Lɛ wi lan ɔltin bɔt Tayp 1 Dayabitis insay wan simpul we.

Yu pikin kin tɔsti bad bad wan wantɛm wantɛm ɛn i kin pis bɔku tɛm? I dɔn bigin fɔ wet di bed na nɛt? Ɔ i de lɔs in wet pan ɔl we i de it fayn? Nɔ dismis dɛn tin ya as nɔmal tin. Dɛn tin ya kin bi di fɔs sayn dɛm fɔ wan sik we dɛn kɔl Tayp 1 Dayabitis. Dis na tin wae kin apun to yu layf wae kin afɛkt yɔŋ pikin dɛm, yɔŋ pipul dɛm, ɛn sɔmtɛm big pipul dɛm. Bɔt nɔ wɔri, wi go tɔk bɔt am ditayli.

Fɔ tɔk am simpul wan, wetin na Tayp 1 Dayabitis?

Tayp 1 dayabitis na sik wae de kam wit prɔblɛm wit wi yone imyun sistɛm. Fɔ tɔk di kɔrɛkt tin, na sik we pɔsin kin gɛt we i de fɛt insɛf . Nɔmal wan, wi imyun sistɛm kin fɛt di jem dɛn we kin mek wi gɛt sik. Bɔt if na so i bi, wi imyun sistɛm kin go rɔng ɛn bigin fɔ pwɛl di sɛl dɛn na wi yon pankrias we de mek di ɔmon insulin.

Tink bɔt insulin as ki we de opin di domɔt dɛn fɔ di sɛl dɛn na wi bɔdi. fכ mek di shuga (glucose) we de insay di it we wi de it go insay di sεl dεm as enεji, dis insulin ki rili nid. So we dɛn sɛl dɛn de pwɛl, di insulin we dɛn de mek kin stɔp kpatakpata. Wetin kin apin na di shuga we de na di blɔd nɔ kin ebul fɔ go insay di sɛl dɛn ɛn i kin gɛda na di blɔd. Wi kin kɔl dis ay blɔd shuga lɛvɛl ``(haypa glycemia).`` If dɛn nɔ kɔntrol dis, i kin mek di bɔdi pwɛl bad bad wan.

Wetin na di sayn dɛm fɔ tayp 1 dayabitis? Aw yu no am?

Dɛn sayn ya kin bigin smɔl smɔl ɛn kin kam tranga fɔ sɔm dez ɔr wik. If yu ɔ sɔmbɔdi na yu famili gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan fɔ advays.

Dɛn imejensi simptom ya de sho se yu gɛt wan sik we de mek yu layf de pan denja we dɛn kɔl Dayabitik Kɛtoacidosis (DKA). If yu si sɔntin lɛk dis, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te.

Wetin mek dis de apin? Wetin na di rizin?

Sayɛnsman dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt tayp 1 dayabitis, bɔt dɛn biliv se na bikɔs ɔf di jɛnɛtiks ɛn di tin dɛn we de arawnd wi .

Fɔ tɔk am simpul wan, pɔsin kin gɛt dis sik. Dɔn, wan vayrɔs ɔ sɔntin we de na di envayrɔmɛnt kin mek di bɔdi in difens sistɛm bigin da rɔng atak de.

If pɔsin na di famili gɛt dis sik, di risk fɔ mek ɔda pipul dɛn gɛt dis sik smɔl.

• If nɔbɔdi nɔ gɛt am na di famili, di prɔblɛm na lɛk 1 pan ɛvri 250 pipul dɛn.
• If di mama gɛt am, di risk de bitwin 1 pan 25 ɛn 1 pan 100.
• If di papa gɛt am, di risk na 1 pan 17 pipul dɛn.
• If mama ɛn papa ɔl tu gɛt am, di risk kin bi bitwin 1 pan ɛvri 10 ɛn 1 pan 4.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt tayp 1 dayabitis?

If yu nɔ kɔntrol di ay shuga na yu blɔd fɔ lɔng tɛm, dat kin pwɛl difrɛn pat dɛn na di bɔdi. So, i rili impɔtant fɔ kip di blɔd shuga lɛvɛl insay di rayt rɛnj.

Di prɔblɛm dɛn we kin apin:

• Prɔblɛm fɔ yu yay: tin dɛn lɛk we yu nɔ de si fayn (retinopathy), katarakt.
• Fut prɔblɛm: Di leg dɛn kin swɛla, wund dɛn we nɔ kin wɛl ɛn kin siriɔs.
• At sik ɛn ay blɔd prɛshɔn.
• Kidni sik: I kin pwɛl di kidni dɛn as tɛm de go.
• Nεv dεm we dεn dכn pwεl (Neuropathy): Tin dεm lεk fכ sכmtεm sכmtεm εn tingling na di limb dεm.
• Skin sik dɛm: Dray skin, infekshɔn bɔku tɛm.
• Di risk fɔ gɛt strok we de go ɔp .

