If yu de liv wit Tayp 2 Dayabitis, yu go mɔs no aw i nɔ izi fɔ kɔntrol yu blɔd shuga. As di dɔktɔ kin tɔk ɔltɛm, it, ɛksesaiz, ɛn mɛrɛsin rili impɔtant fɔ dis. Tide wi go tɔk bɔt wan spɛshal injɛkshɔn we kin kam as tu mɛrɛsin dɛn we kin ɛp fɔ kɔntrol dayabitis.
Wetin na dis mɛrɛsin? Fɔ tɔk am simpul wan...
Dis na rili tu drɔgs we dɛn jɔyn togɛda. Dat min se, na wan kɔmbaynshɔn fɔ insulin glargine ɛn lixisenatide . Na wi kontri, i kin kam anda brand nem laik `SOLIQUA`.
Fɔ tɔk am simpul wan, i de wok bay we i de mek yu blɔd shuga (glucose) lɛvɛl go dɔŋ ɛn kɔntrol am. Insulin glargine na wan kayn insulin we de wok fɔ lɔng tɛm. Lixisenatide na difrɛn klas fɔ mɛrɛsin we de kɔntrol di rit we shuga de go insay di blɔd afta wi dɔn it ɛn i de mek wi bɔdi bak fɔ mek insulin.
Di tin we impɔtant pas ɔl na dat yu fɔ kɔntinyu fɔ it ɛn ɛksesaiz we yu de yuz dis mɛrɛsin. Di bɛst rizɔlt kin jɔs apin we dɛn jɔyn ɔl tri.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi histri. Dis na bikɔs sɔm wɛlbɔdi prɔblɛm dɛn kin nid spɛshal kia we dɛn de yuz dis mɛrɛsin. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bɔt am.
- If yu gɛt di episod dɛn we yu kin gɛt smɔl smɔl shuga na yu blɔd: Dis mɛrɛsin kin mek yu blɔd shuga go dɔŋ bak, so yu nid fɔ tek tɛm mɔ bɔt am.
- Ay sik ɔr yu nɔr de si fayn: If yu yay gɛt dayabitis, i impɔtant fɔ no bɔt am.
- Gal blad sik: Dis mεrεsin kin mek yu gεt kכndyushכn lεk gal ston sכmtεm.
- If yu bin dɔn gɛt pankrias: If yu dɔn gɛt dis sik na yu histri, i kin bi se i go kam bak.
- Kidni sik ɔ if yu de pan dayalaysis: Dɛn kin pul dis mɛrɛsin na di bɔdi tru di kidni, so yu kin nid fɔ ajɔst di we aw yu de tek am.
- Liva sik: Di dɔktɔ fɔ no bak aw di liva de wok.
- If yu bin dɔn gɛt bad bad alɛji fɔ wan mɛrɛsin trade: fɔ ɛgzampul, yu tɔŋ, yu fes, ɔ yu lip dɛn kin swel, yu nɔ kin ebul fɔ blo, ɔ yu nɔ kin ebul fɔ swɛla.
- Bɛlɛ prɔblɛm: If yu gɛt prɔblɛm lɛk fɔ delay fɔ digest.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
- If yu na mama we de gi pikin in bɛlɛ.
- If yu rili adikshɔn to rɔm.
- If yu gɛt alɛji fɔ ɛni ɔda mɛrɛsin, it, ɔ day.
Okay, naw aw yu de yuz dis injɛkshɔn?
Yu dɔktɔ ɔ nɔs go tich yu di rayt we fɔ yuz dis. I impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we.
- di say we dεn injεkt: Dis na injεkshכn we dεn de put insay di bכdi. Dɛn kin gi am na di bɛlɛ, di ɔp pat na di shɔl, ɔ di ɔp pat na di an . I bεst fכ rotate di injεkshכn sayt dεm pas fכ de na di sem εria כltεm.
- Taym: Tek wan tɛm insay di de. Dat tu 60 minit (wan awa) bifo di fɔs men it fɔ di de . I bɛtɛ if yu kin tek am di sem tɛm ɛvride.
- Aw di mɛrɛsin tan: Bifo yu injɛkt, luk di wata we de insay di pen. I fɔ bi klia wata we nɔ gɛt kɔlɔ, lɛk wata . If i gɛt klawd, i gɛt kɔlɔ, i tik, ɔ i gɛt smɔl smɔl tin dɛn insay, nɔ yuz am .
- Nidul: If yu de yuz pen, nɔ fɔgɛt fɔ pul di ɔda nidul kɔva na di nidul bifo yu gi di injɛkshɔn.
- Fɔ trowe nidul dɛn: Nɔ ɛva 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. Nɔ yuz di sem nidul bak.
Wetin fɔ du if yu tek bɔku mɛrɛsin ɔ yu mis wan doz?
Doz we dɛn mis
I rili impɔtant fɔ mek yu nɔ skip di doz dɛn. Bɔt if yu mis wan doz, fala wetin yu dɔktɔ tɛl yu fɔ du. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu mis. Dis kin mek di blɔd shuga go dɔŋ bad bad wan.
Ovados fɔ yuz am
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 fɔ advays.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Drug Interactions) .
