MUNTIK NANG DI MAGISING SI GARY V. KUNDI DAHIL DITO
00:24.3
Sorry, I have a time like that.
00:25.8
My sugar begins to affect me.
00:27.4
So, medyo mababa po yung value na binagit ni Sir Gary V.
00:31.0
Yung gantong sugar value, lalo na kung diabetic,
00:34.4
remember meron siyang type 1 diabetes, so medyo alarming po yan.
00:42.3
Okay, so since mababa yung sugar sa katawan, kailangan suplayan ng sugar source.
00:47.6
So, kumakain siya dito ng cake or pastry para ma-replenish yung nawawalang sugar sa katawan.
00:54.1
Okay, so baka narito po kayo.
00:55.4
So, bakit po sa mga normal na tao,
00:57.1
oh, dok, hindi naman kami nagkakaroon ng biglang pagbaba ng sugar.
01:01.1
Kahit wala kaming ginagawa, nag-exercise, o nagtatrabaho, okay kami, hindi kami nahihilo.
01:05.6
So, again, sa isang normal na tao, nagpa-function po yung pancreas niyan, or yung lapay.
01:10.3
So, yung lapay, yan po yung nagsisikrit ng insulin.
01:12.8
So, dok, para sa'yo yung insulin.
01:14.1
Ang insulin po kasi, yan yung suse.
01:15.9
Para makapasok yung sugar sa mga cells mo.
01:18.7
Kasi kailangan niya ng suse.
01:20.2
Kanyari, kumain ako ng leche flan, o punong-puno yun ang sugar.
01:24.6
Makakainin ko yun, matutunaw sa sigmura.
01:27.1
Pero before yun pumasok sa cells ko, sa cellular ko, sa muscle, sa liver,
01:31.9
kailangan ng insulin bilang suse.
01:34.1
So, sa mga pasyente po kasi na merong type 1 diabetes,
01:37.2
hindi gumagana yung parte ng pancreas, or ng lapay nila,
01:40.5
na nagsisikrit ng insulin.
01:43.5
Hindi makapasok yung sugar sa mga cells.
01:46.1
So, if you wanna know why I'm eating now,
01:50.6
It's just simple.
01:52.1
Because it's on insulin,
01:55.6
before it was worse,
01:57.1
it was on the syringe.
01:58.1
Because I'm on insulin, which is not for my body.
02:00.8
So, right now, I think naka-insulin pump na si Sir Gary.
02:04.6
Kasi previously, naka-injection pa siya.
02:06.8
Since merong type 1 diabetes si Sir Gary,
02:09.0
kailangan niya ng insulin pump.
02:10.8
Kasi wala siyang insulin eh.
02:11.9
Walang gumagawa ng insulin sa katawan niya.
02:13.5
So, yung insulin pump po,
02:14.7
device po yan na nakadikit,
02:17.3
parang nakatape lang yan.
02:18.4
Usually, dito sa chan,
02:21.4
Tapos, automatic na po na dinideliver yung insulin,
02:24.6
depende sa blood sugar nung pasyente.
02:26.8
para hindi magkakaroon ng episodes ng hypoglycemia,
02:29.7
yung nangyari sa kanya kanina.
02:31.0
Pag-hypoglycemia kasi,
02:32.1
sobrang baba naman ng sugar sa katawan nila.
02:35.1
Now, if you want to,
02:36.5
you have to put 60 grams of,
02:40.2
you know, carbohydrates.
02:42.9
it automatically gives a certain number of units.
02:45.8
Based on what you see.
02:48.6
So, automatic na po yung insulin pump kasi,
02:50.9
nababasa rin nung glucose monitor.
02:53.3
Meron siyang continuous glucose monitoring device.
02:55.7
Yung diba yung ginaw na niya,
02:57.4
Tinapat niya dito,
02:59.3
Kaya niya nalaman na,
03:00.4
okay, hypoglycemic na ako,
03:01.9
mababa na yung sugar ko sa katawan.
03:03.5
Kaya naka-hihilo,
03:04.7
sumasakit na yung ulo ko,
03:06.5
You can eat cakes,
03:08.0
but it still doesn't really abuse it.
03:10.6
So, that's what you call a hypo.
03:14.6
So, bakit nagkaroon ng hypoglycemia bigla?
03:17.0
Eh, naka-monitor na nga yung glucose,
03:18.8
tapos may insulin pump na nga.
03:20.3
Hindi natin masabi,
03:21.1
pwedeng nagkaroon siya ng exercise before,
03:23.5
or baka yung meal plan ni sir.
