛm, fɔ mek ɔda pipul dɛn no bɔt dis sik, di pɔsin insɛf fɔ gri se na bay wilful dɛn de stɔp fɔ yuz insulin.

Aw dɛn kin trit Dayabulimia? (Tritmɛnt)

Di men gol dɛm fɔ tritmɛnt fɔ dayabulimia na:

• Yuz insulin kɔrɛkt wan.
• Fɔ manej di blɔd shuga lɛvɛl ɛn bɔdi wet di rayt we.
• Fɔ mek yu nɔ gɛt sɔm prɔblɛm dɛn we kin apin to pɔsin we gɛt dayabitis fɔ shɔt tɛm ɛn fɔ lɔng tɛm.
• Fɔ trit saykolojik prɔblɛm dɛm wae kin mek pɔrsin gɛt dayabulimia.

Dɛn kin yuz wan kɔmbayn tritmɛnt dɛn ya fɔ dis:

• Mɛdikal ɛvalueshɔn ɛn/ɔ ɔspitul: If yu gɛt sik lɛk DKA, yu go nid fɔ go ɔspitul ɛn trit yu. If i siriɔs, i kin nid fɔ go na ɔspitul fɔ mek shɔ se dɛn nɔ de stɔp insulin ɛn fɔ wach ɔda prɔblɛm dɛn we de apin to pɔsin we i de it. Dɔktɔ dɛn kin tɛl yu bak fɔ du tɛst fɔ chɛk if yu gɛt prɔblɛm dɛn.
• Saykotɛrapi (tɔk tɛrapi): Dis kin ɛp yu fɔ chenj di we aw yu de tink ɛn biev we gɛt prɔblɛm. Pipul wae gɛt shuga kin gɛt tu to tri tɛm pasmak fɔ gɛt pwɛl hat ɛn lɛk 20% kin gɛt wae dɛn kin wɔri. Saykotɛrapi kin trit dɛn sik ya. Dɔn bak, fɔ tɔk bɔt aw yu de fil bɔt dayabitis, dat kin ɛp fɔ mek yu nɔ gɛt dayabitis we yu de bɔn.
• Nutrishɔn ɛn/ɔ dayabitis mɛnejɛmɛnt ɛdyukeshɔn: Fɔ ɔndastand gud gud wan bɔt dayabitis kin gi yu kɔnfidɛns fɔ mɛnejɛs am. Yu kin wok wit wan Sɛtifiket Dayabitis Keya ɛn Ɛdyukeshɔn Spɛshal (CDCES) fɔ lan bɔt di bayoloji fɔ dayabitis ɛn di we aw fɔ mɛn am. Nutrition edukeshɔn kin ɛp yu fɔ chenj di bad tin wae yu biliv bɔt sɔm it dɛm (lɛk "carbs na bad") ɛn ɔda kayn it wae nɔr fayn.
• Mɛrɛsin fɔ kɔntrol pwɛl hat ɛn wɔri: If nid de, di dɔktɔ kin gi yu mɛrɛsin fɔ dis.

Bikɔs dayabulimia na wan sik wae gɛt ɔl tu di tin dɛm wae de apin na di bɔdi ɛn in maynd, di tritmɛnt nid fɔ gɛt ɛp frɔm difrɛn pipul dɛm wae de kia fɔ wɛl bɔdi biznɛs. Fɔ ɛgzampul:

• Sɛtifiket Dayabitis Keya ɛn Ɛdyukeshɔn Spɛshal (CDCES).
• Endocrinologists - Dɔktɔ dɛn we spɛshal pan ɔmon.
• Sayɛnsman dɛn we de stɔdi bɔt pɔsin in maynd.
• Di wan dɛn we de wok fɔ it we dɛn dɔn rɛjista.

Wetin na de chans fɔ wɛl frɔm dis sik? (Prɔgnosis) .

De luk fɔ pɔrsin wae gɛt dayabulimia kin dipen pan sɔm tin dɛm:

• Aw lɔŋ di diabulimia kɔndishɔn dɔn de.
• Aw bɔku ɛn aw ɔltɛm dɛn kin stɔp insulin.
• If ɔda tin dɛn de we nɔ fayn fɔ it.
• De kayn tritmɛnt wae yu de gɛt ɛn aw yu de kɔmit to da tritmɛnt de.

