Yu blɔd tɛst we yu jɔs du, sho se di shuga we yu gɛt na yu blɔd dɔn ay smɔl? Bɔt yu tink se di dɔktɔ bin se yu nɔ gɛt dayabitis yet, bɔt na tɛm fɔ tek tɛm bad bad wan? If yu dɔn gɛt dis kayn tin, tide wi go tɔk bɔt wan tɔpik we rili impɔtant to yu. Dat na di stej bifo yu gɛt dayabitis, ɔ fɔ tɔk bɔt mɛrɛsin, Prediabetes . Dis tan lɛk wɔnin, lɛk di yɔlɔ layt we de na trafik layt. Na chans fɔ wɔn wi bifo aksidɛnt apin.
Fɔ tɔk am simpul wan, wetin na prɛdiabitis?
I simpul. Pridiabetes na wan intamɛdiet stej we yu blɔd shuga (glucose) lɛvɛl de ɔp pas aw i fɔ bi, bɔt nɔr de ay fɔ kɔl am dayabitis (Type 2 Diabetes). Na nɔr sik insɛf, bɔt na pawaful wɔnin sayn frɔm yu bɔdi. If yu tek di rayt step na dis tɛm, yu kin mek yu nɔ gɛt ɔr delay fɔ gɛt ful-blɔd dayabitis. Na dat na di gud nyus we de ya.
Nɔmal wan, di pɔsin we gɛt wɛlbɔdi in blɔd shuga lɛvɛl fɔ de bitwin 70 ɛn 99 (mg/dL). Bɔt pɔsin we gɛt prɛdiabɛtis kin gɛt dis valyu bitwin 100 ɛn 125 (mg/dL). If dɛn nɔr adrɛs dis kɔndishɔn, di chans fɔ gɛt ful-blɔd dayabitis insay 10 ia kin rili bɔku.
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt prɛdiabɛtis? Aw i kɔmɔn?
Dis na di tin we de kɔnfyus bɔku pipul dɛn. Bɔrku pipul nɔr kin sho ɛni sayn wae dɛn gɛt prediabetes. Yɛs, yu nɔ go fil ɛni prɔblɛm ɔ pen. Bikɔs ɔf dis saylɛns, pas 80% pan di pipul dɛm na di wɔl wae gɛt prɛdiabetes nɔr no am.
Na dat mek i rili impɔtant fɔ go to yu famili dɔktɔ ɔltɛm ɛn du blɔd tɛst we fit yu ej. Na da tɛm de nɔmɔ yu go ebul fɔ no dɛn tin ya kwik kwik wan.
Bɔt, na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt sɔm pan dɛn sik ya:
- di skin na say dεm lεk di armpit, bak pat na di nεk, εn di sayd dεm na di bכdi kin dak εn tik, lεk vεlvεt. dis na mεdikal kכl am `(acanthosis nigricans)`.
- di we aw smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
- As tɛm de go, chenj dɛn kin kam pan di we aw pɔsin de si tin. Dis kin leta mek pɔsin gɛt dayabitis-rilayt retinopathy, we na wan sik we kin pwɛl di yay.
Nɔ tink se, "A nɔ gɛt ɛni prɔblɛm." Prediabetes tan lɛk ɛnimi we nɔ de tɔk natin. So if yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm, i go fayn fɔ mek yu go to dɔktɔ ɛn du tɛst.
Wetin mek wi kin gɛt prɛdiabɛtis? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Di men tin we kin mek pɔsin gɛt prɛdiabɛtis naInsulin rɛsistɛns. Dis kin tan lɛk se i kɔmplikt smɔl, bɔt a go ɛksplen am to yu simpul wan.
Tink bɔt dis we: di sɛl dɛn na wi bɔdi tan lɛk os. Di shuga (glucose) we wi de it de gi dɛn os dɛn ya ɛnaji. Di ɔmon we dɛn kɔl insulin na di ki we de opin di domɔt dɛn na dɛn os dɛn ya ɛn mek di shuga kam insay.
We insulin rɛsistɛns apin, i tan lɛk se di kihol dɛn na di domɔt dɛn na dɛn os dɛn de kin klos wit rɔst. So, di ki we dεn kכl insulin nכ kin opin di domɔt fayn fayn wan. Dɔn di shuga nɔ kin ebul fɔ go insay di sɛl dɛn ɛn i kin bigin fɔ gɛda na di blɔd. Dis na aw di blɔd shuga de go ɔp.
