Yu no bɔt Tayp 3c Dayabitis? Lɛ wi tɔk bɔt am simpul wan!

We yu tink bɔt dayabitis, yu kin tink bɔt Tayp 1 ɔ Tayp 2, nɔto so? Bɔt yu no, ɔda kayn dayabitis de, we dɛn kɔl Tayp 3c Dayabitis . Dis difrɛn smɔl, bikɔs i gɛt fɔ du wit di damej we wi pankrias dɔn pwɛl. Sɔntɛm yu nɔ yɛri bɔku tin bɔt dis. So lɛ wi tɔk bɔt am tide insay wan simpul we we yu go ɔndastand.

Wetin na Tayp 3c Dayabitis?

Fɔ tɔk am simpul wan, Tayp 3c Dayabitis kin apin we sɔntin pwɛl yu pankrias, we kin mek i nɔ mek wan ɔmon we dɛn kɔl insulin. Tink bɔt am, di pankrias na smɔl bɔt rili impɔtant ɔgan we de na di ɔp pat na di bɛlɛ. I de wok lɛk smɔl faktri na wi bɔdi.

Di pankrias gɛt tu men wok dɛn:

1. Eksokrin fכnshכn: Dis de mek εnzym dεm we de εp wi fכ digεst di it we wi de it. If wi nɔ gɛt dɛn ɛnzaym ya, wi nɔ go ebul fɔ dayjɛst it fayn fayn wan.

.​ Insulin na wetin de ɛp di shuga we de na di blɔd fɔ go insay di sɛl dɛn ɛn mek ɛnaji.

Naw, if di pankrias dɔn pwɛl fɔ sɔm rizin, dɛn nɔ go ebul fɔ du di insulin we dɛn de mek fayn fayn wan. Na da tɛm de Tayp 3c Dayabitis kin kam. di imכtant tin na dat bכku tεm, we di pankrias dεn dכn pwεl lεk dis, di prodakshכn fכ εnzym dεm we de εp fכ daygεst it de dכn bak. Dɔktɔ dɛn kɔl dis sik Exocrine Pancreatic Insufficiency (EPI) . Dat min se, pɔsin we gɛt Tayp 3c dayabitis kin gɛt prɔblɛm fɔ kɔntrol di blɔd shuga, ɛn i kin gɛt prɔblɛm wit di we aw i de digest.

Dɛn kin kɔl dis kayn 3c dayabitis sɔm ɔda nem dɛm, wae yu kin dɔn yɛri frɔm dɔktɔ ɔr sɔmsay:

• Pankriatojɛnik ɔ pankriatojɛnik dayabitis mɛlitɔs
• Pankrias dayabitis
• Pankrias dayabitis

If dis tan lɛk se i kɔmplikt smɔl, jɔs mɛmba se yu gɛt Tayp 3c Dayabitis.

Aw kɔmɔn tin na Tayp 3c Dayabitis?

Risach pipul dɛm se bitwin 1% ɛn 9% pan ɔl pipul dɛm wae gɛt shuga gɛt tayp 3c dayabitis. Dis kin tan lɛk bɔrku nɔmba, bɔt de rizin na dat bɔrku pipul dɛm, ɛn sɔmtɛm ivin dɔktɔ dɛm, nɔr kin no bɔt tayp 3c dayabitis. Dis kin mek pipul dɛn we gɛt dis sik nɔ kin no se dɛn gɛt tayp 2 dayabitis, we na di kayn dayabitis we bɔku pipul dɛn kin gɛt.

Wetin na di difrɛns bitwin tayp 1, tayp 2, ɛn tayp 3c dayabitis?

Di men difrɛns bitwin dɛn tri kayn shuga ya na di rizin we mek dɛn kin gɛt am. Lɛ wi tek tɛm luk aw:

• Tayp 1 Dayabitis: Dis na sik we pɔsin kin gɛt we i de fɛt insɛf . Dat min se, wi bɔdi in imyun sistɛm, fɔ sɔm rizin we wi nɔ no, de atak ɛn pwɛl di sɛl dɛn we de mek insulin na di pankrias. I tan lɛk se wi yon ami de atak wi yon impɔtant ɔgan dɛn. Pipul wae gɛt tayp 1 dayabitis fɔ tek insulin fɔ di res ɔf dɛn layf.

