We yu dɔktɔ tɛl yu se yu gɛt Tayp 2 Dayabitis, yu go dɔn bigin fɔ du ɛksɛsayz ɛn kɔntrol di it we yu de it. Dat na gud tin. Bɔt sɔntɛnde, i kin at fɔ kɔntrol yu blɔd shuga wit wɛlbɔdi layf nɔmɔ. Na da tɛm de yu dɔktɔ tɛl yu fɔ bigin tek mɛrɛsin.
Tu men kayn mɛrɛsin de fɔ tayp 2 dayabitis: pils ɛn insulin . Dɛn tu de ɛp fɔ mek yu blɔd shuga nɔ de nia di nɔmal. Dis impɔtant bikɔs if yu blɔd shuga de bɔku fɔ lɔng tɛm, yu go gɛt siriɔs prɔblɛm dɛn lɛk we yu nɔ gɛt nerv, yu nɔ de si fayn, yu gɛt prɔblɛm wit yu kidni, ɛn yu gɛt at sik.
So, us pils ɔ insulin go fayn fɔ yu? Bifo yu tɔk to yu dɔktɔ bɔt dis, lɛ wi tɔk mɔ bɔt am.
Di kayn dɛn we dɛn kin yuz dayabitis pils
If dɛn jɔs dɔn no se yu gɛt tayp 2 dayabitis, i go mɔs bi se yu dɔktɔ go fɔs gi yu wan kayn mɛrɛsin. Dɛn tin ya nɔ de tek di ples fɔ di ɔmon we dɛn kɔl insulin, bɔt dɛn kin ɛp yu bɔdi:
- Prodyuz mɔ insulin.
- Yuz di insulin we di bɔdi de mek fayn fayn wan.
- Di shuga we de na di blɔd go dɔŋ.
Dɛn kin gi yu wan pan dɛn mɛrɛsin ya ɔ dɛn kin gi yu sɔm pan dɛn. Lɛ wi luk di men kayn mɛrɛsin dɛn.
Metfɔmin we dɛn kɔl
Fɔ tɔk am simpul wan, dis na di fɔs layn mɛrɛsin we dɔktɔ dɛn kin gi pɔsin fɔ gɛt tayp 2 dayabitis. I kin kam insay pil ɛn likwid fɔm. Metformin de wok mɔ bay we i de ridyus di shuga we yu liva de mek ɛn i de ɛp yu bɔdi fɔ yuz insulin bɛtɛ. Dɛn kin gi yu ɔda mɛrɛsin dɛn bak fɔ gɛt dayabitis wit am. Dis mɛrɛsin kin ɛp yu bak fɔ lɛf fɔ it sɔm wet.
Bɔt if yu gɛt liva sik, kidni prɔblɛm, ɔ at prɔblɛm, ɔ if yu de drink rɔm pasmak, yu nɔ go ebul fɔ tek Metformin. If na so i bi, yu blɔd shuga kin shɔt ɔ wan denja sik we dɛn kɔl laktik asid kin apin.
Sɔlfɔnilɔria dɛn
Dɛn mɛrɛsin ya de wok bay we dɛn de ɛp yu bɔdi fɔ mek mɔ insulin. Glimepiride (Amaryl), Glipizide (Glucotrol), ɛn Glyburide (DiaBeta) na sɔm ɛgzampul dɛn fɔ dis kayn mɛrɛsin. Bɔt dɛn kin mek yu bɔdi gɛt mɔ wet ɛn yu blɔd shuga nɔ bɔku (haypoglycemia).
Meglitinid dɛn we dɛn kɔl
Dɛn mɛrɛsin ya kin mek bak di pankrias mek mɔ insulin. Bɔt dɛn kin wok fast pas di sɔlfɔnilɔria, bɔt dɛn kin las fɔ lɔng tɛm. Repaglinide (Prandin) ɛn Nateglinide (Starlix) na sɔm pan dɛn mɛrɛsin ya. Di sayd ɛfɛkt dɛn kin bi we yu blɔd shuga nɔ bɔku ɛn we yu gɛt bɔku bɔku wet.
Tiazolidindiɔn dɛn we dɛn kin yuz
Dɛn tin ya kin wok bay we dɛn kin mek yu bɔdi in tisu dɛn fil fayn fɔ insulin. Dis min se dɛn kin ɛp yu bɔdi fɔ yuz insulin fayn fayn wan. Rosiglitazone (Avandia) ɛn Pioglitazone (Actos) na mɛrɛsin dɛn we de insay dis klas. Bɔt dɛn kin jɔs gi dɛn if ɔda tritmɛnt dɛn nɔ wok bikɔs dɛn kin gɛt siriɔs sayd ɛfɛkt lɛk at atak ɛn blɔd we nɔ gɛt blɔd.
