Bikɔs yu gɛt Dayabitis, yu dɔktɔ go dɔn tɛl yu fɔ yuz insulin. Sɔntɛm dɛn dɔn gi yu wan miksɔp we gɛt tu kayn we dɛn kɔl Insulin Aspart ɛn Insulin Aspart Protamine. Pan ɔl we di nem kin tan lɛk se yu de mek yu fred smɔl, we yu dɔn ɔndastand am simpul wan, i kin rili izi fɔ yuz. So lɛ wi tɔk bɔt dis tide.
Fɔ tɔk am simpul wan, dis na wan kayn insulin we dɛn kin yuz fɔ mɛn dayabitis. Wetin mek i spɛshal na dat na wan kɔmbaynshɔn fɔ wan insulin we de wok fɔ shɔt tɛm ɛn wan insulin we de wok bitwin dɛn. Dis kin mek yu bɔdi gɛt mɔ insulin ɛn i kin ɛp fɔ kɔntrol di shuga (glucose) we yu gɛt na yu blɔd. I impɔtant bak fɔ wach aw yu de it ɛn ɛksesaiz we yu de tek dis mɛrɛsin.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin fɔ yuz dis insulin, yu fɔ rili tɛl yu dɔktɔ bɔt dɛn tin ya, bikɔs yu insulin doz kin chenj wit dɛn kɔndishɔn ya.
- If yu gɛt bɔku tɛm we yu blɔd shuga nɔ bɔku .
- If yu gɛt ay sik ɔ yu gɛt prɔblɛm wit yu yay .
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik .
- If yu dɔn gɛt alɛji fɔ insulin ɔ ɔda mɛrɛsin, it, ɔ tin dɛn we de mek yu nɔ pwɛl.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
- If yu na mama we de gi pikin in bɛlɛ .
Aw fɔ yuz dis insulin kɔrɛkt wan?
Dɛn fɔ injekt dis mɛrɛsin ɔnda di skin. Yu fɔ yuz di rayt doz lɛk aw yu dɔktɔ tɛl yu. Di tin we impɔtant pas ɔl fɔ mɛmba na dat yu fɔ injɛkt dis insulin insay 15 minit afta yu bigin fɔ it .
Yu dɔktɔ go ɛksplen klia wan aw fɔ yuz dis, ɛn aw fɔ ajɔst di doz we yu fil sik ɔ yu de du ɛksɛsayz. Nɔ ɛva yuz mɔ ɔ smɔl pas di doz we dɛn tɛl yu.
Chek dɛn tin ya bifo di injɛkshɔn
- Aw insulin de luk: Ɔltɛm chɛk aw insulin de luk bifo yu injɛkt am. Dis kayn fɔ wayt ɛn klawd . Nɔ yuz am if i nɔ gɛt wan kayn klawd ivin afta yu dɔn miks am fayn fayn wan.
- Di we aw yu de miks: Fɔ miks dis, put di vayl bitwin yu an dɛn ɛn rɔta am smɔl smɔl lɛk tɛn tɛm so . Mɛmba se fɔ shek nɔ fayn.. Ɔltɛm miks dis insulin bifo ɛni injɛkshɔn. Nɔ miks dis insulin wit ɛni ɔda insulin ɔ diluent.
- Yuz insulin pen: If yu de yuz pen, mɛmba fɔ pul di ɔda nidul kɔva bifo yu tek wan doz.
- Fɔ trowe nidul dɛn: Nɔ trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Dɛn fɔ put dɛn na kɔntena we gɛt shap tin dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ fɔ wan.
Di tin we impɔtant pas ɔl na fɔ nɔ ɛva sheb yu insulin pen ɔ sirinj wit ɛnibɔdi . Ivin if yu chenj di nidul, yu kin stil transmit vayrɔs lɛk Epataytis ɛn HIV.
Wetin fɔ du if yu mis wan doz?
I rili impɔtant fɔ mek yu nɔ mis wan doz fɔ insulin. Tɔk to yu dɔktɔ bifo tɛm bɔt wetin fɔ du if yu mis wan doz ɛn mek plan fɔ am. If yu mis wan doz, fala da plan de. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu mis .
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ pas di doz we dɛn tɛl yu fɔ tek, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Ɔda mɛrɛsin dɛn we kin miks wit dis insulin
Yu blɔd shuga lɛvɛl kin chenj dipen pan ɔda mɛrɛsin dɛn we yu de tek. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn ɛbul prɔdak dɛm.
| Tin dɛm wae kin afɛkt di blɔd shuga lɛvɛl | |||
|---|---|---|---|
| Ɔda mɛrɛsin dɛn fɔ gɛt dayabitis | Drink dɛn we gɛt rɔm | ||
| Antivayrɔs mɛrɛsin fɔ HIV ɔ AIDS | Aspirin ɛn ɔda kayn mɛrɛsin dɛn | ||
| Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn ɛn at sik | Di ɔmon dɛn we uman kin gɛt (lɛk di pils dɛn we dɛn kin yuz fɔ kɔntrol pikin dɛn) . | ||
| Sɔm mɛrɛsin fɔ asma, kɔf, ɛn kol | Sɔm mɛrɛsin fɔ mental sik | ||
| Di mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) (e.g. Ibuprofen) . | Sɔm antibayɔtiks (Quinolone antibayɔtiks) . | Sɔm ɛbul sɔpɔtmɛnt dɛn | |
Speshal Wonin: Sɔm mɛrɛsin kin mask di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) (lɛk fɔ shek, swet). If yu de tek mɛrɛsin lɛk beta-blɔka (dɛn kin yuz am fɔ ay blɔd prɛshɔn), yu fɔ de chɛk yu blɔd shuga ɔltɛm.