03:25.5
Eh, baka malayo yung interval,
03:27.4
kaya dapat talaga bantay-bantay po yung meal plan,
03:29.8
tsaka schedule ng pagkain eh,
03:31.5
sa mga pasyente yung may diabetes.
03:33.5
An normal level is between,
03:36.0
Not for everybody,
03:37.6
is between 80 to 140.
03:43.0
Ah, nga, nga, nga.
03:44.2
And that's not good.
03:45.2
Especially for the heart.
03:46.5
Koma levels are 40.
03:49.1
So, that's the dangerous level.
03:50.9
Kapag severe hypoglycemia,
03:56.2
pwede na pong maapekto yung brain.
03:58.2
Pwede magkaroon ng comatose.
03:59.9
Pwede mawala ng malay.
04:01.6
Kasi yung brain po natin,
04:02.8
very dependent po yan sa glucose eh.
04:04.7
Saglit lang na mawalan ka ng glucose sa brain mo,
04:07.4
pwede na siya magkaroon ng damage.
04:09.0
So, the hypoglycemia,
04:11.0
this is one of the reasons why Guy's not an international,
04:15.2
you know, artist is because
04:17.7
almost all his major seizure,
04:20.2
you know, seizure and hypo-attacks
04:22.6
have been because of jet lag.
04:24.9
So, sinasabi dito na hindi nga siya maka-perform
04:27.6
sa ibang bansa kasi tagal nung biyahe.
04:30.1
Eh, of course, dapat nakamonitor yung pagkain niya.
04:33.0
Mas mabilis siya, mapagod,
04:34.5
kumpara sa mga ibang tao,
04:36.3
sa mga mas normal yung pancreas, of course.
04:38.6
Medyo nalilimit yung activity.
04:40.5
Okay, mga sintomas po ng hypoglycemia
04:42.8
bukod sa nawawala ng energy bigla,
04:46.3
ah, kadalasan yan, sumasakit yung ulo,
04:48.4
okay, nalalabo yung paningin,
04:50.3
pwedeng biglang tumataas yung heart rate,
04:53.0
pwedeng biglang naduduan,
04:54.0
pwedeng biglang naduduan,
04:54.9
or sabihin natin, two days kang hindi kumakain.
04:57.5
Ganyan yung pakiramdam ng hypoglycemia.
05:00.3
Actually, hindi na nga lang masakit sa tiyan.
05:01.9
Masakit na sa ulo.
05:02.8
Para ka na talagang bigla ka ng manlalata.
05:05.2
If this is an injection, okay,
05:09.5
that's the insulin.
05:12.0
So, that goes into my body
05:15.0
on an hourly basis.
05:17.0
Okay, so, diyan po papasok ang kalaga
05:19.0
ng pag-ingat natin sa katawan, no?
05:20.5
Kasi may mga pasyente po tulad ni Sir Gary na
05:23.0
hindi nagpo-function yung party nung lakas,
05:24.8
yung lapay, wala tuloy siyang insulin.
05:26.8
So, tayo na mayroong mga insulin,
05:28.8
eh, alagahan po natin ang ating lapay.
05:30.8
Ang lapay po natin, pancreas natin,
05:31.8
sensitive yan sa sigarilyo, okay?
05:33.8
Tsaka sa pag-inom ng alak.
05:35.8
Sa mga alkoholik, tsaka sa mga malakas manigarilyo,
05:38.8
madali po sila tamaan ng mga infection
05:40.8
or pancreatitis, tsaka pancreatic cancer.
05:43.8
Siguro dahil hindi ako masyadong kumain kanina.
05:46.8
Tapos bumaba ng ose.
05:49.8
And then now, I'll take something
05:50.8
na take it in after long.
05:52.8
So, yun yung possible reason
05:53.8
bakit biglang bumaba yung sugar ni Sir Gary.
05:56.8
Kasi mukhang hindi naayos yung previous meal niya.
05:59.8
Yun lang naman mga possible causes po.
06:01.8
Baka nagkaroon ka ng strenuous physical activity, exercise,
06:04.8
hindi sapat yung naging pagkain mo prior,
06:07.8
or baka sa mga hindi naka-insulin pump,
06:10.8
baka hindi ka nakapag-inject ng manual insulin injection.
06:14.8
Ano tawag yan, Sir?
06:15.8
It's an insulin pump.
06:17.8
This is the insulin pump,
06:18.8
and this one is the constant CG pump.
06:23.8
So, it's a monitor.
