Diabetees kih ah
Diabetes mellitus audoon hundi ah jidoon blood
ch glucose (sugar) normal level toon wadh jaway. Diabetes do taran dee hundi ah
Type 1 tay type 2.
Type 1 diabetese
Type 1 diabetes: pancreas day beta cells
insulin nehn banaunday yaan banauna chud dainday ah. Eh buht jaldi ho jaanda
dinaa tay haftyan ch.
Oh es wastay keh insulin da level blood stream
ch buht kaht jaanda. Ehnu bachayan dee diabetes kehnday see oh es wastay keh eh
bachyan nu yaan jawana nu hundi see. Eh
insulin dee muhtaj hundi ah. Eh nu insuline injection tay diet naal control
kitta jaanda.
Khoon ch glucose tay
Insuline dee samaj
Jidoon aseen koi khana khanday aan ohdi gut
(intestine) ch jaa kay tor phor hundi ah tay sugars ch badal dee ah. Main sugar
nu glucose kehnday ah jehri gut wall toon pass ho kay saddi blood stream ch
jaandi ah. Seht mand tay tandrust rehn wastay eh glucose da level na ee kaht
hona chai da tay na ee wadh.
Jidoon khana khanay toon baad khoon dee glucose
da level wadh na shroh hunda ehday naal ik hormone vee wadh na chai da. Es
Hormone nu insuline kehnday ah. Insuline body day cells naal kum ker di ah tay
khoon ch glucose level noo control ker dee ah. Kuch glucose cells dee quwat
wastay warti jaandi ah tay baqi energy store ch badal jaandi ah (glycogen or
fat). Jidon khoon ch glucose da level kahtna shroh hunda (khaniyan day
bachkarla time) insuline da level kaht jaanda tay kuch glycogen yaan churbi nu
phair glucose ch badal ditta jaanda jehri cells toon release ho kay blood
stream ch chali jaandi.
Insuline ik hormone da naa ah jehnu beta cells
banaun day ah. Eh pancreas ch cells day chotay jazirian (Islets) da hisa ah.
Hormones ik aisay chemical ah jehray blood stream ch release hunda ah tay jusay
day kai hisyaan tay kum kerday ah.
Type 2 Diabetes kehnu
hundi ah
Type 2 dee diabetes nu bodhay lokaan
dee bamari kehnday see. Yaan insulin dee muhtaj nehn see. Eh aam tor tay
40 saal omar toon baad hundi ah.( lakin
choti omar ch vee ho sak dee ah). Uk 65 saal day lokaan ch ik nu ah
weeaan (20) ch, 1 in 5 aged over 85 nu diabetes ah.
Type 2 diabetes hun aam bachyaan tay young lokan
nu hon lug pai ah.
Uk ch type 2 diabetes lok wadh
rehay ah kiyou keh eh aam ah motay tay overweight lokaan ch. Eh families ch vee
chaldi ah. Eh saday asian tay African lokaan ch punj guna wadh ah (aam tort ay
40 saal dee omar toon pehlay ho jaandi ah) Eh guwair ah keh 750, 000 uk day
lokan nu type 2 diabetes ah jehna da hajay tak pata nehn.
Jehray hore risk factors type 2 diabetes day ah
ohna choon
Boht lagay day rishtay dar with type 2 diabetes i.e maan baap phai, pahn tay bachay.
Motay tay overweight lok
Oh log zananiyan jehna da dehd (qamar yaan
waist) 31.5 inches (80cm) toon wahd ah
tay mard jehna dee waist 37 inches (94cm) toon wadh ah
Oh lok jehna nu impaired glucose tolerance ah
{ehda matlab eh ah keh tuwadi khoon dee sugar (glucose) normal naloon wadh ah
perh aini wadh nehn keh tuwanu diabetes kehya jaway.}
Lok jehna nu diabetes yaan impaired glucose
tolerance howay tay pregnant haon.
Diabetes da kiddan
pata lagay
Ik bara
saukha jehya test ah Dipstick test naal patta lag jaan da mutar (urin )
day sample toon pehr diabetes da pata launay wastay mutar da test kaffee nehn.
