Yu de tek insulin fɔ kɔntrol yu dayabitis? If na so, yu dɔktɔ go dɔn gi yu wan injɛkshɔn we dɛn kɔl Insulin Glargine. Di nem kin tan lɛk se i kɔmplikt smɔl, bɔt nɔ wɔri. Tide, wi go tɔk bɔt dis mɛrɛsin, aw i de wok, aw fɔ yuz am fayn, ɛn wetin yu nid fɔ no bɔt insay wan we we rili simpul ɛn we pɔsin kin ɔndastand.
Fɔ tɔk am simpul wan, wetin na Insulin Glargine?
Insulin glargine na spɛshal kayn insulin we dɛn kin yuz fɔ mɛn dayabitis. I de wok di sem we lɛk di insulin ɔmon we de na wi bɔdi. Wetin mek i spɛshal na dat na "lɔng-aktin" insulin . Dis min se afta yu injekt am, i nɔ de wok wan tɛm. Bifo dat, i de pul insulin sloslo ɛn di sem rit fɔ lɛk 24 awa so. Jɔs lɛk aw wi pankrias kin rilis smɔl smɔl insulin ɔlsay na di de. Dɛn kin kɔl dis bak basal insulin .
Di men bɛnifit fɔ dis na dat i de ɛp fɔ kɔntrol yu blɔd shuga lɛvɛl (blɔd glukɔs) ɔl di de. Bɔku tɛm, di dɔktɔ go advays yu fɔ chenj yu it ɛn ɛksesaiz wit dis mɛrɛsin. Na we una du ɔl dɛn tin ya togɛda, na in una go ebul fɔ gɛt di bɛst rizɔlt.
De impɔtant tin wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin na:
Bifo yu bigin fɔ tek insulin glargine, i rili impɔtant fɔ tɛl yu dɔktɔ kɔmplit diskripshɔn bɔt yu wɛlbɔdi kɔndishɔn, bikɔs dis infɔmeshɔn go sho di doz ɛn instrɔkshɔn dɛn we dɛn go gi yu.
Mɛmba se nɔ ayd ɛnitin frɔm yu dɔktɔ. Ivin smɔl tin kin impɔtant fɔ yu tritmɛnt.
If yu gɛt ɛni wan pan dɛn tin ya we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bɔt am.
| Wɛlbɔdi kɔndishɔn ɔ chans | Wetin mek dat impɔtant? |
|---|---|
| Kidni sik | As di kidni wok de dכn, di we aw dεn de pul insulin na di bכdi kin chenj. So, dɛn kin nid fɔ chenj di doz fɔ di mɛrɛsin. |
| Liva sik | Di liva na di say we wi bɔdi de kip ɛn mek shuga. If prɔblɛm de wit di liva, di insulin nid kin chenj. |
| If yu blɔd shuga nɔ bɔku (haypoglycemia) . | If yu gɛt smɔl shuga na yu blɔd ɔltɛm, i kin go ɔp mɔ we yu bigin fɔ tek insulin. So i impɔtant fɔ no dis bifo tɛm. |
| Di we aw pɔsin nɔ de si fayn | Yu nid fɔ si fayn fayn wan fɔ mɛzhɔ di mililita dɛn we de insay di insulin vayl ɛn di sirinj kɔrɛkt wan. If yu gɛt ɛni prɔblɛm wit yu yay, duya mek wi no. |
| Alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | Dis impɔtant fɔ no if yu gɛt alɛji fɔ insulin ɔ ɛni ɔda tin we de insay. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | Insulin nid fɔ chenj we uman gɛt bɛlɛ, so i impɔtant fɔ tɛl yu dɔktɔ bɔt dis. |
| If yu de gi yu pikin in bɛlɛ (Breastfeeding) . | Yu kin nid fɔ ajɔst di insulin doz bak we yu de gi pikin in bɛlɛ. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Di tin we impɔtant pas ɔl na fɔ injekt insulin kɔrɛkt wan. Yu dɔktɔ ɔ nɔs go sho yu aw fɔ du dis. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs.
Step 1: Fɔ chɛk di insulin
Ɔltɛm luk di insulin vayl bifo yu injɛkt am. Insulin glargine na klia wata we nɔ gɛt kɔlɔ, lɛk wata . Nɔ ɛva yuz am if i gɛt klawd, klawd, ɔ in kɔlɔ dɔn chenj. Dɔn bak, ɔltɛm luk di nem ɛn di de we i fɔ dɔn na di vayl.
Step 2: Fɔ pik say fɔ gi di vaksin
dis vaksin dεn de gi am insay di sכbkutan tisu, di fεt layεr we de כnda di skin. Di bɛst ples dɛn fɔ am na:
- di εria we de rawnd di bεlε bכtכm (lεk 2 inch dכn di bεlε bכtכn) .
