Yu dɔn ɛva yɛri bɔt glukɔs tolɛreshɔn tɛst, ɔ GTT fɔ shɔt? Yu dɔktɔ go dɔn tɛl yu bɔt am, ɔ yu go ivin aks fɔ mek dɛn du am. Dis na rili impɔtant tɛst we de chɛk if yu bɔdi de rili yuz ɔ kip shuga, ɔ glukɔs. Bɔku tɛm, dɔktɔ dɛn kin yuz dis tɛst fɔ no if pɔsin gɛt sik lɛk dayabitis. Bɔt ɔda we dɛn de fɔ no if pɔsin gɛt dayabitis, lɛk di A1C tɛst ɛn di fast blɔd shuga tɛst.
So, wetin na dis glukכs tכlerεns tεst (`GTT`)?
Fɔ tɔk am simpul wan, wi bɔdi kin gɛt in ɛnaji frɔm di it dɛn we wi de it, mɔ di it dɛn we gɛt bɔku kabɔhaydrɛt. Dis na wetin de gi wi sɛl dɛn di pawa fɔ wok. Wi bɔdi kin kip dis glukɔs bak fɔ yuz leta, mɔ na wi mɔsul ɛn liva. dis glukכs we dεn stכr dεn kכl am glycogen.
So, fɔ mek di glukɔs lɛvɛl na wi blɔd kɔntinyu fɔ de na wan patikyula lɛvɛl, difrɛn tin dɛn kin apin insay wi bɔdi. Pan dɛn wan ya , di ɔmon we dɛn kɔl insulin de ple di men pat . Dis insulin de mek na wi pankrias. If ɛni prɔblɛm de pan di we aw wi bɔdi de yuz glukɔs, bɔku tɛm di shuga we de na di blɔd kin go ɔp. Na dat wi kin kɔl aypa glycemia. Dɔn bak, sɔntɛnde di blɔd shuga kin go dɔŋ, ɛn dɛn kin kɔl da sik de haypoglycemia.
Difrɛn kayn GTT dɛn de. di wan we dεn kin yus pas כl na di Oral Glucose Tolerance Test (OGTT), we involv fכ gi glukכs sכlushכn bay mכt.
Na nɔmal tin fɔ fil smɔl fred bifo ɛni mɛdikal tɛst. Bɔt mɛmba se di tin we impɔtant pas ɔl na fɔ mek dɛn tɛl yu. Ilɛk wetin go apin, yu go lan mɔ bɔt yu bɔdi pas aw yu bin dɔn no bifo. Wit da infɔmeshɔn de, yu ɛn yu dɔktɔ kin mek di bɛst plan fɔ yu wɛlbɔdi go bifo.
Insay us sityueshɔn yu go nid fɔ du dis `(GTT)`?
Yu dɔktɔ kin tɛl yu fɔ gi GTT fɔ chɛk ɔ kɔnfɔm if ɛni wan pan dɛn tin ya de:
- Dayabitis – bɔku tɛm prɛdiabɛtis, tayp 2 dayabitis, ɔ gestational dayabitis.
- Wan sik we dɛn kɔl insulin resistance.
- Riaktiv haypoglycemia – Dis na we di blɔd shuga lɛvɛl de dɔŋ afta yu it.
- Akromegali na wan sik we de mek pɔsin gɛt ɔmon.
- Rare carbohydrate mεtabolism dizכrd dεm.
Bɔt mɛmba se ɔda tɛst dɛn de we dɛn kin yuz fɔ no bɔt dɛn sik ya. Yu dɔktɔ kin ɔda fɔ du mɔ pas wan tɛst.
Ɛspɛshali we uman gɛt bɛlɛ, dɛn kin du wan awa glukɔs chalenj tɛst fɔ chɛk fɔ si if pɔsin gɛt dayabitis we i gɛt bɛlɛ . If di rizɔlt nɔr nɔrmal, yu dɔktɔ kin ɔda fɔ tri awa ɔral glukɔs tolɛreshɔn tɛst (OGTT) fɔ kɔnfirm di diagnosis ɔr ruul ɔut di sik.