• Tayp 2 Dayabitis: Dis kin apin bikɔs ɔ di pankrias nɔ de mek inof insulin, ɔ di bɔdi in sɛl dɛn nɔ de ansa di insulin we dɛn de mek fayn fayn wan (dɛn kɔl dis insulin rɛsistɛns ). Pipul wae gɛt tayp 2 dayabitis kin kɔntrol dis sik wit chenj na dɛn layf, mɛrɛsin wae dɛn kin it, ɔr insulin.

• Tayp 3c Dayabitis: Dis kin kam bikɔs di pankrias dɔn pwɛl. כltu, dis damej nכ de kכz fכ כtoimyun kכz lεk insay tayp 1. Pipul dεm we gεt tayp 3c bכku tεm dεn nכ kin gεt εnzym dεm bak we de εp di pankrias fכ daygεst it. pan dis kayn insulin, di insulin we di pankrias de mek kin difrεn. Sɔm pipul dɛn kin kɔntrol dɛn dayabitis wit ɔral dayabitis mɛrɛsin, ɛn ɔda wan dɛn fɔ tek insulin.

Yu ɔndastand di difrɛns? Di men tin na di rizin.

Wetin na di sayn dɛm fɔ Tayp 3c Dayabitis?

Di sayn dɛm fɔ tayp 3c dayabitis tan lɛk ɔda kayn dayabitis. Dɛn tin ya na:

• Fɔ tɔsti pasmak bɔku tɛm (polydipsia) ɛn yu mɔt kin dray.
• Fɔ pis bɔku tɛm.
• Taya, taya.
• Di vishɔn we nɔ klia.
• We yu de lɔs yu wet we yu nɔ ɛksplen.
• Di an ɛn fut dɛn we nɔ gɛt bɛtɛ trɛnk ɔ we de swɛt.
• Wund dɛn kin tek tɛm fɔ wɛl.
• Yist infεkshכn dεm we de fכm na di skin εn/כ vagina.

Apat frɔm dɛn sayn ya, pipul dɛm wae gɛt tayp 3c dayabitis kin gɛt di sayn dɛm bak fɔ ɛkzokrin pankrias insufficiency (EPI) , we na:

• Bɛlɛ de pen, blo, ɛn flatulɛns.
• Banbɛlɛ.
• Rɔnbɛlɛ.
• Fat stɔl - Dɛn wan ya kin gɛt kɔlɔ we nɔ gɛt wan bɔt, dɛn kin gɛt ɔyl, dɛn kin gɛt bad smel, ɛn dɛn kin flɔt insay wata.
• Fɔ bi tin fɔ no rizin.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ fɔ advays, bikɔs if yu nɔr pe atɛnshɔn to dɛn, dat kin mek di sik wɔs.

Wetin na de tin wae kin mek pɔrsin gɛt Tayp 3c Dayabitis?

Tayp 3c dayabitis kin apin we di pankrias dɔn pwɛl te i nɔ ebul fɔ mek insulin igen. Dis damej kin bi bikɔs ɔf bɔku tin dɛn ɔ tin dɛn we kin apin. Bɔku men tin dɛn de we kin mek pɔsin gɛt dis sik:

• Pankriyayt we nɔ de mɛn: Dis na di tin we kin mek pɔsin gɛt dis sik pas ɔl.
• Akyu pankrias: Na wan wan we de inflamɛns pan di pankrias we kin kam wantɛm wantɛm.
• Kansa na di pankrias.
• Ɛmokromatosis: Na sik we pasmak ayɛn kin gɛda na di bɔdi.
• Sistik fibrosis: Na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks.
• Ɔpreshɔn fɔ pul di pankrias (Pancreatectomy).

Lɛ wi luk ɛni wan pan dɛn rizin ya smɔl mɔ.

Pankrias we nɔ de mɛn

Dis na de tin wae kin mek pɔrsin gɛt Tayp 3c Dayabitis. I de mek lɛk 79% pan ɔl di wan dɛn we gɛt Tayp 3c dayabitis. Fɔ tɔk am simpul wan, na sik we di pankrias dɔn inflam ɛn wund fɔ lɔng tɛm. Jɔs lɛk aw wund na wi bɔdi we dɛn de pik ɔltɛm go lɛf ska, dis inflamɛns we de kɔntinyu na di pankrias kin mek ska tisu (fibrosis). As tɛm de go, dis skata de mek di pankrias nɔ ebul fɔ du in wok fayn fayn wan, we na fɔ mek ɛnzaym ɛn ɔmon dɛn, mɔ insulin. Tink bɔt se bitwin 25% ɛn 80% pan pipul dɛm wae gɛt krɛse sik kin gɛt Tayp 3c dayabitis.