Bɔku tin dɛn de we kin mek pɔsin nɔ gɛt insulin ɛn i kin mek pɔsin gɛt prɛdiabɛtis:
- Jɛnɛtiks: If yu mama, papa, ɔ yu brɔda ɛn sista dɛn gɛt dayabitis, yu kin gɛt prɛdiabɛtis bak.
- di bכdi wet pasmak: fεt we de kכmכt, spεshal wan arawnd di bכdi (bεlε we de kכmכt) na di men tin we kin mek i gεt.
- Nɔr de du ɛksɛsayz: Nɔr fɔ kip yu bɔdi aktif, fɔ de na wan ples fɔ tu lɔng.
- Fɔ it tin dɛn we nɔ fayn: Fɔ it tin dɛn we gɛt swit, flawa, ɔyl, ɛn tin dɛn we dɛn dɔn prosɛs ɔltɛm.
- Ej: Di risk kin go ɔp afta yu dɔn ol 45 ia.
- Fɔ smok.
- Ɔda sik dɛn we pɔsin kin gɛt:
- Fɔ gɛt dayabitis we yu gɛt bɛlɛ (jestational diabetes).
- Polisistik Ovarian Sindrom (PCOS).
- Obstructive sleep apnea na wan sik wae gɛt fɔ du wit wae pɔrsin de snor.
- Sɔm ɔmon dizayd dɛn.
- Yuz sɔm mɛrɛsin dɛn fɔ lɔng tɛm, lɛk stɛroyd.
- Stret ɛn nɔ slip fayn.
Sɔm pan dɛn tin ya we kin mek wi gɛt prɔblɛm (lɛk di ej ɛn di tin dɛn we wi kin lan) nɔ kin ebul fɔ kɔntrol wi. Bɔt bɔku ɔda wan dɛn (lɛk fɔ it, ɛksesaiz, ɛn fɔ smok) de ɔnda wi kɔntrol. If yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt dis sik, i impɔtant fɔ tɔk to yu dɔktɔ bɔt fɔ du tɛst fɔ no if yu gɛt prɛdiabɛtis.
Wetin kin apin if dɛn nɔ tek kia ɔf prɛdiabɛtis?
Di big ɛn impɔtant kɔmplikeshɔn fɔ prɛdiabitis na dat i kin divɛlɔp to Tayp 2 Dayabitis . Dayabitis na sik we if wi nɔ kɔntrol am fayn, i kin pwɛl bɔku pat dɛn na wi bɔdi.
Di prɔblɛm dɛn we kin apin we pɔsin gɛt dayabitis fɔ lɔng tɛm na:
- Di risk fɔ gɛt at atak ɛn strok .
- Ay damej (diabetes-related retinopathy): As tɛm de go, i nɔ kin ebul fɔ si fayn ɛn i kin ivin mek i blaynd.
- Kidni we de pwɛl (dayabɛt-rilayt nɛfrɔpati): I kin ivin mek di kidni nɔ wok fayn.
- Nεv dεm we de pwεl (nyuropathy we gɛt fɔ du wit dayabitis):Di an ɛn fut dɛn kin swɛla, bɔn, ɛn pen, ɛn pɔsin nɔ kin notis se i wund.
Mɛmba se, dɛn kin chenj di sik we dɛn kɔl prediabetes. Bɔt bɔku tɛm i nɔ kin izi fɔ rivɛns di prɔblɛm dɛn we kin kam wit dayabitis. Na dat mek i impɔtant fɔ no bɔt dis kwik ɛn tek di step dɛm we yu nid fɔ du ɔl yu layf.
Aw yu go no gud gud wan if yu gɛt prɛdiabɛtis?
Di wangren we fɔ no fɔ tru na fɔ du blɔd tɛst. Bɔku tɛm, yu dɔktɔ go tɛl yu fɔ du dɛn tɛst ya. Tu men kayn tɛst dɛn de.
1. Fasting Plasma Glucose (FPG) Test: Dis na di test we wi kin du na mɔnin, afta wi nɔ it ɛnitin (afta wi dɔn fast fɔ lɛk 8 awa so) fɔ chɛk di blɔd shuga lɛvɛl.
