Sɔntɛnde, i kin tan lɛk se i nɔ izi fɔ yuz insulin fɔ dayabitis. Difrɛn kayn insulin dɛn de. Tide wi de tok boht wan pan dem, Insulin Detemir. Yu dɔktɔ go dɔn tɛl yu fɔ yuz dis. I de go bak wit di brand nem Levemir. So, lɛ wi tek tɛm luk wetin i bi, aw dɛn de yuz am di rayt we, ɛn wetin yu nid fɔ no bɔt.
Wetin na Insulin Detemir?
Fɔ tɔk am simpul wan, Insulin Detemir na wan kayn insulin we dɛn kin yuz fɔ mɛn dayabitis. Speshal, na insulin we de wok fɔ lɔng tɛm . Sɔntɛnde dɛn kin kɔl am ‘basal insulin’.
Wetin dat min? We yu tek dis injɛkshɔn, i nɔ de wok wan tɛm. Bifo dat, i de pul insulin insay yu bɔdi smɔl smɔl fɔ sɔm awa. Dis kin ɛp fɔ kɔntrol ɛn stebul yu blɔd shuga lɛvɛl ɔl di de ɛn nɛt, jɔs lɛk di insulin we wi bɔdi de mek bay insɛf.
Di impɔtant tin na dat, insulin nɔmɔ nɔ go du fɔ am. Fɔ it ɛn ɛksesaiz, lɛk aw yu dɔktɔ advays yu, na pat pan dis tritmɛnt bak.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
We yu de tɔk bɔt dis mɛrɛsin wit yu dɔktɔ, i rili impɔtant fɔ gi kɔmplit diskripshɔn bɔt yu wɛlbɔdi kɔndishɔn. Mek shɔ se yu tɔk bɔt dɛn tin ya:
- If yu gɛt bɔku tɛm we yu blɔd shuga nɔ bɔku .
- If yu gɛt ɛni ay sik ɔ yu gɛt prɔblɛm wit yu yay.
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik .
- If yu bin dɔn gɛt alɛji fɔ insulin, ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ gɛt tin fɔ it trade.
- If yu gɛt bɛlɛ, ɔ yu de op fɔ bɔn pikin .
- If yu na mama we de gi pikin in bɛlɛ .
Bay dis infɔmeshɔn, di dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu.
Aw a go gi dis injɛkshɔn kɔrɛkt wan?
Dis na injɛkshɔn ɔnda di skin. Yu dɔktɔ ɔ nɔs go sho yu di rayt we aw fɔ gi am.
- Na di rayt tɛm: I rili impɔtant fɔ tek di injɛkshɔn di sem tɛm ɛvride.
- Nɔ miks: Nɔ ɛva miks Insulin Detemir wit ɛni ɔda insulin we de na di sem sirinj.
- Nɔ shek: Nɔ shek di insulin vayl ɔ pen tranga wan bifo yu yuz am.
- Chek aw di insulin de luk: Ɔltɛm chɛk aw di insulin de luk bifo yu yuz am. I fɔ bi klia wata we nɔ gɛt kɔlɔ, lɛk wata . Nɔ yuz am if i luk lɛk klawd, i tik, i dɔn chenj in kɔlɔ, ɔ i gɛt sɔm tin dɛn insay.
- Fɔ pul di nidul: If yu de yuz insulin pen, mɛmba fɔ pul di ɔda nidul kɔva bifo yu tek yu 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 bɔt aw fɔ gɛt wan.
Wetin fɔ du if yu mis wan doz?
I rili impɔtant fɔ mek yu nɔ mis wan doz. Bɔt if yu du dat, yu dɔktɔ go dɔn tɛl yu wetin fɔ du if dis kayn tin apin. Fɔ fala da plan de. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu dɔn fɔgɛt.
Wetin fɔ du if dɛn ad di doz?
If yu tink se yu dɔn tek bɔku mɛrɛsin, tek akshɔn wantɛm wantɛm. Yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, vaytamɛn, ɛbul prɔdak, ɔltin. Bikɔs sɔm tin dɛn kin afɛkt di we aw insulin de wok. Dat min se yu blɔd shuga kin go dɔŋ ɔ tu ay.
Di tebul we de dɔŋ ya de sho sɔm pan di tin dɛn we kin agens dat.
