Lɛ wi lan di rayt tin bɔt insulin injɛkshɔn. Dis na impɔtant tin fɔ kɔntrol yu dayabitis!

If yu de liv wit Dayabitis, yu go dɔn yɛri bɔt di insulin injɛkshɔn. Sɔntɛm yu dɔktɔ dɔn ivin tɛl yu fɔ yuz am. So wetin na dis insulin? Wetin kin apin wit am? Yu tink se difrɛn kayn dɛn de? Yu kin gɛt kwɛstyɔn dɛn bak lɛk dɛn wan ya. Lɛ wi tɔk bɔt ɔl dis simpul ɛn klia wan tide, nɔto so? Natin nɔ de fɔ fred, wans yu no dɛn tin ya, yu go fil fayn.

Wetin na insulin? Wetin mek wi nid am?

Fɔ tɔk am simpul wan, insulin na wan rili impɔtant ɔmon we dɛn kin mek insay wi bɔdi. Wan smɔl ɔgan de we dɛn kɔl pankrias, nɔto so, insay wi bɛlɛ? Na de dis ɔmon we dɛn kɔl insulin de mek.

So, wetin dis insulin de du? Di men wok we insulin de du na fɔ tek di shuga (glucose) frɔm di it we wi de it, frɔm di blɔd, ɛn sɛn am insay di smɔl smɔl sɛl dɛn na di bɔdi, ɛn ɛp wi fɔ mek di ɛnaji we wi nid fɔ du wi wok we wi de du ɛvride. Tink bɔt am lɛk se yu nid ki fɔ opin di domɔt na os, yu nid ki we dɛn kɔl insulin fɔ sɛn shuga insay wi sɛl dɛn.

So, wetin mek dɛn nid fɔ gi pɔsin we gɛt dayabitis insulin na do? We yu gɛt dayabitis, ɔ di pankrias de mek tumɔs smɔl insulin, ɔ di insulin we dɛn de mek nɔ de du fɔ di bɔdi, ɔ di insulin we dɛn de mek nɔ ebul fɔ wok fayn. Ilɛk wetin mek di shuga we de na di blɔd nɔ kin ebul fɔ go insay di sɛl dɛn ɛn i kin gɛda na di blɔd, ɛn dis kin mek di shuga we de na di blɔd go ɔp. Na da tɛm de yu nid fɔ gi insulin na do as injɛkshɔn fɔ kɔntrol di blɔd shuga lɛvɛl. Dis tan lɛk fɔ gi sɔntin we nɔ de na wi bɔdi.

Lɛ wi ɔndastand aw insulin injɛkshɔn de wok? (Onset, Pik, Di tɛm we i fɔ tek)

Naw, we yu dɔktɔ gi yu insulin, yu go dɔn yɛri tri ɔda wɔd dɛn we dɛn tɔk bɔt wit in nem: ‘Onset’, ‘Peak’, ɛn ‘Duration’. Pan ɔl we dɛn wɔd ya na Inglish, fɔ no gud gud wan wetin dɛn min rili impɔtant fɔ kɔntrol yu dayabitis. Lɛ wi si wetin ɛni wan pan dɛn tin ya min.

‘Onset’ (tɛm we i bigin) .

‘Onset’ na aw lɔng i kin tek fɔ mek insulin bigin fɔ wok na yu bɔdi afta yu injɛkt am, we min se i kin bigin fɔ mek yu blɔd shuga go dɔŋ. Jɔs lɛk aw i kin tek sɔm tɛm fɔ mek wi bigin fɔ rayd baysikul, na so sɔm insulin dɛn kin tek sɔm tɛm fɔ bigin fɔ wok. Sɔm kin bigin fɔ wok kwik kwik wan, ɛn ɔda wan dɛn kin tek lɔng tɛm smɔl.

‘Pik’ (taym fɔ maksimal aktiviti) .

‘Pik’ na di tεm we dεn injεkt insulin εn i de wok mכst fכ lכs bכdi shuga. Dis na di tɛm we insulin kin gɛt di big pawa. insay dis ‘Pik’, di bכdi shuga lεvεl kin dכn tu lכw wan wan (wan kכndyushכn we dεn kכl `Hypoglycemia'). So, i rili impɔtant fɔ no bɔt dɛn ‘Pik’ tɛm ya ɛn tek tɛm wit tin dɛn lɛk fɔ it insay dɛn tɛm dɛn de.