Tu men kayn pankrias we nɔ de mɛn de:

• Acquired pancreatitis: "Acquired" min se i kin apin afta wi bɔn. I kin gɛt bɔku tin dɛn we kin mek i apin. Di tu tin dɛn we kin mek pɔsin gɛt ston na gal ston ɛn fɔ drink rɔm pasmak. Sɔm pipul dɛn kin pwɛl dɛn pankrias bay we dɛn kin it tin dɛn we gɛt spays ɔltɛm, nɔ kin it, ɔ drink bɔku rɔm. If dɛn tin ya kɔntinyu, di pankrias kin wik.
• Hereditary pancreatitis: Dis kin bi bikɔs ɔf di chenj dɛn we de apin na di jɛnɛtiks. Dis min se na mama ɛn papa dɛn gɛt am. Pan ɔl we dɛn pipul ya kin gɛt dɛn jɛnɛtik chenj ya we dɛn bɔn dɛn, di fɔs sayn dɛn we kin sho se dɛn gɛt pankrias kin apin we dɛn yɔŋ.

Kansa na di pankrias

Strɔng link de bitwin dayabitis ɛn pankrias kansa (espɛshali wan kayn we dɛn kɔl pankrias daktal adenokarsinoma). Na lɛk 50% pan di pipul dɛm wae dɛn kin no se gɛt pankrias kansa gɛt dayabitis bak. Tumɔs we pankrias kansa kin mek kin pwɛl di pankrias ɛn mek pɔsin gɛt Tayp 3c dayabitis. Risach pipul dɛm se lɛk 8% pan di pipul dɛm wae gɛt Tayp 3c dayabitis kin gɛt pankrias kansa.

Ɛmokromatosis we dɛn kɔl ɛmokromatosis

Dɛn kɔl dis ayɛn ɔvalod.Dis na we wi bɔdi kin kip bɔku ayɛn. Nɔmal wan, wi intestinal dɛn kin tek di ayɔn nɔmɔ we wi nid frɔm di it we wi de it. Bɔt pan pipul dɛn we gɛt ɛmokromatosis, di bɔdi kin tek tumɔs ayɛn ɛn put am na di ɔgan dɛn, mɔ di at, liva, ɛn pankrias. We ayɔn gɛda na di pankrias, i kin pwɛl ɛn mek pɔsin gɛt Tayp 3c Dayabitis. Dis na de kɔz fɔ lɛk 7% pan ɔl di Tayp 3c Dayabitis kes dɛm.

Sistik fibrosis (CF) we dɛn kɔl .

Dis na sik we wi kin gɛt frɔm dɛn mama ɛn papa. I de mek stika tik tik mכkus de bכku na כgan dεm lεk di lכng εn pankrias. Dis mכkus kin skata εn damej di pankrias. Dɔn di pankrias nɔ kin ebul fɔ mek inof insulin, we kin mek i gɛt Tayp 3c Dayabitis. Sɔmtɛm pipul dɛm wae gɛt sistik fibrosis kin gɛt insulin rɛsistɛns, we fiba tayp 2 dayabitis. Dis risk kin pasmak we dεn sik, de tek stεroyd, כ we dεn bεlε. Mɔ pas 35% pan di big pipul dɛm we gɛt sistik fibrosis (CF) gɛt Tayp 3c dayabitis. Dɛn kin kɔl dis bak CF-rilayt dayabitis (CFRD) . Sistik fibrosis na di kɔz fɔ lɛk 4% pan di wan dɛn we gɛt tayp 3c dayabitis.

Pancreatectomy (we dɛn kin du ɔpreshɔn fɔ pul di pankrias) .

Dis na ɔpreshɔn fɔ pul wan pat ɔ ɔl di pankrias. Dɛn kin du dis ɔpreshɔn fɔ difrɛn rizin dɛn, lɛk pankrias kansa, pankrias sist, ɔ siriɔs pankrias we nɔ de dɔn.

Tayp 3c dayabitis kin kam ɔ dɔn we dɛn pul di pankrias. if na wan pat pan di pankrias nכmכ dεn pul (partial pancreatectomy), sכm sεl dεm we de mek insulin de stil de. Sɔntɛnde, dɛn sɛl dɛn ya we lɛf kin ɛp fɔ kɔntrol di shuga we de na di blɔd.