06:24.8
In fact, I can actually use this pump
06:28.8
that with a meter,
06:30.8
but it's a different thing.
06:31.8
Ibang device ba yata?
06:32.8
It's a bigger thing that I have to, again,
06:35.8
Kasi dati, nung wala pa itong mga devices na ito,
06:38.8
yun nga, sinasabi ko kanina,
06:39.8
mano-manong inject ng insulin dito sa chan.
06:42.8
Tapos syempre, babantayan mo pa yung glucose sa dugo.
06:45.8
Paano ngayon binabantayan yung glucose sa dugo
06:47.8
kung wala yung mga glucose monitor dati?
06:50.8
Susok ka dyan, tapos may pambasa.
06:52.8
Actually, marami pa rin namang gumagamit ngayon
06:54.8
ng mga patients nung device na ito, yung glucometer.
06:56.8
Tutuso ka dyan, patuloy mo yung dugo,
06:59.8
tapos mababasa na nung glucometer.
07:01.8
So, yun, mano-mano.
07:02.8
It's called the Freestyle Libre,
07:04.8
which I actually am an endorser of,
07:06.8
but this is the Freestyle Libre 2,
07:09.8
the Freestyle Libre 3,
07:11.8
which will come, I'm sure, in the next few months.
07:14.8
It's connected to the phone.
07:16.8
So, while I was deep at night,
07:18.8
pag gumaba ang sugar mo,
07:19.8
So, then she wake me up.
07:22.8
Okay, okay, I'll go take something.
07:24.8
Of course, ang ilan sa mga disadvantages nito,
07:27.8
medyo mahal. May presyo po yan
07:29.8
kumpara doon sa mga glucometer na manual.
07:32.8
Glucadone should be anywhere near guaranteed.
07:35.8
So, if my sugar drops and I go into a seizure
07:40.8
or I go into an episode and you can't wake me up,
07:42.8
you just get that.
07:44.8
Even with my clothes on.
07:46.8
Sabi ba, Yada, 2018, he almost died.
07:49.8
I mean, but this saves lives.
07:51.8
Okay, so pag-uusapan natin itong gamot na ito.
07:54.8
Ito daw yung glucagon.
07:55.8
Meron po tayong dalawang hormones na binabanggit.
07:57.8
Yung una yung insulin para pumasok yung glucose sa cells
08:01.8
para magamit ng katawan natin ng muscle ng liver.
08:04.8
Itong glucagon, ang function po nito,
08:06.8
nilalabas naman niya yung mga stored glucose
08:09.8
galing sa liver, galing sa muscles
08:11.8
para papunta sa dugo.
08:13.8
Parang pabaliktad siya ng action ng insulin.
08:15.8
So, in times na sobrang baba na talaga ng sugar,
08:18.8
sa katawan ng patients na may type 1 DM,
08:21.8
sabi nating 20 na lang, wala na talagang malay
08:23.8
nagsisissure na pwede gumamit ng glucagon.
08:26.8
Ang glucagon gagawin niyan, yung liver kasi natin,
08:28.8
yung atay natin, tsaka yung mga muscles natin,
08:30.8
may mga stored pong glucose.
08:32.8
Glycogen yung tawag.
08:33.8
So, yung mga glycogen na yun, lalabas siya sa dugo.
08:35.8
Pag lumabas yun sa dugo, magagamit niya yun ng brain.
08:38.8
Makakabawi yung brain para makaabsorb siya
08:41.8
ng kailangan niyang glucose.
08:43.8
Pero for emergency lang ito yung mga glucagon.
08:45.8
You know, because you're so used to a healthy guy,
08:48.8
you forget that he might have an attack.
08:51.8
So, I told Vina, where's the glucagon?
08:54.8
It took 2 minutes for them to get it in the car.
09:00.8
But the doctor said that he should always be around him.
09:07.8
Kasi dapat for emergency use po,
09:09.8
kasi ito pang salba talaga to.
09:11.8
Kapag sobrang hypoglycemic, sobrang baba ng sugar sa dugo.
09:14.8
So, pwede rin po i-reseta sa inyo,
09:16.8
depende kung gaano kalalaan.
09:18.8
Or kasiber yung inyong diabetes.
09:20.8
Lalo na kung medyo madalas po yung inyong episodes ng hypoglycemia.
09:23.8
Makakatulong po yan para tumaas kahit papano
09:26.8
yung inyong sugar sa dugo.
09:28.8
I don't remember, I don't remember this.
09:30.8
When I was in the car and before I left the house,
09:32.8
they gave me that.
