Yu kin fil lɛk se yu de shek shek wantɛm wantɛm? Yu de swet, yu de fil lɛk yu ed de tɔn, ɛn yu de fil bad bad wan? Dɛn tin ya kin bi sayn dɛn we de sho se yu blɔd shuga dɔn smɔl pas aw yu gɛt wɛlbɔdi. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis sik haypoglycemia . Dis kin rili kɔmɔn pan pipul dɛm wae gɛt shuga. Bɔt sɔntɛnde, i kin apin to pipul dɛn we nɔ gɛt dayabitis bak. So, nɔ panik. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na haypoglycemia?
Hypoglycemia na we di amount of glucose, ɔr shuga as wi kin kɔl am, na yu blɔd de drɔp pas di wɛlbɔdi lɛvɛl we di bɔdi nid.
- Fɔ bɔku pipul dɛn we gɛt dayabitis, if dɛn blɔd shuga lɛvɛl dɔŋ 70 mg/dL (miligram pan wan desilita) ɔ 3.9 mmol/L (milimol pan wan lita) dɛn kin tek am se na haypoglycemia.
- Fɔ pɔsin we nɔ gɛt dayabitis, dɛn kin difayn haypoglycemia as di lɛvɛl we de dɔŋ 55 mg/dL (3.1 mmol/L).
We dis sik apin, dɛn fɔ trit am wantɛm wantɛm bay we yu it ɔ drink sɔntin we gɛt shuga ɔ kabɔhaydrɛt. Sɔmtɛm dis kin mek yu gɛt siriɔs sik (siv hapoglycemia). If dis apin, i kin mek pɔsin in layf de pan denja ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm.
Wetin mek glukɔs impɔtant to wi bɔdi?
Wi bɔdi kin gɛt glukɔs (shuga) frɔm di kabɔhaydrɛt dɛn we wi de it. Dis na di men tin we wi bɔdi de gi wi trɛnk. I tan lɛk petrol fɔ motoka. Na mɔ glukɔs impɔtant fɔ mek wi bren wok. Di bren nid fɔ gɛt glukɔs ɔltɛm.
If yu nɔ gɛt dayabitis, wi bɔdi kin kip di blɔd shuga lɛvɛl insay wan patikyula rɛnj tru sɔm natura prɔses dɛm. di men כmon we de εp fכ dis na insulin, we di pankrias de mek. Wan ɔmon we dɛn kɔl glukagon impɔtant bak fɔ dis.
Bɔt pan pipul dɛm wae gɛt shuga, dis prɔses nɔr kin woke fayn fayn wan. So, dɛn fɔ kɔntrol di blɔd shuga lɛvɛl tru mɛrɛsin (fɔ ɛgzampul, insulin injɛkshɔn) ɛn chenj dɛn layf. Di men rizin we mek di blɔd shuga nɔ bɔku na we di insulin lɛvɛl na di bɔdi de go ɔp.
Wetin na di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku?
Di sayn dɛm wae de sho se yu gɛt haypoglycemia kin bigin wantɛm wantɛm. Ɛn dɛn kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Pan ɔl we dɛn sik ya kin mek wi nɔ fil fayn smɔl, na gud wɔnin we de tɛl wi se, "Yu shuga nɔ bɔku, du sɔntin kwik kwik wan."
| Besik/Jɛnɛral Ficha dɛn | Siriɔs sayn dɛm (yu nid fɔ go to dɔktɔ kwik kwik wan) . |
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Di bad bad sayn dɛm kin mek pɔsin in layf de pan denja. I impɔtant fɔ go to dɔktɔ wantɛm wantɛm if dɛn kayn tin ya apin. If dɛn nɔ trit am, i kin kam na kɔma ɔ ivin day.
Lɔw blɔd shuga we yu de slip (Nocturnal Hypoglycemia) .
Sɔntɛnde, di shuga na di blɔd kin go dɔŋ ivin we wi de slip. Na sɔm pan di sayn dɛm wae de sho se yu gɛt dis sik:
- Fɔ strɛs wit slip
- Swet so dat di sheet dɛn wet
- Fɔ ala na yu slip
- Naytmɛr drim dɛn
- Fɔ fil taya pasmak ɛn kɔnfyus we yu wek na mɔnin
Yu blɔd shuga kin drɔp we yu nɔ sho di sik? (Dɛn nɔ no bɔt di haypoglycemia) .
