Yu gɛt dayabitis (Type 2 Diabetes)? If na so, yu dɔktɔ go dɔn gi yu wan kɔmbayn pil we dɛn kɔl Glipizide ɛn Metformin. Dis na impɔtant mɛrɛsin we dɛn kin gi bɔku pipul dɛn we gɛt dayabitis na wi kɔntri ɛn i kin ɛp fɔ kɔntrol di blɔd shuga. So tide, lɛ wi tɔk bɔt dis mɛrɛsin ɛn di tin dɛn we yu nid fɔ tek tɛm wit we yu de yuz am, insay wan simpul we we yu go ɔndastand.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis na tu mɛrɛsin dɛn we dɛn jɔyn togɛda. Dat min se, i gɛt ɔl tu Glipizide ɛn Metformin insay wan pil. Dɛn tu tin ya kin ɛp fɔ mek di shuga we de na yu bɔdi go dɔŋ bɔku we dɛn.
- Glipizide: Dis de pan wan klas ɔf drɔgs we dɛn kɔl sulfonylureas. I de wok bay we i de mek yu pankrias mek mɔ ɔmon insulin we yu bɔdi nid.
- Metformin: Dis kin wok mɔ bay we i de ridyus di shuga we yu liva de mek we yu nɔ nid. pan tap dat, i de εp di bכdi in sεl dεm fכ rεspכnd bεtεh to insulin (i de mek di insulin sεnsitiviti bεtε).
Di tin we impɔtant pas ɔl na dat dis mɛrɛsin nɔmɔ nɔ go du fɔ am. Di bɛst rizɔlt kin jɔs apin we dɛn tek dis mɛrɛsin wit di rayt it ɛn ɛksesaiz lɛk aw di dɔktɔ advays .
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi biznɛs bifo i gi yu dis mɛrɛsin. So, if yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn.
| Yu kɔndishɔn ɔ yu abit | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Kidni ɔ Liva sik | Bikɔs di drɔg kin kɔmɔt na di bɔdi tru dɛn ɔgan ya, if dɛn nɔ de wok fayn, dɛn kin nid fɔ ajɔst di doz fɔ di drɔg. |
| At sik | Wi fɔ tek tɛm spɛshal we yu de yuz dis mɛrɛsin pan sɔm at prɔblɛm dɛn. |
| Di abit fɔ drink bɔku tɛm | If yu miks rɔm ɛn dis mɛrɛsin, dat kin mek yu gɛt wan siriɔs sik we dɛn kɔl laktik asid. |
| Dayabitik ketoacidosis we pɔsin kin gɛt | Dis na siriɔs prɔblɛm fɔ dayabitis, ɛn dis mɛrɛsin nɔ fayn fɔ am. |
| Di ɛmoglobin we nɔ bɔku na di blɔd (Anemia) . | I impɔtant fɔ no bɔt anemia, bikɔs dis mɛrɛsin kin afɛkt di we aw pɔsin de tek vaytamɛn B12. |
| Fɔ gɛt bɛlɛ ɔ fɔ tray fɔ gɛt bɛlɛ | Dɛn nɔ kin se dɛn fɔ tek dis mɛrɛsin we uman gɛt bɛlɛ, ɛn dɛn nid fɔ yuz ɔda we dɛn fɔ trit am. |
| Fɔ bi mama we de gi pikin in bɛlɛ | Yu fɔ tɔk to yu dɔktɔ if di mɛrɛsin kin pas to yu pikin tru in mama in milk. |
| Alɛji to ɔda mɛrɛsin, sɔlfa drɔgs, ɔ it | I rili impɔtant fɔ sef fɔ tɛl wi bɔt ɛni alɛji we yu gɛt. |
Aw a fɔ yuz di mɛrɛsin?
Dis na tin we rili simpul, bɔt dɛn fɔ fala am di rayt we.
- Dis pil fɔ tek wit it . Nɔ tek am we yu ɛmti bɛlɛ.
- Swɛla di tablɛt ɔl wit wan glas wata.
- Ɔltɛm tek di doz we yu dɔktɔ tɛl yu fɔ tek, di rayt tɛm we yu tɛl yu. Nɔ chenj di tɛm ɔ di doz lɛk aw yu want.
- If yu dɔn pas 65 ia, yu dɔktɔ kin gi yu di doz we smɔl smɔl.
- If yu tink se yu kin aksidɛntli tek tumɔs mɛrɛsin: If yu tink so, nɔ delay.Go wantɛm wantɛm na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
- If yu mis wan doz: Tek am as yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ tek dabl doz fɔ ɛni rizin.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
Wonin: I rili denja fɔ tek dis mɛrɛsin wit sɔm kayn ‘kɔntrast’ tin dɛn we dɛn injɛkt insay di bɔdi bifo yu du tɛst lɛk X-ray, CT skan, MRI, ɛn di at sik drɔg we dɛn kɔl Dofetilide. If yu go du dis kayn tɛst, tɛl yu dɔktɔ bifo tɛm.