Lɛ wi tɔk smɔl bɔt dɛn kayn mɛrɛsin ya di we we izi fɔ ɔndastand.
| Drug Klas we dɛn de yuz | Aw di bɔdi de wok | Kɔmɔn sayd ɛfɛkt dɛn |
|---|---|---|
| DPP-4 Inhibitɔ dɛn (Ɛgzampul: Sitagliptin (Januvia)) | I de mek di blɔd shuga go dɔŋ smɔl. | Jɔyn pen, inflamɛns na di pankrias (pankriaytis). |
| SGLT2 Inhibitɔ dɛn (ɛgz., Dapagliflɔzin (Farxiga), Ɛmpagliflɔzin (Jardiance)) | i de mek di kidni dεm nכ de abzכp glukכs bak insay di bכdi εn i de kכmכt na di urine. | Risk fɔ gɛt urinary tract infection, low blɔd prɛshɔn, ɛn dayabitik ketoacidosis. |
| GLP-1 Risɛptɔ Agonist dɛn (Ɛgzampul: Semaglutide (Rybelsus) pil) | I de ɛp di bɔdi fɔ mek mɔ insulin afta i dɔn it. | Nɔs, vɔmit, dayarɛa, we yu de lɔs, ed we de at. |
Ustɛm dɛn nid insulin?
If yu nɔ ebul fɔ kɔntrol yu blɔd shuga lɛvɛl wit pils nɔmɔ, yu dɔktɔ kin bigin yu fɔ tek insulin. Insulin na sɔntin we yu kin gɛt as shot.
Wetin mek yu nɔ ebul fɔ swɛla insulin lɛk pil? Di rizin na dat, ivin if yu swɛla am da we de, i go pwɛl kpatakpata di tɛm we wi de digest na wi bɛlɛ. So i nɔ go gɛt ɛni yus. Na dat mek dɛn kin gi am as injɛkshɔn.
Difrɛn kayn insulin de bak, we kin difrɛn pan aw lɔng dɛn kin wok.
- Insulin we de wok fɔ lɔng tɛm: I nɔ de go insay di blɔd te sɔm awa afta dɛn dɔn inj am, bɔt i de mek di shuga we de na di blɔd kɔntrol fɔ 24 awa. Bɔku tɛm, dɔktɔ dɛn kin tɛl pipul dɛn we gɛt tayp 2 dayabitis fɔ tek dis kayn insulin na nɛt.
- Insulin we de wok intamɛdiet: Dis kin bigin fɔ wok bak insay sɔm awa ɛn i kin kɔntinyu fɔ wok fɔ bitwin 12 ɛn 18 awa.
- Insulin we dɛn kin yuz ɔltɛm ɔ we kin “shɔt”: I kin go insay di blɔd lɛk af awa afta dɛn dɔn inj am ɛn i kin wok fɔ bitwin 3 ɛn 6 awa.
- Insulin we de wok kwik kwik wan: I kin bigin fɔ wok klos wan afta dɛn dɔn inj am, bɔt i kin wok fɔ shɔt tɛm, lɛk 2 to 4 awa.
Trade, dɔktɔ dɛn bin de gi pɔsin insulin as las tin fɔ du. Bɔt naw, bikɔs i kin kɔntrol di blɔd shuga kwik kwik wan, tɛm dɛn de we dɛn kin bigin fɔ yuz insulin kwik kwik wan. Di men sayd ɛfɛkt we ɔl kayn insulin kin gɛt na we di blɔd shuga nɔ bɔku (haypoglycemia) .
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
Di bɛst tritmɛnt fɔ yu na we yu ɛn yu dɔktɔ go disayd togɛda. Ilɛk us mɛrɛsin we dɛn se yu fɔ tek, mek shɔ se yu aks bɔt dɛn tin ya.
- Wetin na di bad tin dɛn we ɛni mɛrɛsin kin du?
- Aw dɛn prayz dɛn de?
- Aw a fɔ yuz dis mɛrɛsin?
- Aw dɛn fɔ kip dis mɛrɛsin?
Dɔn bak, lan gud gud wan aw fɔ no we yu blɔd shuga lɛvɛl tu smɔl (haypoglycemia), ɛn wetin fɔ du if i apin. Dis rili impɔtant.
Mɛsej we dɛn kin kɛr go na os
- Tayp 2 dayabitis na wan sik wae nid fɔ de mɛn fayn fayn wan. Fɔ tek mɛrɛsin wit wɛlbɔdi layf kin rili impɔtant.
- Bɔku tɛm, dɔktɔ dɛn kin bigin wit mɛrɛsin lɛk mɛtfɔmin.
- If yu nɔ ebul fɔ kɔntrol yu blɔd shuga wit pils nɔmɔ, yu go gɛt fɔ yuz insulin injɛkshɔn.
- Ɔltɛm tɔk opin wan wit yu dɔktɔ bɔt di tritmɛnt we bɛtɛ fɔ yu. Aks ɛni kwɛstyɔn we yu gɛt.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn wetin fɔ du if i apin.
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