Lɛ wi lan bɔt di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn sik dɛn we dɛn kɔl Canagliflozin ɛn Metformin.

Yu gɛt dayabitis, ɔ Tayp 2 Dayabitis? Ɔ pɔsin we yu sabi gɛt dis sik? Dɔn yu dɔktɔ go dɔn gi yu tu mɛrɛsin dɛn we dɛn jɔyn, we na Canagliflozin ɛn Metformin, mɔ wan pil we kin rilis fɔ lɔng tɛm . Di brand nem fɔ dis kin bi Invokamet XR. So, lɛ wi tɔk smɔl mɔ bɔt dis drɔg tide, nɔto so?

Wetin kin rili apin wit dis mɛrɛsin?

Fɔ tɔk am simpul wan, dɛn kin yuz dis mɛrɛsin fɔ kɔntrol yu blɔd shuga (blɔd glukɔs) . We yu gɛt `Type 2 Diabetes`, sɔm chenj kin de na di we aw wi bɔdi de kɔntrol shuga. Dis mɛrɛsin de wok bay we i de mek da shuga lɛvɛl de dɔŋ ɛn ɛp yu fɔ gɛt wɛlbɔdi. insay dis, `Canagliflozin` de εp di bכdi fכ pul di εksyכs shuga tru di urine, we di `Metformin` de ridyus di prodakshכn fכ di liva εn i de mek di bכdi in sεl dεm sεnsitiviti to insulin. Bɔt mɛmba se dis mɛrɛsin nɔmɔ nɔ go du fɔ am. Gud it ɛn ɛksesaiz bak rili impɔtant fɔ dis.

Wetin na de tin wae yu nid fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin?

Dis rili impɔtant. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ rili tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin. Bikɔs, na da tɛm de nɔmɔ di dɔktɔ go disayd if dis mɛrɛsin fayn fɔ yu ɔ nɔ fayn fɔ yu, ɔ if dɛn nid fɔ chenj di mɛrɛsin. Jɔs tink bɔt dat, if yu nɔ tɛl di dɔktɔ dɛn tin ya, yu go gɛt prɔblɛm we nɔ impɔtant.

• If yu gɛt `Anemia`
• If yu gɛt at sik
• If yu nɔ gɛt wata bikɔs yu nɔ gɛt wata
• If yu bin dɔn gɛt `Diabetic ketoacidosis (DKA)` (di asid na di blɔd we de go ɔp bikɔs ɔf dayabitis) .
• If yu it tin we nɔ gɛt bɔku sɔl
• If yu de it smɔl bikɔs ɔf sik, ɔpreshɔn, it, ɔ ɔda rizin
• If yu gɛt fut sɔri
• If dɛn de du ɔpreshɔn pan yu tumara bambay
• If yu gɛt at sik
• If yu gɛt ay kɔlɔstrel (`High cholesterol`) .
• If di potashכm lεvεl na di bכdi hכy (`High lεvεl fכ potashכm na di bכdi`)
• If dɛn dɔn pul yu leg ɔ pat bifo (`History of amputation`)
• If yu gɛt histri bɔt pankrias ɔ ɔda prɔblɛm wit yu pankrias
• If yu gɛt histri fɔ yist infɛkshɔn na di penis ɔ vagina
• If yu na pɔsin we de drink rɔm ɔltɛm
• If yu gɛt infekshɔn na yu blad, yu kidni, ɔ yu urinary tract
• If yu gɛt sik na yu kidni (dis mɛrɛsin nɔ fayn if yu kidni de wok dɔŋ wan patikyula lɛvul) .
• If yu gɛt liva sik
• If yu gɛt lɔw blɔd prɛshɔn (`Lɔw blɔd prɛshɔn`) .
• If yu gɛt nerve damej
• If yu na pɔsin we dɛn de du ɛmodayalis
• if yu gεt `Polycystic ovary syndrome (PCOS)` (na kכndyushכn we sist dεm de fכm na di ovaries) .
• If yu gɛt prɔblɛm fɔ pis
• If yu gɛt siriɔs infɛkshɔn ɔ injuri
• If yu gɛt `Type 1 Diabetes` (Dis mɛrɛsin na fɔ di wan dɛn we gɛt `Type 2` dayabitis)
• If yu na man we nɔ sakɔmsayz
• If yu de vɔmit bɔku tɛm
• If yu gɛt alɛji fɔ Canagliflozin, Metformin, ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl
• If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ
• If yu na mama we de gi pikin in bɛlɛ (`Breast-feeding`) .

