Di sayn we de wɔn pɔsin we nɔ de tɔk natin fɔ dayabitis: Lan bɔt di we aw insulin nɔ de wok

Yu de fred smɔl fɔ di wɔd dayabitis? Ɔ yu dɔn ɛva tɛl yu se yu gɛt insulin rɛsistɛns, ɛn yu kɔnfyus bɔt wetin i bi? Nɔ wɔri. Tide, wi go tɔk bɔt dis sik we dɛn kɔl insulin resistance in wan rili simpul ɛn padi we. I tan lɛk wan wɔnin we wi bɔdi de gi wi we wi nɔ tɔk natin bifo dayabitis bigin.

Fɔ tɔk am simpul wan, wetin na insulin rɛsistɛns?

Tink bɔt am, di sɛl dɛn na wi bɔdi tan lɛk smɔl os dɛn. Dɛn os dɛn ya nid trɛnk fɔ wok. Da ɛnaji de kɔmɔt frɔm di shuga we dɛn kɔl glukɔs, we dɛn mek wit di it we wi de it. Fɔ mek dis glukɔs kɔmɔt na di blɔd go insay di os dɛn we dɛn kɔl sɛl, i nid ki fɔ opin di domɔt. Da ki de na di ɔmon we dɛn kɔl insulin . Dis insulin ki na wi pankrias de mek am.

We yu it, glukɔs kin go insay di blɔd. Na di sem tɛm, di pankrias de pul wan ki we dɛn kɔl insulin insay di blɔd. we insulin opin di domɔt dεm na di sεl dεm, glukכs de go insay di sεl dεm εn bi εnεji.

Naw luk wetin kin apin to pɔsin we gɛt insulin rɛsistɛns.

yu sεl dεm nכ de rεspכnd fayn to dis insulin ki. I tan lɛk wan domɔt lɔk we dɔn rɔsti. Di ki nɔ go opin di domɔt fayn fayn wan. So glukɔs we nɔ kin ebul fɔ go insay di sɛl dɛn kin bigin fɔ gɛda na di blɔd.

na dis tεm, di bren de tink se, "O, bכku shuga de na di bכdi, a nid mכr ki." So di pankrias kin gɛt mɛsej we de tɛl am fɔ mek mɔ insulin. As tɛm de go, di pankrias kin taya, i kin mek mɔ insulin, ɛn as tɛm de go, di wok we i de du kin stɔp. Na da tɛm de di blɔd shuga lɛvɛl kin bigin fɔ go ɔp.

Di difrɛns bitwin insulin rɛsistɛns, prɛ-dayabɛt, ɛn dayabitis

Pan ɔl we dɛn tri ya gɛt fambul, dɛn nɔto di sem. Lɛ wi luk am frɔm wan tebul.

Wetin na di sayn dɛm fɔ dis sik?

Di big prɔblɛm we de ya na dat insulin rɛsistɛns na sik we pɔsin nɔ de tɔk natin . Yu kin gɛt am na yu bɔdi fɔ lɔng lɔng tɛm we yu nɔ ivin no. Di wangren we fɔ no fɔ tru na fɔ du blɔd tɛst.

Bɔt sɔm sayn ɛn sayn dɛm de wae de na do wae gɛt fɔ du wit dis sik. Chek fɔ si if yu gɛt dɛn tin ya bak:

• di say we di wɛst de go ɔp: di say we di wɛst de pas 40 inch pan man dɛn ɛn pas 35 inch pan uman dɛn.
• Ay blɔd prɛshɔn: Blɔd prɛshɔn na 130/80 mmHg ɔ pas dat.
• Di tin dɛn we nɔ kin apin we dɛn de du blɔd tɛst:
• di blכd shuga lεvεl we yu de fast pas 100 mg/dL.
• di triglisεrayd lεvεl dεm we yu de fast pas 150 mg/dL.
• di gud kכlestכl (HDL kכlestכl) lεvεl dεm we sכm pas 40 mg/dL pan man dεm εn less dan 50 mg/dL pan uman dεm.
• Di chenj dɛn we de apin na di skin:
• di skin na di nεk εn di armpit dεm kin dak εn velvet. Dɛn kin kɔl dis tin we dɛn kɔl Acanthosis Nigricans .
• di apinεns fכ sכm sכm mכl dεm (skin tag) we lεk se dεn de hang pan di skin.

Wetin na di tin dɛn we kin mek pɔsin nɔ gɛt insulin?

I at fɔ no wan tin wae de mek dis sik, bɔt masta sabi pipul dɛm dɔn no bɔt sɔm tin dɛm wae kin mek dis sik bɔku.

• di bכdi wet pasmak: di fεt we de kכmכt, spεshal wan na di bכdi εria (bεlε fεt).
• Nɔr de du ɛksɛsayz ɛn yu nɔr de sidɔm: Nɔr de du tin wit yu bɔdi.
• Fɔ it dɛn we gɛt bɔku kabɔhaydrɛt: Fɔ it bred, rays, swit it dɛn, ɛn drink dɛn we gɛt swit pasmak.
• Famili istri: Sɔmbɔdi na di famili gɛt dayabitis.
• Ej: Di risk kin go ɔp afta yu dɔn ol 45 ia.
• Gestational Diabetes: Mama dɛm we gɛt dayabitis we dɛn gɛt bɛlɛ kin gɛt dis sik leta.
• Ɔda tin dɛn we kin apin: Nɔn-alcoholic fatty liver disease ɛn Polycystic Ovary Syndrome (PCOS).
• Fɔ smok.
• Sɔm mɛrɛsin dɛn: Yu kin yuz sɔm mɛrɛsin dɛn fɔ lɔng tɛm, lɛk stɛroyd.
• Prɔblɛm fɔ slip: Kɔndishɔn lɛk fɔ swɛla we yu de slip (slip apnea).