‘Duration’ (tɔtal aktif tɛm) .

‘Duration’ de tכk bכt aw lכng di insulin in ifekt dεm de las na yu bכdi. Dis min se afta yu dɔn inj yu wan tɛm, i go ɛp fɔ kɔntrol yu blɔd shuga fɔ ɔmɔs awa. Sɔm insulin dɛn kin wok fɔ sɔm awa nɔmɔ, ɛn ɔda wan dɛn kin wok fɔ 24 awa ɔ pas dat.

Dɛn tin ya lɛk ‘Onset’, ‘Peak’, ɛn ‘Duration’ kin difrɛn bad bad wan frɔm wan kayn insulin to ɔda wan. Na dat mek yu dɔktɔ go pik di insulin we fayn fɔ yu, bay bɔku tin dɛn lɛk aw yu de it, aw yu de du ɛksɛsayz, ɛn di tin dɛn we yu de du ɛvride.

Lɛ wi si wetin na dɛn kayn insulin ya.

Bɔku kayn insulin de. dεn kin mεnli kכl dεm akɔdin to aw kwik dεn kin stat fכ wok (Onset), we dεn gεt dεn maksimal ifekt (Pik), εn aw lכng dεn de las na di bכdi (Duration).

Insulin we de wok kwik kwik wan

Dis kayn insulin, lɛk aw di nem sho, kin bigin fɔ wok kwik kwik wan. I kin bigin fɔ wok insay 5-20 minit afta dɛn dɔn injɛkt am. in ‘pik’, כ maksimal ifekt, de apin insay 1-3 awa , εn in tכtal ifekt de las lεk 3-5 awa . Bɔku tɛm, dɛn kin tek am bifo ɔ we dɛn de it.

• εgzampl: `Insulin glulisin (Apidra®)`, `Insulin aspart (Novolog®)`, `Insulin lispro (Humalog®)` (U-100/U-200).

Imajin se yu de rɛdi fɔ it rays naw. Dɔn, if yu tek dis kayn insulin, i go ɛp yu fɔ kɔntrol di shuga we de ad to yu blɔd frɔm di it we yu de it kwik kwik wan.

Insulin we de wok fɔ shɔt tɛm

Dɛn kin kɔl dis bak ‘Rɛgyula insulin’. Dɛn tin ya nɔ kin fast lɛk di Rapid-acting insulin we wi bin dɔn tɔk bɔt, bɔt dɛn kin wok kwik kwik wan. I kin tek lɛk 30-60 minit fɔ bigin wok. di ‘Pik’ de apin bitwin 2-4 awa , εn di ifekt de las lεk 5-8 awa . Dɛn kin tek dis bak lɛk 30 minit bifo yu it.

• Example: `Rɛgyula insulin (Novolin R, Humulin R)`.

Insulin we de wok na di intamɛdiet

Dis kayn insulin kin tek lɛk 1-2 awa fɔ bigin fɔ wok. di ‘pik’ de let smɔl, bitwin 4-12 awa . Bikɔs dɛn tin ya kin tek lɛk 14-24 awa , tɛm kin de we yu fɔ injɛkt dɛn tu tɛm insay di de.

• Exampl: `NPH insulin (Novolin N, Humulin N)`.

Insulin we de wok fɔ lɔng tɛm

Dɛn kin kɔl dis bak ‘basal’ insulin. Dɛn tin ya kin ɛp fɔ kɔntrol di blɔd shuga, jɔs lɛk wi bɔdi in natura insulin, ɔl di de. Sɔm pan dɛn tin ya nɔ gɛt klia ‘pik’, so di risk nɔ de fɔ mek di blɔd shuga drɔp tumɔs. Di ifɛkt kin las fɔ 24 awa ɔ pas dat.

