We yu dɔktɔ tɛl yu se yu gɛt dayabitis , ɔ tayp 2 dayabitis, sɔntɛm dɛn bin gi yu wan mɛrɛsin we dɛn kɔl Glimepiride. Sɔm pipul dɛn sabi am wit di brand nem Amaryl. Dis na wan mɛrɛsin we rili kɔmɔn ɛn rili impɔtant we dɛn kin yuz fɔ kɔntrol dayabitis . So, wetin rili dis mɛrɛsin de du insay yu bɔdi? Wetin na di tin dɛn we yu fɔ tek tɛm wit we yu de yuz am? Wetin na di sayd ɛfɛkt dɛn ? Tide, wi go tɔk bɔt ɔl dis insay wan rili simpul we we yu go ɔndastand.
Wetin kin rili apin wit dis mɛrɛsin?
Okay, mek wi put dis simpul wan. Pɔsin we gɛt dayabitis kin gɛt tu men prɔblɛm dɛn na in bɔdi. Wan pan dɛn na dat dɛn nɔ de mek di ɔmon we dɛn kɔl insulin , we dɛn nid fɔ kɔntrol di shuga we de na di blɔd. Di ɔda wan na dat di bɔdi in sɛl dɛn nɔ kin ebul fɔ yuz di insulin we dɛn kin mek fayn fayn wan.
Glimepiride de pan wan klas ɔf drɔgs we dɛn kɔl sulfonylureas. i de bεs tεl yu pankrias fכ "mek mכr insulin." Dis min se we dɛn tek dis mɛrɛsin, di insulin lɛvɛl na yu bɔdi kin go ɔp. pan tap dat, i de εp di sεl dεm na yu bכdi fכ ansa to insulin bεtεh (i.e., yus am bεtεh). Dɛn tu tin ya kin mek yu blɔd shuga ( glucose ) go dɔŋ, ɛn dis kin ɛp fɔ kɔntrol dayabitis.
Bɔt mɛmba se dis mɛrɛsin nɔmɔ nɔ go du fɔ am. Fɔ kɔntrol dayabitis fayn fayn wan, yu fɔ it di rayt it ɛn ɛksesaiz bak . Mɛrɛsin na jɔs wan ɔda sɔpɔt.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu gi yu Glimepiride, yu dɔktɔ go aks yu sɔm kwɛstyɔn dɛn. Bɔt sɔntɛnde, yu kin fɔgɛt. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bɔt am. Nɔ ayd dɛn tin ya, bikɔs dɛn kin afɛkt yu.
| Di tin we de apin to yu | Wetin mek yu nid fɔ tɛl di dɔktɔ? |
|---|---|
| Fɔ gɛt wan sik we dɛn kɔl dayabitik ketoacidosis. | Dis na siriɔs prɔblɛm we kin kam wit dayabitis. Glimepiride nɔr fayn fɔ pipul dɛm wae gɛt dis sik. |
| Wan kɔndishɔn we dɛn kɔl G6PD dɛfisiɛns. | Pipul wae gɛt dis sik kin gɛt prɔblɛm lɛk anemia (lɔ blɔd kɔnt) if dɛn tek Glimepiride. |
| Fɔ gɛt at sik, kidni sik, ɔr liva sik. | If dɛn ɔgan ya nɔ de wok fayn, dɛn kin nid fɔ chenj di doz fɔ di mɛrɛsin ɔ dɛn kin nid fɔ gi dɛn difrɛn mɛrɛsin. |
| Tayrɔyd sik. | Di tayroyd ɔmon lɛvɛl kin afɛkt di blɔd shuga lɛvɛl, so yu dɔktɔ fɔ no bɔt dis. |
| Fɔ gɛt siriɔs infɛkshɔn ɔ injuri. | Di shuga na di blɔd kin chenj we di bɔdi gɛt siriɔs strɛs. |
| Tray fɔ gɛt bɛlɛ, fɔ gɛt bɛlɛ, ɔ fɔ gi pikin in bɛlɛ. | Insay dɛn tɛm ya, di dɔktɔ fɔ disayd if Glimepiride fayn ɔ nɔ fayn. Bɔku tɛm, dɛn go tɛl yu fɔ yuz difrɛn tritmɛnt. |
| Fɔ gɛt alɛji to glimepiride ɔ ɔda sɔlfa drɔgs, it, ɔ day. | If yu gɛt alɛji fɔ sɔntin, if yu tɛl wi bifo tɛm, dat kin ɛp fɔ mek yu nɔ gɛt siriɔs alɛji. |
Aw a fɔ yuz dis mɛrɛsin?