Yɛs, dis na tin we de mek pɔsin denja smɔl. Fɔ sɔm pipul dɛn, mɔ di wan dɛn we gɛt dayabitis we kin gɛt smɔl shuga na dɛn blɔd bɔku tɛm, as tɛm de go, dɛn blɔd shuga kin go dɔŋ we dɛn nɔ kin sho ɛni sayn. Di bɔdi kin yus to di blɔd shuga we smɔl ɛn i kin stɔp fɔ gi wɔnin signal. Dɛn kɔl dis haypoglycemia unawareness .
Pipul wae gɛt dis sik kin sik bad bad wan wantɛm wantɛm. If dis kin apin to yu, i rili impɔtant fɔ tɛl yu fambul ɛn padi dɛn bɔt dis. So dɛn kin ɛp yu we ɛnitin apin we nɔ izi fɔ yu. Bak,
- If yu yuz divays we de kɔntinyu fɔ mɛzhɔ di glukɔs lɛvɛl (Continuous Glucose Monitoring - CGM) i kin ɛp yu fɔ no we yu blɔd shuga smɔl.
- I fayn bak fɔ chɛk yu blɔd shuga bɔku tɛm insay di de wit glukomita we yu kin yuz ɔltɛm.
Wetin na di tin dɛn we kin mek yu blɔd shuga nɔ bɔku?
Dɛn kin sheb di rizin dɛn to tu grup: di wan dɛn we gɛt dayabitis ɛn di wan dɛn we nɔ gɛt dayabitis.
Rizin dɛm wae mek pɔrsin wae gɛt shuga kin gɛt smɔl shuga na in blɔd
Dis kin apin we tin nɔ balans bitwin di it, ɛksesaiz, ɛn di mɛrɛsin fɔ dayabitis.
- Insulin ɔvados: Fɔ injekt mɔ insulin pas aw i nid.
- Medikeshɔn ɛn di tɛm fɔ it mistek: Fɔ tek insulin ɛn nɔ it fɔ lɔng tɛm.
- Fɔ tek di rɔng dayabitis pils: If yu tek tumɔs pan sɔm dayabitis pils (e.g. sulfonylureas) kin mek yu blɔd shuga smɔl.
- Ɛksesaiz pas aw yu kin du am: Fɔ ɛksesaiz mɔ ɛn nɔ it bɛtɛ fɔ kɔmpɛns.
- Fɔ drink rɔm we yu ɛmti bɛlɛ: Fɔ drink rɔm we yu nɔ it.
- Skip fɔ it: Nɔ it di rayt tɛm.
Wetin mek pɔsin we nɔ gɛt dayabitis nɔ gɛt bɛtɛ blɔd shuga?
Dis na tin we nɔ kin apin smɔl. Tu men kayn dɛn de.
1. Riaktiv Hypoglycemia: Dis kin apin tu to 4 awa afta yu it . Ɛspɛshali we yu it it dɛn we gɛt bɔku simpul kabɔhaydrɛt lɛk rays, bred, ɛn potato, di bɔdi kin mek mɔ insulin wantɛm wantɛm, ɛn dis kin mek yu blɔd shuga go dɔŋ.
2. Lɔw blɔd shuga we yu de fast (Fasting Hypoglycemia): Dis kin bi bikɔs ɔf sɔm tin dɛn.
- Fɔ drink rɔm pasmak: Fɔ drink tumɔs rɔm we yu nɔ it fayn fɔ sɔm dez.
- Siriɔs sik dɛn: Kɔndishɔn lɛk we di liva ɔ kidni nɔ de wok fayn.
- Prɔblɛm dɛn we gɛt fɔ du wit ɔmon: Kɔndishɔn lɛk we di adrenal nɔ de wok fayn.
- Tumɔs: Tumɔs dɛn we nɔ kin bɔku na di pankrias, lɛk insulinoma, kin mek dɛn mek insulin pasmak.
If yu gɛt dɛn sik ya we yu nɔ gɛt dayabitis, yu fɔ rili go to dɔktɔ fɔ no di tin we mek yu gɛt dis sik.
Wetin fɔ du we di shuga nɔ bɔku? Di we aw dɛn kin trit am
Wetin wi de du basically ya na fɔ gi di bɔdi shuga (carbohydrates) kwik kwik wan.
Na nɔmal tin, di "15-15 Rul".
Dis na wan we we rili simpul ɛn we izi fɔ mɛmba.