• Ɛgzampul dɛn:
• Insulin detemir (Levemir®): I kin tek lɛk wan awa so fɔ bigin fɔ wok. Pik ifekt de las 3-14 awa.I kin bi bitwin. Di ifɛkt kin las fɔ 24 awa .
• `Insulin glargine U-100 (Lantus®, Basaglar®)`: I kin tek 3-4 awa fɔ bigin wok. No klia ‘pik’ nɔ de . Di ifɛkt kin las fɔ 24 awa .
• `Insulin glargine U-300 (Toujeo®): I kin tek lɛk 6 awa fɔ bigin wok. Dis sɛf nɔ gɛt ‘pik’ . Di ifɛkt kin las fɔ 36 awa .
• `Insulin degludec U-100/U-200 (Tresiba®): I kin tek lɛk wan awa fɔ bigin wok. Dis sɛf nɔ gɛt ‘pik’ . Di ifɛkt kin las fɔ 42 awa .

We dɛn tek dis kayn insulin wan tɛm (ɔ sɔntɛm tu tɛm) insay di de, i kin ɛp fɔ mek di blɔd shuga nɔ chenj ɔlsay na di de, jɔs lɛk aw wi bɔdi kin gɛt smɔl smɔl insulin ɔl di de.

Insulin we dɛn dɔn miks bifo tɛm

As di nem sho, dɛn tin ya na tu kayn insulin we dɛn jɔyn togɛda, we de wok kwik kwik wan ɛn we de wok bitwin dɛnsɛf, ɔ sɔm tin dɛn we fiba dɛn. Dis min se wan injɛkshɔn de du ɔl tu. Bɔku tɛm, dɛn kin it dɛn tin ya bifo dɛn it.

• Ɛgzampul dɛn:
• `Pri-miks insulin 70/30 (70% NPH ɛn 30% Rɛgyula)`: I kin tek af awa to wan awa fɔ bigin wok. Pik de bitwin 2-12 awa . Efεkt de las 10-16 awa .
• `Pri-miks insulin 50/50 (50% NPH ɛn 50% Rɛgyula)`: I kin tek af awa to wan awa fɔ bigin wok. Pik tεm na bitwin 2-12 awa . Efεkt de las 10-16 awa .
• Humalog® Mix 75/25 (75% insulin lispro protamin ɛn 25% insulin lispro): I kin bigin fɔ wok insay 5-20 minit . Pik tɛm na 1-2 awa . Di ifɛkt dɛn kin las fɔ 10-16 awa .
• Humalog® Mix 50/50 (50% insulin lispro protamin ɛn 50% insulin lispro): I kin bigin fɔ wok insay 5-20 minit . Pik effekt na 1-2 awa . Di tɛm we di akshɔn kin tek na 10-16 awa .
• `NovoLog® Miks 70/30 (70% insulin aspart protamin ɛn 30% insulin aspart)`: I de stat fɔ wok insay 5-20 minit . Pik tɛm na 1-2 awa . Efεkt de las 10-16 awa .

We yu de yuz miks insulin lɛk dis, i kin ridyus di nɔmba fɔ injɛkshɔn fɔ wan de, we na big tin fɔ sɔm pipul dɛn.

Aw yu kin injekt insulin? Usay yu fɔ injekt am?

Bɔku say dɛn de na wi bɔdi we fayn fɔ put insulin injɛkshɔn.

• di bכdi εria: lεk tu inch rawnd di nεvεl (umbilicus), εn arawnd da εria de.
• di thigh eria na di leg dεm: Di tכp εn bak pan di thigh.
• Di bak pat pan di ɔp an.
• Di eria we de na di bɔt.

Wan tin we rili impɔtant na fɔ nɔ injekt insulin na di sem ples ɛvride.If dis apin, di fεt we de כnda di skin na da εria de kin tik εn fכm bכku. Dɛn kɔl dis `Lipohypertrophy`. We dis kin apin, di bɔdi kin tek smɔl insulin frɔm da say de, ɛn di insulin nɔ kin wok fayn. So, yu nid fɔ chenj di say we di injɛkshɔn de ɛvride. Dɛn kɔl dis `rɔteshɔn` . Fɔ ɛgzampul, if yu injekt na di lɛft say na di bɛlɛ tide, yu fɔ injekt na di rayt say tumara, ɛn di de afta dat na di lɛft say.