- Ɔpa bak na di an
- di כp εn lateral pat dεm na di tכŋ
Impɔtant: Nɔ injekt na say dɛn we wund, brus, swɛlin, lumpy, ɔ we gɛt tik skin.
Step 3: Sayt Roteshɔn
Dis rili impɔtant. Nɔ injekt na di sem ples ɛvride . If yu du dat, di fat layt we de ɔnda di skin kin tik ɛn mek lumps. Dɛn kɔl dis `(Lipodystrophy)`. If dis apin, di insulin we dɛn injɛkt na da ples de nɔ go tek di insulin fayn fayn wan. So, kip smɔl notbuk ɛn mak di say dɛn we yu dɔn injekt insay.Fɔ ɛgzampul, if yu injekt na di rayt say na di bɛlɛ dis wik, injɛkt na di lɛft say di nɛks de. Dɔn muf go na di shɔl. Ivin if na di sem eria, injekt lɛk wan inch fa frɔm usay yu injɛkt di de bifo.
Step 4: Fɔ trowe di nidul ɛn sirinj dɛn we yu dɔn yuz
Nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Dɛn kin denja to ɔda pipul dɛn. Speshal plastic kɔntena dɛn (`sharps kɔntena dɛn`) de fɔ dɛn tin ya. Aks yu dɔktɔ aw yu go gɛt wan.
Sɔntɛnde dɛn kin gi dis mɛrɛsin to pikin dɛn we dɔn pas 6 ia, bɔt na dɔktɔ we de mɛn pikin dɛn kin disayd dis.
Wetin yu go du if yu tek di mɛrɛsin pasmak? If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek yu insulin injɛkshɔn di tɛm we dɛn dɔn sɛtul, nɔ panik. Mɛmba se, nɔ ɛva tek dabl doz fɔ mek di doz we yu mis. If yu du dat, dat kin mek yu blɔd shuga go dɔŋ tumɔs, ɛn dis kin mek yu denja. If yu mis wan doz, kɔl yu dɔktɔ fɔ advays. I go tɛl yu wetin fɔ du nɛks.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek dis mɛrɛsin
We yu de tek insulin tritmɛnt, yu nid fɔ tek tɛm bak bɔt aw yu de liv yu layf.
- Chek yu blɔd shuga lɛvɛl ɔltɛm: Yuz blɔd shuga mita na yu os ɛn chɛk yu blɔd shuga lɛvɛl ɔltɛm lɛk aw yu dɔktɔ tɛl yu. Kip wan rikodɔ fɔ di shuga we yu gɛt na yu blɔd.
- Yu fɔ no bɔt haypoglycemia: Dis na we di shuga na yu blɔd de go dɔŋ tumɔs. Dis na di denja pasmak wae kin apun to pɔrsin wae de tek insulin.Di sayn dɛm na fɔ swet , shek shek, angri pasmak, at bit kwik kwik wan, wɔri, diziz, ɛn kɔnfyushɔn.
- Kip sɔntin we swit wit yu ɔltɛm: Kip sɔntin we swit wit yu ɔltɛm, lɛk glukɔs tɔfi, shuga paket, drink we gɛt shuga, ɔ sɔm frut jus, fɔ it jɔs afta yu fil se yu gɛt sayn dɛn we de sho se yu blɔd shuga nɔ bɔku. If yu lɔs kɔnshɛns bikɔs yu blɔd shuga nɔ bɔku, nɔ put ɛnitin na yu mɔt. Go na di ɔspitul wantɛm wantɛm.
- Yu fɔ no bɔt aypa glycemia: Dis na di ay blɔd shuga lɛvɛl. Di sayn dɛm na fɔ tɔsti pasmak , fɔ pis ɔltɛm, fɔ taya pasmak, ɛn fɔ si fayn fayn wan . Tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn sik ya.
- Tek tɛm pan sik de: We yu gɛt sik lɛk fiva, kol, ɔ dayarɛa, yu blɔd shuga kin go ɔp bikɔs ɔf di chenj dɛn we di ɔmon dɛn de chenj na yu bɔdi. Aks yu dɔktɔ if yu nid fɔ ajɔst di insulin doz pan dɛn kayn de dɛn de.
- Nɔ skip fɔ it: If yu tek insulin ɛn skip fɔ it, yu blɔd shuga kin go dɔŋ tumɔs. It it di rayt tɛm.
- Wear mɛdikal ID: Ɔltɛm yu fɔ kɛr breslɛt ɔ kad we se yu de tek insulin fɔ dayabitis. I kin sev yu layf we ɛnitin apin we nɔ izi fɔ yu.
- HbA1C test: Yu dɔktɔ go aks yu fɔ tek blɔd tɛst we dɛn kɔl ``(HbA1C)`` lɛk wan tɛm ɛvri 3 mɔnt. Dis kin ɛp yu fɔ si aw yu avɛrej blɔd shuga kɔntrol dɔn de fɔ di pas 2-3 mɔnt.
