Sugar Dee Bamari Jehnu Diabetes Kehnday Ah

 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.