Yu kin si se fɔ liv wit dayabitis nɔ kin izi fɔ yu sɔm tɛm? I nɔ izi fɔ kɔntrol yu blɔd shuga ɛvride. Bɔt wit di nyu mɛrɛsin dɛn we de tide, dɛn kin ebul fɔ kɔntrol am bɔku bɔku wan. Tide, wi go tɔk bɔt wan spɛshal injɛkshɔn we yu dɔktɔ go gi yu fɔ ɛp yu fɔ kɔntrol tayp 2 dayabitis.
Fɔ tɔk am simpul wan, wetin na dis mɛrɛsin?
Dis na rili tu mɛrɛsin dɛn we dɛn jɔyn togɛda. Dat min se, ɔl tu di insulin degludec ɛn liraglutide de insay dis wan injɛkshɔn. Yu dɔktɔ kin dɔn gi yu dis ɔnda di brand nem `Xultophy`.
Fɔ tɔk am simpul wan, di men wok we dis mɛrɛsin de du na fɔ ridyus ɛn kɔntrol di lɛvɛl we di shuga (glukɔs) de na yu blɔd. I impɔtant fɔ fala di we aw yu de it ɛn ɛksesaiz we yu de yuz dis mɛrɛsin. Di bɛst tin kin apin we dɛn put ɔl di tri tin dɛn togɛda.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i nid fɔ gɛt kɔmplit pikchɔ bɔt yu wɛlbɔdi. 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 na fɔ yu yon sef.
| Yu wɛlbɔdi kɔndishɔn ɔ prɔblɛm | Wetin mek i impɔtant fɔ mek pipul dɛn no bɔt am? |
|---|---|
| If yu bin dɔn gɛt pankrias bifo tɛm. | Dis mɛrɛsin kin mek di sik kam bak. |
| If yu ɔ yu fambul we de nia yu gɛt tayroyd kansa ɔ MEN 2, we na wan sik we kin mek yu gɛt tumbu na di gland dɛn. | Dis infɔmeshɔn rili impɔtant bikɔs na smɔl risk de fɔ gɛt tayroyd kansa we gɛt fɔ du wit dis mɛrɛsin. |
| If yu gɛt sik na yu kidni ɔ yu liva. | If dis ɔgan nɔ de wok fayn, dɛn kin nid fɔ chenj di doz fɔ di mɛrɛsin. |
| If yu gɛt at sik. | Pipul dɛn we gɛt at sik fɔ tek tɛm mɔ we dɛn de tek dis mɛrɛsin. |
| If yu blɔd shuga lɛvɛl smɔl (haypoglycemia). | Bikɔs dis mɛrɛsin kin mek di blɔd shuga go dɔŋ bak, di risk kin ivin big fɔ pɔsin we kin gɛt smɔl shuga na in blɔd bɔku tɛm. |
| If yu gɛt prɔblɛm wit di we aw yu de digest ɔ yu gɛt prɔblɛm wit yu bɛlɛ ɔ yu intestinal. | Dis mεdisin kin afekt di digεstiv prכsεs. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. | Insay dɛn kayn tin ya, i rili impɔtant fɔ go to dɔktɔ bɔt aw fɔ yuz mɛrɛsin. |
| If yu gɛt alɛji to ɛni ɔda mɛrɛsin, it, ɔ sɔntin. | I impɔtant fɔ no dis bikɔs i pɔsibul fɔ gɛt alɛji fɔ dis mɛrɛsin. |
Aw yu kin yuz dis injɛkshɔn?
Dis fɔ injekt ɔnda di skin. Bɔku tɛm, dɛn kin yuz di bɛlɛ, di shɔl, ɔ di ɔp an fɔ dis. Yu dɔktɔ ɔ nɔs we gɛt dayabitis go sho yu di rayt we fɔ injɛkt dis.
