Wan mɛrɛsin fɔ dayabitis: Lɛ wi lan bɔt Glipizide tablɛt?

Yu de sɔfa bak wit Dayabitis Mɛlitɔs? If na so i bi, yu dɔktɔ go dɔn gi yu wan pil we dɛn kɔl Glipizide . Dis na big mɛrɛsin fɔ pipul dɛm wae gɛt Tayp 2 Dayabitis Mɛlitus. So, tide wi go tɔk bɔt dɛn Glipizide pils ya, aw dɛn de wok, wetin fɔ tek tɛm we yu de yuz dɛn, ɛn bɔku ɔda impɔtant tin dɛn. Fɔ no gud gud wan aw fɔ yuz dis mɛrɛsin rili impɔtant fɔ yu wɛlbɔdi.

Wetin na dis mɛrɛsin we dɛn kɔl Glipizide? Aw i kin wok?

Fɔ tɔk am simpul wan, dis mɛrɛsin we dɛn kɔl Glipizide de mek di insulin we de na yu bɔdi go ɔp. Insulin na impɔtant ɔmon we de kɔntrol di lɛvɛl we di shuga ɔ glukɔs de na wi bɔdi. We di shuga we de kɔmɔt na di it we wi de it go insay di blɔd, na dis insulin de kɔntrol di shuga ɛn ɛp fɔ mek i go insay di sɛl dɛn.

Tayp 2 Dayabitis Mɛlitus kin apin we di bɔdi nɔ de mek insulin, ɔ di bɔdi nɔ ebul fɔ yuz di insulin we i de mek fayn fayn wan. So, wetin dis mɛrɛsin Glipizide de du na fɔ gi di pankrias smɔl bɔst ɛn ɛp am fɔ mek mɔ insulin. We dis mɛrɛsin de mek insulin bɔku, di shuga we de na di blɔd de go dɔŋ. I de ɛp bak fɔ mek yu bɔdi yuz insulin fayn fayn wan.

Dis mɛrɛsin de pan wan grup fɔ mɛrɛsin dɛn we dɛn kɔl sulfonylureas. Bɔt wan tin we wi fɔ mɛmba. Yu nɔ go ebul fɔ kɔntrol dayabitis if yu tek dis mɛrɛsin nɔmɔ. I fɔ gɛt gud it ɛn ɛksesaiz ɛvride . Di dɔktɔ go tɛl yu aw fɔ kɔntrol di tin dɛn we yu de it ɛn us ɛksesaiz yu fɔ du.

Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a tek dis mɛrɛsin?

Okay, naw lɛ wi si wetin na di tin dɛm we yu nid fɔ tɛl yu dɔktɔ bifo yu bigin dɛn Glipizide pils ya. I bɛtɛ lɛ wi nɔ ayd dɛn tin ya, nɔto so? Bikɔs na da tɛm de nɔmɔ di dɔktɔ go ebul fɔ trit yu kɔrɛkt wan ɛn sef wan.

Yu fɔ rili tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn sik ya:

• If yu gɛt dayabitik ketoacidosis, we na siriɔs sik we dayabitis kin kam wit , dis kin mek bad bad tin dɛn we dɛn kɔl ketɔn gɛda na di blɔd.
• If yu gɛt wan jɛnɛtik kɔndishɔn we dɛn kɔl glukɔs-6-fɔsfɛt dihaydrojɛnɛz dɛfisiɛns (G6PD dɛfisiɛns) . Dis kin mek yu fil fɔ sɔm mɛrɛsin dɛn.
• At sik , dat na if yu gɛt at sik.
• Kidni sik , dat na if yu gɛt kidni prɔblɛm.
• Liva sik , dat na if prɔblɛm de wit di liva.
• If yu gɛt wan sik we nɔ kin bɔku we dɛn kɔl pɔfyuria .
• If yu gɛt siriɔs infɛkshɔn ɔ injuri .
• If yu gɛt tayroyd sik .
• If yu bin dɔn gɛt alɛji fɔ glipizide, sɔlfa drɔgs (sɔm antibayɔtiks de pan dis grup), ɔda mɛrɛsin, it, it day, ɔ tin dɛn we de mek yu nɔ gɛt tin fɔ it.
• If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
• If yu na mama we de gi pikin in bɛlɛ.

If yu tɔk dɛn tin ya kɔrɛkt wan, yu dɔktɔ kin disayd if dis mɛrɛsin fayn fɔ yu ɔ if yu nid ɔda tin fɔ du.

Aw a fɔ yuz dis mɛrɛsin?

Dis mɛrɛsin fɔ tek am wit mɔt. Swɛla am wit wan glas wata. Di tin we impɔtant pas ɔl na dat, nɔ tek dis wit it.Dis fɔ tek 30 minit bifo yu it. Na da tɛm de di mɛrɛsin kin go insay di bɔdi fayn fayn wan ɛn ɛp fɔ kɔntrol di shuga we kin gɛda na di blɔd afta yu dɔn it.