Es wastay khoon nu check kitta jaanda ehday ch glucose level daikhan lai.. Agar
khoon ch glucose level buhta ah tay confirm ho jaanda keh tuseen diabetes ao.
Kai lokaan day khoon day do sample laiay jaanday ah. Ho sakda tuwanu kehya
jaway tuseen eh khoon da sample dainay toon pehlay kuch naa khawo tay peewo
adhi raat too jehray din khoon da sample daina.
Eh recommend kitta ghia keh tusee HbA1c test
kerawo diabetes labhn wastay. Agar HbA1c
value 48 mmol /mol (6.5%) yaan autay ah tay recommended kitta jaanda diabetes.
Buht cases ch medical check ups day naal yaan hor medical tests ch vee diabetes
da patta lug jaanda.
Allaj da maqsad
Eh yaad rakho keh diabetes da hajjay tak koi
allaj nehn tay naa ee koi mojza hoya keh kisay dee diabetes khatam ho ghai
howa. Agar koi hakeem yaa homeopathic doctor yaan taweez kernay wala kehnda keh
oh allaj ker sak da tay oh chooth bolda ah. Tuwaday wastay sab toon wadhya
allaj eh ah keh tuseen ehnu jaroon khatam kern dee bajaiay control karo. Ehday
allaj ch bood glucose nu control kitta jaanda tay eh ee ehda allaj ah. Agar
tuseen apni sugar level nu normal yaan ehday lagay lai aunday ao tay tuwad
allaj theek ho rehya tay tuseen chunga feel karo ghay. Studies dasdiyaan agar
tuwadi blood sugar under control ah tay tuwanu hor complication honay day kath
chances ah i.e heart disease or eye problem and even kidneys. Oh lok jehna da
control kaht hunda yaan susti ker jaanday ah ohna nu buhta risk hunda.
Eh diabetes day treatment da maqsad eh ah
Tuwaday khoon ch glucose level nu jina vee ho
sakda normal day lagay rakhna
.
Hor risk factors nu kaht rakhna i.e agar tuda blood
pressure high ah tay ohnu vee level tay rakhna tay ohday cholesterol nu low
rakhna.
Complication paida honay da jinni jaldi ho sakda patta launa.
Treatment kai complication toon bachaun da ah tay ohna nu buhta kharab honay
toon delay ker sak da.
Sugar dee
bemari da sub toon pehlay main buht ee chotay hunday sunyaan oh es wastay keh
saday taaya jee nu see. Taaya jee tay aba jee dee omar ch buht firaq see balkay
taaya jee da kehn see tuwady abay nu apnay bachyan wang paliyah.Tayya jee pind
ch school master tay pind rehday see. Aseen sher ch rehnda see. jidoon ohna nay
miln auna tay buhay day bahr aa kay khungna keh bibi jee nu pata lug jaway. Tayya
jee nu sugar see tay sadi bibi jee nay sanu
naal beh kay khan na daina keh ohna nu sugar ah.Ohna da wazan buht see tay ohna
nu fallaj hoya tay ohtoon theek nehn hoay. Ho sakda bibi jee nu eh shaq see keh
sugar ik dujay koloon lug jaandi ah. Lok sidhay saday see oh ais wastay kai
bamariyan aidaan diyan vee see jehriyan ik dujay toon lug jandiyan see jehriyan
Kohr (leprosy) T.B (tuberculosis), tay hor jildi bamariyan.
Dosri vari main Pakistan ghia hoya see tay main
apnay taya zad phai naal milna hoya. jehna dee omar saday aba jee nalon ziyada
see. Ohna hath ulta otay kitta hoya tay
ohday autay khul da ik tukra rakhya hoya. Main puchya eh kih ah tay kehn luggay
menu sugar ah, hath puk ghia see tay hospital waliyaan nay meri khul lah kay
khul da ik tukra laya pehr eh chungi taran juriya nehn. Oh ohna day mernay tak
audaan ee rehya. Allah ohna nu dee roh nu khush rakhay jithay vee ah.
