Yu na pɔsin we gɛt dayabitis? Ɔ sɔmbɔdi na yu famili ɔ padi gɛt dayabitis? Den yu go probabli yehri di wohd 'ketones'. Bɔt wetin na dɛn ketɔn ya? Wetin mek dɛn rili impɔtant fɔ pɔsin we gɛt dayabitis? Lɛ wi tɔk bɔt dis tide insay wan simpul we we yu go ɔndastand. If yu no dis kɔrɛkt wan, dat go ɛp yu fɔ sev yu layf.
Fɔ tɔk am simpul wan, wetin na ketɔn?
di kεtכn dεm na wan kayn asid we wi liva de mek. Ɔlman kin mek smɔl smɔl ketɔn na in bɔdi, ilɛksɛf i gɛt dayabitis ɔ i nɔ gɛt am.
So aw dɛn tin ya kin apin? Wi bɔdi de yuz shuga ɔ glukɔs as di men tin we wi de gi wi trɛnk. Wan ɔmon we dɛn kɔl insulin impɔtant fɔ chenj dis glukɔs to ɛnaji. Bɔt we insulin nɔ de na di bɔdi, di bɔdi nɔ kin ebul fɔ yuz glukɔs fɔ gɛt ɛnaji. Dɔn di bɔdi kin luk fɔ ɔda tin we go mek i gɛt trɛnk. Dat na di fat we dɛn kin kip na wi bɔdi.
we di bכdi bigin fכ bכn fεt fכ εnεji, dεn kεtכn dεm ya de k כmכt lεk bayprodukt. Wi kɔl dis prɔses ketosis . Bɔrku tɛm, dis nɔr kin bi prɔblɛm fɔ pɔrsin wae nɔr gɛt dayabitis. Bɔt pan pɔsin we gɛt dayabitis, mɔ if dɛn nɔ ebul fɔ kɔntrol di insulin, dɛn kitɔn ya kin go ɔp we dɛn nɔ ebul fɔ kɔntrol am. If di lɛvɛl we di ketɔn dɛn de na di blɔd go denja, i kin mek pɔsin gɛt wan sik we rili siriɔs, ivin we kin mek pɔsin in layf de pan denja we dɛn kɔl Dayabitik Kɛtoacidosis (DKA) .
Udat fɔ tek kitɔn tɛst?
If yu gɛt dayabitis, i rili impɔtant fɔ no bɔt di kitɔn tɛst.
- Pipul wae gɛt Tayp 1 Dayabitis: Dɛn wan ya kin gɛt di risk pas ɔl. Insay tayp 1 dayabitis, di bɔdi in imyun sistɛm kin pwɛl di sɛl dɛn we de mek insulin na di pankrias. If insulin nɔ de, di blɔd shuga ɛn di ketɔn lɛvɛl kin go ɔp izi wan.
- Pipul dɛm wae gɛt Tayp 2 Dayabitis: Dɛn kin gɛt bɔrku kitɔn lɛvɛl bak, bɔt i nɔr kin kɔmɔn lɛk tayp 1 dayabitis.
- Pipul dɛn we de drink pasmak: Pipul dɛn we de drink pasmak ɛvride ɛn nɔ de it ɔ drink fayn kin gɛt wan sik we dɛn kɔl alcoholic ketoacidosis . Dis na imejensi bak we nid fɔ gɛt tritmɛnt kwik kwik wan.
Ustɛm yu fɔ tɛst fɔ ketɔn?
If yu gɛt dayabitis, yu dɔktɔ go advays yu bɔku tɛm fɔ chɛk yu ketɔn lɛvɛl dɛn dis tɛm ya:
- If yu blɔd shuga lɛvɛl pas 250 mg/dL fɔ tu dez insay wan row.
- If yu gɛt sik lɛk fiva, kol, ɔr injury.
- If yu de plan fɔ du ɛksɛsayz ɛn yu blɔd shuga lɛvɛl pas 250 mg/dL da tɛm de.
- If yu nɔ ebul fɔ gɛt di insulin injɛkshɔn we dɛn tɛl yu fɔ gi yu .
- If yu gɛt bɛlɛ (especially if yu gɛt gestational diabetes).
- If dɛn dɔn du ɔpreshɔn pan yu .
- If yu nɔ ebul fɔ it ɛnitin.
- If yu yuz insulin pɔmp ɛn i stɔp fɔ wok.
Wetin na di sayn dɛm we de sho se di ketɔn lɛvɛl go ɔp?
If yu gɛt dɛn sik ya, i go fayn fɔ mek dɛn du di kitɔn tɛst wantɛm wantɛm. Dis kin bi di fɔs sayn dɛm fɔ DKA.
| Di sayn dɛm we kin kam fɔs | Di sayn dɛm fɔ wan siriɔs sik |
|---|---|
| Tɔsti pasmak ɛn yu mɔt we dray | Taya pasmak ɛn taya pasmak |
| Fɔ pis bɔku tɛm | Nɔs, vɔmit, ɛn bɛlɛ kramp |
| Briz we de smɛl frut | I nɔ kin izi fɔ yu fɔ blo |
| Ed de at | Skin kin rɛd |
| Dray skin | Kɔnfyushɔn (disɔda we de mek pɔsin gɛt maynd) . |
di tin we impɔtant pas ɔl na fɔ chɛk yu ketɔn lɛvɛl ɛvri 4-6 awa if yu blɔd shuga lɛvɛl ay ɔ yu fil sik.