1. Step 1: It ɔ drink 15 gram kabɔhaydrɛt we de wok fast fast .
2. Step 2: Wet fɔ 15 minit .
3. Step 3: Mek yu blɔd shuga lɛvɛl bak wit yu glukomita.
4. Step 4: If di shuga lεvεl stil de dכn 70 mg/dL, ripit step 1, 2, 3.Du dis te yu shuga lɛvɛl kam bak to nɔmal.
Us it dɛn gɛt 15 gram kabɔhaydrɛt?
- 3-4 glukɔs tablɛt dɛn
- Af glas (1/2 kɔp) frut jus we dɛn dɔn swit ɔ sɔft drink
- Wan tebul spɔnj shuga, ɔni, ɔ maple sirop
- Af pan wan smɔl banana
Tritmɛnt we pɔsin kin gɛt we i sik bad bad wan (Severe Hypoglycemia) .
If pɔsin nɔ gɛt bɛtɛ blɔd shuga ɛn i kɔnfyus, i nɔ ebul fɔ tɔk, ɔ i nɔ no natin , nɔ ɛva gi am it ɔ drink bay mɔt! If yu du dat, i kin mek dɛn lod na di say we di briz de blo.
1. Glucagon Injection: Fɔ pipul dɛm wae gɛt dayabitis, yu dɔktɔ kin dɔn gi yu glukagon injection fɔ imejensi. Mek shɔ se yu famili no aw fɔ yuz am.
2. Go na ɔspitul wantɛm wantɛm!: If yu nɔ gɛt glukagon ɔ yu nɔ no aw fɔ yuz am, kɔl di 1990 ambulans savis wantɛm wantɛm ɔ kɛr di pɔsin go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU).
3. Tɔn di pɔsin to di sayd: Di pɔsin kin vɔmit afta i dɔn gɛt kɔnshɛns bak. So, tɔn di pɔsin to di sayd fɔ mek i nɔ chok.
Wetin dɛn kin du fɔ mek dis tin nɔ apin?
E kin tranga fɔ pɔrsin wae gɛt shuga fɔ avɔyd dis kpatakpata, bɔt i pɔsibul fɔ ridyus dis sik ɔltɛm.
- Fɔ fala di advays we di dɔktɔ gi yu: Tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm ɛn di rayt tɛm.
- Tek tɛm wit di it ɛn ɛksesaiz: Nɔ skip fɔ it. If yu de du ɛksɛsayz, tɔk to yu dɔktɔ bɔt am ɛn chenj di tin dɛn we yu de it if nid de.
- Chek yu blɔd shuga lɛvɛl ɔltɛm: I impɔtant mɔ fɔ chɛk yu blɔd shuga lɛvɛl bifo ɛn afta yu it, bifo ɛn afta yu dɔn du ɛksɛsayz, ɛn bifo yu go slip.
- Kip wan lɔg: Ɛnitɛm we yu gɛt smɔl shuga na yu blɔd, rayt di tɛm, yu blɔd shuga lɛvɛl, wetin yu bin it bifo, ɛn if yu bin de du ɛksɛsayz. Dis go ɛp yu dɔktɔ fɔ mek wan tritmɛnt plan fɔ yu.
Di tin we impɔtant pas ɔl na fɔ pe atɛnshɔn to yu bɔdi. Akt kwik kwik wan we yu fil di fɔs sayn dɛn we de sho se yu blɔd shuga nɔ bɔku.
Mɛsej we dɛn kin kɛr go na os
- Hypoglycemia na wan sik wae de mek di shuga na yu blɔd de drɔp tumɔs. Dis kin denja if dɛn nɔ trit am.
- Wach fɔ di sayn dɛm lɛk fɔ shek, fɔ swet, fɔ kɔnfyus, ɛn fɔ angri pasmak.
- Kip sɔntin wit yu ɔltɛm, lɛk glukɔs tablɛt, wan paket shuga, ɔ wan smɔl katon we gɛt frut jus.
- Insay nɔmal tin, yuz di "15-15 rul": tek 15 gram glukɔs, wet fɔ 15 minit, ɛn chɛk yu blɔd shuga bak.
- If pɔsin nɔ no natin, nɔ gi ɛnitin bay mɔt. Kɔl ambulans wantɛm wantɛm ɔ kɛr dɛn go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- If yu gɛt smɔl blɔd shuga ɔltɛm ɔ yu gɛt sayn dɛn fɔ lɛ yu blɔd shuga nɔ bɔku we yu nɔ gɛt dayabitis, mek shɔ se yu go to yu dɔktɔ.
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