Nɔ mek yu fred wit dis list. Nɔto ɔl dis kin apin to ɔlman. Bɔt if sɔntin de we gɛt fɔ du wit yu, i impɔtant fɔ mek yu tɛl yu dɔktɔ fɔ sef .

Aw a fɔ yuz dis mɛrɛsin?

Okay, naw lɛ wi si aw ɛksaktɔli fɔ yuz dis mɛrɛsin.

• Yu fɔ tek dis pil wit wan glas wata .
• Dis fɔ tek wit it . Bɔku tɛm wit di fɔs men it fɔ di de. Ɔ lɛk aw yu dɔktɔ tɛl yu.
• Swɛla di tablɛt ɔl . Nɔ krɔs am ɔ chew am. Dis na bikɔs dɛn mek am fɔ wok fɔ lɔng tɛm. If yu brok am, di mɛrɛsin go go insay yu bɔdi wan tɛm, ɛn dis go mek di blɔd shuga go dɔŋ wantɛm wantɛm ɔ ɔda prɔblɛm dɛn.
• Tek di mɛrɛsin we dɛn gi yu, di tɛm we dɛn gi yu, insay di doz we yu gi yu, lɛk aw dɛn rayt am na di lɛbl we dɛn gi yu.
• Nɔ drink pas wetin di dɔktɔ tɛl yu fɔ drink, ɔ drink am bɔku tɛm.
• Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, dat kin mek yu blɔd shuga go ɔp wantɛm wantɛm.

We yu gɛt dis mɛrɛsin frɔm di famasi, dɛn go gi yu wan spɛshal infɔmeshɔn liflet (wan `MedGuide`) wit am. Mek shɔ se yu rid am fayn fayn wan ɛvri tɛm we yu gɛt yu mɛrɛsin ɔ gɛt `rifil`. I gɛt bɔku impɔtant tin dɛn fɔ yu.

Yu tink se dɛn kin gi pikin dɛn dis mɛrɛsin?

Yu fɔ tɔk to yu wɛlbɔdi tim bɔt aw fɔ gi pikin dɛn dis mɛrɛsin. Dis na mɛrɛsin we dɛn kin gi big pipul dɛn. If dɛn nid am fɔ pikin dɛn, i nid spɛshal rizin ɛn pɔsin we de kia fɔ am.

Wetin yu go du if yu drink pasmak? (`Ovadosaj`)

If yu tink se yu dɔn tek tumɔs pan dis mɛrɛsin, go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm, ɔ kɔl pɔyzin kɔntrol sɛnta (e.g. Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta - 0112 686 143) . Nɔ west tɛm.

Impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb yu mɛrɛsin wit ɔda pipul dɛn, ilɛksɛf dɛn gɛt di sem sik lɛk yu. Na bikɔs mɛrɛsin we de wok fɔ wan pɔsin nɔ go wok fɔ ɔda pɔsin.

Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?

Oh, somtaims yu mis wan doz. If dat apin, tek am jɔs afta yu mɛmba . Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (e.g., insay sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we dɛn dɔn sɛtul. Nɔ ɛva tek dabl doz. If yu du dat, dat kin mek yu blɔd shuga go dɔŋ tumɔs.

Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?