09:34.8
So, I don't remember going into the car.
09:36.8
I don't remember being in the car.
09:38.8
But my driver said I was going through seizures.
09:40.8
And the seizures, delicado.
09:42.8
Because that means the brain is already being affected.
09:44.8
So again, type 1 diabetes, yung lapay,
09:46.8
gumagawa ng insulin,
09:48.8
eh ang insulin, kailangan po yan bilang suse
09:50.8
para makapasok yung sugar
09:52.8
sa ating mga selula, sa ating mga liver
09:54.8
para magamit ng cells natin.
09:56.8
Kung walang insulin, nasa dugo lang siya.
09:58.8
Ano nangyayari sa dugo?
10:00.8
Humahalo sa kidney, ihi ka ng ihi,
10:02.8
lagi kang uhaw, lagi kang pagod,
10:06.8
at pwede makasira sa bato
10:08.8
at sa mga nerves sa katawan.
10:10.8
So, bilang solusyon, nagbibigay po kami ng insulin.
10:12.8
Since wala kayong insulin sa katawan nyo,
10:14.8
para yung mga sugar sa dugo
10:16.8
eh magamit ng cells nyo.
10:18.8
Sa mga type 1 DM, dapat bantayan kung
10:20.8
gaano kadalas yung pagkain, yung meal schedule,
10:22.8
dapat healthy pa rin yung kinakain,
10:24.8
okay, dapat bantay na bantay
10:26.8
yung nutrition, yung schedule
10:28.8
ng pag-shashat or pag-inject ng
10:30.8
insulin, dapat nakabantay.
10:32.8
Pati yung levels ng glucose mo
10:34.8
sa katawan, dapat nakabantay yan.
10:36.8
And of course, pwede naman mag-exercise.
10:38.8
Pwede naman magkaroon ng mga strenuous,
10:40.8
physical activities, basta hindi sobra
10:44.8
ng sugar nyo sa dugo.
10:46.8
Dok, saan po nakuha kang type 1 diabetes?
10:48.8
Again, ito po yung isa sa mga karamdaman
10:50.8
na pwedeng mamana, meron kang genetic
10:52.8
defect. Kung silang gene na yun nag-manifest
10:54.8
sa'yo, hindi nagkaroon ka ng type 1 DM.
10:56.8
Pwedeng autoimmune. Yung sarili mong katawan
10:58.8
inaatake yung lapay. By the way,
11:00.8
iba po ito sa type 2. Kapag type 2,
11:02.8
usually sa lifestyle yan.
11:04.8
Meron ka namang insulin sa katawan, kaso
11:06.8
hindi ma-recognize ng mga cells mo.
11:08.8
Kung bagay yung susi, may susi ka
11:10.8
pero hindi gumagana. Dok, paano po makaiwas
11:12.8
sa type 1 diabetes? Unfortunately,
11:14.8
since ito ay pwedeng mamana,
11:16.8
pwedeng environmental,
11:18.8
pwedeng autoimmune, wala pong single
11:20.8
or nag-isang paraan para
11:22.8
makaiwas dito. Ang maganda lang natin gawin
11:24.8
once na-diagnose po kayo, is
11:26.8
i-prevent natin yung mga complications.
11:28.8
Prevent natin yung mga sakit sa puso. Yan yung
11:30.8
mga complication po na yun. Pwede ka kasi mabaraan
11:32.8
ng ugat sa puso, stroke,
11:34.8
pwede masira yung bato. Para po
11:36.8
maiwasan tong mga to, dapat po sumusunod sa
11:38.8
schedule ng ating insulin
11:40.8
injection. Dapat po meron pa ring regular
11:42.8
physical activity. Dapat maganda
11:44.8
po yung kinakain natin. Damyan ng fiber,
11:46.8
gulay, krutas. Syempre,
11:48.8
kung nainigarilyo at alcohol ka,
11:50.8
tigilan mo po yan. And makakatulong din po
11:52.8
kung meron kayong kausap na
11:54.8
nutritionist. Kasi kahit pa paano, mas bilang po
11:56.8
and mas specific yung
11:58.8
nutrition na nakukuha nyo. Kung meron kayo talagang
12:00.8
comment down below and kung nag-benefit ka sa video
12:02.8
ito, please follow my social media
12:04.8
pages. So, Sir Gary V, salamat po
12:06.8
sa pag-share ng inyong story and
12:08.8
sana po ay tuloy-tuloy na ang inyong
12:14.8
Thank you for watching!