Yu dɔktɔ ɔ Dayabitik Nɔs Ɛdyukeshɔn go tich yu ɛksaktɔli aw fɔ injɛkt insulin, aw fɔ yuz sirinj, ɛn aw fɔ yuz insulin pen if yu gɛt am. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.

Wetin na di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i yuz insulin?

Lɛk ɛni mɛrɛsin, insulin kin gɛt smɔl smɔl sayd ɛfɛkt dɛn. Bɔt nɔrtin nɔr de fɔ wɔri bɔt, bikɔs fɔ no bɔt dɛn tin ya kin rili kɔntrol ɛn mek dɛn nɔr de.

Hypoglycemia - di blɔd shuga we de dɔŋ

Dis na di impɔtant tin we wi ɔl nid fɔ tek tɛm wit we wi de tek insulin. Fɔ tɔk am simpul wan, dis kכndyushכn we dεn kכl `Hypoglycemia` kin apin we di bכdi shuga lεvεl dכn tu lכw.

• Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
• Swet we pɔsin kin swet wantɛm wantɛm
• Fɔ fil lɛk se yu bɔdi de shek
• Di at we de blo
• Fɔ fil se yu de wɔri, yu nɔ de rɛst
• Fɔ fil se i rili angri
• Fɔ fil diziz, layt ed
• Voys de chenj, slurring wen yu de tok
• Di vishɔn we nɔ klia
• If dis sik kin rili bad, i kin ivin mek yu nɔr no natin. So, e fayn fɔ no bɔt dɛn kayn sik ya.

• Wetin mek dis de apin?
• Fɔ it let ɔ fɔ skip fɔ it.
• Fɔ tek insulin tumɔs.
• Fɔ ɛksesaiz pas aw yu kin du am, nɔ it bɛtɛ fɔ kɔmpɛns, ɔ nɔ fɔ ridyus insulin.

• Wetin fɔ du? As yu fil dɛn sik ya so, yu fɔ it sɔm shuga kwik kwik wan. Fɔ ɛgzampul, yu kin drink sɔm glukɔs tablɛt, 2-3 ti spɔnj shuga we dɛn dɔn sɔlv insay smɔl wata, drink sɔm frut jus (wit shuga), ɔ drink smɔl drink we gɛt swit. Dɔn, afta sɔm tɛm, it smɔl it we gɛt kɔmpleks kabɔhaydrɛt (e.g. wan slais bred, sɔm biskit). I rili impɔtant fɔ tɔk to yu dɔktɔ bɔt dis ɛn no gud gud wan wetin fɔ du we ɛnitin apin.

Lokal Alɛji Riakshɔn

Dis na rili tin we nɔ kin apin so ɔltɛm. Di say we dɛn gi di insulin injɛkshɔn kin rɛd, i kin swel smɔl, ɛn i kin it. Dis kin go fɔ insɛf insay sɔm dez. Bɔt if i kɔntinyu ɔ i de wɔs, yu fɔ rili tɛl yu dɔktɔ.

We yu de gɛt mɔ wet

Sɔm pipul dɛn kin gɛt smɔl wet we dɛn bigin fɔ tek insulin. Dis na bikɔs, bifo, shuga nɔ bin de go insay di sɛl dɛn fayn fayn wan bikɔs ɔf dayabitis, bɔt naw, bikɔs ɔf insulin, dɛn bigin fɔ yuz da shuga de as ɛnaji. Dɔn bak, di pawa we pasmak kin de na di bɔdi, ɛn dis kin mek i gɛt mɔ wet. Bɔt nɔ wɔri, yu kin kɔntrol dis we aw yu de gɛt bɔku bɔku bɔdi bay we yu it tin dɛn we gɛt wɛlbɔdi ɛn we balans ɛn du ɛksɛsayz ɛvride.