Aw ɛksaktɔli pɔsin fɔ pripia fɔ wan `(GTT)`?
Bikɔs bɔku kayn GTT de, smɔl difrɛns kin de pan aw yu nid fɔ pripia dipen pan di tɛst we yu de tek. Bɔt in jɔnal, na dɛn tin ya yu nid fɔ du:
- Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de tek, bikɔs sɔm mɛrɛsin dɛn kin afɛkt di tɛst rizɔlt. Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn sɔm dez bifo di tɛst.
- Yu fɔ it nɔmal fɔ at le tri dez bifo di tɛst. I impɔtant fɔ it tin dɛn we de gi yu at le 150 gram kabɔhaydrɛt fɔ wan de.
- Nɔ chenj di tin dɛn we yu kin du ɛvride ɔ di we aw yu kin du ɛksɛsayz fɔ at le tri dez . Nɔ du ɛksɛsayz we yu de du tranga wan wantɛm wantɛm bifo yu du di tɛst.
- Yu go nid fɔ fast bifo di tɛst – dis min se yu nɔ go ebul fɔ it ɔ drink ɛni ɔda tin pas wata fɔ at le 8 awa (sɔntɛm pas dat).
- Yu nɔ go ebul fɔ it ɔ smok di wan ol tɛst.
Yu dɔktɔ go gi yu klia sɛt fɔ instrɔkshɔn fɔ ɛksaktɔli wetin fɔ du bay yu kɔndishɔn ɛn di kayn GTT we yu de gɛt. I rili impɔtant fɔ fala dɛn di rayt we. If yu geht eni kweshon o yu noh andastan sohmtin, no hesitate foh aks yu dokta, okay?
Wetin kin apin di de fɔ di `(GTT)`?
Wi dɔn tɔk bɔt se di we aw dɛn de du wan `(GTT)` kin difrɛn difrɛn wan dipen pan di kayn tɛst. Lɛ wi tek ɛgzampul bɔt aw dɛn kin du di tu awa `(Oral Glucose Tolerance Test - OGTT)` we dɛn kin du mɔ.
Bɔku tɛm, dis tɛst kin bigin na mɔnin, bɔku tɛm bitwin 7 oklɔk ɛn 9 oklɔk mɔnin.
Dis na di step dɛm we kin apin:
1. Fɔs, dɔktɔ ɔ pɔsin we sabi bɔt blɔd go tek blɔd sɛmpul frɔm yu vein. Dɛn kin yuz dis fɔ no di glukɔs we yu gɛt na yu blɔd we yu de fast.
2. Dɔn, dɛn go gi yu spɛshal glukɔs sɔlvushɔn fɔ drink. dis kin gεt lεk 75 gram glukכs we dεn sכlv insay 250-300 mililita wata. Dɛn go tɛl yu fɔ drink ɔl dis sɔlv insay fayv minit.Bɔt di glukɔs we dɛn kin gi yɔŋ pikin dɛn ɛn mama dɛn we gɛt bɛlɛ kin difrɛn. Dis glukɔs sɔlvushɔn rili swit, lɛk Gatorade we dɛn dɔn swit. Sɔm pipul dɛn kin si se di teys nɔ kin fayn smɔl.
3. Eksakt tu awa afta yu dɔn drink di glukɔs sɔlvushɔn, dɛn go tek ɔda blɔd sɛmpul frɔm yu vein fɔ chɛk yu blɔd glukɔs lɛvɛl. Dipen pan di rizin fɔ di tɛst, dɛn kin tek blɔd ɛvri 30 minit, wan tɛm insay awa, ɔ bɔku tɛm afta dɛn dɔn drink di glukɔs sɔlvushɔn.
Ɔda difrɛn we dɛn de fɔ `(GTT)`?
