Aw fɔ kɔntrol yu shuga we yu pikin we gɛt dayabitis sik? (Diabetes Mellitus) Lɛ wi tɔk bɔt dis!

We yu pikin gɛt dayabitis, ivin smɔl kol ɔ fiva kin bi big lod, nɔto so? Nɔto lɛk nɔmal sik, we pikin we gɛt dayabitis sik, in blɔd shuga kin chenj wantɛm wantɛm. Bɔt nɔ wɔri! If yu plan smɔl ɛn advays yu dɔktɔ, yu go mɔs ebul fɔ manej dɛn sik de ya fayn fayn wan. Lɛ wi tek tɛm luk sɔm pan di ditil dɛn.

Aw di pikin in bɔdi shuga lɛvɛl kin chenj we i sik?

We pikin sik, dat min se in bɔdi de ɔnda bɔku strɛs. Insay pikin we gɛt dayabitis, dis strɛs kin mek dɛn blɔd shuga chenj chenj we dɛn nɔ bin no. Sɔntɛnde, di shuga kin go ɔp, ɛn ɔda tɛm dɛn kin go dɔŋ.

Wetin mek di shuga lɛvɛl kin go ɔp lɛk dis? (Haypa glycemia) .

we pikin sik, fכ ansa strεs, in bכdi de prodyuz mכr fכ sכm כmon dεm, we dεn kכl `strεs כmon`. Dɛn ɔmon ya kin mek di blɔd shuga lɛvɛl go ɔp. Dɔn bak, di insulin we di pikin de tek dis tɛm nɔ kin wok fayn. Fɔ tɔk di kɔrɛkt tin, di we aw pɔsin kin fil fɔ insulin kin go dɔŋ. Dɔn, di pikin kin nid mɔ insulin pas aw i kin nid. Ivin smɔl fiva ɔ kol kin mek yu gɛt dis sik, so yu nid fɔ tek tɛm wit di ay blɔd shuga lɛvɛl (`Hyperglycemia`).

Dɔn, yu tink se di shuga lɛvɛl go dɔŋ? (Haypoglycemia) .

Yɛs, na fɔ tru. Sɔm sik dɛn kin mek pikin nɔ want fɔ it igen, in bɛlɛ kin at, i kin gɛt nɔys, ɛn i kin vɔmit. Dis kin mek di pikin nɔ it bɛtɛ ɔ ivin nɔ gri fɔ it. So, if pikin we de tek insulin nɔ it bɔku lɛk aw i kin it, in blɔd shuga lɛvɛl kin go dɔŋ wantɛm wantɛm (`Hypoglycemia`). Dis tεm, di pikin go nid sכm insulin pas aw i kin nid.

Imajin se yu pikin in bɛlɛ de at, i de vɔmit, ɛn i nɔ go it ɛnitin. If yu gi am di sem insulin we i nid fɔ di de, in blɔd shuga kin go dɔŋ tumɔs bikɔs i nɔ gɛt tin fɔ it, we kin mek i denja.

Aw wi go rɛdi bifo pikin sik?

Wan wɔd de se "pripia na di bɛst mɛrɛsin." Dis kin rili impɔtant bak we pikin we gɛt dayabitis sik. Dis pripiamɛnt go ɛp yu fɔ wok ɛn nɔ panik.

• No yu pikin in dayabitis kia plan: Yu dɔktɔ kin dɔn gi yu "Diabetes Care Plan" we yu de trit yu pikin fɔ dayabitis. I gɛt patikyula instrɔkshɔn fɔ wetin fɔ du pan "sik de dɛm." Fɔ ɛgzampul, aw fɔ ajɔst yu insulin doz ɛn aw fɔ chɛk yu ketɔn. Mek shɔ se yu rid ɛn ɔndastand dis gud gud wan.
• Kip ɛkstra glukɔs ɛn ketɔn tɛst strip dɛn:Yu go nid fɔ chɛk yu blɔd shuga ɛn kitɔn lɛvɛl mɔr tɛm insay yu sik de dɛm. So kip sɔm ɛkstra tɛst strip dɛn na os so dat yu nɔ go dɔn. Yu nɔ nid fɔ rɔsh na di las minit.
• Kip dɛn tin ya rɛdi na di kichin:
• Fluid we nɔ gɛt shuga: I rili impɔtant fɔ mek yu nɔ gɛt wata we yu pikin sik. Kip bɔku wata, lɛk wata, chukchuk sup (we dɛn mek we nɔ gɛt ɔyl), vɛjitebul brot, ti we nɔ swit, ɛn soda we nɔ swit.
• Gi drink dɛn we gɛt shuga if yu blɔd shuga lɛvɛl go dɔŋ: Kip tin dɛn lɛk rɛgyula soda (we gɛt shuga) ɛn frut jus (frɛsh bɛtɛ) rɛdi fɔ gi kwik kwik wan if yu blɔd shuga go dɔŋ.
• Speshal drink: Sɔntɛnde yu dɔktɔ kin tɛl yu fɔ drink spɔt lɛk Pedialyte ɔ Gatorade. Dɛn tin ya de gi di bɔdi bak di sɔl dɛn we i nid.
• Layt it fɔ di bɛlɛ: Kip sɔm layt it dɛn we izi fɔ digest na yu an, lɛk krak krak, bred, yogɔt, ɛn pɔrit.
• Kip tɛmɔmɔta usay i izi fɔ rich: Dis impɔtant fɔ mek yu de chɛk yu pikin in bɔdi tɛmpracha ɔltɛm.