Bɔt if dɛn pul yu pankrias ɔl, yu go mɔs gɛt dayabitis leta, pas nɔmɔ di dɔktɔ we de du di ɔpreshɔn ebul fɔ sev sɔm pan yu sɛl dɛn we de mek insulin. Sɔntɛnde, dɔktɔ dɛn we de du ɔpreshɔn kin transplant sɔm pan dɛn sɛl dɛn ya na yu liva. Dis kayn ɔpreshɔn de ripɔtabl fɔ lɛk 2% pan di tayp 3c dayabitis kes dɛm.

Aw dɛn kin no se pɔsin gɛt Tayp 3c Dayabitis?

Infakt, i kin tranga smɔl fɔ mek dɔktɔ dɛn no se i gɛt Tayp 3c Dayabitis. De rizin fɔ dis na bikɔs i nɔr kin rili kɔmɔn ɔr pipul dɛn kin no bɔt dis kayn sik. Bɔku tɛm, dɔktɔ dɛn kin mistek kɔl am Tayp 2 Dayabitis, bikɔs Tayp 2 kin bɔku pasmak. Bɔt if yu dɔn ɔlrɛdi gɛt sik we gɛt fɔ du wit di pankrias (e.g. krɛs pankrias), i izi smɔl fɔ no Tayp 3c.

Fɔ no if yu gɛt Tayp 3c Dayabitis, dɔktɔ dɛn nid fɔ kɔnfirm tri tin dɛn:

1. Fɔ kɔnfirm se yu gɛt dayabitis.

2. Fɔ kɔnfirm se yu pankrias dɔn pwɛl.

3. Fɔ kɔnfirm se ɔda kayn dayabitis nɔ de (espɛshali tayp 1).

Fɔ dis, dɔktɔ dɛn kin ɔda fɔ du dɛn tɛst ya:

• Fasting blood glucose test: Insay dis, yu nɔ go ebul fɔ it ɔ drink ɛnitin pas wata fɔ at le et awa bifo di tɛst. If yu gɛt 126 mg/dL ɔ pas dat, dat kin sho se yu gɛt dayabitis.
• A1C test: Dɛn kin kɔl am bak HbA1C tɛst, dis tɛst de mɛzhɔ yu avɛrej glukɔs na yu blɔd fɔ di pas tu to tri mɔnt. If yu gɛt 6.5% ɔ pas dat, dat kin sho se yu gɛt dayabitis.
• Imej tɛst: Tɛst lɛk CT skan kin ɛp di dɔktɔ fɔ si di pankrias we dɔn pwɛl.
• Pankrias blɔd tɛst: Dɛn tɛst ya kin chɛk aw di pankrias de wok. dεn de mכsu di lεvεl dεm fכ sכm dijestiv εnzym dεm we di pankrias de mek. If di rizulεt dεm nכ nכmal, i kin εp fכ kכnfכm di pankrεas dεm we dεn dכn pwεl.
• Dayabitis ɔtoantibodi panɛl: Dis na blɔd tɛst. I de chɛk fɔ si if ɔtoantibodi dɛn de we de mek pɔsin gɛt Tayp 1 Dayabitis. Yu dɔktɔ kin ɔda dis tɛst fɔ kɔnfirm se yu nɔ gɛt Tayp 1 Dayabitis.

Aw dɛn kin trit Tayp 3c Dayabitis?

Di tritmɛnt fɔ Tayp 3c Dayabitis dipen pan di ɔndalayn kɔndishɔn we mek i kam ɛn aw bɔku damej dɔn apin to di pankrias (ɔ ɔmɔs dɛn dɔn pul am wit ɔpreshɔn).

Pipul wae gɛt dis sik kin tek ɔral dayabitis mɛrɛsin (e.g. metformin) ɛn/ɔ sintetik insulin (we dɛn kin injɛkshɔn ɔ wit insulin pɔmp).

As yu pankrias de pwɛl mɔ ɛn mɔ, yu tritmɛnt kin chenj as tɛm de go. Fɔ ɛgzampul, yu kin ebul fɔ kɔntrol di blɔd shuga lɛvɛl fɔs wit mɛrɛsin we yu de it. Bɔt as di insulin we yu pankrias de mek de go dɔŋ smɔl smɔl, yu go nid fɔ tek insulin fɔ kɔntrol di shuga we yu gɛt na yu blɔd.