Dis na pɔynt bak we rili impɔtant. Wail yu de tek dis `Canagliflozin; Metformin` mɛrɛsin, i nɔ fayn fɔ tek sɔm ɔda mɛrɛsin dɛn. Dɔn bak, i kin miks wit sɔm ɔda mɛrɛsin dɛn. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɔktɔ gi yu, di wan dɛn we yu de bay na famasi, tradishɔnal mɛrɛsin, vaytamɛn, ivin `dietary supplement`). Dɔn bak, tɛl yu dɔktɔ if yu de smok sigrɛt, drink rɔm, ɔ tek ɔda drɔgs.

Mɛrɛsin dɛn we yu nɔ fɔ ɛva tek wit dis mɛrɛsin:

• Sɔm kayn ‘kɔntrast’ drɔgs, we dɛn kin gi insay dɛn bɛlɛ bifo sɔm tɛst lɛk X-ray, CT skan, ɛn MRI, kin afɛkt di kidni dɛn ɛn, we dɛn kam togɛda wit ‘Metformin’, i kin mek di risk fɔ wan denja kɔndishɔn we dɛn kɔl ‘Lactic Acidosis’ go ɔp.
• `Dofetilide` (dis na mɛrɛsin we dɛn kin gi fɔ di at ritm we nɔ de ɔltɛm).

Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin:

(Dis list nɔ go kɔmplit, so i impɔtant fɔ tɛl yu dɔktɔ ɔl wetin yu de tek)

• `Asetazolamid`
• Alkol - I de mek di risk fɔ gɛt laktik asid ɛn i kin mek bak di blɔd shuga smɔl.
• Sɔm antivayral mɛrɛsin fɔ HIV ɔ Epatitis
• Sɔm mɛrɛsin fɔ blɔd prɛshɔn, at sik, ɛn at ritm dizayd (e.g., beta-blɔka, we kin mask di sayn dɛm fɔ low blɔd shuga)
• `Simetidin`
• `Diklɔrfenamayd`
• Digoxin (wan at mɛrɛsin) - Di digoxin lɛvɛl kin chenj we dɛn tek am wit Canagliflozin.
• Diuretics (mεdisin dεm we de mek yu de pis bכku) - I de mek di risk fכ dεhydration εn lכw bכdi prεshכn.
• Ɛstrojen ɔ prɔjɛstin ɔmon dɛn
• `Glaykopirɔlet`
• `Isoniazid` (na mɛrɛsin fɔ TB) .
• `Lamotrijin`
• `Litiɔm`
• `Mɛmantin`
• `Mɛtazɔlamid`
• `Mɛtɔklɔpramid`
• `Midodrine`
• `Niasin`
• `Fɛnobarbital`
• Fεnotiazin dεm (e.g. klorpromazin, prכklכpεrazin, tioridazin) .
• `Fɛnitoin`
• `Ranolazin`
• Rifampin (na mɛrɛsin we dɛn kin yuz fɔ trit TB ɔ ɔda infɛkshɔn) - I kin ridyus di wok we Canagliflozin de du.
• `Ritonavir`
• Steroid mεdikeshכn dεm (e.g. prednisone כ cortisone) - kin inkrεs di bכdi shuga lεvεl.
• Mɛrɛsin wae de mek pɔrsin fil fayn fɔ wae pɔrsin nɔr de pe atɛnshɔn, fɔ lɛf fɔ it bɔku bɔku it, ɔ fɔ de wek
• Tayrɔyd mɛrɛsin dɛn
• `Topiramat`
• `Trɔspiɔm`
• `Vandetanib`
• `Zonisamid`

Jɔs tink bɔt dat, bɔku tin kin chenj di we aw dis mɛrɛsin de wok. Na dat mek i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek .

Wetin na de tin wae yu fɔ tek tɛm wit we yu de tek dis mɛrɛsin?

