Yu ketɔn dɛn ay? Lɛ wi tɔk bɔt dis simpul wan!

Yu don eva yehri boht di wohd 'Ketones'? If yu gɛt dayabitis, yu kin no di wɔd. Ɔ yu go dɔn yɛri bɔt di ‘Keto’ it. Wetin rili na di ketɔn? Dɛn gud ɔ bad fɔ wi bɔdi? Wetin kin apin if dɛn bɔku? Lɛ wi tɔk bɔt ɔl dis simpul wan ɛn klia wan.

Fɔ tɔk am simpul wan, wetin na ketɔn?

Tink bɔt yu bɔdi lɛk motoka. Di men fiul fɔ dis motoka fɔ rɔn na glukɔs. dis kayn shuga we dεn kכl glukכs de kכmכt mכtalman frכm di it dεm we wi de it we gεt kכbaidret (e.g. rays, bred, potato).

Naw tink bɔt am, wetin kin apin if fɔ sɔm rizin di bɔdi nɔ ebul fɔ yuz dis glukɔs fiul ɔ if i nɔ go du? Yu tink se di motoka go stɔp? Nɔ, wi bɔdi rili smat. Da tɛm de, di bɔdi kin bigin fɔ bɔn di fat we dɛn dɔn kip fɔ mek i gɛt ɛnaji. Jɔs lɛk motoka we de rɔn pan rizɔv tank we petrol dɔn dɔn.

dis kεtכn dεm de kכmכt na di bכdi εn de travul כlsay na di bכdi fכ gi enεji to di sεl dεm. afta dat di kεtכn dεm we rεst de kכmכt na di urine.

Infakt, i nɔmal ɛn i fayn fɔ gɛt sɔm kitɔn dɛn na wi blɔd, bikɔs na nɔmal tin fɔ mek wi bɔdi yuz dis bak-ap ɛnaji sɔs we nid de.

bכt di prכblεm de stat we dεn kεtכn lεvεl dεm ya tu hכy we dεn nכ kכntrכl. Dɔn wi blɔd kin gɛt tu asid ɛn i kin tɔn to pɔyzin. Wi kin kɔl dis ketoacidosis. Dis na denja sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.

Ustɛm di kεtכn lεvεl dεm kin inkrεs nכmal?

di prכsεs we di kεtכn de mek dεn kכl am kεtosis. Dis nɔto denja kɔndishɔn, na nɔmal tin. fכ egzampl, di kεtכn lεvεl dεm na yu bכdi kin inkrεs sכmtεm sכmtεm na dεn tin ya:

• We yu de slip: Na bikɔs yu nɔ it fɔ lɔng tɛm.
• We yu de fast: Di bɔdi de bɔn fat bikɔs i nɔ de it.
• We yu de du ɛksɛsayz: Na bikɔs yu nid mɔ ɛnaji.
• We yu de du di Keto it: Insay dis it, yu de ridyus di kabɔhaydrɛt bɔku ɛn it mɔ fat, so yu bɔdi kin yus fɔ bɔn fat ɔlmost bay fos.

Udat di ketɔn dɛn denja fɔ? Dayabitis ɛn Kɛton

We i kam pan di ketɔn, pipul dɛm wae gɛt shuga, mɔr lɛk Tayp 1 Dayabitis, fɔ wɔri bɔt dɛn mɔ.

Di rizin na dis. As wi bin dɔn tɔk, wan ɔmon we dɛn kɔl insulin de ɛp wi bɔdi in sɛl dɛn fɔ tek glukɔs (shuga) ɛn yuz am fɔ gɛt ɛnaji. Pɔsin we gɛt tayp 1 dayabitis nɔ de mek dis ɔmon.

So, wetin kin apin we yu lɔs insulin?

1. Di shuga we de insay di blɔd nɔ kin ebul fɔ go insay di sɛl dɛn ɛn i kin gɛda na di blɔd. dis kin mek di bכdi shuga lεvεl de bכku bכku wan (`Hyperglycemia`).

2. biכs di sεl dεm nכ gεt εnεji, di bכdi de tink se i de "angri."

3. Bil trɛnk, ɛn yu bɔdi go bigin fɔ bɔn fat kwik kwik wan.

4. As a rizulta, bכku bכku kεtכn dεm de fכm wan tεm εn i de kכmכt na di bכdi.

5. Dis ay levul fכ di kεtכn de mek di bכdi bi asid, we de mek i gεt wan denja kכndyushכn we dεn kכl Dayabitik Kεtoasidכsis (DKA) .

Pan ɔl we dis sik kin mɔs pan pipul dɛm wae gɛt tayp 1 dayabitis, i kin apin bak pan sɔm kayn wae fɔ pipul dɛm wae gɛt tayp 2 dayabitis.

apat frכm dat, pipul dεm we de drink pasmak kin de pan risk fכ gεt wan kayn sik we dεn kכl `alcoholic ketoacidosis`.