Ɔda we dɛn de fɔ mɛn Tayp 3c Dayabitis:

• Fɔ wach di blɔd shuga: Fɔ chɛk yu blɔd shuga (glukɔs) lɛvɛl ɔltɛm impɔtant fɔ no aw di tritmɛnt plan we yu gɛt naw de wok fayn. Dis kin gi yu infɔmeshɔn ɛvride – sɔmtɛm ivin ɛvri awa – fɔ ɛp yu fɔ mɛn yu tayp 3c dayabitis. Yu kin chɛk yu blɔd shuga ɔltɛm wit glukɔs mita, ɔ yu kin yuz kɔntinyu glukɔs monita (CGM) . Yu ɛn yu dɔktɔ go disayd us blɔd shuga lɛvɛl go fayn fɔ yu.
• Di it: Fɔ plan fɔ it ɛn pik di it we fayn fɔ yu na impɔtant tin fɔ mɛn di sik we dɛn kɔl dayabitis. Bikɔs wetin yu de it kin rili afɛkt di shuga we yu gɛt na yu blɔd. Wan dɔktɔ we rɛjista fɔ it kin ɛp yu fɔ mek di bɛst it plan.
• Ɛksesaiz: Fɔ du bɔdi wok kin mek pɔsin gɛt mɔ insulin (ɛn i kin ɛp fɔ mek pɔsin nɔ gɛt insulin), so ɛksesaiz na impɔtant tin fɔ mek ɔlman we gɛt dayabitis de du di rayt we .

Dayabitis na wan kɔmpleks sik. So i tek bɔku difrɛn we dɛn fɔ manej am. Dɔn bak, dayabitis kin afɛkt ɔlman difrɛn we. So, di plan fɔ manejmɛnt kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. Yu go bɛnifit bɔku if yu mit wit yu mɛdikal tim ɔltɛm fɔ si aw yu tritmɛnt plan de wok fayn.

Wetin na di fiuja fɔ Tayp 3c Dayabitis? (Prɔgnosis) .

De luk fɔ Tayp 3c Dayabitis de dipen pan sɔm tin dɛm:

• Di ɔndalayn mɛdikal kɔndishɔn we bin mek i apin.
• Aw yu de manej yu tayp 3c dayabitis fayn fayn wan ova tɛm ɛn yu akses to dayabitis kia.
• Aw dɛn de manej di ɔndalayn kɔndishɔn fayn fayn wan.
• Yu ej/aw lɔng yu bin gɛt dayabitis we dɛn bin no se yu gɛt dis sik.
• If yu gɛt ɔda wɛlbɔdi prɔblɛm dɛn.
• If yu go gɛt prɔblɛm wit dayabitis.

If yu blɔd shuga bɔku fɔ lɔng tɛm, dat kin mek yu gɛt siriɔs prɔblɛm dɛn, ɛn bɔku pan dɛn prɔblɛm ya nɔ kin chenj. Bɔku stɔdi dɛn dɔn sho se we pɔsin nɔ trit am, we i gɛt ay shuga na in blɔd fɔ lɔng tɛm, dat kin mek di pɔsin in layf shɔt ɛn i kin mek in layf wɔs .

Bɔt, e fayn fɔ no se yu kin liv fayn layf wit dayabitis. Dɛn tin ya na di men tin dɛn we go ɛp wi fɔ gɛt bɛtɛ tumara bambay:

• Di we aw pipul dɛn de liv dɛn layf kin chenj.
• Ɛksesaiz ɔltɛm.
• Di chenj dɛn we de apin na di it we dɛn de it.
• Fɔ de wach di blɔd shuga lɛvɛl ɔltɛm.

Wetin na di prɔblɛm dɛn we kin kam wit Tayp 3c Dayabitis?

If di glukɔs na yu blɔd kɔntinyu fɔ bɔku fɔ lɔng tɛm, i kin pwɛl yu bɔdi in tisu ɛn ɔgan dɛn. Dis kin bi mɔ bikɔs di blɔd vesel dɛn ɛn di nɛv dɛn we de sɔpɔt yu bɔdi in tisu dɛn dɔn pwɛl.

Prɔblɛm fɔ di at ɛn blɔd vesel na di prɔblɛm we kin kam wit dayabitis fɔ lɔng tɛm. Dɛn tin ya na:

• Koronari at sik (CAD).
• At atak.
• Strok.
• Atɛrosklɛrosis we kin mek pɔsin gɛt at.