Dayabulimia kin wɔs if dɛn nɔ trit am. Di kwik we yu gɛt ɛp, na di mɔ di tin go bɛtɛ. Bɔt bɔku tɛm, pipul dɛm wae gɛt dayabulimia nɔr kin tɔk se dɛn de ridyus dɛn insulin bay wilful. Dɛn kin nɔ gri fɔ tek tritmɛnt ɔ dɛn nɔ kin fala di tritmɛnt plan.

Dayabulimia na wan sik wae de mɛk pɔrsin de it wae kin rili siriɔs ɛn ivin de pan denja fɔ day if dɛn nɔr trit am. Pan ɔl we pipul dɛm wae gɛt shuga kin liv shɔt smɔl pas di jenɛral pipul dɛm, pipul dɛm wae gɛt dayabitis kin gɛt bɔrku risk fɔ day kwik pas di wan dɛm wae gɛt shuga nɔmɔ.

Bɔt di gud nyus na dat, dayabulimia na sik we pɔsin kin mɛn. De sɔpɔt wae de pɔrsin wae yu lɛk kin ɛp yu fɔ kip pɔrsin wae gɛt dis sik fɔ de kɔmit fɔ tritmɛnt.

If yu gɛt Dayabulimia, aw yu kin tek kia ɔf yusɛf? / Aw yu go ebul fɔ gɛt ɛp?

Dis kin bi tin wae tranga ɛn frayd fɔ tɔk, bɔt if yu gɛt diabulimia, e fayn fɔ tɛl pɔrsin bɔt am.

If dɛn dɔn ɔlrɛdi no se yu gɛt dayabulimia, kɔntinyu fɔ du yu tritmɛnt plan:

• Tek di insulin doz dɛn we dɛn dɔn gi yu di rayt tɛm.
• If yu gɛt ɔda mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ tek, tek dɛn fayn fayn wan.
• If yu de gɛt tɔk tɛrapi, go to yu tritmɛnt ɔltɛm.
• Aks fɔ sɔpɔt frɔm yu fambul ɛn padi dɛn.
• Tink bɔt fɔ jɔyn sɔpɔt grup fɔ pipul dɛn we gɛt dayabitis ɛn/ɔ dayabulimia.
• Stay away frɔm tin dɛm wae kin mek yu gɛt diabulimia bihayvya (lɛk soshal midia).
• Si yu dɔktɔ ɔltɛm.
• Bi gud to yusɛf. Tink bɔt yusɛf.

Tayp 1 dayabitis na kɔmpleks, i nɔ kin izi fɔ kɔntrol, ɛn sɔntɛnde i kin tranga. Bɔt no se nɔto yu wan de – ɔlman we gɛt dayabitis gɛt prɔblɛm dɛn we kin apin na layf. Bɔt dayabulimia na siriɔs sik wae kin gɛt siriɔs wɛl bɔdi prɔblɛm. Di fɔs tin we yu fɔ du fɔ brok dis bad bad saykl ɛn liv wɛlbɔdi layf na fɔ aks fɔ ɛp. Yu dɔktɔ dɛn ɛn di wan dɛn we yu lɛk de ya fɔ ɛp yu.

Smɔl pɔynt dɛn we wi fɔ mɛmba

Okay, so na sɔm pan di impɔtant tin dɛn we wi fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Dayabulimia na siriɔs sik wae pɔrsin wae gɛt Tayp 1 Dayabitis kin mek pɔrsin nɔr de yuz insulin fɔ mek i nɔr gɛt bɔrku bɔdi.
• Dis kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm, ivin we kin mek yu layf de pan denja, fɔ shɔt tɛm ɛn fɔ lɔng tɛm.
• I rili impɔtant fɔ no am kwik ɛn gɛt kɔmprɛhnsiv tritmɛnt we de kɔba di mɛrɛsin, saykilɔji, ɛn it.
• Di sɔpɔt we famili ɛn padi dɛn de gi impɔtant fɔ dis waka.
• If yu gɛt prɔblɛm lɛk dis, nɔ ɛva fred fɔ aks fɔ ɛp. Nɔto yu wan de.

` Dayabulimia, Dayabitis, Tayp 1 Dayabitis, Insulin, Dizayd fɔ it, Dizayd fɔ it, fɔ lɔs wet, Mental wɛlbɔdi