Yu gɛt dayabitis? Ɔ yu fambul ɔ padi dɔn gi yu insulin fɔ dayabitis frɔm dɔktɔ? So yu go mɔs gɛt bɔku kwɛstyɔn bɔt wetin na insulin, us kayn insulin de, ɛn aw fɔ yuz am. Bɔku pipul dɛn kin fred smɔl fɔ di wɔd insulin. Bɔt fɔ tru, natin nɔ de fɔ fred. Tide, wi go tɔk bɔt ɔl dat, fɔ fɛn ansa to ɔl di kwɛstyɔn dɛn we yu gɛt na yu maynd, insay wan rili simpul we.
Fɔs, wetin na insulin?
Fɔ tɔk am simpul wan, insulin na ɔmon we wi yon bɔdi de mek. Na wan ɔgan we dɛn kɔl wi pankrias de mek am. So, di men wok we dis insulin de du na fכ εp di shuga (Glucose) we de ad to di bכdi frכm di it we wi de it, go insay di sεl dεm na di bכdi εn εp dεn sεl dεm fכ gεt di enεji we dεn nid. Insulin de wok lɛk ki we de opin di domɔt na os.
Bɔt pan pɔsin we gɛt dayabitis (Diabetes Mellitus), di bɔdi nɔ kin mek insulin, ɔ di insulin we dɛn kin mek nɔ kin wok fayn. Na da tɛm de wi fɔ tek insulin na do, as mɛrɛsin. Dɛn kin du dis fɔ kɔntrol di shuga we de na di blɔd.
- Pipul dɛn we gɛt Tayp 1 Dayabitis fɔ tek insulin bikɔs di insulin we dɛn bɔdi de mek dɔn lɛf smɔl fɔ lɛ dɛn stɔp.
- Pipul wae gɛt Tayp 2 Dayabitis kin nid insulin sɔmtɛm, bɔt bɔrku pipul kin kɔntrol dɛn blɔd shuga wit ɔda kayn pils ɛn chenj dɛn layf.
Difrɛn kayn insulin dɛn de?
Yɛs, bɔku kayn insulin de we dɛn kin yuz fɔ mɛn dayabitis. Dɛn kin sheb dɛn tin ya bay aw dɛn kin bigin fɔ wok kwik kwik wan na di bɔdi ɛn aw lɔng dɛn kin las. Yu dɔktɔ go disayd us kayn we fayn fɔ yu.
Lɛ wi ɔndastand dɛn kayn ya klia wan frɔm di tebul we de dɔŋ ya.
| Di kayn insulin we dɛn kin yuz | Di tɛm we i bigin fɔ bigin | Pik tɛm | Ɔmɔs tɛm |
|---|---|---|---|
| I de du tin kwik kwik wan Eks: Novɔlɔg, Humalɔg | Insay 15 minit | Insay 1-2 awa | Na lɛk 3-5 awa so |
| Short-acting / I de du am ɔltɛm Eks: Humulin R., ɛn ɔda pipul dɛn | Insay 30-60 minit | Insay 2-4 awa | Na lɛk 5-8 awa so |
| Intɛrmɛdiet-aktin Eks: Humulin N, Novolin N, ɛn ɔda pipul dɛn | Insay 1-2 awa | Insay 4-12 awa | Na lɛk 12-18 awa so |
| I de du tin fɔ lɔng tɛm Eks: Lantus, Levemir, Basaglar, ɛn ɔda pipul dɛn | Insay 1-2 awa | I de wok di sem we ɔl di de, wit ɔlmost nɔ pik ɛfɛkt. | Na lɛk 24 awa so |
| Dɛn dɔn miks am bifo tɛm Eks: Humalog Mix 70/30 | I kin difrɛn difrɛn wan (15-60 minit) . | Difrɛn bay di kayn (Dɔbul Pik) . | Na lɛk 10-16 awa so |
Glargine insulin (e.g. Lantus) na wan kayn we we de wok fɔ lɔng tɛm. we dεn injεkt am wan tεm insay di de, i de kכba di bכdi in basal insulin nid fכ lεk 24 awa.
Wetin na di we dɛn we dɛn kin yuz insulin na di bɔdi?
Bɔku men we dɛn de fɔ tek insulin. Yu dɔktɔ kin ɛp yu fɔ pik di we we go izi fɔ yu ɛn we go fayn fɔ yu.
- Siring: Dis na di tradishɔnal we we bɔku pipul dɛn kin yuz. Dis involv fɔ pul di kɔrɛkt doz fɔ insulin frɔm wan vayl insay wan sirinj ɛn injɛkt am ɔnda di skin.
- Pen: Dɛn tin ya tan lɛk pen. Dɛn gɛt insulin katrij insay dɛn. Yu nɔ nid fɔ pul mɛrɛsin frɔm wan vayl. Yu kin injekt di rayt doz izi wan. Dɛn dia smɔl pas sirinj, bɔt dɛn rili izi fɔ yuz.
- Pɔmp: Dis na smɔl tin dɛn we pɔsin kin wɛr we kin gi smɔl insulin to di bɔdi ɔltɛm. Dɛn kin yuz dɛn bak fɔ gi wan bolus insulin afta yu dɔn it.