| Kategori fɔ drɔg/sɔbstans | Ɛgzampul dɛn ɛn wetin fɔ no |
|---|---|
| Ɔda mɛrɛsin dɛn fɔ gɛt dayabitis | Mɛrɛsin dɛn lɛk Glyburide, Glipizide, ɛn Metformin. If yu tek dɛn tin ya togɛda, dat kin mek yu gɛt smɔl shuga na yu blɔd. |
| Rum | Rɔm kin mek di blɔd shuga chenj we yu nɔ bin de ɛkspɛkt. Aks yu dɔktɔ bɔt dis. |
| Blɔd prɛshɔn/at sik mɛrɛsin | Mεdikeshכn dεm lεk beta-blכk dεm (e.g. Metoprolol, Propranolol) kin εp fכ nכ gεt di simptom dεm fכ lכw bכdi shuga (palpitations). |
| Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen | NSAID (e.g., Ibuprofen, Naproxen), mɛrɛsin dɛn lɛk aspirin. |
| Stɛroyd dɛn we dɛn kin yuz | Mεdikeshכn dεm lεk Prednisone εn Cortisone kin mek di blɔd shuga lεvεl go כp. |
| Ɔda | Pils fɔ kɔntrol bɔn pikin, tayroyd ɔmon, sɔm mɛrɛsin fɔ mental sik, ɛn sɔm kol/kɔf srɔp. |
Dis list nɔ kɔmplit, so tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
Tin dɛn we yu fɔ tek tɛm wit we yu de yuz insulin
- Fɔ chɛk-ap ɔltɛm: Go to yu dɔktɔ di de dɛn we dɛn dɔn sɛtul fɔ chɛk yu sik. I go du wan blɔd tɛst we dɛn kɔl HbA1C ɛvri 2-3 mɔnt fɔ si aw dɛn de kɔntrol yu shuga fayn fayn wan.
- Test yu blɔd shuga: Lan aw fɔ tɛst yu blɔd shuga na os. No di sayn dɛm wae de sho se yu gɛt haypoglycemia ɛn hyperglycemia, ɛn wetin fɔ du bɔt dɛm.
- Kip sɔm shuga nia yu: Ɔltɛm kip tofi, shuga kiub, ɔ glukɔs tablɛt nia yu fɔ it kwik if yu gɛt sayn dɛn we de sho se yu blɔd shuga nɔ bɔku.
- Nɔ ɛva sheb: Nɔ ɛva sheb yu insulin pen ɔ katrij wit ɔda pɔsin. Ivin if yu chenj di nidul, yu kin stil spre vayrɔs lɛk Epataytis ɔ HIV.
- Mɛdikal ID: Fɔ wɛr ɔ kɛr mɛdikal ID breslɛt ɔ kad we gɛt di list fɔ yu mɛdikal kɔndishɔn, di mɛrɛsin dɛn, ɛn di doz we yu fɔ tek, rili impɔtant we yu gɛt ɛnitin fɔ du wit am.
Wetin na di sayd ɛfɛkt dɛm we dis kin gɛt?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin.
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Lɔw blɔd shuga (Hypoglycemia) . | Fɔ shek shek, swet, nɔ de rɛst, kol skin, diziz, at bit kwik kwik wan. |
| di potashכm lεvεl dεm we dεn dכn dכn | Mɔsul dɛn de pen ɔ stif, wik we nɔ kɔmɔn, at bit we nɔ de bit ɔltɛm. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| di say we di injεkshכn de chenj (Lipodystrophy) . | di tisu we de כnda di skin tik, skata, כ lumps na di say we dεn injεkt. |
| Pen na di say we dɛn injɛkshɔn | Rɛd, pen, ɔ swel smɔl na di say we dɛn injekt am. |
| We yu de gɛt mɔ wet | Sɔm pipul dɛn kin notis se dɛn de gɛt mɔ wet. |
Aw a fɔ kip di mɛrɛsin?
Insulin na mɛrɛsin we dɛn fɔ kip fayn, if nɔto dat, i nɔ go ebul fɔ wok igen.
Vayl ɛn Pen dɛn we Nɔ Opin
- Di bɛst we fɔ du am: Stɔ am na frij domɔt. Bɔt nɔ ɛva de na friza. Nɔ yuz insulin we dɛn dɔn frɔz.
- Di tɛmpracha na di rum:If yu nɔ ebul fɔ put am na frij, yu kin kip am na rum tɛmpracha (we nɔ rich 30 digri sɛlshiɔs). Bɔt if yu du dat, yu fɔ pul am afta 42 dez .
- If di de we i fɔ dɔn pas, trowe am we yu nɔ yuz am.
Vayl ɛn Pen dɛn we dɛn de yuz
- Kip wan vayl ɔ pen we yu jɔs bigin fɔ yuz na rum tɛmpracha . Nɔ put am bak na frij afta yu dɔn yuz am.
- Kip fa frɔm dairekt san layt ɛn ɔt pasmak.
- Di tin we impɔtant pas ɔl: Yu fɔ trowe wan vayl ɔ pen we yu dɔn bigin fɔ yuz afta 42 dez . I nɔ mata if mɛrɛsin lɛf insay.
Mɛsej we dɛn kin kɛr go na os
- Insulin Detemir na insulin we de wok fɔ lɔng tɛm ɛn we de kɔntrol yu blɔd shuga lɛvɛl ɔl di de.
- Tek di doz we dɛn gi yu jɔs lɛk aw yu dɔktɔ tɛl yu, di tɛm we dɛn tɛl yu. Nɔ ɛva dubl di doz.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek, ivin di vaytamɛn dɛn.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Ɔltɛm kip sɔntin lɛk kandy bar nia yu.
- Nɔ ɛva sheb yu insulin pen ɔ sirinj wit ɛni ɔda pɔsin.
- Stɔr insulin fayn fayn wan. Trowe am insay 42 dez afta yu yuz am.
- If yu gɛt prɔblɛm ɔ prɔblɛm, nɔ fred fɔ tɔk bɔt am wit yu dɔktɔ.
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