Tin dɛn we yu fɔ tink bɔt we yu de yuz insulin
- Chek-ap ɔltɛm: Si yu dɔktɔ pan di de dɛn we dɛn dɔn sɛtul fɔ wach aw di tritmɛnt de go bifo. Dɛn kin du wan tɛst we dɛn kɔl HbA1c (A1C) ɛvri 2-3 mɔnt fɔ chɛk aw dɛn de kɔntrol yu blɔd shuga fayn fayn wan.
- No di shuga we yu gɛt na yu blɔd: Lan aw fɔ mɛzhɔ yu blɔd shuga na os. Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (Hypoglycemia) ɛn yu blɔd shuga (Hyperglycemia) ɛn aw fɔ kɔntrol dɛn.
- If yu gɛt smɔl shuga na yu blɔd: Yu fɔ kɛr sɔm shuga (kandy bar, glucose tablet) wit yu ɔltɛm. If yu gɛt sik ɔ yu nɔ no natin bikɔs yu blɔd shuga nɔ bɔku, tɛl yu fambul ɛn padi dɛn nɔ fɔ put ɛnitin na yu mɔt. If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.
- Nɔ skip fɔ it. Dɔn bak, go to yu dɔktɔ bɔt aw fɔ drink rɔm.
- Wear ID kad ɔ breslɛt we gɛt di list fɔ yu mɛrɛsin ɛn di ditel dɛn bɔt di mɛrɛsin.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin. Sɔm pan de sayn dɛm wae de dɔŋ ya kin rili siriɔs.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| Simptom dɛm wae fɔ ripɔt to di dɔktɔ kwik kwik wan | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Lɔw blɔd shuga (Hypoglycemia) . | Trem, wɔri, swet pasmak, kol, agiteshɔn, diziz, at bit kwik kwik wan. |
| Potassium we nɔ bɔku na di blɔd | Mɔsul kramp ɔ pen, taya we nɔ kɔmɔn, at bit we nɔ de bit ɔltɛm, kɔnstipɛshɔn. |
| Bɔku tɛm i nɔ kin siriɔs (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
| Lipodistrofi we gɛt di sik | Di skin de tik, at, ɔ gɛt skata na di say we dɛn injekt am. |
| Na di say we dɛn de injɛkshɔn... | Pen, rɛd, ɔ swel smɔl. |
| We yu de gɛt mɔ wet | Sɔm pipul dɛn kin gɛt mɔ wet. |
Aw fɔ kip insulin?
Dis rili impɔtant. If dɛn nɔ kip insulin na di rayt tɛmpracha, i kin mek i nɔ ebul fɔ wok igen.
Mɛrɛsin we dɛn nɔ opin
- Vayl dɛn:Stɔr am na frij bitwin 2 ɛn 8 digri sɛlshiɔs. Ɔda we de fɔ kip am na rum tɛmpracha (we nɔ rich 30 digri sɛlshiɔs). Bɔt if yu kip am na rum tɛmpracha, yu fɔ pul am afta 28 dez. Nɔ ɛva kip am na friza .
- FlexPens (pen): Stɔ am na frij bitwin 2 ɛn 8 digri sɛlshiɔs. If dɛn kip am na rum tɛmpracha (dɔwn 30 digri sɛlshiɔs), trowe am afta 14 dez.
Mɛrɛsin dɛn we dɛn de yuz
- Vayl: Yu kin kip am na frij ɔ na rum tɛmpracha (we nɔ rich 30 digri sɛlshiɔs). Trowe ɛnitin we lɛf afta yu dɔn yuz am fɔ 28 dez.
- FlexPens (pen): Stɔr am na rum tɛmpracha (dɔwn 30 digri sɛlshiɔs) . Nɔ put di pen na frij we yu de yuz. Trowe ɛni insulin we lɛf insay am afta 14 dez we yu dɔn yuz am.
Mɛsej we dɛn kin kɛr go na os
- Dis kayn insulin na tu kayn insulin we dɛn miks, wan we de wok fast ɛn wan we de wok sloslo. So, yu fɔ injekt am 15 minit bifo yu it.
- Bifo yu injekt, chɛk aw di insulin tan (wayt, klawd) ɛn miks am bay we yu de rɔta am jisnɔ bitwin yu an dɛn.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Ɔltɛm kip sɔm shuga nia yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek, bikɔs sɔm mɛrɛsin dɛn kin afɛkt di blɔd shuga.
- Nɔ sheb insulin pen ɔ sirinj wit ɛnibɔdi. Trowe di nidul dɛn we yu dɔn yuz fayn fayn wan.
- Stɔr insulin kɔrɛkt wan. Tek tɛm mɔ bɔt di tɛmpracha. If yu gɛt ɛni prɔblɛm, aks yu dɔktɔ.
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