Wetin na di sayn dɛm we de sho se di kεtכn lεvεl de go ɔp? (Di sayn dɛn we de sho se pɔsin gɛt DKA)

If yu gɛt dayabitis ɛn yu gɛt wan ɔ mɔ pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di imejensi rum (ETU) we de nia yu. DKA kin bi rili siriɔs kwik kwik wan, insay 24 awa ɔr less.

Aw yu kin chɛk di ketɔn lɛvɛl?

If yu de pan denja fɔ gɛt DKA, yu dɔktɔ kin tɛl yu fɔ yuz kitɔn tɛst kit. Yu kin gɛt am na famasi. I impɔtant fɔ gɛt dɛn tin ya na os.

• Blɔd tɛst: Kit dɛn de we yu kin du na os. Jɔs lɛk aw yu de chɛk yu blɔd shuga, yu kin chuk yu finga wit smɔl drɔp blɔd ɛn put am pan tɛst strip ɛn rid am pan mita. dis de gi yu akכrd ridin fכ yu kεtכn lεvεl dεm na da mכment de. Sɔm glukomita dɛn kin chɛk bak fɔ di ketɔn dɛn.
• Yurin tɛst: Dis kin min fɔ dip wan tɛst strip insay yu urine ɛn wach di kɔlɔ we de chenj. Bɔt dis kin jɔs tɛl yu wetin yu ketɔn lɛvɛl bin de sɔm awa bifo, nɔto wetin dɛn de naw.
• Breathalyzer tests: Dɛn tin ya stil na nyu teknɔlɔji. Dɛn nɔr kin rili fayn fɔ pɔrsin wae de pan denja fɔ gɛt DKA. So, dεn nכ fכ yuz dεm fכ mכsu di kεtכn dεm.

Ustɛm dɛn fɔ chɛk di ketɔn lɛvɛl?

If yu gɛt dayabitis, yu dɔktɔ go advays yu bɔt dis. Dɛn kin tɛl yu fɔ chɛk yu ketɔn dɛn na dɛn tin ya:

• If yu gɛt sayn dɛn fɔ DKA.
• If yu sik wit fiva, kol, ɔr gɛt aksidɛnt.
• If yu mis wan ɔ mɔ insulin injɛkshɔn.
• If yu blɔd shuga lɛvɛl pas 240 mg/dl.
• If yu gɛt bɛlɛ (fɔ kɔntrol di insulin lɛvɛl we yu gɛt bɛlɛ kin tranga).

Aw fɔ trit di elevated ketone levels?

di tritmεnt dipכnt pan aw yu kεtכn lεvεl dεm hכy.

Tin dɛn we yu kin du na os (na dɔktɔ advays nɔmɔ yu kin du) .

Yu dɔktɔ kin gi yu advays bɔt aw fɔ manej yu lɛvɛl na os bifo i denja pasmak. Dɛn advays ya kin bi:

• Di amount of insulin we yu fɔ tek.
• Amount of wata ɛn it fɔ drink.
• Ilɛksɛf i fayn fɔ du ɛksɛsayz ɔ i nɔ fayn.
• Aw ɔltɛm yu fɔ chɛk yu shuga ɛn kitɔn lɛvɛl?

Ɔspitul tritmɛnt

if di kεtכn lεvεl dεm rili hכy, i nid fכ go na כspitul. dis na di say we di tritmεnt na fכs insay intravenכs salin (IV fluid) εn insulin fכ ridyus di asid na di bכdi εn fכ mek di kεtכn lεvεl εn shuga lεvεl kam bak to nכmal.

Aw fɔ mek yu nɔ gɛt DKA ɛn kip di ketɔn lɛvɛl sef?

If yu de pan denja fɔ gɛt DKA, fɔ mek yu nɔ gɛt am na di bɛst tin fɔ du. Wok wit yu dɔktɔ fɔ du dis.

• Mek yu du di rayt tin fɔ du: Fɔ fala yu dɔktɔ in it plan ɛn di insulin we i de gi yu di rayt we. Dis go ɛp fɔ kɔntrol di shuga na yu blɔd ɛn ridyus di risk fɔ gɛt di kitɔn.
• Yu fɔ no bɔt yu lɛvɛl: No wetin na yu nɔmal kitɔn lɛvɛl, ustɛm fɔ chɛk am, ɛn wetin fɔ du if yu lɛvɛl ay.
• Pripia: Kip di ketɔn tɛst kit dɛn na os. Tɔk to yu dɔktɔ ɛn mek wan plan fɔ fala if yu ketɔn lɛvɛl go ɔp. No gud gud wan us lɛvul fɔ tɔk to yu dɔktɔ bɔt ɛn us lɛvul fɔ go na di ETU.

Bɔku tɛm, di kitɔn dɛn kin ɛp wi bɔdi we nɔ de tɔk natin. Bɔt if yu gɛt dayabitis, fɔ no bɔt dɛn ɛn fɔ kɔntrol di prɔblɛm we yu gɛt, dat go ɛp fɔ sev yu layf.