Yu gɛt dayabitis? Ɔ sɔmbɔdi na yu famili ɔ padi? Dɔn yu go mɔs gɛt bɔku kwɛstyɔn dɛn bɔt di pils ɛn insulin injɛkshɔn dɛn we di dɔktɔ de gi yu. "Wetin mek yu gi mi dis mɛrɛsin?", "Wetin dis pil rili de du insay di bɔdi?", "A fɔ tek dis ɛvride?" Sɔntɛm tin dɛn lɛk dat kin kam na yu maynd. Dis na nɔmal kwɛstyɔn, nɔ wɔri bɔt dɛn. Tide, lɛ wi ɔndastand ɔl dis simpul wan, lɛk se wi de tɔk to wi padi.
Lɛ wi si fɔs, wetin mek wi nid mɛrɛsin fɔ dayabitis?
Fɔ tɔk am simpul wan, dayabitis na tin we wi bɔdi nɔ kin ebul fɔ kɔntrol di shuga we de na wi blɔd fayn fayn wan. Wi bɔdi nid wan ɔmon we dɛn kɔl insulin fɔ yuz di shuga (glukɔs) we de kɔmɔt na di it we wi de it. Insay dayabitis, di we aw dɛn de mek dis ɔmon we na insulin, nɔ de mek i nɔ bɔku, ɔ di bɔdi nɔ de ansa di insulin we i de mek fayn fayn wan.
If di shuga we de na di blɔd kɔntinyu fɔ bɔku fɔ lɔng tɛm we wi nɔ ebul fɔ kɔntrol am, wi yay, wi kidni, at, ɛn nerv dɛn kin pwɛl. Dɔktɔ dɛn kin gi dɛn mɛrɛsin fɔ mek dɛn nɔ gɛt dɛn bad bad tin ya. Di men wok we dɛn mɛrɛsin ya de du na fɔ ɛp fɔ mek di blɔd shuga kɔntinyu fɔ de insay say we sef.
Wetin na di men mɛrɛsin fɔ dayabitis?
Dɛn kin sheb di mɛrɛsin fɔ dayabitis to tu men kategori.
1. Oral Medications: Na dɛn tin ya bɔku pipul dɛn kin bigin wit fɔs.
2. Mεdikeshכn dεm we dεn kin injεkt: dεn tin ya na insulin εn כda nyu kayn injεkshכn dεm.
Yu dɔktɔ go disayd if dɛn go gi yu pils, injɛkshɔn, ɔ ɔl tu. Dis go dipen pan bɔku tin, lɛk yu kayn dayabitis (Tayp 1 ɔ Tayp 2), yu blɔd shuga lɛvɛl, yu ej, ɛn ɛni ɔda mɛrɛsin we yu go gɛt.
Lɛ wi lan bɔt di pils dɛn we dɛn kin yuz mɔ.
Bɔrku kayn pils de wae dɛn kin yuse fɔ gɛt shuga na Sri Lanka ɛn ɔlsay na di wɔl. Ɛni wan pan dɛn kin wok na di bɔdi difrɛn we smɔl. Lɛ wi luk di men kayn dɛn.
| Drug Klas Nem | Aw i de wok insay di bɔdi (insay simpul wɔd dɛn) . | Ɛgzampul dɛn we kɔmɔn |
|---|---|---|
| Biguanides we dɛn kɔl | I de ridyus di we aw di liva de mek shuga ɛn i de mek di bɔdi in sɛl dɛn fil bad fɔ insulin. | Metformin - Dis na di fɔs mɛrɛsin we dɛn kin gi bɔku pipul dɛn. |
| Sɔlfɔnilɔria dɛn | I de ɛp bay we i de tɔk to wi pankrias ɛn tɛl am fɔ "mek sɔm mɔ insulin." | Glimepiride, Gliklazayd |
| DPP-4 Inhibitɔ dɛn | We di blɔd shuga go ɔp afta yu dɔn it, i kin ɛp fɔ mek insulin. We di blɔd shuga nɔ bɔku, dɛn nɔ kin mek insulin fɔ natin. | Sitagliptin, Linagliptin, ɛn ɔda pipul dɛn |
| SGLT2 Inhibitɔ dɛn | I de ɛp fɔ pul sɔm pan di ɛkstra shuga we de na di bɔdi tru di kidni dɛn tru di urine. | Ɛmpagliflɔzin, Dapagliflɔzin |
Di impɔtant tin na dat ɔl dɛn mɛrɛsin ya de wok difrɛn we, so di mɛrɛsin we yu padi de tek nɔ go wok fɔ yu. Tek di mɛrɛsin nɔmɔ we yu dɔktɔ tɛl yu fɔ tek, jɔs lɛk aw dɛn tɛl yu fɔ tek.