We yu de yuz dis mɛrɛsin, yu nid fɔ tek tɛm smɔl bɔt yu wɛlbɔdi biznɛs.

• Si yu dɔktɔ ɔltɛm (`rɛgyula chɛk`) fɔ wach yu kɔndishɔn . Gɛt tɛst lɛk aw yu kidni de wok ɛn di vaytamɛn B12 lɛvɛl lɛk aw yu dɔktɔ se.
• Bikɔs dis mɛrɛsin gɛt `Metformin`, sɔmtɛm di asid na di blɔd kin bi denja pasmak (`Lactic Acidosis`) . Pan ɔl we dis nɔ kin apin so ɔltɛm, i kin rili denja if i apin. If yu gɛt sɔm sayn dɛn lɛk nɔs, vɔmit, bɛlɛ pen, taya we nɔ kɔmɔn, i nɔ izi fɔ blo, fɔ blo kwik, fil kol, ɔ diziz, stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm ɛn kɔl yu dɔktɔ ɔ go na ɔspitul . if i posibul, chεk yu urine bak fכ kεtכn wit `ketכn dipstik`.
• Kanagliflozin kin mek bak wan sik we dɛn kɔl Dayabitik Kɛtoacidosis (DKA) . Dis na sik we di blɔd shuga nɔ de go ɔp tumɔs. Di sayn dɛm na we yu tɔsti pasmak, yu de pis bɔku tɛm, yu mɔt de dray, yu taya, yu de smɛl lɛk frut, yu nɔ de blo shɔt, yu bɛlɛ de pen, yu de nɔs, ɛn yu de vɔmit. If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm.
• Bɔku tɛm yu dɔktɔ go ɔda fɔ mek dɛn du tɛst we dɛn kɔl `HbA1C (A1C)` fɔ si aw dɛn de kɔntrol yu blɔd shuga fayn fayn wan . Dis na simpul blɔd tɛst. I kin sho aw dɛn dɔn kɔntrol yu blɔd shuga fayn fayn wan fɔ 2-3 mɔnt. Dɛn kin du dis tɛst ɛvri 3-6 mɔnt.
• Lan aw fɔ tɛst yu blɔd shuga na os . Dɔn bak, no bɔt di sayn dɛn we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu blɔd shuga (hyperglycemia) ɛn aw fɔ kɔntrol dɛn .
• Ɔltɛm kip wan kwik sɔs fɔ shuga (e.g., shuga kiub, glukɔs tablɛt, drink we gɛt shuga, frut jus) wit yu if yu gɛt sayn dɛn we de sho se yu blɔd shuga nɔ bɔku (we yu swet, shek, angri pasmak, at bit kwik kwik wan, yu ed de tɔn, yu kɔnfyus). Bɔt if yu nɔ no natin ɔ yu gɛt sik , tɛl yu famili se dɛn kin chok if dɛn tray fɔ gi yu it ɔ drink. If dis apin , yu fɔ go to dɔktɔ wantɛm wantɛm .
• Dis mɛrɛsin kin mek yu fɔlik asid ɛn vaytamɛn B12 lɛvɛl go dɔŋ, mɔ wit mɛtfɔmin. So, mek shɔ se yu it inof vaytamɛn we yu de tek dis mɛrɛsin. Yu dɔktɔ kin gi yu wan vaytamɛn sɔpɔtmɛnt if nid de.
• Nɔ mek yu nɔ gɛt wata na yu bɔdi . Drink bɔku wata, mɔ we di ples wam, we yu de du ɛksɛsayz, ɔ if yu bɛlɛ de at.
• Tek kia spɛshal wan pan yu fut dɛn . Chek yu fut ɛvride, bikɔs smɔl risk de fɔ mek yu gɛt infɛkshɔn ɔ kɔt yu fut dɛn we de dɔŋ we yu de tek dis mɛrɛsin (especially Canagliflozin). So if yu gɛt ɛni wund, krak, rɛd, ɔ swɛlin na yu fut, tɛl yu dɔktɔ wantɛm wantɛm.

Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?

Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin. Bɔt nɔto ɔlman kin gɛt dɛn. Sɔm kin siriɔs ɛn yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Ɔda wan dɛn nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ du dat, i go fayn fɔ tɛl yu dɔktɔ .

Sayd ɛfɛkt dɛn we yu fɔ tɛl yu dɔktɔ bɔt wantɛm wantɛm

• Alɛji riakshɔn : skin rɔsh, it, ayv (rɛd spat na di skin), swel na yu fes, lip, tɔng, ɔ trot (i kin mek i nɔ izi fɔ blo).
• Di wata we de kɔmɔt na yu bɔdi : Di tɔsti we yu de tɔsti mɔ, yu mɔt de dray, yu de tɔn, yu ed de at, yu de urine dak yɔlɔ ɔ brawn, ɛn yu nɔ de pul yu urine igen.
• Dayabitik ketoacidosis (DKA) : I kin tɔsti ɔ pis pasmak, yu mɔt kin dray, yu kin taya pasmak, yu kin smɛl lɛk frut, yu kin blo shɔt, yu bɛlɛ kin pen, yu kin gɛt nɔys, ɛn yu kin vɔmit.
• jεnital yist infεkshכn : (na di vagina na uman, na di penis na man) rεd, swεla, pen כ it, fכ smel, εn tik כ kכd wayt dischaj.
• di laktik asid we de bכku na di bכdi (`Lactic Acidosis`) : di mכsul dεm de pen כ kramp, bεlε de pen, i at fכ brith, fכ brith kwik, jεnarכl diskכmfכt εn taya, diziz, kol.
• Infεkshכn arawnd di jεnital כ na di εria we de go na di an (`Fournier's gangrene`) : rεd, swεla, stif, כ pen, sכmtεm wit fiva. Dis na wan sik we rili siriɔs, we kin mek pɔsin in layf de pan denja, so tɛl yu dɔktɔ wantɛm wantɛm if yu si ɛni wan pan dɛn sayn ya.
• Lכw vaytam in B12 lεvεl : Pen, sכm, כ lכs fכ fil na di limb dεm, mכsul dεm wik, diziz, i at fכ kכnsantreshכn, kכnfyushכn, tכng we de at, skin kכla de chenj.
• Nyu pen ɔ stiffness na di leg ɔ fut, skin kɔlɔ de chenj, sos ɔ ɔlsa, ɔ infekshɔn.Dis na tin dɛn bak we wi nid fɔ luk kwik kwik wan.
• Urinary tract infection (UTI) : Yu kin bɔn we yu de pis, yu kin pis bɔku tɛm, yu kin gɛt blɔd ɔ yu kin gɛt klawd, yu kin fil pen na yu bak ɔ yu groin, yu kin gɛt fiva.
• Bɔn fraktrɛshɔn : Sɔm stɔdi dɔn sho se di risk fɔ mek bon brok smɔl pan pipul dɛn we de tek Canagliflozin. So tek tɛm fɔ lɛ pɔsin fɔdɔm.

Sayd ɛfɛkt dɛn we nɔ kin nid dɔktɔ fɔ advays, bɔt if dɛn kɔntinyu fɔ de, yu fɔ tɛl yu dɔktɔ.

• Rɔnbɛlɛ
• Gas we dɛn kin yuz
• Ed de at
• Vɔmit
• Bɛlɛ Pen
• Fɔ vɔmit
• Di frɛkuɛns we pɔsin kin pis
• Fɔ tɔsti pasmak

Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn. If yu notis ɛnitin we nɔ kɔmɔn, tɔk to yu dɔktɔ. Yu kin ripɔt bak di sayd ɛfɛkt dɛn to di FDA (Food and Drug Administration) na 1-800-FDA-1088.

Aw yu fɔ kip yu mɛrɛsin?

