Bɔku pan wi kin tink se dayabitis kin jɔs afɛkt pipul dɛn we fat ɛn we gɛt bɔku bɔku bɔdi. Bɔt yu no se fɔ pɔsin we de na Sawt Eshia kɔntri lɛk wi, dat na Sri Lanka, ilɛksɛf wi tan ɔ wi gɛt nɔmal wet, wi kin gɛt Tayp 2 Dayabitis pasmak? Infakt, we yu kɔmpia am to ɔda etnik grup dɛn, di risk we wi gɛt kin pas lɛk 4 tɛm so. Dis na sɔntin we rili de mek wi sɔprayz. So tide, lɛ wi tɔk bɔt wetin mek dis kin apin, wetin wi nid fɔ no bɔt, ɛn wetin wi kin du fɔ protɛkt wisɛf frɔm dis sik.
Wetin mek pipul dɛn na Sawt Eshia lɛk wi de pan big risk?
Di men rizin fɔ dis na di we aw wi bɔdi de kip fat. Imajin, wan layεr fεt we wi nכ de si de dכn rawnd imכtant כgan dεm na wi bכdi lεk di liva εn mכsul dεm. pan mεdikal, dεn kכl dis (Visceral adiposity) . Dis na tin we kin apin frɔm insay, ilɛksɛf wi bɔdi tan ɛn i nɔ tan lɛk am frɔm do.
Fɔ tɔk am simpul wan, bikɔs ɔf di fat layt we de rawnd dis ɔgan, di ɔmon insulin we wi bɔdi in pankrias de mek nɔ kin ebul fɔ wok fayn. di men wok we insulin de du na fכ εp di sεl dεm fכ tek di shuga (glucose) na di bכdi εn tכn am to enεji. So, we insulin nɔ kin ebul fɔ du in wok fayn bikɔs ɔf dis fat layt, wi kin kɔl am insulin resistance . Dis kin mek di blɔd shuga go ɔp.
I nɔ mata aw yu de du ɛksɛsayz, if dis fat de rawnd di mɔsul dɛn, i nɔ kin izi fɔ dɛn mɔsul dɛn de fɔ tek shuga na di blɔd. Dis na wan tin we kin mek pɔsin nɔ gɛt insulin.
Di tu prɔblɛm we wi de gɛt: fɔ mek wi nɔ ebul fɔ tinap tranga wan ɛn fɔ nɔ gɛt bɛtɛ tin fɔ du
As pipul dɛn na Sawt Eshia, dis prɔblɛm kɔmplikt fɔ wi mɔ fɔ tu rizin dɛn.
1. Insulin Resistance: As a bin dɔn tɔk, pan ɔl we wi bɔdi de mek insulin, i nɔ de wok fayn. Wan spɛshal dɔktɔ we bin tɔk bɔt dis bin tɔk bɔt in yon ɛkspiriɛns. We i bin gɛt gestational dayabitis we i gɛt bɛlɛ, i bin gɛt fɔ injekt bɔku insulin pan ɔl we i bin gɛt nɔmal bɔdi mas indeks (BMI). Dis min se pan ɔl we insulin de na di bɔdi, i nɔ de wok fayn, so dɛn nid fɔ gɛt bɔku.
2. Insulin Dεfisiεns: כda tin na dat, fכ jεnεtiks, di sεl dεm we de prodyuz insulin (beta sεl dεm) na wi pankrias nכ de wok bכku. Dɛn kɔl dis (beta sɛl bluntin).Dat min se we wi de it, di shuga we de na wi blɔd kin go ɔp. Dɔn di pankrias kin gɛt sayn fɔ mek insulin. Bɔt bikɔs wi sɛl dɛn "lɛs" smɔl, dɛn nɔ de mek insulin te di blɔd shuga lɛvɛl rili ay. So wi gɛt ɔl tu di prɔblɛm we insulin nɔ de wok fayn na wan say, ɛn di prɔblɛm we de mek wi nɔ prodyuz inof insulin na di ɔda say.
Wetin na de risk factor wae fɔ test fɔ gɛt dayabitis?
As pipul dɛm na Sawt Eshia, wi nid fɔ tek tɛm wit di krayteria dɛm we difrɛn frɔm di jenɛral krayteria dɛm we wi de tɛst fɔ dayabitis. I impɔtant mɔ fɔ mek dɛn tɛst yu fɔ gɛt dayabitis if yu bɔdi mas indeks, ɔ BMI, pas 23. Pan ɔl we di avɛrej valyu na Wɛstɛn kɔntri dɛn na 25, bikɔs ɔf wi jenɛtik difrɛns, wi de pan denja ivin we BMI smɔl.