Hun tay lug da Pakistan ch buht log ehday
mareez ah jehday naal vee gal hoi oh ehda mareez see yaan meri mulaqat eeh
sugar day mareezan naal hoi. Ehna chon ik mera khala zaad pai jehnu sugar see
tay main mithai laiee kay ghia see. Ik hor khalazad pai ah ghia jehda bara
aucha lumba kud tay wazan ve chunga ziyada. Ohnu vee shugar see main ohnu
kahwaan keh mithaiee kha la tay ohna ik do tukray kha laiay. Eh motay lokan nu
khanay da bara cha hunda ohdi ik wajah eh vee ah jinna saday jusay da size ah
ohday hisab naa sanu auni khurak vee chai dee hundi ah. Agar asee es khurak nu
kaht ker daiay tay wazan ve kaht jaanda. Pehla khalazad pai nu sugar see tay
aina wazan vee nehn see tay ohday gurday fail ho ghaiay jehday allaj hakeeman ,
homeopathic tay tawazan nal kitta tay ohdi jawani ch death ho ghai.
Zara thoray waday hoay tay gojray day ik banday
nu daikhya jehnu sugar see. Oh baray fakhar naal kehnda see ohnu sugar ah tay
jina chaunda mithyaan cheejan khanda. Wazan vee buhta see mithiaee khani tay khul
kay khaani tay oh ve bara das kay keh ohnu sugar ah. Audoon omar aini buhti
nehn see tay aina firaq nehn pia. Pehr jidoon omar kuch ziyada hoi tay ohnu
fallaj hoya tay chotay phai nay ohnu dekhya tay deasay ais taran lug da jidaan
bus ch koi ik hor waj ghai howay tay chibi hu jaandi ah. fallaj toon theek nehn
hoya tay mar ghia.
Eh
gallan dasan da maqsad eh ah kih sugar dee bamri buht paihri ah agar perhaiz naa kitti jaway. Agar
tuseen perhaiz kerday au tay tuwanu aina patta nehn lug da keh tuseen mareez
an. Saday ik guwandi nu sugar see tay ohdi omar 62 saal see. Oh sugar da mareez
see tay ohnu 15 saal pehlay hoi see. Oh kehnda see oh apni food nu buht khiyaal
rakh kay khanda ah. Her roj exercise ker da ah. Aini duwai ve nehn khanda. Tay bilkul theek feel kerda ah. Hun ohna dee omar 75 saal
toon vee ziyada theek apna kum shum
kerday ah.
Pehlon tay kehnday ah saday Punjab ch aina bimariyaan
da patta nehn hunda see sara din khaitaan ch kum kerna hul wohna, bee
beejna tay sohaga phair naa Kitay godi
kerni paani launa kadeen botay launay. Kum aina hunda see keh khatam hon ch aunda
ee nehn see. Her ik kahr Ik choti jehi food factory hundi see jehday ch hor lok
vee kum kerday see. Eh factories ch aini machines tay nehn hundiyaan see pehr
eh kai khandana day chungi taran rehn sehn tay khana peenay da zariya see.
Aseen tay apnay dada jee yaan nana jee no hosh ch nehn daikhya pehr ohna day
khanay peenay day bartan zaroor daikhay jehna chon ik chuna ik wadi plate tay
pittal da wadah glass. Eh tin char cheezan hun day waylay nalon buht wadiyan
hundiyan see.
Jehray lokaan sugar dee bamari hundi ohna choon
kai diyan nishanian type 1 tay type 2 iko jehyan hundiyan jehna chon kuch eh ah
Buht
teh (piayas) lugni
Mutar
da buhta auna khas tor tay rateen
Pahr
(wazan) da kaht jaana tay muscle buht thoray ho jana
Kai lookaan nu type 2 diabetes hundi ah perh
ehdiyan nashaniyan ainiyan thoriyan hundiyan keh ohna nu wariyan day warey
patta eh nehn lug da keh oh diabetes ah.
Jay tawanu koi vee thora jehya shuk ah tay
doctor nu mil kay apnay test kerwa lawo. Ehda waylay ser dawa daru kerna shroh
ker dawo tay akhri omar aina musla nehn ban da.