Dis na tin bak we rili impɔtant. Fɔ mek yu gɛt di bɛst pan di mɛrɛsin, yu nid fɔ tek am jɔs lɛk aw dɛn tɛl yu fɔ tek am.
- Drink wit yu mɔt:Dis kin kam insay di fכm fכ wan pil, fכ tek wit wan glas wata.
- Tek wit it: Bɔku tɛm, dɔktɔ dɛn kin tɛl yu fɔ tek dis pil wit di fɔs men it fɔ di de (brɛkfas). Rizin de fɔ dat. If yu tek am ɛmti bɛlɛ, i kin mek yu blɔd shuga go dɔŋ tumɔs ( hypoglycemia ).
- Na di sem tɛm ɛvride: Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride as yu ebul. Dis go ɛp fɔ mek di mɛrɛsin kɔntinyu fɔ de na yu bɔdi.
- If yu dɔn pas 65 ia: Pipul dɛn we dɔn ol kin fil se dis mɛrɛsin kin afɛkt dɛn smɔl. So yu dɔktɔ kin bigin yu fɔ tek di doz we smɔl.
- If dɛn gi am to pikin dɛn: Dɛn fɔ tek kia spɛshal if dɛn gi dis mɛrɛsin to pikin dɛn. Tɔk to yu dɔktɔ bɔt dis.
Wetin fɔ du if yu tek bɔku mɛrɛsin? (Ovadosage) .
If yu tink se yu dɔn tek mɔ pas aw yu tink, ɔ if yu kam fɔ no se yu pikin dɔn tek dɛn pils ya, nɔ west ɛni tɛm . Wantɛm wantɛm kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Di tin we impɔtant pas ɔl: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva gi yu dayabitis mɛrɛsin to ɔda pɔsin. Da pɔsin de in sik kin chenj, ɛn dis kin mek bad bad tin apin to am.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
Duya una nɔ panik dis tɛm. Tek di doz we yu mis as yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz (fɔ ɛgzampul, if yu fɔ gi am na mɔnin di nɛks de insay sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu pils di sem tɛm. If yu du dat, dat kin mek yu blɔd shuga go dɔŋ bad bad wan.
Ɔda mɛrɛsin dɛm wae kin intarakt wit Glimepiride
Dis na sɔntin bak we bɔku pipul dɛn nɔ no. Wan mɛrɛsin we wi de tek kin "intarakt" wit ɔda wan. Dat min se di we aw di tu mɛrɛsin dɛn de wok kin chenj. Dis kin ɔl tu inkrisayz di ifɛkt fɔ Glimepiride ɛn mek di blɔd shuga lɛvɛl denja, ɔ i kin mek in ifɛkt dɔŋ ɛn mek di blɔd shuga lɛvɛl nɔr de kɔntrol.
| Drugs wae nɔr fɔ tek wit Glimepiride | |
|---|---|
| Bosentan we de na di wɔl | Kloramfenikol we dɛn kɔl |
| Cisapride we dɛn kɔl Cisapride | Klaritromaysin we dɛn kɔl |
| Sɔm mɛrɛsin fɔ fungal infɛkshɔn | Mɛtɔklɔpramid |
| Probenecid we dɛn kɔl Probenecid | Warfarin (we de mek blɔd tan) . |
| Mɛrɛsin fɔ tek tɛm wit as dɛn kin intarakt wit dis mɛrɛsin | |
|---|---|
| Rum | Aspirin ɛn ɔda kayn mɛrɛsin dɛn |
| Sɔm mɛrɛsin dɛn we de mek pɔsin gɛt at sik | Diuretics (wata pils) . |
| Ɛstrojen ɔ prɔjɛstin ɔmon dɛn | Sɔm mɛrɛsin fɔ mental sik (MAOIs, Fluoxetine) . |
| Mɛrɛsin fɔ kɔf, kol, ɛn asma | Di mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID - ɛgz. Ibuprofen, Naproxen) . |
| Sɔm antibayɔtiks (Quinolone antibayɔtiks) . | Di kayn stεroyd dεm (Steroyd - fכ egzampl Prεdnison) . |
| Mɛrɛsin fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi | Sɔm ɛbul prɔdak ɛn sɔpɔtmɛnt dɛn |
Dis list nɔ kɔmplit, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn dɛn, ɛbul prɔdak dɛn, ɛn sɔpɔtmɛnt dɛn . Dɔn bak, tɛl yu dɔktɔ if yu de drink rɔm ɔ yu de smok.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
We yu tek Glimepiride bi pat pan yu layf, sɔm rispɔnsibiliti dɛn de we yu nid fɔ tek.