2. A1C Test: Dis test kin no yu avrej blɔd shuga lɛvɛl fɔ di pas tu to tri mɔnt.
Di dɔktɔ go disayd usay yu de bay di rizɔlt fɔ dɛn tɛst ya.
| Tɛst | Di lɛvɛl we gɛt wɛlbɔdi | Di lɛvɛl we pɔsin gɛt bifo dayabitis | Dayabitis lɛvɛl |
|---|---|---|---|
| Fastin Plasma Glukɔs (FPG) . | 99 mg/dL ɔ smɔl pas dat | 100 - 125 mg/dL | 126 mg/dL ɔ pas dat |
| A1C Tɛst fɔ di pɔsin | 5.7% ɔ smɔl pas dat | 5,7% - 6,4% . | 6.5% ɔ mɔ |
Di bɛst nyus! Prediabetes kin rivεs. Aw?
Yɛs, dis na di bɛst nyuz we yu go ɛva yɛri. Prediabetes nɔto di las verdict fɔ se yu go gɛt dayabitis. If yu liv fayn layf, yu kin lɛf dis sik ɔlmost ɛn mek yu blɔd shuga kam bak to nɔmal.
Dis nɔ nid fɔ bi big tin. Yu kin bigin wit smɔl chenj dɛn. Tri men tin dɛn de we wi fɔ pe atɛnshɔn pan.
| Du | Wetin mek dat impɔtant? | Wan simpul we fɔ bigin |
|---|---|---|
| 1. Fɔ lɔs yu wet | We yu gɛt bɔku bɔku wet, mɔ di fat we yu gɛt na yu bɛlɛ, na di men tin we kin mek yu nɔ gɛt insulin. If yu lɔs ivin smɔl wet, dat kin mek di bɔdi ebul fɔ tek insulin mɔ ɛn mɔ. | Aim fɔ lɔs 5% - 7% pan yu ɔl wet. fכ egzampl, if yu wej 80 kg, fכ lכs jכs 4-6 kg go mek big difrεns. |
| 2. Ɛksesaiz ɔltɛm | We yu de du ɛksɛsayz, yu mɔsul dɛn de yuz di shuga we de na yu blɔd fɔ gɛt trɛnk. Dis kin mek yu blɔd shuga go dɔŋ bay insɛf. | Waka kwik kwik wan te yu brok yu swet, 5 dez insay di wik, fɔ at le 30 minit insay di de. If yu tu les fo waka, dans, saikl, swim, du enitin we yu laik. |
| 3. Fɔ it tin dɛn we gɛt wɛlbɔdi | Wetin wi de it kin afɛkt di shuga we wi blɔd gɛt dairekt wan. If yu chenj to it we gɛt fayn fayn tin dɛn, dat kin ɛp fɔ kɔntrol di shuga we de na yu blɔd. | Bifo yu drink ti ɛn drink we gɛt shuga, drink sɔntin lɛk wata, kokonat wata, ɔ belimal. Nɔ it tin dɛn we gɛt stach lɛk rays, bred, ɛn nuts, ɛn put mɔ vɛjitebul, ɔyl, frut, nɛt, ɛn fish insay yu it. |
Apat frɔm dɛn tin ya, ɔda tin dɛn we yu kin du:
- If yu na pɔsin we de smok, tray fɔ lɛf fɔ smok .
- Fɛn we dɛn fɔ ridyus strɛs . Tin dɛn lɛk fɔ tink gud wan ɛn fɔ lisin to myuzik kin ɛp.
- Gɛt inof slip . Yu nid fɔ slip fayn fɔ 7-8 awa ɛvride.
- If yu gɛt ɔda sik dɛn lɛk ay blɔd prɛshɔn ɔ kɔlɔstrel, kɔntrol dɛn fayn fayn wan akɔdin to yu dɔktɔ in instrɔkshɔn.
Ɛni mɛrɛsin de fɔ prediabetes?