Jehriyan autay bamari diyan nishaniyan desyan
ohna toon alawa eh
vee ho sak diyaan
Mutar
wali jagah (vagina or penis) day alay dawalay
khoruk hona tay pakya (yeast infection) rehna
Nazar dhundla (blurred vision) jana jehri akh ch lens day suk janay naal
hundi ah
Muscles ch khich paina (cramps).
Kabaz (constipation)
Chumri da pukna (skin infections)
Eh nishaniyan her kisay nu nehn hundiyan tay
agar hundiyan tay oh ainiyan thoriyan hundiyan keh patta ee nehn lug da.
Hyperglycaemia (High Blood
Glucose) khoon ch buhta mitha
Sugar Type 2 dee bamari audoon hundi jidoon
saday pancreas insulin banauna katha dainday ah jinni ehnu banauni chai dee ah.
Eh insulin saday khon ch sugar (Glucose) day level nu control ker dee ah
yaan jusay (body) day cells bani hui
insulin nu respond nehn kerday. Eh insulin day kath banan yaa cells day insulin
nu respond na kernay dee wajah naal khon
ch sugar da level buht wadh jaanda.
Hyperglycaemia honay diyan kai wajah ah i.e
buht khana, theek na hona tay apni duwai
na khani yaan puri taran naa khani.
Eh bamari diyaya jehriyan zahri nashaniyan ah
oh hyperglycaemia dee waja naal hundiyaan
Buht Teh lugna (extreme thurst)
Monh da sukna (dry mouth)
Nazar da dhundlauna (blurred vision)
Susti (drowsiness)
Mutar da buhta auna (a need to pass urine
frequently)
Diabetes diyan
akhawataan (complications of diabetese)
Short term complications chon khoon ch high
glucose level hona ah. Ehday naal body fluid kaht janda ah jehday naal tuwaday
tay bayhoshi (drowsiness) halat ho sak dee ah yaan zindgi wastay be khatar nak
ah.
Lamiyan akhawatan (Long Term complications)
Agar tuwady blood glucose lamay arsay ch ziyada
rehnda ah tay
ehday naal tuwadiyaan khon waliyaan vessels nu
nuqsan ho sukda.
koi zarori nehn keh tuwadi sugar buht high
howay. Ehday naal kai akhawataan ho suk diyan jehriya aam tort ay sugar dee
bamari da
patta lagan toon ik saal bad hundiyaan.
Artries dee furring yaan ohna ch sakhti ah jana
(Atheroma). Es naal tuwanu angina
, heart attack tay fallaj (stroke) ho
sak da khon dee chungi circulation na honay dee wajah toon.
Tuwaday gurdian nu nuksan ho sakda jehday naal
gurday fail ho sak day ah yaan akhaan nu nuksan ho sakda jehday naal tuwaday
daikhnay nu nuksan hunda (Eh retina dee small arteries nu nuksan honay dee
wajah naal hunda)
Nerve Damage
Pairan nu problem (khon dee chungi circulation
tay nerve damage naal tuwady pairan nu nuqsan ho sakda.
Tuwadi sex drive kath sakde ah khoon dee chungi
circulation naa honay tay nerve damage dee wajah toon.
Ehna toon alawa hor vee complications ho sak
diyan.
Long term akhawat da diabetes ch kuch nehn
kehya jaa sakda tay her case ch hor taran hundi ah. Aam lokaan nu ho sak da eh
howay eeh naa. Eh complication day risk nu tuseen buht kaht ker sak day ao apni
blood glucose tay high blood pressure nu control ker kay.
Alaj diyaan Akhawataan
(complications of treatment)
Jay khon ch sugar level kaht jaway tay eh halat
nu Hypoglycaermia kehnday ah (yaan chota ker kay ‘Hypo’), aam tort ay 4mmol/l
toon kaht. Jehray diabetes lok insulin lainday ah yaan kuch qisam diyaan
goliyan naal hypo da risk hunda ah. Agar tuseen diabetes dee duwai ziyada
lainday ao tay ehday naal hypo ho sak dee ah jay tuseen rotti (khana) late
khawo yaan mis ker dawo yaan koi exercise tay jismani aukha kum kero.