Wetin a fɔ du we mi pikin sik?

We yu pikin sik, yu fɔs ɛn impɔtant gayd na yu pikin in dayabitis kia plan. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs lɛk aw dɛn rayt am. Apat frɔm dat, dɛn jenɛral advays ya go ɛp yu bak:

• Chek yu blɔd shuga lɛvɛl ɔltɛm: Yu kin nid fɔ chɛk bɔku tɛm pas aw yu kin chɛk, sɔntɛm ɛvri 2-3 awa. Du wetin yu dɔktɔ tɛl yu.
• Nɔ stɔp fɔ gi insulin: Dis rili impɔtant! Ivin if di pikin nɔ it, di shuga we de na di bɔdi kin stil go ɔp, so dɛn nid insulin. Bɔt, dɛn kin nid fɔ chenj di doz. Sɔntɛm yu go inkrisayz am, sɔntɛm yu go ridyus am. Tɔk to di dɔktɔ ɛn disayd. Dɔktɔ dɛn kin se bak fɔ gi insulin to pikin dɛn we gɛt ``Type 2 Diabetes`` we nɔ de tek insulin ɛvride.
• Chek fɔ ketɔn: Chɛk yu pikin in urine ɔ blɔd fɔ ketɔn. Bɛlɛ pen, nɔs, ɛn vɔmit kin bi simpul bɛlɛ at, ɔ dɛn kin bi sayn fɔ wan denja sik we dɛn kɔl Dayabitik Kɛtoacidosis (DKA). Na dat mek i impɔtant fɔ chɛk fɔ ketɔn.
• Ɛnkɔrej yu fɔ it wata: Fɔ mek yu nɔ gɛt wata na yu pikin, gi yu pikin bɔku bɔku wata (we nɔ gɛt shuga). I bɛtɛ fɔ gi dɛn smɔl smɔl tin dɛn ɔltɛm.
• Tek tɛm we yu de gi yu mɛrɛsin: Sɔm kɔf ɛn kol mɛrɛsin dɛn we yu nɔ kin bay na kɔt kin gɛt shuga. Sɔm mɛrɛsin dɛn kin afɛkt di blɔd shuga lɛvɛl bak. So, aks yu fama ɔ dɔktɔ bifo yu gi yu pikin ɛni mɛrɛsin .Yu tink se da mɛrɛsin de kin afɛkt pɔsin we gɛt dayabitis ɛn i gɛt shuga?
• Rikɔd ɔltin: Dis rili impɔtant. Rayt di sayn dɛm we yu pikin gɛt (fiva, kɔf, vɔmit, ɛn ɔda tin dɛm), di mɛrɛsin dɛm we dɛn gi am ɛn di doz dɛm, wetin i de it ɛn drink, we i de lɔs in wet, ɔmɔs fiva i gɛt, di blɔd shuga lɛvɛl, di kitɔn lɛvɛl, ɔl dis wit di tɛm we i de na buk. Dɛn not ya go rili ɛp di dɔktɔ fɔ trit dɛn.
• Ɛp yu pikin fɔ rɛst fayn: I impɔtant fɔ rɛst fɔ di bɔdi we i sik. Mek shɔ se yu pikin slip fayn ɛn rɛst, pas fɔ lɛ i ple, rɔn, ɔ jomp.

Ustɛm yu nid fɔ go to dɔktɔ?