I rili impɔtant: Nɔ ɛva sheb yu injɛkshɔn pen ɔ nidul wit ɛni ɔda pɔsin. Ivin if yu chenj di nidul, nɔ du dat. If yu du dat, dat kin mek yu ɔ di ɔda pɔsin gɛt siriɔs infɛkshɔn. Na wan pen nɔmɔ na fɔ wan pɔsin!
- Tek am di rayt tɛm: Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, di rayt tɛm. Nɔ skip di dos dɛn.
- Trowe di nidul dɛn fayn fayn wan: Nɔ trowe di nidul dɛn we yu dɔn yuz na di dɔti. Put dɛn insay wan kɔntena we gɛt shap tin dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ bɔt wan.
- Rid di infɔmeshɔn liflet: We dɛn gi yu mɛrɛsin, rid di infɔmeshɔn liflet (MedGuide/Instructions for use) we kam wit am fayn fayn wan. I gɛt bɔku impɔtant tin dɛn.
Wetin fɔ du if yu mis wan doz?
I nɔ fayn fɔ skip wan doz fɔ dis mɛrɛsin. Tɔk to yu dɔktɔ bifo tɛm bɔt wetin fɔ du if yu mis wan doz ɛn mek plan fɔ am. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu dɔn fɔgɛt.
I kin miks wit ɔda mɛrɛsin dɛn?
Yɛs, i rili ebul fɔ du am. Sɔm mɛrɛsin dɛn we yu kin tek kin afɛkt di shuga we yu gɛt na yu blɔd. Dɔn bak, sɔm mɛrɛsin dɛn de we kin mek pɔsin nɔ gɛt bɛtɛ blɔd shuga (hypoglycemia). Dis min se ivin if yu blɔd shuga nɔ bɔku, yu nɔ go notis am. Dat na tin we denja.
So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn tradishɔnal mɛrɛsin dɛn) .
| Nature of di impak | Ɛgzampul dɛn bɔt mɛrɛsin dɛn |
|---|---|
| Mɛrɛsin dɛn we kin afɛkt di blɔd shuga lɛvɛl | |
| Rum | Ɛni kayn rɔm. |
| Sɔm antibayɔtik dɛn | Lɛk Siproflɔksasin, Lɛvoflɔksasin. |
| Mɛrɛsin fɔ blɔd prɛshɔn ɔ at sik | Lɛk Ɛnalapril, Lisinopril, Lɔsartan. |
| Di kayn Stɛroyd dɛn we dɛn kin yuz | Lɛk Prɛdnisɔn, Kɔtizɔn. |
| Ɔda mɛrɛsin dɛn fɔ gɛt dayabitis, ɔmon dɛn | Tayrɔyd ɔmon, bɔn kɔntrol pils. |
| Mɛrɛsin dɛm wae kin mask di sayn dɛm wae de sho se yu gɛt haypoglycemia | |
| Beta-blɔk dɛn | Lɛk Atenolol, Metoprolol, Propranolol (bɔku tɛm dɛn kin gi am fɔ kɔntrol blɔd prɛshɔn ɔ fɔ kɔntrol di at rit). |
Tin dɛn we yu fɔ tek tɛm mɔ we yu de tek dis mɛrɛsin:
- Yu fɔ no se yu blɔd shuga nɔ bɔku (hypoglycemia): Dis na di tin we impɔtant pas ɔl. Yu fɔ no di sayn dɛm wae de sho se yu gɛt smɔl shuga na yu blɔd (we yu de shek shek, yu de swet pasmak, yu nɔ de fil fayn, yu nɔ de rɛst, yu de fɔdɔm, yu at de bit kwik kwik wan). Ɔltɛm kip sɔm shuga (shuga kiub, glukɔs tablɛt, wan tɔfi) wit yu. If yu fil bad bad wan ɛn yu nɔ de no natin, tɛl yu famili nɔ fɔ put ɛnitin na yu mɔt. If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.
- No yu HbA1C lɛvɛl: Yu dɔktɔ go de chɛk yu HbA1C blɔd tɛst ɔltɛm. Dis de sho aw dɛn dɔn kɔntrol yu blɔd shuga fayn fayn wan fɔ 2-3 mɔnt.