Aw yu kin chɛk di ketɔn lɛvɛl?
Tu men we dεm de fכ tεst yu kεtכn lεvεl, כl tu dεm ya yu kin du na os.
1. Tɛst fɔ Yurin
Dis na di we we dɛn kin yuz mɔ ɛn we nɔ dia pas ɔl. Yu kin bay tɛst strip fɔ dis na famasi.
- Tek sɔm urine insay wan klin kɔp.
- Dip di tɛst strip insay de.
- Shek di strip smɔl ɛn wet di tɛm we dɛn tɔk bɔt na di instrɔkshɔn dɛn te i chenj in kɔlɔ.
- Kɔmpia di kɔlɔ fɔ di strip wit di kɔlɔ chɔt we yu gɛt fɔ no yu ketɔn lɛvɛl.
2. Blɔd Tɛst
Dis we ya kin kɔrɛkt pas fɔ tɛst yu urine. Sɔm blɔd glukɔs mita dɛn gɛt bak di abiliti fɔ tɛst fɔ ketɔn.
- Wash ɛn dray yu an dɛn fayn fayn wan.
- Insert di ketone test strip insay di mita.
- Prik yu finga ɛn put wan drop blɔd pan di tɛst strip.
- Rid di rizɔlt we dɛn sho na di mita.
Blɔd tɛst de gi yu di lɛvɛl we di ketɔn dɛn de na yu blɔd da tɛm de, so i kin kɔrɛkt mɔ. Bɔt di tɛst strip dɛn rili dia. Aks yu dɔktɔ us we fɔ du am bɛtɛ fɔ yu.
Wetin mi tɛst rizɔlt min?
I rili impɔtant fɔ ɔndastand di tin dɛn we yu dɔn du.
| Test tayp | Rizɔlt | Wetin fɔ du |
|---|---|---|
| Tɛst fɔ Yurin | ||
| Urine we dɛn kin yuz | Nɔ ketɔn (Nɛgitiv) . | Nɔmal. |
| Trace / Smɔl wan | Keton dεm de bigin fכ fכm. Drink bɔku wata. Chek bak insay sɔm awa. | |
| Soba | Kɔl yu dɔktɔ wantɛm wantɛm. | |
| Ay/Big big wan | Dis na imejensi! Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. | |
| Blɔd Tɛst | ||
| Blɔd | I nɔ rich 0.6 mmol/L | Nɔmal. |
| 0,6 - 1,5 mmol/L | I tumɔs smɔl smɔl. Du wetin yu dɔktɔ tɛl yu fɔ du. Chek am bak. | |
| 1,6 - 2,9 mmol/L | Risk de fɔ gɛt DKA. Kɔl yu dɔktɔ wantɛm wantɛm. | |
| Abov 3.0 mmol/L | Risk we rili ay. Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. | |
Aw fɔ ridyus di keton lɛvɛl?
If yu ketɔn lɛvɛl go ɔp smɔl, sɔm tin dɛn de we yu kin du. Bɔt mɛmba se di tin we impɔtant pas ɔl na fɔ fala di plan we yu dɔktɔ dɔn gi yu.
- Drink bɔku wata: Dis kin ɛp fɔ mek di ketɔn dɛn kɔmɔt na di bɔdi.
- Chek di blɔd shuga ɔltɛm: Chɛk ɛvri 3-4 awa.
- Nɔ ɛksesaiz: If yu blɔd shuga ɛn di kitɔn ɔl tu bɔku, ɛksesaiz kin mek di sik wɔs.
- Aks advays frɔm yu dɔktɔ: Aks yu dɔktɔ bɔt di kayn insulin we yu nid ɛn di it dɛn we yu fɔ it fɔ trit di ay keton lɛvɛl.
Mɛsej we dɛn kin kɛr go na os
- Keton na impɔtant wɔnin sayn fɔ pipul dɛm wae gɛt shuga, mɔr lɛk tayp 1 dayabitis.
- If di ketɔn dɛn we de na di blɔd bɔku pasmak, dat kin mek i gɛt prɔblɛm we go mek pɔsin in layf de pan denja we dɛn kɔl DKA (Diabetic Ketoacidosis) .
- Test fɔ ketɔn ɛnitɛm we yu blɔd shuga lɛvɛl pas 250 mg/dL, we yu gɛt sik, ɔ ɛnitɛm we yu dɔktɔ advays.
- Wach fɔ sɔm sayn dɛm lɛk fɔ frut smel na yu briz, fɔ tɔsti pasmak, ɛn fɔ kɔnfyus.
- If yu ketɔn lɛvɛl smɔl ɔ ay , nɔ delay ɛn kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- Ɔltɛm tɔk to yu dɔktɔ bɔt aw fɔ manej yu ketɔn lɛvɛl ɛn mek wan klia plan.
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