Bɔrku tɛm, di bɛst we fɔ mɛn prɛdiabitis na fɔ mek di chenj dɛn we wi bin dɔn tɔk bɔt na layf. Bɔt sɔm tɛm dɛn, lɛk we yu rili gɛt dayabitis ɛn i nɔ kin izi fɔ kɔntrol yu blɔd shuga we yu chenj yu layf nɔmɔ, yu dɔktɔ kin tɛl yu fɔ bigin tek mɛrɛsin.
di dכg dεm we dεn kin yus fכ dis na `(metformin)` εn `(acarbose)`. Bɔt na di dɔktɔ we de chɛk yu nɔmɔ go disayd dis.
Aw yu kin tek kia ɔf yusɛf we yu de liv wit prɛdiabɛtis?
Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu kam fɔ no se yu gɛt prɛdiabɛtis. Bɔt mɛmba se dis na chans fɔ chenj yu layf fɔ bɛtɛ.
- Eduket yusɛf: Rid bɔt prɛdiabɛtis ɛn it fayn fayn it frɔm say dɛm we yu kin trɔst. Nɔ fred fɔ aks yu dɔktɔ kwɛstyɔn dɛn.
- Tɛl yu fambul ɛn padi dɛn bɔt dis: Tɛl dɛn bɔt di chenj dɛn we yu de mek. Dɔn dɛn kin ɛp yu.
- Tink bak bɔt yu maynd wɛl bɔdi: Sɔntɛnde, i kin tranga fɔ mek dɛn chenj ya. If yu de fil se yu de fil bad, tɔk bɔt am.
- I nɔ izi fɔ chenj di abit dɛn: Yu nɔ go ebul fɔ chenj ɔltin wan nɛt. Start smɔl. Sɛt wan gol wan wan tɛm.
- Yu nɔ go bi 100% pafɛkt ɛvride: Sɔm dez yu nɔ go ebul fɔ du ɛksɛsayz, sɔm dez yu nɔ go ebul fɔ kɔntrol aw yu de it. Dat na nɔmal tin. Nɔ wɔri bɔt am, jɔs tray bak di nɛks de. Di impɔtant tin nɔto fɔ pafɛkt, bɔt na fɔ tray.
- Bi gud to yusɛf: If yu stil gɛt prɔblɛm fɔ kɔntrol yu blɔd shuga afta yu dɔn du ɔl dis, nɔ fil se na yu fɔlt. Dayabitis na wan kɔmpleks sik. Tɔk to yu dɔktɔ fɔ disayd wetin fɔ du nɛks.
Tɔk to yu dɔktɔ.
If yu gɛt prɛdiabɛtis ɔ yu de pan denja fɔ am, i impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ advays. Yu go si se i go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
1. Aw a go ridyus di risk fɔ gɛt prɛdiabɛtis ɛn dayabitis?
2. Wetin na di sayn dɛm we de sho se pɔsin gɛt dayabitis?
3. Wetin na wɛlbɔdi wet fɔ mi ayt?
4. Wetin na di bɛst we fɔ lɛ wi nɔ gɛt bɔku bɔku bɔdi?
5. Aw bɔku ɛksesaiz a fɔ du? Us kayn ɛksesaiz go fayn fɔ mi?
6. Us chenj dɛn a nid fɔ mek na mi it?
7. A fɔ go to pɔsin we sabi bɔt it?
8. Ɛni grup ɔ program de we a kin jɔyn fɔ ɛp?
We i kam pan prɛdiabɛtis, no na pawa . Fɔ no if yu gɛt dis sik ɛn wetin yu kin du fɔ chenj am na pat pan da pawa de. Yu nɔ nid fɔ go tru dis waka yu wan. Yu dɔktɔ ɛn yu wɛlbɔdi tim de ɔltɛm fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Prediabetes na yɔlɔ layt na di rod fɔ dayabitis. Na wɔnin, nɔto las jɔjmɛnt.
- Bɔrku tɛm, no sayn nɔr kin de. So, if yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm, i impɔtant fɔ mek yu de chɛk yu ɔltɛm.
- Prediabetes kin dɔn ɔlmost kɔmplit wan if yu it fayn fayn it, ɛksesaiz ɔltɛm, ɛn kɔntrol yu wet.
- If yu nɔ tek dis wɔnin, dat kin mek yu gɛt tayp 2 dayabitis ɛn siriɔs prɔblɛm dɛn lɛk at sik ɛn kidni sik.
- Tɔk opin wan wit yu dɔktɔ. Gɛt di gayd ɛn sɔpɔt we yu nid pan dis joyn.
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