- Nɔ skip fɔ it: Fɔ it di rayt tɛm rili impɔtant.
- Wear mɛdikal ID: Fɔ kɛr mɛdikal ID breslɛt ɔ kad we de sho se yu gɛt dayabitis ɛn di ditel dɛn bɔt di mɛrɛsin dɛn we yu de tek kin rili impɔtant we ɛnitin apin.
- Stay hydrated: Wae yu nɔ gɛt wata na yu bɔdi kin denja we yu de tek dis mɛrɛsin. So drink bɔku wata. If yu gɛt ɛni sayn lɛk fiva, vɔmit, ɔ dayarɛa, kɔl yu dɔktɔ wantɛm wantɛm.
Wonin sayn: If yu gɛt wan lump ɔ swel na yu nɛk we yu de tek dis mɛrɛsin, if yu vɔys chenj (hoarseness) ɛn i nɔ de chenj, if i nɔ izi fɔ swɛla, ɔ if yu gɛt prɔblɛm fɔ blo, go to yu dɔktɔ wantɛm wantɛm.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɔl di mɛrɛsin dɛn, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn. Di impɔtant tin na fɔ no bɔt dɛn tin ya ɛn tek akshɔn kwik if nid de.
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Siriɔs alɛji riakshɔn dɛn | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo ɔ swɛla. |
| Pankriaytis we gɛt sik | Bɛlɛ pen bad bad wan we kin fil lɛk se i de go bak, vɔmit, ɛn fiva. |
| Siviɔs haypoglycemia (we di blɔd shuga nɔ bɔku) . | I kin shek bad bad wan, kɔnfyushɔn, fɔdɔm, i nɔ kin izi fɔ tɔk. |
| Kidni injury | di urine we de kכmכt dכn, di leg dεm εn di ankכl dεm de swel. |
| Tayrɔyd kansa simptom dɛm | Nyu lump na di nɛk, i nɔ kin izi fɔ swɛla, i kin chenj in vɔys. |
| Sayd ɛfɛkt dɛm wae nɔr kin siriɔs, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de | |
| Bɛlɛ de at, nɔs | Bloating, we yu nɔ want fɔ it |
| Ed de at | Trot we de at, nos we de rɔn |
Dis list nɔ kin gɛt ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu gɛt ɛni sayn we nɔ kɔmɔn, duya tɛl yu dɔktɔ.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Nashɔnal Ospital na Kɔlɔmbɔ, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Aw fɔ kip di mɛrɛsin?
- Pan dɛn we nɔ opin: Stɔr dɛn tin ya na di frij domɔt. Nɔ kip dɛn na friza.
- Pen we yu de yuz: We yu dɔn yuz am, yu kin kip di pen na rum tɛmpracha (we nɔ rich 30 digri sɛlshiɔs) ɔ na frij fɔ 21 dez. Trowe ɛni pen we lɛf afta 21 dez.
- Nɔ ɛva friz. Nɔ yuz di mɛrɛsin if i dɔn frɔz.
- Kip fa frɔm dairekt san layt ɛn ɔt pasmak.
Mɛsej we dɛn kin kɛr go na os
- Dis mɛrɛsin na wan kɔmbaynshɔn fɔ insulin ɛn ɔda mɛrɛsin fɔ dayabitis. I kin ɛp fɔ kɔntrol tayp 2 dayabitis.
- Bifo yu bigin fɔ tek di mɛrɛsin, yu fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri, mɔ if yu dɔn gɛt pankrias ɔ yu famili histri bɔt tayroyd kansa.
- Nɔ ɛva sheb yu injɛkshɔn pen wit ɛnibɔdi.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Ɔltɛm, kɛr sɔm shuga wit yu.
- If yu notis nyu lump ɔ tumbu na yu nɛk, yu vɔys chenj, ɔ i nɔ izi fɔ swɛla, nɔ tek am layt ɛn go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, aks yu dɔktɔ.
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