Hypoglycaemia dee nashani eh ah tuseen kabhraun
lag painday ao, tuwanu paseena ah jaanda ah, tuwadi nazar dhundli ho jaandi ah,
bolaan ch tingling hundi ah, rang peela ho jaana, mood da badal jaana, apnay
aap day baray ch das nehn sakday (vagueness or confusion). Hypoglycaemia da
allaj kernay wastay tuseen mitha drink peewo yaan koi mithai khawo yaan kuch
vee nehn tay khund dee chundi parh kay kha lawo tay es toon baad kuch khawo.
Agar tay tuseen apna sugar da allaj diet day
naal ker day ao tay twano Hypoglycaemia nehn hundi.
Saday Punjab Da masla
Main eh thora jeha aidhay baray ch vee likh
dawaan tay chungi gal ah. Ehnu main masla kehwan yaan ik sadi tragedy kehwan
saday lokaan ch aisa mahoul paida ker ditta keh tuseen engineer banana howay tay
tuwanu degree chai dee ah . Agar degree nehn tay tuwanu koi engineer manan
wastay tiyar nehn. Eh compulsory ah keh tuwaday kol degree honi chai dee ah. Eh
chungi gal keh kumaan ch perhay likhay aun. Eh maslay da main kehya see jehra
keh Engineer banan wastay degree huni chai dee ah perh doctor banan wastay
qualified hona tay zarori ah jehra keh sarkari kitaban ch tay hai pehr her koi
admi ik dukaan lai kay authay maiz kursi rakh kay lokaan nu duwai day sakda.
Lokaan nu khuli chuti ditti hoi ah keh lokaan diyan janaan naal khilo. Kai
qualified doctors nay clinics khulay hoay ah tay autay board luga hoya doctor
dee qualification da pehr authay kum kon kerda? Doctor nehn ik aam admi. Doctor
da tay naa wartia hoya.
Kissay vee clinic ch chalay jawo tuwanu ohna
nay teeka zaror launa tay agay tay tikkay vee chotay hunday see. Hun tay teekiyaan
ch aini taraqi hoi keh ohna da size wadh ghia. Agay ik tikka launday see tay
hun kissay vee clinic ch chalay jawo tay tawano kai tikkay laa dainday ah. Main
buht dair toon bahr day mulkaan ch reh rehyaan tay menu kinay tikay lugay? Ik
yaan do
Ik hor wadi tragedy eh dekhi jidoon main koi
dowai kisay pharmacy toon laini see. Menu kisay nay desya kai duwaiyan ve hun 2
, 3, 4, 5 number ho ghaiyan aan. Main puchya eh numbers da kih chakkar ah tay
patta luga keh eh nakli duwaiyan dee catagories ah. Eh ccheez nu kon control
ker da? Hokumat? Mula? Lok? Yaan kon? Lokaan nay tasbiyaan phiryaan hoyaan tay
namazan pehri jaa rehay ah. Face book tay chalay jawo tay her koi Pakistani
Islam dee tablig ch lugga hoya. Eh tablig da kih faida? Jehda nateja howay lokan nu naklee duwaiyan khala kay hor
bamar karo. Hor mulkaan ch hunda keh koi nukli dowai banauni tay oh kisay mildi
juldi cheez dee banaunday ah pehr saday lokaan nay eh nehn sochya keh eh nukli
dowai da mareez nu kai taran nuksan hunda
i) Nukli dowai mareez da allaj nehn kerdi.
ii)Theek allaj time tay na hona iii)
loss of time, hope and money. iv) kai vari ehday naal allaj ch delay ho janda
tay bamari buht wadh jaandi. v) kai cases ch eh vee hoya keh dowai kisay paihri
yaan khatarnak cheez dee bani hona.