Di rilayshɔn bitwin insulin rɛsistɛns ɛn PCOS

Strɔng link de bitwin di polycystic ovary syndrome (PCOS), we na wan sik we kin afɛkt bɔku uman dɛn, ɛn di insulin we nɔ de wok. Bɔku uman dɛn we gɛt PCOS kin gɛt insulin rɛsistɛns bak. Dɛn stil de du risach bɔt di rayt tin we dɛn tu gɛt fɔ du wit dɛnsɛf.

Aw yu go fɛn dis, Dɔktɔ?

No wan tɛst nɔ de we spɛshal fɔ no insulin rɛsistɛns. Yu dɔktɔ go luk fɔ sɔm tin dɛn fɔ no bɔt di sik.

1. Kwɛstyɔn yu: Aks bɔt yu famili in wɛlbɔdi istri ɛn aw yu de liv yu layf.

2. Fɔ chɛk yu bɔdi: Dɛn go mɛzhɔ yu wet, ayt, BMI. Dɛn go mɛzhɔ yu blɔd prɛshɔn.

3. Blɔd tɛst: Dɛn tin ya impɔtant pas ɔl.

• Fasting Plasma Glucose (FPG): Na blɔd tɛst we dɛn kin du afta dɛn dɔn fast fɔ at le 8 awa.
• Oral Glucose Tolerance Test (OGTT): Fɔs, dɛn kin tek fast blɔd, dɔn dɛn kin gi wata we gɛt shuga fɔ drink, ɛn dɛn kin tɛst di blɔd bak tu awa afta dat.
• εmoglobin A1c (HbA1c): Dis de gi yu aidia fכ yu avrej blכd shuga lεvεl insay di pas 2-3 mכnt.
• Lipid Panel: I de chɛk di kɔlɔstrel ɛn triglisɛrɛyd lɛvɛl na di blɔd.

Dɛn valyu ya kin ɛp yu fɔ no if yu gɛt prɛdiabɛtis :

• FPG: 100-125 mg/dL, di wan dɛn we de wok
• OGTT (afta 2 awa): 140-199 mg/dL
• A1c: 5,7% - 6,4% .

Aw wi go kɔntrol dis tin we de apin?

Di gud nyus na dat, bɔku tɛm dɛn kin chenj di we aw insulin nɔ de wok! Di men tin we go ɛp yu fɔ du dat na fɔ chenj di we aw yu de liv yu layf. Dɛn tin ya gɛt pawa pas mɛrɛsin.

1. Ɛksesaiz

We yu de aktif, yu mɔsul dɛn nid ɛnaji. Dɛn kin fil mɔ to insulin ɛn dɛn kin bigin fɔ yuz di glukɔs we de na yu blɔd. Ivin simpul ɛgzampul lɛk fɔ waka kwik kwik wan fɔ 30 minit insay di de, at le 5 dez insay di wik, kin mek big difrɛns.

2. Fɔ mek yu gɛt wɛlbɔdi wet

Ivin if yu lɔs 5% to 7% pan yu bɔdi wet kin ridyus yu risk fɔ gɛt dayabitis bad bad wan. Fɔ ɛgzampul, if yu wej 100 kg, fɔ lɔs 5-7 kg na big tin. Kɔnsul yu dɔktɔ fɔ advays bɔt dis.

3. Fɔ chenj di it we yu de it

Nɔr patikyula "mɛjik" it nɔr de fɔ dis, bɔt i impɔtant fɔ no sɔm tin dɛm.

• Fɔ it dɛn we gɛt bɔku fayv: Fɔ it lɛk ɔl gren, ligɛm, vɛjitebul, ɛn frut dɛn kin mek pɔsin fil lɛk se i ful-ɔp ɛn i kin mek di shuga go insay di blɔd slo.
• Fɔd dɛn we gɛt smɔl glycemic index (GI): Fɔ tɔk am simpul wan, dɛn tin ya na it dɛn we nɔ de mek di blɔd shuga go ɔp kwik kwik wan afta yu dɔn it.
• It bɔku tɛm (Low-GI): Bɔku vɛjitebul ɛn frut, brawn rays, chikip, lentil, yogɔt.
• It wan wan tɛm (Medium-GI): Wul gren bred, banana, kɔn.
• Ridyus as yu ebul (High-GI): wayt bred, wayt rays, kek, biskit, swit drink, potato.

4. Ɔda impɔtant tin dɛn

• Nɔ smok.
• Fɔ kɔntrol di strɛs.
• Gɛt inof slip (at least 7 awa insay di de).

Lɛ wi lan bak bɔt mɛrɛsin: No patikyula mɛrɛsin nɔ de fɔ mek pɔsin nɔ gɛt insulin. Bɔt if yu gɛt bɔku prɔblɛm wit dayabitis, yu dɔktɔ kin gi yu mɛrɛsin lɛk Mɛtfɔmin . Bɔt na dɔktɔ nɔmɔ go ebul fɔ disayd.