Si if yu gɛt wan ɔ mɔ pan dɛn tin ya we kin mek yu gɛt prɔblɛm.
| Risk Factor | Tɔk bɔt |
|---|---|
| Di Bɔdi Mas Indeks (BMI) . | If yu BMI pas 23 kg/m2. |
| Famili istri | If yu mama, papa, brɔda ɔ sista gɛt tayp 2 dayabitis. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | If pɔsin na yu famili gɛt histri fɔ gɛt dayabitis, at sik, ay blɔd prɛshɔn, ɔ blɔd triglisrayd lɛvɛl we pas 250 mg/dL. |
| Ɛspɛshali fɔ uman dɛn | If yu gɛt ɔ yu dɔn gɛt di sik we dɛn kɔl Polycystic Ovary Syndrome (PCOS). |
Aw yu kin tɔk to yu dɔktɔ bɔt dis?
Di tin we impɔtant pas ɔl na fɔ tek di fɔs tin ɛn tɔk to yu dɔktɔ bɔt dis. Yu dɔktɔ nɔ go want fɔ tɛst yu fɔ gɛt dayabitis bikɔs yu na nɔmal wet. Bɔt yu kin ɛksplen dɛn tin ya to am.
We yu go si yu dɔktɔ, se sɔntin lɛk, "Dɔk, pan ɔl we mi BMI de na di nɔmal rɛnj, a no se a na Sawt Eshia ɛn a de pan risk fɔ gɛt dayabitis ivin we a gɛt smɔl BMI. So yu kin chɛk mi A1c?"
A1c (HbA1c) na di mכsu fכ yu bכdi shuga lεvεl ova di pas 2-3 mכnt. Dis tɛst kin tɛl yu if yu gɛt dayabitis ɔ yu de pan denja fɔ gɛt dayabitis (prediabetes). I impɔtant fɔ tek chaj pan yu wɛlbɔdi.
Di it ɛn di we aw wi de liv wi layf: Wetin wi fɔ du?
Yu it na 70% impɔtant fɔ kɔntrol dayabitis. Di ɔda 30% na ɛksɛsayz.
Di masta sabi pipul dɛm se, "A nɔ de ɛva tɛl mi pasɛnt dɛm fɔ stɔp fɔ it it we dɛn lɛk kpatakpata. Di tin we impɔtant pas ɔl na fɔ ɔndastand wetin fɔ it smɔl, wetin fɔ it mɔ, ɛn aw fɔ balans it."
Bɔku tɛm, di men it we wi kin it na Sri Lanka gɛt bɔku kabɔhaydrɛt (stach). Wi kin it tin dɛn we dɛn mek wit rays, bred, ɛn flawa mɔ. Ɛni wan pan dɛn kayn kabɔhaydrɛt ya kin mek di blɔd shuga go ɔp. So wetin wi nid fɔ du na fɔ nɔ stɔp fɔ it dɛn it ya kpatakpata.
- Chenj di we aw yu de pripia yu rays plet: Gi wan kwata pan yu plet fɔ rays, wan kwata fɔ protin (fish, chukchuk, eg, lentil, chikip), ɛn di ɔda af fɔ vegjetabul ɛn grɛn.
- Inklud it dɛn we gɛt bɔku fayv: Fɔd lɛk ɔl gren, ɔts, brawn rays, vɛjitebul, ɛn frut dɛn kin mek di rit we dɛn kin ad shuga na di blɔd slo.
- Nɔ it tin dɛn we dɛn dɔn prosɛs ɛn drink dɛn we dɛn dɔn swit: Dɛn tin ya kin mek di shuga na yu blɔd go ɔp wantɛm wantɛm.
Nɔ mek dayabitis kɔntrol yu layf. Bifo dat, tich yusɛf bɔt dis sik, go to yu dɔktɔ fɔ di advays we yu nid, ɛn chenj di we aw yu de liv yu layf.
Mɛsej we dɛn kin kɛr go na os
- Bikɔs yu na Sawt Eshia, mɔ na Sri Lanka, na big tin we kin mek yu gɛt tayp 2 dayabitis.
- Dis risk nɔr de go ivin if yu bɔdi wet nɔrmal ɔr ivin if yu tan.
- If yu BMI pas 23 ɔ if pɔsin na yu famili gɛt dayabitis, yu fɔ rili du tɛst.
- Tek chaj fɔ yu wɛlbɔdi ɛn aks yu dɔktɔ fɔ tɛst yu fɔ dayabitis. Aks bɔt di A1c tɛst.
- Di it rili impɔtant. Kɔntrol di kabɔhaydrɛt (stach) we yu de it ɛn pe atɛnshɔn pan it we gɛt bɔku prɔtin ɛn fayv.
- Nɔ fred fɔ aks fɔ ɛp. If yu gɛt di rayt no ɛn di rayt we aw yu de manej yu, yu go ebul fɔ liv fayn layf.
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