Eh nukli dowaiyan da shkar kon lok hunday ah
ghareeb, mazdor, kisan tay student lok
jehna kol pehlay ee paisa kaht hunda ah. Aseen kiyoun nehn soch day dojian
lokaan da? Saday man ainay pathar dee taran day kiyoun ho ghaiay? Chalo hukomat dehshat gardi tay nehn rok
sakdi eh tay ker sakdi ah keh lokaan nu sahi dowaiyan miln yan ehday ch vee
hokumat nu koi masla ah? Main pehlay likhya eh dowaiyan da shkar kon lok hunday
ah ? gareeb. Hokumati logaan da tay allaj ho ee jaanda tay jehray hakumati log
ah oh opposition alian da vee khiyal rakh day ah kiyoun keh hai oh vee ehna day
paiti phai.Javid hashmi nu fallaj da attack hoya jehdi seht wastay main vee
khas tor tay dua kitti. Menu patta aidaan da fallaj da attack kissay gareeb nu
howay tay oh kaht ee bach da ah javid hashmi’s paiti paiyan nay ohday allaj
wastay special helicopter tay ik sher day hospital toon doosray sher day
hospital ch transfer kitta jehdi wajah naal ohna da time tay theek alaj ho
ghia. Oh phay siyasat ch kum kern walay ho ghaiay. Kisay da allaj ho jaway
chungi gal ah pawaan koi hakoomat keraway yaan kisay vee taran howay allaj hona
chai da ah pehr kih wajah ah ghareeb da allaj nehn hunda tay oh siskian lai lai
kay mar jaanday ah.
Oh ik gareeb ee nehn marda balka ohda sara
priwar (family, khandan)
ee mar jaanda. Hakoomat nu ehday naal kih ah
lokaan da alaj hunda yaan nehn hunda . lokaan dee jan mal mahfooz ah yaan neh
eh hakomati toola da tay allaj hunda tay security guards ve millay hoay ah.
Driver vee ah paiay tay power vee ah.
Menu kisay nay desya hon tay baaz injection
aisay vee milday ah jehna tay likhya hunda “for animal use only” lokaan nu laa
ditay janday ah.
Kehray kehray mislay nu lawo Pakistan khas tor tay Punjab ch her koi hakeem
ban sakda, homeopathaic doctor ban
sakda.It is alarming that Pakistan
has hundreds & thousands unqualified doctors, hakeems, homeopathic doctors
and pharmacists. Government nay kadeen serious ho ka es field nu control kernay
da sochiya eh nehn. Kehnday ah government
bachari vee kehri kehri cheez nu control karay? Jithay saray lok ee pairay ah.
Tuwada kih khiyal ah ? tuseen paihray
ao? Saday lok paisay kharach karday ah
tay ohna nu duwai jaali mildi ah.
Main eh ee kahwan gha duwai khareedo tay kisay
chungi pharmacy too kharedo. Ik kolon nehn pucho kai lokan toon pucho. Oh es
wastay hon kai lokan nu eh adat ho ghai
keh aiween keh daina keh chunga ah.
Kisay nu mashwara dawo tay chunga dawo nehn tay
muhn band rakho.
Hun zamana taraqi ker ghia tay kadeen eh sochya
eh taraqi kithon shroh hoi? Eh taraqi saday mulkan chon eh shroh hoi jidan ik parana Gana ah “
Chand say be par chalo” Eh gana buht parana
ah. America
chund tay buht baad ch ghia. Ik zamana see Pakistan India toon buht agay see. Pakistan dee economy ve India nalon
chungi see. Hun eh ah keh aseen puthay passay wal tur paiay tay India
mars tay puhnchan wala.
Eh gal es wastay likh rehyan keh kadeen ve
serious kisam diyan bamariyan da alaj hakim, homeopathic doctor tay taweez naal
nah karo balkay hospital jawo eh tuwaday wastay sasta ah.
Life style
Agar tay tuseen diabetes confirm ho jaanday au
tay tuseen tuwada doctor tay hor jinay ohday naal medical professionals ah ohna
diyaan hadaytaan nu follow kar. Eh sab toon wadhi gal ah.
Apnay life style nu change karo jehday wastay
tusee eh steps athaa sakday ao.
Fibre Dee tawanu buht zarorat ah
Jo kuch vee khanday ao ohnu chungi taran daikh
kay khawo. Aisyaan cheejan khaniyan kaht kar dawo jehna ch sugar level buht ah.