Pan ɔl we sɔntɛnde yu kin kia fɔ yu pikin na os, sɔntɛnde i kin impɔtant fɔ go to dɔktɔ wantɛm wantɛm. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ kɛr yu pikin go na ɔspitul:

• If di pikin gɛt apɛtit, nɔ want fɔ it ɔ drink ɛnitin.
• If yu de vɔmit ɔ dayarɛa ɔltɛm fɔ pas tu awa.
• If yu blɔd shuga lɛvɛl rili smɔl (`Hypoglycemia`) ɛn yu nɔ ebul fɔ kɔntrol am ivin wit sɔntin we gɛt shuga.

Impɔtant: If yu pikin in blɔd shuga go dɔŋ, tray fɔ yuz mɛrɛsin na os (e.g., gi yu drink we gɛt shuga) bifo yu kɔl yu dɔktɔ ɔ go na ɔspitul. If yu pikin in blɔd shuga nɔ kam bak to nɔmal, kɔl di imejensi rum (1990 na Sri Lanka) ɔ kɛr yu pikin go na di ɔspitul we de nia yu.

• If yu blɔd shuga lɛvɛl stil ay (`Hyperglycemia`) ɛn nɔ de go dɔŋ pan ɔl we dɛn gi yu insulin akɔdin to yu kia plan.
• If yu gɛt mɔdaret ɔ ay lɛvɛl di ketɔn dɛn na yu urine ɔ blɔd.
• If yu tink se yu pikin gɛt simptom dɛm fɔ `DKA (Diabetic Ketoacidosis)` (e.g., i de blo kwik kwik wan, i de smɛl frut, i de slip pasmak, i de kɔnfyus).

Nɔ ɛva tink tumɔs, if yu ivin gɛt smɔl dawt, tɔk to yu dɔktɔ. Dat na di tin we sef pas ɔl fɔ du.

Wetin bak wi nid fɔ no? (Smɔl bɔt prɛvenshɔn bak)

Jɔs lɛk aw i impɔtant fɔ kia fɔ yu pikin we i sik, na so i impɔtant bak fɔ ɛp am fɔ gɛt wɛlbɔdi as yu ebul.

• Gɛt yu pikin in vaysin dɛn di rayt tɛm: Gɛt ɔl yu pikin in vaysin dɛn di rayt tɛm, mɔ di Nyumokɔk Kɔnjɔg Vaysin (PCV) fɔ nyumonia, di flu shot we dɛn kin gɛt ɛvri ia, ɛn di COVID-19 vaysin if i fit. Dɛn tin ya kin protɛkt yu pikin frɔm bɔku sik dɛn.
• Tich yu pikin dɛm fɔ was dɛn an ɔltɛm: Di bɛst we fɔ mek di jem nɔ go skata na fɔ was dɛn an fayn fayn wan. Mek shɔ se yu pikin was in an wit sop ɛn wata bifo i it, afta i dɔn yuz di bafa, ɛn afta i dɔn ple na do.
• Stay away frɔm pipul dɛm wae sik:Sik dɛm lɛk kol ɛn flu kin skata kwik kwik wan. So nɔ kɛr yu pikin go na say dɛn we pipul dɛn sik.

Wetin wi nid fɔ mɛmba frɔm ɔl dis (Take-Home Message)

Na tru se yu nid fɔ tek tɛm smɔl we yu pikin we gɛt dayabitis sik. Bɔt dat nɔ min se yu nɔ go ebul fɔ kɔntrol am. Di men tin na fɔ nɔ panik, ɛn fɔ rɛdi bifo tɛm.

• Mek shɔ se yu no yu pikin in dayabitis kia plan ɛn di lɔ dɛn fɔ sik de.
• Chek yu blɔd shuga ɛn ketone lɛvɛl ɔltɛm.
• Nɔ ɛva stɔp fɔ tek insulin (we yu nɔ gɛt dɔktɔ advays).
• Gi di pikin bɔku wata.
• If yu gɛt ɛni dawt bɔt ɛnitin, nɔ delay fɔ tɔk to yu dɔktɔ.

Wit yu lɔv, kia, ɛn dis awareness, yu kin rili ebul fɔ manej di sik de dɛn fayn fayn wan ɛn ɛp yu pikin fɔ wɛl kwik kwik wan. Nɔto yu wan de, ɛn yu mɛdikal tim de ɛp yu ɔltɛm.

Dayabitis, pikin dɛm, sik, blɔd shuga, insulin, ketɔn, DKA, haypoglycemia, haypa glycemia, dayabitis kia plan, sik de rul