I rili impɔtant bak fɔ kip yu mɛrɛsin fayn fayn wan.

• Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
• Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs, bitwin 59 ɛn 86 digri Fahrenheit). Protɛkt frɔm wet pasmak ɛn dairekt san layt. Nɔ kip am na say dɛn we gɛt bɔku wata, lɛk na di bafa.
• Nɔ yuz mɛrɛsin dɛn we dɔn pas. Trowe dɛn go.

Aw yu kin trowe mɛrɛsin dɛn we yu nɔ yuz ɛn we dɔn pas?

• If i pɔsibul, gi dis mɛrɛsin to wan program fɔ tek mɛrɛsin bak. Yu kin no bɔt dɛn kayn ples ya na yu famasi ɔ wit yu lokal wɛlbɔdi ɔtoriti.
• If nɔto so, chɛk di lɛbl we de na di mɛrɛsin bɔtul/paket fɔ si if dɛn fɔ trowe am na dɔti ɔ flɔsh am dɔŋ di tɔylɛt. If yu nɔ shɔ, aks yu dɔktɔ ɔ fama.
• If yu kin trowe am na di dɔti (we kin apin bɔku tɛm), pul di mɛrɛsin kɔmɔt na di kɔntena, miks am wit sɔntin we nɔbɔdi nɔ go it, lɛk kɔfi grɔn we yu dɔn yuz, dɔti, ɔ pusi dɔti, ɛn put am na bag ɔ kɔntena we yu kin sial ɛn trowe am na di dɔti. Dis na fɔ mek ɔda pɔsin nɔ gɛt di mɛrɛsin ɛn yuz am.

Mɛsej we dɛn kin kɛr go na os

Okay, wi dɔn tɔk bɔku bɔt di dayabitis drɔgs `Canagliflozin` ɛn `Metformin`. Fɔ tɔk smɔl:

• Dis na impɔtant mɛrɛsin fɔ Tayp 2 Dayabitis we de kɔntrol di blɔd shuga .
• Di bɛst tin kin apin we dɛn jɔyn dis wit it ɛn ɛksesaiz.
• Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn ɛni ɔda mɛrɛsin we yu de tek.
• Jɔs lɛk aw di dɔktɔ bin se, .Tek di doz we dɛn gi yu, di tɛm we dɛn gi yu, wit it . Swɛla di tablɛt ɔl.
• Yu fɔ no di sayn dɛm we de sho se yu gɛt smɔl shuga na yu blɔd (haypoglycemia) ɛn kip sɔm shuga na yu an fɔ we yu nid am.
• If yu gɛt ɛni ɔda kayn simptom (especially poshubul sayn dɛm fɔ `DKA` ɔ `Lactic Acidosis`, genital infɛkshɔn (risk fɔ `Fournier's gangrene`), leg ɔlsa, sayn dɛm fɔ dɛhydration), tɛl yu dɔktɔ wantɛm wantɛm.
• Stay in kɔntakt wit yu dɔktɔ ɛn tɔk bɔt yu kɔndishɔn. Nɔ fred fɔ aks kwɛstyɔn.

Mɛmba se dis mɛrɛsin na jɔs ɛp fɔ kɔntrol yu dayabitis. Yu wɛlbɔdi dipen ɔl pan aw yu de liv yu layf, aw yu de it, ɛn aw yu de fala wetin yu dɔktɔ tɛl yu fɔ du. Dis mɛrɛsin nɔ de mɛn dayabitis, i jɔs de ɛp fɔ kɔntrol am.

If yu gɛt ɛni ɔda kwɛstyɔn, nɔ ɛva shem fɔ aks yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs. Dɛn de de fɔ ɛp yu.

` Canagliflozin, Metformin, Invokamet XR, Tayp 2 Dayabitis, Dayabitis, Blɔd Shuga, Dayabitis Mɛdikeshɔn, Sayd Ifɛkt