Fɔ fala di instrɔkshɔn dɛn we de na di mɛrɛsin paket lɛk aw yu dɔktɔ tɛl yu. If yu de tek dis mɛrɛsin wan tɛm insay di de, tek am 30 minit bifo yu it brɛf. If yu dɔktɔ dɔn tɛl yu fɔ tek am bɔku tɛm insay di de, tek am 30 minit bifo ɛni men it. Tray fɔ tek di mɛrɛsin di sem tɛm ɛvride. Dis go ɛp fɔ mek di mɛrɛsin kɔntinyu fɔ wok ɔltɛm. Nɔ tek pas di doz we yu dɔktɔ tɛl yu fɔ tek.

Bɔt yɔŋ pikin dɛn ɛn big pipul dɛn

If yu de gi dis mɛrɛsin to yɔŋ pikin dɛn, yu fɔ rili tɔk to yu dɔktɔ bɔt am. Sɔntɛm dɛn go nid fɔ kia fɔ dɛn spɛshal wan ɛn fɔ mek dɛn chenj di we aw dɛn de tek di mɛrɛsin.

Dɔn bak, pipul dɛn we dɔn pas 65 ia kin fil di tin dɛn we dis mɛrɛsin kin du smɔl mɔ. So, di dɔktɔ kin gi dɛn smɔl doz pas fɔ di ɔdinari pɔsin.

Wetin fɔ du if yu tek bɔku mɛrɛsin?

Imajin se yu dɔn tek dis mɛrɛsin tumɔs, ɔ sɔmbɔdi na yu os dɔn tek am bay mistek. If dat apin , kɔl di Pɔyzin Kɔntrol Sɛnta na di Nashɔnal Ospital ɔ di imejensi rum na gɔvmɛnt ɔspitul wantɛm wantɛm. Ɔ go na ɔspitul wantɛm wantɛm. No tek dis fo granted, okay? Bikɔs if yu tek tumɔs Glipizide, yu blɔd shuga kin go dɔŋ bad bad wan.

Mɛmba se: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ tink se yu padi go fayn wit dis mɛrɛsin if dɛnsɛf gɛt dayabitis. Di rayt mɛrɛsin ɛn di doz fɔ ɔlman difrɛn.

Wetin a go du if a mis mi apɔntinmɛnt fɔ tek mɛrɛsin?

Naw lɛ wi se yu mis wan doz. If dat apin, tek di pil jɔs afta yu mɛmba . Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, fɔ ɛgzampul, if i fɔ kam insay sɔm awa, skip di doz we yu mis ɛn tek di nɛks doz lɛk aw yu kin du. Nɔ ɛva tek tu pils wan tɛm, dat min se yu fɔ tek am tu tɛm. If yu du dat, dat kin mek yu blɔd shuga go dɔŋ tumɔs.

Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .

Glipizide kin intarakt wit ɔda mɛrɛsin ɛn ɔda tin dɛn. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn, ɔyl, mɛrɛsin dɛn we yu nɔ de gi yu, ɛn tin dɛn we yu de it. Dɔn bak, tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs. Sɔm tin kin miks wit dis mɛrɛsin, we kin chenj aw i de wok fayn ɔr kin mek di sayd ɛfɛkt dɛn bɔku.

Na sɔm mɛrɛsin dɛm wae kin intarakt wit Glipizide:

• Bosentan we de na di wɔl
• Kloramfenikol we dɛn kɔl
• Cisapride we dɛn kɔl Cisapride
• Klaritromaysin we dɛn kɔl
• Mεdikeshכn dεm fכ fεnshכn כ yist infεkshכn (e.g. Fluconazole, Miconazole) .
• Mɛtɔklɔpramid
• Probenecid `(Probenecid)` we gɛt di sik
• Warfarin (na mɛrɛsin we de mek blɔd nɔ klin) .

Dɔn bak, bɔku ɔda mɛrɛsin dɛn de we kin mek di blɔd shuga go ɔp ɔ dɔŋ. Dɛn kin intarakt bak wit glipizide. Na sɔm ɛgzampul dɛn ya:

• Drink we gɛt rɔm : Rɔk kin mek di blɔd shuga go dɔŋ wantɛm wantɛm.
• Aspirin ɛn mɛrɛsin dɛn we tan lɛk aspirin
• Kromiɔm (sɔntɛnde dɛn kin tek am as sɔpɔt) .
• Diuretics – mɛrɛsin dɛn we de pul wata na di bɔdi
• di uman in כmon dεm, lεk εstrojen כ projεstin, εn pikin kכntrכl pil dεm
• Sɔm mɛrɛsin dɛm fɔ at (e.g., beta-blɔka) .
• Isoniazid (na mɛrɛsin fɔ TB) .
• Man ɔmon ɔ anabolic steroid
• Mɛrɛsin fɔ lɛ pɔsin nɔ gɛt bɔku bɔku bɔdi
• Mɛrɛsin fɔ alɛji, asma, kol, ɔ kɔf (sɔm kin gɛt shuga) .
• Mɛrɛsin fɔ mɛn prɔblɛm dɛn we gɛt fɔ du wit dɛn maynd
• Mεdisin dεm we de insay di klas כf drog dεm we dεn kכl `MAO Inhibitors`, fכ egzampl Nardil, Parnate, Marplan, Eldepryl
• Niacin we dɛn kɔl Niacin
• Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen we dɛn kɔl `NSAID`, lɛk ibuprofen ɔ naproxen.
• Pentamidin we gɛt di sik
• Fɛnitoin `(Fɛnitoin)`
• Kwinɔlɔn antibaytik dɛn na siproflɔksasin, lɛvoflɔksasin, ɛn ɔflɔksasin.
• Sɔm ɛbul it dɛn we dɛn kin yuz fɔ it
• Stɛroyd mɛrɛsin dɛn, lɛk prɛdnison ɔ kɔtizɔn
• Tayrɔyd mɛrɛsin

Dis list nɔ de ɔlsay, yu ɔndastand? So i sef ɛn i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.

Tin dɛn we yu fɔ tek tɛm wit we yu de yuz dis mɛrɛsin

We yu de yuz dis mɛrɛsin, yu fɔ go to yu dɔktɔ ɔltɛm fɔ chɛk aw yu de du. Dat min se yu fɔ go na di klinik de dɛn we yu dɔn sɛtul.

• HbA1C test: Dɛn kin du wan tɛst we dɛn kɔl `HbA1C (A1C)` fɔ si aw dɛn kin kɔntrol yu blɔd shuga fayn fayn wan. Dis na simpul blɔd tɛst. I kin sho aw dɛn dɔn kɔntrol yu shuga fayn fayn wan fɔ di pas 2-3 mɔnt. Dɛn kin du dis tɛst ɛvri 3-6 mɔnt, lɛk aw yu dɔktɔ tɛl yu.
• Fɔ mɛzhɔ di blɔd shuga: I rili impɔtant fɔ lan aw fɔ yusɛf fɔ wach di glukɔs we yu gɛt na yu blɔd na os. Yu dɔktɔ go dɔn gi yu glukomita fɔ dis. Mek shɔ se yu ɔndastand di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu blɔd shuga (hyperglycemia) ɛn aw fɔ kɔntrol dɛn.
• Fɔ Pripia fɔ Imejɛnsi: Ɔltɛm kip wan kwik sɔs fɔ shuga (e.g. 2-3 shuga kiub, glukɔs tablɛt, sɔm frut jus) nia yu if yu blɔd shuga go dɔŋ wantɛm wantɛm (haypoglycemia). If yu gɛt siriɔs kes we yu blɔd shuga nɔ bɔku, lɛk we yu de siz, ɔ if yu nɔ no natin, tɛl yu fambul ɛn padi dɛn se yu kin chok if yu tray fɔ gi dɛn it ɔ drink da tɛm de. If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.
• Tɛl yu dɔktɔ : If yu notis se yu blɔd shuga lɛvɛl kin bɔku ɔltɛm (e.g., yu kin tɔsti ɔltɛm, yu kin pis ɔltɛm, yu kin fil wik), tɛl yu dɔktɔ. Sɔntɛm yu go nid fɔ chenj di we aw yu de tek di mɛrɛsin. If yu gɛt sik lɛk fiva ɔ kol, ɔ if yu de ɛksesaiz pas aw yu kin du am, aks yu dɔktɔ if yu nid fɔ ajɔst di mɛrɛsin we yu de tek.
• It ɛn rɔm: Nɔ skip fɔ it.If yu du dat, i go mek yu blɔd shuga go dɔŋ. Aks yu dɔktɔ if yu fɔ avɔyd fɔ drink rɔm. Bɔku tɛm, dɛn nɔ kin advays fɔ drink rɔm. Sɔm kɔf ɛn kol srɔp dɛn we yu kin bay na famasi kin gɛt shuga ɔ rɔm. Dɛn kin afɛkt yu blɔd shuga, so i fayn fɔ aks yu dɔktɔ bifo yu tek dɛn.
• Fɔ protɛkt yusɛf frɔm di san: Dis mɛrɛsin kin mek yu skin sɛnsitiv to di san (photosensitivity). So, tek tɛm mek di san nɔ shayn tranga wan insay di de. If yu fɔ go na do na di san, wɛr klos we kɔba yu bɔdi, wɛr hat, ɛn yuz gud `Sunscreen` (SPF 30 ɔ pas dat). Nɔ yuz `San lamp` ɔ `Tanning bed/booth`.
• Mɛdikal ID: Wear mɛdikal ID breslɛt ɔ chen we de rayt yu sik (dayabitis), di mɛrɛsin dɛn we yu de tek, ɛn ustɛm fɔ tek dɛn, ɔ kip kad we gɛt dɛn ditil dɛn de na yu pɔs ɔltɛm. Dis kin rili impɔtant we ɛnitin apin we nɔ izi fɔ du.