- Inhalers: Dis nɔ kin rili kɔmɔn na Sri Lanka. Insulin we de wok kwik kwik wan na wan kayn insulin we pɔsin kin inhal. Afrezza na wan pan dɛn kayn kayn pipul dɛn de.
Wetin na di bɛst ples fɔ injekt insulin?
Di spid we insulin de absɔb insay di bɔdi kin difrɛn difrɛn wan bay usay yu injɛkt am. di bεst εn we dεn rεkomεnd mכst na di bεlε (bεlε εria) biכs insulin de abzכp insay di bכdi di sem we de. כltu, dεn fכ injεkt am at le tu inch away frכm di nipl.
Di nɛks bɛst ples dɛn na di ɔp an (ɔpa an), di shɔl, ɛn di bɔdi .
I rili impɔtant: Nɔ injekt na di sem ples ɔltɛm. If yu kip injekt na di sem ples, lumps ɔ skata kin fɔm ɔnda di skin. If dat apin, di insulin nɔ go tek di insulin fayn fayn wan. So, ivin if i de na di sem say, lɛf wan gap we na lɛk wan finga bitwin di say we dɛn bin dɔn injekt am bifo.
Aw a go pik di kayn insulin we go fayn fɔ mi?
Dis nɔto sɔntin we yu go disayd fɔ yusɛf. Yu dɔktɔ go tek tɛm luk yu sik ɛn tɛl yu di kayn insulin ɔ di kayn insulin we dɛn go jɔyn we go fayn fɔ yu. I go tink bɔt bɔku tin dɛn we i de disayd fɔ du dat, lɛk:
- Aw yu bɔdi de ansa to insulin.
- Yu layf (wetin yu de it ɛn drink, aw yu de du ɛksɛsayz).
- Ɔmɔs tɛm insay di de yu kin injɛkt?
- Aw ɔltɛm yu kin chɛk yu blɔd shuga?
- yu ej.
- Yu gol fɔ kɔntrol shuga.
Ɛni bad bad tin dɛn de we insulin kin du?
Lɛk ɛni mɛrɛsin, insulin kin gɛt sɔm bad bad tin dɛn, bɔt bɔku tɛm dɛn kin ebul fɔ kɔntrol dɛn tin ya.
- Tu blɔd shuga smɔl (Hypoglycemia):Dis na di tin we impɔtant pas ɔl ɛn we impɔtant pas ɔl we wi fɔ tek tɛm wit. If yu gɛt sɔm sayn dɛn lɛk fɔ swet, fɔ shek shek, angri pasmak, nɔ de rɛst, ɛn yu at de bit kwik kwik wan, yu fɔ tek sɔntin we swit wantɛm wantɛm (shuga, glukɔs, wan swit drink).
- We yu de gɛt bɔku bɔku wet: Yu kin gɛt sɔm wet we yu fɔs bigin fɔ yuz insulin.
- Lump ɔ skata na di say dɛn we dɛn injekt: Dis kin apin if yu kɔntinyu fɔ injekt na di sem say.
- Wan rash ɔ it na di say we dɛn injekt.
Aw fɔ kip insulin kɔrɛkt wan?
Fɔ mek insulin kɔntinyu fɔ wok fayn, i rili impɔtant fɔ kip am kɔrɛkt wan.
- Ɔltɛm, kip vayl ɔ pen dɛn we yu nɔ yuz na frij. Bɔt nɔ ɛva de na friza. Nɔ mek insulin friz.
- Yu kin kip yu vayl ɔ pen we yu gɛt naw na rum tɛmpracha (lɛk 28-30 dez), bɔt kip am usay di san nɔ de shayn dairekt wan ɛn ɔt pasmak.
- Luk di insulin vayl bifo yu yuz am. di kayn dεm we de akt kwik kwik wan εn we de akt sכt fכ bi klia likwid. di kayn dεm we de akt intamεdiεt fכ bi milk εn klawd, bכt dεn nכ fכ gεt nכ kכlכmp.
- If yu insulin dɔn chenj aw i de luk ɔ i dɔn pas, nɔ yuz am.
Mɛsej we dɛn kin kɛr go na os
- Insulin na mɛrɛsin we de sev pɔsin in layf ɛn we rili impɔtant fɔ kɔntrol dayabitis. Nɔ fred am.
- Bɔku kayn insulin de. Na yu dɔktɔ nɔmɔ go ebul fɔ no di kayn ɛn di doz we fayn fɔ yu.
- Nɔ ɛva chenj di kayn insulin we yu gɛt, di doz, ɔ di tɛm we yu de injɛkshɔn if yu nɔ gɛt dɔktɔ advays.
- We yu de injekt insulin, rɔta di sayt pas fɔ injɛkt am na di sem ples ɛvride. Dis kin ɛp fɔ mek yu nɔ gɛt prɔblɛm wit yu skin.
- I rili impɔtant fɔ kip insulin kɔrɛkt wan. Yu fɔ no uswan dɛn fɔ put na frij ɛn uswan dɛn yu kin kip na rum tɛmpracha.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt insulin, mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
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