Yu fɔ mɛmba dɛn tin ya we yu de yuz insulin:

• Insulin we yu tek bifo yu it: Dɛn fɔ tek insulin we de wok kwik kwik wan lɛk Humalog®, Novolog®, ɛn Apidra® lɛk 15 minit bifo yu it. Yu fɔ tek insulin ɔltɛm lɛk 30 minit bifo yu it. Fɔ stik to dɛn tɛm ya rili impɔtant fɔ kɔntrol di blɔd shuga lɛvɛl afta yu it.
• Miks insulin: Sɔm kayn insulin (fɔ ɛgzampul, insulin we de wok kwik ɔ we de wok ɔltɛm ɛn NPH insulin) kin miks insay di sem sirinj. Bɔt na if yu dɔktɔ tɛl yu fɔ du dat nɔmɔ. Bɔt nɔ ɛva miks insulin we kɔmɔt na wan kɔmni wit insulin we kɔmɔt na ɔda kɔmni. Fɔ ɛgzampul, Humulin-R® (frɔm Eli Lilly) nɔ fɔ miks wit Novolin-N® (frɔm Novo-Nordisk). Dis na bikɔs di we dɛn we dɛn kin yuz fɔ mek dɛn insulin ya ɛn di tin dɛn we de insay dɛn kin difrɛn, so dɛn nɔ dɔn stɔdi di tin dɛn we kin apin we dɛn miks dɛn togɛda.
• Yu dɔktɔ go disayd ustɛm insulin fayn fɔ yu, ɔmɔs (dos) yu nid fɔ tek, ɔmɔs tɛm insay di de yu nid fɔ tek am, ɛn ustɛm yu nid fɔ tek am. I impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Nɔ chenj di doz ɔ di tɛm we yu de tek am lɛk aw yu fil.
• If yu de yuz insulin pen, yu kin yuz di nidul dɛn nɔmɔ we dɛn kin se we fit yu pen. I bɛtɛ fɔ yuz nyu nidul ɛvri tɛm we yu de injekt insulin. If yu yuz di sem nidul bak ɛn bak, dat kin mek yu fil pen, gɛt infɛkshɔn, ɛn mek di nidul nɔ blo, ɛn dis kin mek yu nɔ ebul fɔ gi di insulin fayn fayn wan.
• I impɔtant bak fɔ kip insulin na di rayt tɛmpracha. Insulin vayl ɔ pen we dɛn dɔn sial we dɛn nɔ de yuz fɔ de na frij (nɔto di say we dɛn de yuz friza). Yu kin kip wan vayl ɔ pen we dɛn jɔs yuz na rum tɛmpracha (we nɔ gɛt dairekt san ɛn ɔt pasmak). di lεngth tεm de difrεn dipכnt pan di kayn insulin. Chek di liflet we de kam wit yu insulin, ɔ aks yu dɔktɔ ɔ fama.

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

Sɔntɛnde, i nɔ kin izi fɔ liv wit dayabitis. Bɔt insulin na valyu mɛrɛsin we go ɛp yu fɔ kɔntrol di shuga we yu gɛt na yu blɔd, protɛkt yu frɔm di prɔblɛm dɛn we dayabitis kin kam wit, ɛn ɛp yu fɔ liv fayn layf ɛn gladi at.

Nɔ fred insulin ɔ tink se na big prɔblɛm. Tink bɔt am lɛk yu padi, pɔsin we de de fɔ ɛp yu ɛn kia fɔ yu.

If yu gɛt ɛni kwɛstyɔn ɔ ivin gɛt smɔl dawt bɔt insulin ɔ dayabitis, nɔ shem ɔ shem fɔ aks yu dɔktɔ, dayabitis nɔs, ɔ fama. Dɛn ɔl rɛdi fɔ ɛp yu ɛn ansa yu kwɛstyɔn dɛn.

If yu yuz insulin kɔrɛkt wan, fala wetin yu dɔktɔ tɛl yu fɔ du, it fayn it, ɛn du sɔm ɛksɛsayz ɛvride, yu go ebul fɔ kɔntrol yu dayabitis fayn fayn wan ɛn liv gladi layf. A de wish yu ɔl di bɛst!

` Insulin, Dayabitis, Tayp dɛn fɔ insulin, Haypoglycemia, Insulin Injɛkshɔn, Apidra, Novolog, Humalog, Lantus, Levemir, Tresiba, NPH