Sayd ɛfɛkt dɛm wae kin kam wit dis mɛrɛsin

Lɛk ɔl di mɛrɛsin dɛn, Glipizide kin gɛt sayd ɛfɛkt. Sɔm pan dɛn kin siriɔs ɛn yu fɔ tɛl yu dɔktɔ wantɛm wantɛm. Sɔm pan dɛn nɔ siriɔs ɛn dɛn go go insay sɔm dez.

Di sayd ɛfɛkt dɛm we yu fɔ tɛl yu dɔktɔ wantɛm wantɛm:

• Alɛji: Dis kin rili denja. Go to dɔktɔ kwik kwik wan if yu gɛt sɔm sayn dɛn lɛk we yu skin de rɔsh, yu de it bad bad wan, yu gɛt ayv, yu fes, yu lip, yu tɔŋ, ɔ yu trot de swel. If yu trot swel, dat kin mek i nɔ izi fɔ blo.
• Sivεr haypoglycemia: yu de shek ɔ shek, yu de wɔri, yu de swet pasmak, yu skin de kol ɔ yu de klam , yu de kɔnfyus, yu de tɔn bad bad wan, yu at de bit kwik kwik wan, yu nɔ de no natin, yu de sik. If dis apin, yu fɔ go na ɔspitul wantɛm wantɛm.
• Hemolytic Anemia: Dis na anemia we kin kam bikɔs di rɛd blɔd sɛl dɛn kin brok. Dis kin mek yu wik ɔ taya we yu nɔ kɔmɔn, yu ed kin tɔn, yu ed kin at, yu nɔ kin ebul fɔ blo fayn, yu urine kin dak, ɛn yu skin ɔ yu yay kin yɔlɔ.

Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de:

• Rɔnbɛlɛ
• Diziz (mild) .
• Gas, we de blo na yu bɛlɛ
• Nɔs, vɔmit `(Nɔs)`
• Trem ɔ shek (nɔ gɛt ɛnitin fɔ du wit di blɔd shuga we de dɔŋ) .

Dis list nɔ go gɛt ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt, so if yu notis ɛnitin we nyu ɔ we nɔ kɔmɔn, nɔ fred fɔ tɔk to yu dɔktɔ bɔt am.

Aw yu fɔ kip yu mɛrɛsin?

• Kip dis mɛrɛsin usay pikin dɛn nɔ go ebul fɔ rich ɛn usay dɛn nɔ go ebul fɔ rich.
• Stɔr am na rum tɛmpracha, we nɔ rich 30 digri sɛlshiɔs (86 digri F), na say we dray. Nɔ kip am na say dɛn we gɛt bɔku wata, lɛk na di bafa.
• Nɔ yuz mɛrɛsin dɛn we dɔn pas. Trowe dɛn fayn fayn wan. Yu kin aks yu famasi fɔ tɛl yu aw fɔ trowe di mɛrɛsin dɛn fayn fayn wan.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so wi dɔn tɔk bɔku bɔt dis dayabitis drɔg we dɛn kɔl Glipizide, nɔto so? Pan ɔl we dis na lɔng atikul smɔl, a op se yu dɔn gɛt sɔm impɔtant tin dɛn.

Di tin we impɔtant pas ɔl fɔ mɛmba na fɔ yuz dis mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu, di rayt tɛm, ɛn di rayt doz. Fɔ kɔntrol yu it ɛn fɔ du ɛksɛsayz ɛvride na impɔtant tin dɛn bak fɔ du wit dis mɛrɛsin. If yu nɔ gɛt dɛn, i nɔ kin izi fɔ kɔntrol yu dayabitis fayn fayn wan bay we yu tek dis mɛrɛsin nɔmɔ.

If yu gɛt ɛni kwɛstyɔn, nyu sayn, ɔr tin fɔ wɔri bɔt, nɔr frayd ɔ shem fɔ aks yu dɔktɔ. Ɔ aks yu fama. Sɔntɛnde, i nɔ kin izi fɔ liv wit dayabitis, bɔt if dɛn lan yu gud gud wan bɔt yu sik, fala yu dɔktɔ in advays, ɛn kia fɔ yu bɔdi, yu go mɔs liv fayn layf ɛn gladi at!