- Si yu dɔktɔ ɔltɛm: Go na di klinik di de dɛn we dɛn dɔn sɛtul. Di dɔktɔ go chɛk aw dɛn de kɔntrol yu dayabitis fayn fayn wan.
- HbA1C tεst: Dis tεst de mכsu yu avεrej bכdi shuga lεvεl dεm ova di pas 2-3 mכnt. Dɛn kin du dis tɛst ɛvri 3 to 6 mɔnt.
- Chek yu blɔd shuga lɛvɛl na os: If i pɔsibul, gɛt glukomita fɔ kip na os ɛn lan fɔ chɛk yu blɔd shuga lɛvɛl ɔltɛm. No di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu blɔd shuga ( hyperglycemia ), ɛn wetin fɔ du pan dɛn kayn tin dɛn de.
- Kip sɔm shuga wit yu: Ɛnisay we yu go, kɛr sɔm shuga lɛk glukɔs tablɛt ɔ swit tɔfi na yu bag ɔ pɔkit. If yu fil se yu blɔd shuga nɔ bɔku (we yu de shek, yu de swet, yu de fil lɛk yu ed de tɔn), it sɔm kwik kwik wan.
- Nɔ skip it: I rili denja fɔ skip it we yu de tek dis mɛrɛsin. If yu du dat, dat kin mek yu blɔd shuga go dɔŋ tumɔs.
- Tek tɛm we yu de na di san: Dis mɛrɛsin kin mek yu skin sɛnsitiv smɔl to di san. So, if yu de go na do na di san, yuz ambɔla, wɛr klos we de kɔba yu bɔdi, ɛn put tin we de protɛkt yu frɔm di san.
- Wear mɛdikal ID: I impɔtant fɔ kɛr breslɛt, nɛks, ɔ kad we se yu gɛt dayabitis ɛn di mɛrɛsin dɛn we yu de tek. I kin sev yu layf we ɛnitin apin we nɔ izi fɔ yu.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Glimepiride kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt, bɔt nɔto ɔlman kin gɛt am. Nɔ wɔri, i impɔtant fɔ no bɔt dɛn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Wetin fɔ du? |
|---|---|
| Sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
| Alɛji riakshɔn: skin de rɔsh, it, swel na yu fes, lip, tɔng, i nɔ izi fɔ blo. | Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dis na siriɔs kɔndishɔn. |
| Di blɔd shuga lɛvɛl rili smɔl (Hypoglycemia): Yu de shek, yu de swet, yu de fil se yu de fred, yu at de bit kwik kwik wan, yu de tɔn diziz, yu de kɔnfyus. | It sɔm shuga fɔs. If de sik siriɔs ɔr if yu nɔr no natin, kɛr dɛn go na ɔspitul wantɛm wantɛm. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de: | |
| Diziz we pɔsin kin gɛt | Bɔku tɛm, dɛn tin ya kin stɔp insay sɔm dez, bɔt if dɛn kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ. |
| Ed de at | |
| Nɔs (fɔ fil se yu sik) . | |
Aw yu kin kip yu mɛrɛsin?
- Kip fa frɔm pikin ɛn animal dɛn we yu de mɛn.
- Stɔr am na rum tɛmpracha (dɔwn 30 digri sɛlshiɔs). Protɛkt frɔm ɔt ɛn mɔs we pasmak. I nɔ fayn fɔ kip mɛrɛsin na di bafa.
- Nɔ yuz mɛrɛsin dɛn we dɔn pas. Trowe dɛn fayn fayn wan.
Glimepiride na fayn mɛrɛsin wae de ɛp fɔ kɔntrol dayabitis. Di tin we impɔtant pas ɔl na fɔ yuz am di rayt we ɛn fɔ no bɔt am gud gud wan. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, nɔ kip am to yusɛf, bɔt aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Tek Glimepiride tablɛt di sem tɛm ɛvride, lɛk aw yu dɔktɔ tɛl yu, wit it.
- Nɔ ɛva skip fɔ it. If yu du dat, dat kin mek di blɔd shuga go dɔŋ bad bad wan.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) (we yu de shek, yu de swet, yu de tɔn diziz). Ɔltɛm, kɛr sɔm shuga ɔ sɔntin we swit wit yu.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- Visit di klinik pan di de dɛm we dɛn dɔn sɛtul fɔ chɛk yu dayabitis kɔntrol ɛn HbA1C lɛvɛl.
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