Apat frɔm dat, bɔku ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin. Fɔ ɛgzampul:
- Aspirin ɛn ɔda mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) .
- Sɔm mɛrɛsin fɔ blɔd prɛshɔn ɛn at sik
- Diuretik (ɔ ‘wata pils’) .
- Di kayn Stɛroyd dɛn we dɛn kin yuz
- Di kayn ɔmon dɛn, lɛk di pils dɛn we dɛn kin yuz fɔ kɔntrol di pikin
- Sɔm fungicides ɛn antibayɔtiks
- Sɔm mɛrɛsin fɔ mental sik (MAOI) .
- Mɛrɛsin fɔ sik dɛn we gɛt tayroyd
Dis list nɔ kɔmplit. So gi yu dɔktɔ wan klia list fɔ ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Dɔn bak, tɛl dɛn if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ pe atɛnshɔn to we yu de tek mɛrɛsin
- Chek-ap ɔltɛm: Go na di klinik dɛn di tɛm we yu dɔn sɛtul lɛk aw yu dɔktɔ tɛl yu ɛn chɛk yu kɔndishɔn. Dɛn go du wan blɔd tɛst we dɛn kɔl HbA1C ɛvri 3-6 mɔnt fɔ si aw dɛn de kɔntrol yu shuga fayn fayn wan.
- Lan fɔ tɛst yu blɔd shuga: Lan aw fɔ yuz glukomita na os. No di sayn dɛm fɔ hapo glycemia ɛn hyperglycemia, ɛn wetin fɔ du if dɛn apin.
- Kip sɔm shuga nia yu: Ɔltɛm kip sɔntin lɛk shuga kiub, tɔfi, ɔ glukɔs tablɛt na yu bag ɔ pɔkit if yu shuga lɛvɛl go dɔŋ wantɛm wantɛm.
- Nɔ skip fɔ it: It di rayt tɛm. If yu nɔ it it, dat kin mek yu blɔd shuga go dɔŋ bad bad wan.
- Tek tɛm wit di san: Dis mɛrɛsin kin mek yu skin sɛnsitiv smɔl to di san (photosensitivity). So yuz sanskrin , wɛr klos we de kɔba yu bɔdi, ɛn wɛr hat we yu de go na do na di san.
- Tek tɛm wit vaytamɛn: If yu yuz dis mɛrɛsin fɔ lɔng tɛm, i kin mek sɔm pipul dɛn nɔ gɛt bɛtɛ vaytamɛn B12 ɛn fɔlik asid. So, i impɔtant fɔ it fayn it ɛn if nid de, tek vaytamɛn dɛn lɛk aw yu dɔktɔ tɛl yu.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm pan dɛn siriɔs, sɔm pan dɛn kɔmɔn.
| Nature of di sayd ɛfɛkt | Di kwaliti dɛn ɛn wetin fɔ du |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin de rɔsh, it, swel na yu fes, lip, tɔŋ, ɔ trot. Dɛn nid fɔ gɛt tritmɛnt wantɛm wantɛm. |
| Laktik asidכsis (High laktik asid lεvεl) . | Mɔsul dɛn kin pen, bɛlɛ kin kramp, yu nɔ kin blo fayn, yu kin taya pasmak. Dis na imejensi ɛn i nid fɔ go na ɔspitul wantɛm wantɛm. |
| Ɛmolaytik anemia | Wik we nɔ kɔmɔn, diziz, i nɔ kin izi fɔ blo, yu urine dak, yu skin ɔ yu yay kin yɔlɔ. |
| Di sayn dɛm we de sho se pɔsin nɔ gɛt bɛtɛ vaytamɛn B12 | Pen na di limb dɛm, yu de swɛla, yu mɔsul dɛn de wik, yu de tɔn diziz, yu nɔ de mɛmba fayn fayn wan. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Bɛlɛ de at, nɔs | Bɔku tɛm dɛn kin ridyus dɛn tin ya we dɛn tek di mɛrɛsin wit it. |
| Rɔnbɛlɛ | Dis kin apin we yu fɔs bigin fɔ tek di mɛrɛsin. If i kɔntinyu fɔ de, tɛl yu dɔktɔ. |
Mɛsej we dɛn kin kɛr go na os
- Dis mɛrɛsin na jɔs ɛp fɔ kɔntrol dayabitis. I impɔtant fɔ it di rayt tin ɛn fɔ du ɛksɛsayz.
- Mɛmba fɔ tek di mɛrɛsin wit it, di sem tɛm ɛvride.
- Yu fɔ no di sayn dɛm wae de sho se yu gɛt haypoglycemia (diziz, swet, palpitɛshɔn). Ɔltɛm kip sɔm shuga ɔ wan pat pan kandy nia yu.
- Nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek, mɔ di wan dɛn we de mek yu fil pen.
- If yu aksidɛntli tek tumɔs mɛrɛsin ɔ yu gɛt siriɔs sayd ɛfɛkt, go to di ETU wantɛm wantɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva gi yu mɛrɛsin to ɔda pipul dɛn.
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