Ɔda prɔblɛm dɛn we kin apin to pɔsin we gɛt dayabitis na:

• Nεv dεm we dεn dכn pwεl (Nyuropathy).
• Kidni sik (Nɛfrɔpati).
• Retinopati we pɔsin kin gɛt.
• Di sik dɛn we gɛt fɔ du wit fut we gɛt fɔ du wit dayabitis.

A kin mek yu nɔ gɛt Tayp 3c Dayabitis?

Di wangren we fɔ mek yu nɔ gɛt Tayp 3c Dayabitis na fɔ tray fɔ mek yu nɔ gɛt di ɔndalayn kɔndishɔn dɛn we de mek yu gɛt am, if i pɔsibul. Dɛn nɔ kin ebul fɔ avɔyd di tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa lɛk sistik fibrosis ɛn pankriaytis we pɔsin kin gɛt frɔm in mama ɛn papa. Bɔt sɔm tin dɛn de we yu kin du fɔ mek yu nɔ gɛt pankrias. Fɔ ɛgzampul, fɔ stɔp fɔ drink rɔm ɛn fɔ mek yu gɛt wɛlbɔdi triglisrayd lɛvɛl.

Ustɛm a fɔ si mi dɔktɔ bɔt Tayp 3c Dayabitis?

If yu gɛt wan sik we de afɛkt di pankrias, lɛk pankrias we nɔ de mɛn ɔ ɛmokromatosis, tɔk to yu dɔktɔ bɔt yu risk fɔ gɛt Tayp 3c Dayabitis. I go mɔs bi se i go se dɛn fɔ chɛk pɔsin ɔltɛm fɔ si if i gɛt dayabitis.

If yu gɛt Tayp 3c Dayabitis, yu go nid fɔ go to yu mɛdikal tim ɔltɛm fɔ manej ɔl tu yu dayabitis ɛn di ɔndalayn mɛdikal kɔndishɔn we mek i kam.

Fɔ no se yu gɛt dayabitis bikɔs ɔf pankrias sik kin mek yu fil bad ɛn fil bad. Fɔ manej tayp 3c dayabitis nid fɔ tek kia ɛn atɛnshɔn ɔltɛm. Pan ɔl we i kin tan lɛk se i nɔ go izi fɔ yu fɔs, as tɛm de go yu go ɔndastand aw fɔ kɔntrol di sik ɛn bigin fɔ fil fayn bɔt yu bɔdi.

Mek shɔ se yu de si yu mɛdikal tim ɔltɛm. Fɔ manej Tayp 3c Dayabitis – ɛn di ɔndalayn kɔndishɔn we mek i kam – na wan tim ɛfɔt. Yu nid dɔktɔ dɛn, padi dɛn, ɛn fambul dɛn na yu say. Nɔ fred fɔ aks dɛn fɔ ɛp if yu nid am.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Tayp 3c Dayabitis na wan kayn dayabitis wae nɔr kin bɔrku pasmak wae kin kam bikɔs ɔf pwɛl hat na di pankrias.Dis kin bi bikɔs ɔf tin dɛn lɛk pankrias we nɔ de mɛn, pankrias kansa, ɛn sistik fibrosis.

Di sayn dɛm kin tan lɛk ɔda kayn dayabitis, bɔt prɔblɛm wit di dijestiv (e.g., ɔyl stɔl, bɛlɛ pen) kin apin bak.

Fɔ no di sik kin kɔmplikt smɔl, bikɔs bɔku tɛm dɛn kin mistek kɔl am Tayp 2 Dayabitis.

Di we aw dɛn kin trit dɛn kin difrɛn frɔm wan pɔsin to ɔda pɔsin ɛn dɛn kin tek mɛrɛsin, insulin, chenj di we aw pɔsin de liv in layf, ɛn aw fɔ trit di tin we mek i gɛt dis sik.

If yu gɛt prɔblɛm wit yu pankrias, ɔ yu de sho sayn dɛm fɔ gɛt dayabitis, i impɔtant fɔ go to dɔktɔ kwik kwik wan. Di kwik we dɛn no am, na di mɔ dɛn kin ebul fɔ manej am fayn fayn wan. Nɔr wɔri, wit di rayt manejmɛnt ɛn sɔpɔt, yu kin liv gud layf wit dis kɔndishɔn.

` Dayabitis, Tayp 3c Dayabitis, Pankriaytis, Insulin, Blɔd Shuga, Pankriaytis, Sistik Faybrosis