Yes, difrεn vεryכnt dεm de fכ `(GTT)` we dεn tayl fכ difrεn nid dεm. Lɛ wi luk sɔm ɛgzampul dɛn:
- Wan awa glukɔs tolɛreshɔn tɛst: Bɔku tɛm dɛn kin du dis fɔ chɛk fɔ si if pɔsin gɛt dayabitis we i gɛt bɛlɛ. Yu kin drink wata we gɛt 50 gram glukɔs, dɔn dɛn kin mɛzhɔ yu blɔd shuga wan awa afta dat. Bɔku tɛm, dis tɛst nɔ kin nid fɔ fast.
- Tri awa glukɔs tolɛreshɔn tɛst: Insay dis tɛst, dɛn kin tek blɔd bifo dɛn drink glukɔs sɔlvushɔn (afta dɛn fast). Dɔn, dɛn kin tek blɔd sɛmpul bak wan awa, tu awa, ɛn tri awa afta dɛn dɔn drink di glukɔs sɔlvushɔn.
- Glucose tolerance test for acromegaly: Insay dis tɛst, yu dɔktɔ kin tek blɔd sɛmpul nɔto fɔ chɛk yu blɔd shuga lɛvɛl, bɔt fɔ chɛk yu lɛvɛl fɔ di human growth hormone (HGH). Afta yu dɔn drink di glukɔs sɔlvushɔn, dɛn kin pul yu blɔd ɛvri 30 minit fɔ tu awa (dat na, na 30, 60, 90, ɛn 120 minit).
Wetin fɔ ɛkspɛkt afta di tɛst dɔn?
Afta di GTT, yu kin go du yu ɛvride wok lɛk aw yu kin du. Yu kin bigin fɔ it bak. I kin fayn fɔ mek yu kam wit snek fɔ it afta di tɛst. Yu dɔktɔ go tɛl yu if ɛni spɛshal instrɔkshɔn de, ɛn i go tɛl yu bak we di rizɔlt go de.
Aw lɔng i kin tek fɔ no di tɛst rizɔlt?
Bɔku tɛm, yu go ebul fɔ gɛt di rizɔlt fɔ di ``GTT'' insay sɔm wok dez. Bɔt dis tɛm kin difrɛn smɔl frɔm wan lab to ɔda lab. So nɔ wɔri.
Ɛni sayd ɛfɛkt de frɔm dis `(GTT)`?
Glukɔs tolɛreshɔn tɛst na jɔs wan tɛst we rili sef . Bɔrku pipul nɔr kin fil ɛni diskɔmfɔt afta dɛn dɔn drink di glukɔs sɔlvushɔn. Bɔt sɔm pipul dɛn kin fil lɛk se dɛn nɔ de fil fayn smɔl ɔ dɛn kin gɛt diziz. Bɔt, siriɔs sayd ɛfɛkt dɛn nɔ kin apin so ɔltɛm.
Fɔ pul blɔd na tin we rili kɔmɔn ɛn we i nid fɔ du fɔ tɛst di mɛrɛsin. Dɛn nɔ de put ɛni big big prɔblɛm. Yu kin fil lɛk se yu de fil pen smɔl ɔ yu kin gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
Wetin di `(GTT)` rizulyt rili se?
Yu GTT rizɔlt ripɔt go sho di blɔd glukɔs lɛvɛl ɛvri tɛm we dɛn pul yu blɔd. Insay Sri Lanka, dɛn kin mɛzhɔ di glukɔs na di blɔd insay miligram pan wan dɛsilita (mg/dL).
Di rεnj dεm we difrεn lab εn dכkta dεm de yuz fכ no di bכdi shuga prכblεm lεk dayabεtis kin difrεn sכmtεm, so כltεm rifer to di rεfrεns rεnj we dεn gi na yu risכlt ripot.
In jɛnɛral, dɔktɔ dɛn kin yuz dɛn rɛnj ya fɔ valyu fɔ tu awa OGTT:
- Nɔmal: I nɔ rich 140 mg/dL.
- Prediabetes: Bitwin 140 mg/dL ɛn 199 mg/dL.