Tuwanu aisiyan cheejaan khaniyan chai diyaan jehna ch fibre content buhta
howay. Sugar tay fiber sanu donu energy dainday ah . Sugar jaldi phuk matta
daindi ah jaldi hazam ho kay oh mutar tay khoon ch chali jaandi ah. Fibre da
faida eh ah keh ehnu hazam honay ch time lugda. Ehday ch sugar content kaht
hunda ah.. hun pucho ghay eh fibre kih ah. Main tay ehdi ik masal dawan gha “Bura”
jehra attay choon chan kay puswaan nu paa dainday see. Agar eh nehn tay fibre
dee ik hore masal “Branflakes “ yaan “All Bran” ah. Jay hor pucho tay ispghol
da chilka vee fibre ah. Moliyaan karelay, palak saag, cholay suka mewa akhrot
badam chilgozay khawo. Koshish karo keh mausam da fruit tay sabziyan jehriyaan
sastiyaan an khawo. Agar vegetarian nehn tay muchee, murghi khawo
Tuseen oh cheezan khawo jehna ch fat , sugar
tay salt kaht ah.
Apnay wazan da vee khas khiyal rakho. Agar
tuwada wazan buht ah tay eh nu kaht karo.Agar tuwada wazan kaht ah tay tuseen
waisay ee chunga feel kerday ao. Tuwanu thakawat kaht hundi ah.
Agar tuseen do vari khana khanday ao ohnu do vari
khanay dee bajai tin yaa char var kha lowo tay miqdar kaht kar dawo.
Fat tay
churbi da wartna kaht kar dawo. Animal dee churbi tuwaday wastay chungi nehn
ah. Ehdi ik tay wajah eh tuwada chlosterol level wadah sakdee ah tay tuwadiyaan
antriyaan wastay chungi nehn ah. Agar tuseen theek vee ao tay oh churbi jehri
room temperature (22 Degree centigrade) tay pighal dee nehn oh tuwaday khanay
wastay chungi nehn.
Eh kisay kitab ch tay nehn likhya hoya pehr eh
main personaly note kitta ah ke alkaline cheezan khanay naal tuwada sugar da
level kaht da ah. Agar tay tuwaday kol litmus paper ah tay tuseen koi vee sabzi
yaan fruit nu ehday naal check ker sakday ao keh ehdi khasiat kih ah. Agar tay
litmus paper da rung neela ho jaway tay eh alkaline ah. Jay laal ho jaway tay
eh tazabi (acidic) ah. Alkaline alkly
toon nikliya ah ehdi ik masal caustic soda vee ah. Eh sirf tuwanu dasnay lai likhya tay caustic
sauday nu naa tay hath lawo tay naa ee ehday lagay jawo. Eh caustic soda esay
taran ee khatarnak ah jidaan tazaab (Acid). Main alkaline cheezan ohna nu kahwan gha
jehriyaan kauriyaan hundiyaan aan. Eh alkaline cheezan ch mooli chitti yaan lal
(reddish), kareela (bitter guard) tumah? (bitter melon usually found in
nature). Eh tumay agay tay ajaar thawaan tay apai augay huay hunday see.
Namulyaan, Nim day pattay , pallak?
(spinach) eh tuseen kachay vee kha
sakday ao. Europe ch baby spinach day patay
salad day tor tay lok khanday ah. Pallak tuwanu buht energy daindi ah tay eh
gausht da badal ah. Es tarran ee cholai day pattay vee gausht da badal ah. Eh
kachay salad day tor tay kha sakday ao. Eh cholai tay pallak quinoa family naal
taalaq rakh dee ah, Ehnu europe day mulkaan ch diet food day toor tay log wart day
ah. Tuseen eh soch sakday ao cholai day bee (beej, seeds) jehray europe ch quinoa day tor tay bik day ah ohna da rate 1200
pakistani rupay per kilo (about £8-£10 per kg) ah.
Sab toon
wadhi gal eh ah keh tuseen exercise karo apni seht tay himat day hisab naal.
Agar tuseen walk ker sak day ao tay walk bee buht chungi exercise ah. Jina
marzi chalo eh chalana tuwadi seht wastay buht chunga ah.
Word of caution
Saday aam lokaan da khiyal ah keh khajoor khas
tor tay Ejwa or Ajwa ch shafa ah. Khajoor ch glucose content buht ah tay ehda
buhta khana tuwanu diabeties ker sakda ah. Agar tuseen diabeties aan tay eh
buht kaht khawo.