Insulin ɛn ɔda kayn injɛkshɔn dɛn
Sɔntɛnde, i nɔ kin izi fɔ kɔntrol di blɔd shuga wit pils nɔmɔ. Ɛspɛshali fɔ pipul dɛn we gɛt Tayp 1 Dayabitis ɛn di wan dɛn we dɔn gɛt Tayp 2 Dayabitis fɔ lɔng tɛm, dɛn nid fɔ tek insulin injɛkshɔn.
Bɔku kayn insulin injɛkshɔn dɛn de:
- Insulin we de wok kwik kwik wan: Dɛn kin gi dɛn tin ya lɛk 15 minit bifo dɛn it.
- Insulin we de wok fɔ lɔng tɛm: Dɛn tin ya kin wok fɔ lɛk 24 awa so we dɛn injɛkt am wan tɛm insay di de.
pan tap dat, nyu kayn injεkshכn dεm de we dεn kכl `GLP-1 agonists` we dεn de yuz naw fכ dayabεtis (lεk `Semaglutide (Ozempic)`, `Liraglutide (Victoza)`). Dɛn tin ya kin ɛp fɔ mek insulin, ɛn dɛn kin ɛp bak fɔ ridyus angri ɛn ɛp fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi.
Tin dɛn we yu fɔ mɛmba bɔt mɛrɛsin
1. Nɔ fred di sayd ɛfɛkt, bi aware.
Lɛk ɛni mɛrɛsin, di mɛrɛsin fɔ dayabitis kin gɛt smɔl smɔl sayd ɛfɛkt dɛn. Fɔ ɛgzampul, sɔm pipul dɛn kin gɛt smɔl bɛlɛ at ɔ nɔs insay di fɔs dez afta dɛn dɔn bigin fɔ tek mɛtfɔmin. Bɔku tɛm, dɛn tin ya kin go insay sɔm dez.
2. Tek tɛm mɔ bɔt di haypoglycemia.
Dis rili impɔtant. Ɛspɛshali di wan dɛn we de tek insulin ɛn sulfonylurea nid fɔ no bɔt dis. Hypoglycemia na we di blɔd shuga lɛvɛl go dɔŋ tumɔs. We dat apin, .
- Swet bɔku bɔku wan.
- Mi bɔdi de shek shek.
- A kin fil diziz (dizzy).
- A kin fil se a rili angri.
- I at fɔ pe atɛnshɔn.
If yu gɛt dɛn sik ya, yu fɔ it sɔntin we swit wantɛm wantɛm (2-3 ti spɔnj shuga we dɛn dɔn sɔlv insay wata, sɔm glukɔs, swit drink, ɔ wan pis tofi). Dɔn it it we gɛt stach lɛk rays. If dis kin apin ɔltɛm, mek shɔ se yu go to yu dɔktɔ. Sɔntɛm yu go nid fɔ ajɔst di mɛrɛsin we yu de gi.
3. Nɔ ɛva stɔp ɔ chenj mɛrɛsin fɔ yusɛf
Nɔ stɔp fɔ tek yu mɛrɛsin fɔ yusɛf, tink se, "Mi blɔd shuga dɔn pafɛkt nɔmal naw, so a nɔ nid mɛrɛsin." Dat na tin we rili denja. Yu blɔd shuga de ɔnda kɔntrol bikɔs yu de tek di mɛrɛsin. Na yu dɔktɔ nɔmɔ gɛt di pawa fɔ chenj di mɛrɛsin, stɔp, ɔ bigin fɔ tek nyu mɛrɛsin.
4. Tɛl yu dɔktɔ if yu de tek ɛni ɔda mɛrɛsin.
If yu de tek ɛni ɔda mɛrɛsin, vaytamɛn, ɔ tradishɔnal mɛrɛsin, duya tɛl yu dayabitis dɔktɔ bɔt ɔl dɛn tin ya. Sɔm mɛrɛsin kin miks wit dɛnsɛf.
Mɛsej we dɛn kin kɛr go na os
- Dayabitis mɛrɛsin nɔto yu ɛnimi, na yu bɛst padi de ɛp yu fɔ liv fayn layf.
- Tek di mɛrɛsin we yu dɔktɔ gi yu, di rayt tɛm, insay di rayt doz. Nɔ ɛva skip di doz dɛn.
- Apat frɔm mɛrɛsin, fɔ it fayn ɛn fɔ du ɛksɛsayz rili impɔtant. Yu nɔ go jɔs tek mɛrɛsin ɛn nɔ du dɛn tu tin ya.
- Yu fɔ no di sayn dɛn we de sho se yu gɛt ay blɔd blɔd. Mɛmba wetin fɔ du if i apin ɛn nɔ panik.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt yu mɛrɛsin ɔr sayd ɛfɛkt, nɔr luk na intanɛt, bɔt aks yu dɔktɔ dairekt wan. I go gi yu di bɛst advays.
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