Bifo yu fred dɛn tin ya, mɛmba se yu kin protɛkt yusɛf frɔm ɔlmost ɔl dɛn prɔblɛm ya bay we yu kɔntrol di shuga we de na yu blɔd fayn fayn wan. Dɔn bak, fɔ liv wit dis sik kin mek yu strɛs ɛn pwɛl at. So, i impɔtant fɔ tek kia ɔf yu maynd wɛlbɔdi ɛn bak yu bɔdi wɛlbɔdi . Go to dɔktɔ if nid de.

Aw dɔktɔ dɛn kin no dis sik kɔrɛkt wan?

Bɔku tɛm, i kin izi fɔ no if yu gɛt tayp 1 dayabitis. Yu dɔktɔ go du dɛn tɛst ya:

• Blɔd glukɔs tɛst: We dɛn no se di sik de, di shuga lɛvɛl kin rili bɔku.
• A1c test (Glycosylated hemoglobin test): Dis de mek yu no yu avrej blɔd shuga lɛvɛl fɔ di pas tri mɔnt.
• Antibodi test: Dɛn kin yuse dis fɔ no if yu gɛt tayp 1 ɔ tayp 2 dayabitis. If ɔtoantibodi dɛm we gɛt fɔ du wit tayp 1 dayabitis de na di blɔd, dɛn kin kɔnfyus se na tayp 1.

pan tap dat, yu kin du tin dεm bak lεk urine tεst fכ chεk fכ kεtכn dεm na di urine.

Aw dɛn kin trit am ɛn manej am?

Fɔ liv wit tayp 1 dayabitis min se yu fɔ tek insulin ɛvride fɔ liv. Dɛn nɔ go ebul fɔ du dis wit pil. Insulin de sev layf fɔ dɛn sik pipul ya. Di men gol fɔ tritmɛnt na fɔ kip di blɔd shuga lɛvɛl insay wan wɛlbɔdi rɛnj.

Dis nɔto sɔntin we yu wan fɔ du. Wan endokrinɔlɔjis ɛn dayabitis tim kin ɛp yu. Bɔt yu fɔ disayd fɔ du di tin dɛn ɛvride. Tri men pat dɛn de fɔ manejmɛnt:

1. Insulin tɛrapi

2. Fɔ wach di glukɔs

3. Edukeshon ɛn Awareness we dɛn nid (Education) .

Di we dɛn fɔ tek insulin

Bɔku kayn insulin de. Dɛn kin difrɛn pan aw dɛn kin wok kwik ɛn aw lɔng dɛn kin de na di bɔdi. Yu go nid fɔ yuz mɔ pas wan kayn. Bɔku men we dɛn de fɔ gɛt insulin:

• mכltipכl injεkshכn dεm (MDI): fכ injεkt insulin insay di fεt layεr כnda di skin plεnti tεm insay di de yuz sirinj.
• Insulin Pen: Dis na tin we tan lɛk pen we kin kam bifo tɛm ful-ɔp wit insulin. I izi fɔ yuz pas injɛkshɔn.
• Insulin pɔmp: Dis na smɔl tin we de gi insulin to di bɔdi di kayn we we i nid ɔl di de tru wan smɔl tiub we dɛn put ɔnda di skin.
• Insulin we yu inhal:Wan kayn insulin de bak we dɛn kin inhal tru di mɔt, we fiba wan inhala we pipul dɛn we gɛt asma kin yuz.

Di insulin we yu nid kin chenj frɔm wan de to di ɔda, wit di ej, we yu gɛt sik, ɔ we yu gɛt bɛlɛ.

Fɔ wach di shuga lɛvɛl

Yu nid fɔ tek tɛm wit di shuga we de na yu blɔd ɔl di de.

• Blɔd glukɔs mita: Na tin we de mek pɔsin no di blɔd shuga bay we i de tek smɔl drɔp blɔd na di finga.
• CGM (Continuous Glucose Monitoring - CGM): Na we we de kɔntinyu fɔ mɛzhɔ di blɔd shuga lɛvɛl ɛvri sɔm minit we dɛn de yuz wan smɔl sɛns we dɛn put ɔnda di skin ɛn sɛn di data to yu fon ɔ ɔda divays. Dis de naw na Sri Lanka.

Yu dɔktɔ go gi yu di target blɔd shuga lɛvɛl. Di tin we impɔtant pas ɔl na fɔ tray fɔ de na da lɛvul de.

Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata?

Bɔt i sɔri fɔ no se naw, no mɛrɛsin nɔ de fɔ mek pɔsin gɛt tayp 1 dayabitis, bɔt sayɛnsman dɛn de kɔntinyu fɔ du risach bɔt aw fɔ mek di sik nɔ kam ɔ fɔ kɔntrol aw i de go bifo.

Insay sɔm divɛlɔp kɔntri dɛn, tu kayn tritmɛnt dɛn de fɔ transplant, bɔt dɛn kin gɛt mɔ prɔblɛm.

• Aylet sεl transplant: Na di sεl dεm we de prodyuz insulin nכmכ de transplant.
• Pankrias transplant: Dɛn kin du dis di sem tɛm fɔ di wan dɛn we nid fɔ transplant kidni.

Dis na tritmɛnt dɛm wae gɛt risk wae stil de na di risach stej ɛn nɔr de fɔ ɔlman.