- Dayabitis: 200 mg/dL ɔ pas dat.
dis valyu dεm εn di intaval dεm we dεn de tek blכd sεmpl kin difrεn fכ כda kכndyushכn dεm, lεk gestational diabetes εn acromegaly. fכ egzampl, di growth כmon tεst (GTT) fכ chεk fכ akromegali de ases chenj dεm na di growth כmon lεvεl. Yu dɔktɔ go tɔk bɔt dɛn rizɔlt ya wit yu ditayli.
If di tin dɛn we kin apin nɔ kin fayn, wetin kin apin afta dat?
Imajin, wetin de apin nεks if yu `(GTT)` risכlt nכ nכmal, dat na, `abnכmal`. Nɔ wɔri, yu dɔktɔ go tɛl yu klia wan wetin fɔ du nɛks. Na tru se i nɔmal fɔ mek yu wɔri ɛn fred smɔl we di tin we apin nɔ fayn. Bɔt no dis, dɔktɔ dɛn nɔ kin disayd wantɛm se yu gɛt `prediabetes` ɔ `diabetes` jɔs bikɔs wan `(OGTT)` rizɔlt nɔ nɔmal.
I go mɔs bi se yu go nid fɔ du di sem tɛst bak insay sɔm dez, ɔ yu dɔktɔ kin ɔda ɔda tɛst bak fɔ no if yu gɛt di sik, lɛk fɔ du A1C tɛst. Bɔt yu dɔktɔ go de wit yu ɔl di tɛm we yu de du di sik. Nɔ shek fɔ aks ɛni kwɛstyɔn we yu gɛt ɛn tɔk bɔt di tin dɛn we de mɔna yu.
Na nɔmal tin fɔ fil fɔ fred we yu si wan tɛst rizɔlt we nɔrmal. Bɔt mɛmba se, if yu gɛt abnɔmal GTT rizɔlt nɔ min se yu gɛt dayabitis. If di rizɔlt sho se yu blɔd shuga bɔku, yu dɔktɔ go mɔs du ɔda tɛst fɔ no if yu gɛt di sik. Nɔ fred fɔ aks yu dɔktɔ kwɛstyɔn dɛn. Dɛn de de fɔ ɛp yu.
Di tin dɛn we impɔtant pas ɔl we wi fɔ kɛr go na os frɔm dis stori
So, di Glucose Tolerance Test (GTT) we wi bin tɔk bɔt tide na wan rili impɔtant mɛdikal tɛst we de ɛp wi fɔ no gud gud wan aw wi bɔdi de yuz ɛn kip shuga, dat na, glukɔs. Dis kin ɛp mɔ fɔ no sik dɛn lɛk dayabitis kwik kwik wan.
Fɔ pripia smɔl bifo di tɛst, ɛn fɔ fala am ɛksaktɔli rili impɔtant fɔ mek yu gɛt kɔrɛkt rizɔlt. We dɛn de du di tɛst, yu go drink wan swit glukɔs likwid, dɔn dɛn go tek blɔd sɛmpul bɔku tɛm fɔ sɔm awa.
Di tin we impɔtant pas ɔl na fɔ nɔ panik, ilɛk wetin apin . Ilɛksɛf di tin dɛn we kin apin nɔ kin apin, nɔto di ɛnd fɔ di wɔl. Tek tɛm tɔk to yu dɔktɔ ɛn fɛn ɔndastand gud gud wan wetin fɔ du nɛks. Mɛmba se fɔ no kwik kwik wan ɛn trit di sik dɛn we pɔsin gɛt na di bɛst we fɔ liv wɛlbɔdi ɛn gladi at! If yu gɛt ɛni kwɛstyɔn, nɔ shem fɔ tɔk to dɔktɔ.
` Glukɔs Tolɛreshɔn Tɛst, GTT, OGTT, Dayabitis, Shuga Tɛst, Jɛstɛshɔnal Dayabitis, Blɔd Glukɔs
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