Prɔblɛm kin de wit ɔda mɛrɛsin dɛn? (Intarakshɔn dɛn)
Yɛs, sɔm mɛrɛsin dɛn kin miks wit insulin ɛn afɛkt di shuga we yu gɛt na yu blɔd. Sɔm mɛrɛsin dɛn kin mek yu blɔd shuga go ɔp, ɛn ɔda wan dɛn kin mek yu shuga go dɔŋ. Dɔn bak, sɔm mɛrɛsin dɛn de we kin mek pɔsin nɔ gɛt bɛtɛ blɔd shuga (hypoglycemia). So yu nɔ go fil lɛk se yu blɔd shuga nɔ bɔku.
So, tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek (inklud vaytamɛn, tradishɔnal mɛrɛsin, ɛn sɔpɔtmɛnt) .
| Afɛkt | Fɔ ɛgzampul, mɛrɛsin dɛn |
|---|---|
| Mɛrɛsin dɛn we kin afɛkt di blɔd shuga lɛvɛl | |
| Sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn | Fɔ ɛgzampul: ɛnalapril, lɔsartan |
| Di kayn stɛroyd dɛn we dɛn kin yuz | Eks: prɛdnisolon, kɔtizɔn |
| Diuretiks we dɛn kin yuz fɔ pul wata | Fɔ ɛgzampul: haydroklorotiazayd |
| Mɛrɛsin fɔ sɔm mental sik dɛn | Eks: fluɔksɛtin, ɔlanzapin |
| Rum | Rɔk kin mek di blɔd shuga go dɔŋ ɔ i kin mek di shuga go ɔp we yu nɔ bin de ɛkspɛkt. |
| Mɛrɛsin dɛm wae kin mask di sayn dɛm wae de sho se yu gɛt haypoglycemia | |
| Di kayn beta-blɔka dɛn | Dis na mɛrɛsin wae dɛn kin yuse fɔ mɛn ay blɔd prɛshɔn ɛn at sik. Fɔ ɛgzampul: mɛtoprolɔl, prɔpranɔlɔl. |
Ɛni bad bad tin dɛn de we kin apin to am?
Lɛk ɛni mɛrɛsin, insulin glargine kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt sɔm tin dɛn de we wi fɔ no bɔt.
| 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, i nɔ izi fɔ blo. |
| Hypoglycemia (we di blɔd shuga nɔ bɔku) . | Yu kin shek, yu kin swet pasmak, yu nɔ kin rɛst, yu kin kɔnfyus, yu ed kin tɔn, ɛn yu at kin bit kwik kwik wan. |
| di potashכm lεvεl dεm we dεn dכn dכn | Mɔsul dɛn de pen ɔ kramp, wik we nɔ kɔmɔn, at bit we nɔ de bit ɔltɛm. |
| Kɔmɔn (if i kɔntinyu, tɛl yu dɔktɔ) . | |
| Chenj dɛn na di say we dɛn injɛkshɔn | Rɛd, smɔl pen ɔ it na di say we dɛn injekt. I kin bi se na lumps ɔnda di skin (Lipodystrophy). |
| We yu de gɛt mɔ wet | Sɔntɛm yu go gɛt smɔl wet we yu bigin fɔ tek insulin. |
Aw fɔ kip mɛrɛsin fayn fayn wan?
Insulin na mɛrɛsin we kin pwɛl kwik if dɛn nɔ kip am fayn.
- Bɔtul dɛn we nɔ opin: Stɔr dɛn tin ya na di frij domɔt. Nɔ ɛva kip am na friza. Nɔ yuz insulin if i dɔn frɔz.
- Bɔtul dɛn we dɛn dɔn opin/we dɛn de yuz: Yu kin kip di bɔtul we yu de yuz naw na rum tɛmpracha (we nɔ rich 30 digri sɛlshiɔs). Bɔt yu fɔ yuz am insay 28 dez. If ɛnitin lɛf afta 28 dez, trowe am.
- Protɛkt frɔm dairekt san layt ɛn ɔt pasmak.
A op se dɛn advays ya go ɛp yu. Mɛmba se, dayabitis na sik we pɔsin fɔ kɔntrol fayn fayn wan. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn tɔk to am bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Insulin Glargine na wan kayn insulin we de wok ɔl di de ɛn i de kɔntrol di blɔd shuga lɛvɛl.
- Bifo yu bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu wɛlbɔdi prɔblɛm ɛn ɔda mɛrɛsin dɛn we yu de tek.
- Bifo yu gɛt di vaysin na di sem ples ɛvride, chenj di say we yu gi di vaysin.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Kip sɔntin we swit nia yu ɔltɛm.
- Nɔ skip fɔ it. It di rayt tɛm.
- If yu mis wan doz, nɔ ɛva dubl di doz. Kɔnsul yu dɔktɔ fɔ advays.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔr frayd fɔ tɔk to yu dɔktɔ.
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