Dosri ik hor cheez shahd (honey) ch saday
muslman samaj day shafa ah. Main eh kahwaan gha keh tuseen diabetes ao tay ehda
ve kaht istmal karo ehdi wajah eh keh ehday ch kai wari glucose content buht
hunda ah. Agay tay shahd vee naturaly ban da see. Makhiyaan phulan da ras lai
kay ehnu shahd ch badal diyan see. Pehr hun jehray lokan nay makhiyan rakhiyan
hoyaan oh khund da seera bana kay ohna day laggay rakh dainday ah. Makhyan eh
seera kha kay ohda shahd banaun diyan aan. Es wastay main eh kahwan gha chungi
gal ah tuseen shahd kaht warto.
Eh jinniyan vee galan likhiyan eh tuwadi jaan
kari wastay likhyan. Ehda matlab eh neh keh tuseen apna allaj app kerna shroh
ker dawo.
Agar tuseen bamar aan tay tuseen qualified
doctor yaan apnay hospitaal toon jaa kay manasab tay theek allaj karau. Eh
waqti tor tay mehnga hunda pehr majmooee tor tay sasta rehnda tay tuwano faida
hunda
Driving &
Operating machines
Kehnday ah ihtiat kerni chungi ah pawan tuseen
cycle vee chalavo oh es wastay keh kuch waray pehlon meri ik retired fauji
officer naal miln hoya. Ohnay sir dahri tay muchan muniyan hoyan. Ohday sir tay
ik buht wada cut da nishaan tay main ohday koloon puchya eh kih hoya see. Kehn
luga aam tor tay aseen sauch day aan keh cycle riding but safe ah pehr menu hun
patta eh buht dangerous ah. Ik din main chuti tay aya hoya see tay main walk
wastay nikliya. Main footpath tay jaa rehya see ik bachay nay cycle meray
pichay lia maria. Kehn lugga keh main dig pia tay mera sir foot path dee edge
tay lugga tay meri khopri tut ghai tay menu koi patta naa rehya. Main bach ghia
oh ais wastay keh ambulance jaldi lai kay menu hospital chalay ghai tay menu
ohna nay machines tay laa ditta. Nu (9) waray ho ghaiay mera allaj hunday hoiay
tay hajjay vee mera allaj ho rehya ah.
Eh gal main es wastay likhi ah keh jidoon
tuseen car drive ker day ao yaan machine
operate ker day ao tay baaz wari diabetes lokaan da sugar level kaht ho jaway
yaan buht wadh jaway tay ais condition ch oh kisay buht waday accident da
shakar ho sakday ao. Oh ais wastay keh tuwadi nazar dhundla sakdi ah yaan tawnu
ghashi pai sakdee ah.
Agar diabetese ao tay eh tuseen apai decide
kero keh jidoon drive kerna yaan machine chlauni audoon tuwada khoon glucose
level theek yaan theek day laggay chaggay rehna chai da.
References:
"Diabetes Blue Circle
Symbol". International Diabetes Federation. 17 March 2006.
Genetics
& Diabetes, Diabetes Information.
Dr. Warram. Joslin
Diabetes Center
and Joslin Clinic
World Health Organisation
Department of Noncommunicable Disease Surveillance
Santaguida PL, Balion C, Hunt D,
Morrison K, Gerstein H, Raina P, Booker L, Yazdi H."Diagnosis, Prognosis,
and Treatment of Impaired Glucose Tolerance and Impaired Fasting Glucose" Summary of Evidence Report/Technology
Assessment, No. 128.Agency for Healthcare Research and Quality.
Virtanen SM, Knip M (December
2003). "Nutritional risk predictors of beta cell autoimmunity and
type 1 diabetes at a young age" The American Journal of Clinical
Nutrition 78 (6):
1053–67
"webmd Symptoms Type I
Diabetes"
Kasper, Dennis L; Braunwald,
Eugene; Fauci, Anthony; et al. (2005). Harrison's
Principles of Internal Medicine (16th ed.). New York: McGraw-Hill.