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek we yu de tek dis mɛrɛsin. Sɔm mɛrɛsin kin afɛkt aw i de wok. Dɔn bak, sɔm mɛrɛsin dɛn kin chenj di shuga we yu gɛt na yu blɔd.
| Drug klas / ɛfɛkt | Ɛgzampul dɛn ɛn wetin fɔ no |
|---|---|
| Drug dɛn we kin gɛt dairekt ɛfɛkt | Acetaminophen, Digoxin, Warfarin, bɔn kɔntrol pils, ɔda mɛrɛsin fɔ dayabitis. Tɛl yu dɔktɔ if yu de tek dɛn tin ya. |
| Tin dɛm we kin chenj di blɔd shuga lɛvɛl | Alkol, aspirin, sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn, stɛroyd (lɛk Prednisone), sɔm mɛrɛsin fɔ kɔf/kol, mɛrɛsin fɔ mental sik, sɔm antibayɔtik, ɛn ɛbul sɔpɔtmɛnt. |
| Drug dɛm wae de mask di sayn dɛm wae de sho se yu blɔd shuga nɔr de bɔku | Dis rili impɔtant. Beta-blɔka (e.g. Propranolol, Metoprolol) we dɛn kin yuz fɔ ay blɔd prɛshɔn ɔ at sik kin mask di fɔs wɔnin sayn dɛm we de sho se yu blɔd shuga nɔ bɔku, lɛk fɔ shek ɛn swet. So, if yu de tek dɛn tin ya, yu fɔ de chɛk yu blɔd shuga ɔltɛm. |
So, mek wan list fɔ ɛni mɛrɛsin, vaytamɛn, ɛn ɛbul prɔdak we yu tek ɛn gi am to yu dɔktɔ. Tɛl yu dɔktɔ bak if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Chek-ap ɔltɛm: Go na di klinik dɛn di tɛm we yu dɔn sɛtul as yu dɔktɔ tɛl yu. wan bכdi tεst we dεn kכl HbA1C dεn kin du am lεk wan tεm εvri 2-3 mכnt. I de sho aw dɛn dɔn kɔntrol yu shuga fayn fayn wan insay di las sɔm mɔnt dɛn.
- Mekɔp di shuga lɛvɛl:Lan aw fɔ tɛst yu blɔd shuga na os. No di sayn dɛm wae de sho se yu gɛt haypoglycemia ɛn aypa glycemia.
- If yu blɔd shuga go dɔŋ: Ɔltɛm kip sɔntin we gɛt shuga kwik kwik wan, lɛk shuga kandy ɔ glukɔs tablɛt. If yu blɔd shuga go dɔŋ tumɔs ɛn yu fil se yu de ed de tɔn ɔ yu de fil fɔdɔm, tɛl yu famili nɔ fɔ put ɛnitin na dɛn mɔt da tɛm de. If na so i bi, yu fɔ go to dɔktɔ wantɛm wantɛm.
- Nɔ skip fɔ it: It di rayt tɛm.
- Nɔ sheb yu pen: Nɔ ɛva, ɛva sheb yu injɛkshɔn pen wit ɛni ɔda pɔsin. Ivin if yu chenj di nidul, yu kin stil spre denja vayrɔs lɛk Epataytis ɛn HIV.
- Mɛdikal ID: Ɔltɛm wɛr/kip sɔntin lɛk kad ɔ breslɛt nia yu we de sho se yu gɛt dayabitis ɛn di kayn ɛn dos fɔ di mɛrɛsin dɛn we yu de tek.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Siriɔs alɛji riakshɔn dɛn | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Pankriaytis we gɛt sik | Bɔrku pen na yu bɛlɛ we de rayt to yu bak, pen we kin wɔs afta yu it, fiva, nɔs, ɛn vɔmit. |
| Kidni injury | di urine we de kכmכt dכn, di ankכl, an, εn fut dεm de swel. |
| Lɔw blɔd shuga (Hypoglycemia) . | Trem, wɔri, swet pasmak, kol, kɔnfyushɔn, diziz, at bit kwik kwik wan. |
| Prɔblɛm dɛn we de na di gal blad | Bɛlɛ pen bad bad wan, nɔs, vɔmit, fiva. |
| Sayd ɛfɛkt dɛm wae nɔr kin siriɔs (bɔt dɛn fɔ ripɔt to dɔktɔ if dɛn kɔntinyu fɔ de) . | |
| |
Aw fɔ ol di pen kɔrɛkt wan?
I rili impɔtant bak fɔ kip dis mɛrɛsin fayn fayn wan.
- Pen dɛn we Nɔ Opin:
- Stɔr na frij na di nɔmal sɛkshɔn (bitwin 2 ɛn 8 digri sɛlshiɔs).
- Nɔ ɛva kip am na friza. Nɔ yuz mɛrɛsin we dɛn dɔn frɔz.
- If di de we i fɔ dɔn pas, trowe am.
- Pen dɛn we yu de yuz:
- Stɔ dis na rum tɛmpracha (dɔwn 25 digri sɛlshiɔs). Nɔ put am na frij.
- Klos di pen kap tayt wan afta ɛni tɛm we yu yuz am ɛn protɛkt am frɔm layt.
- Nɔ put di pen dɔŋ wit di nidul we dɛn tay. If yu du dat, dat kin mek di mɛrɛsin lik.
- Afta 28 dez we yu dɔn yuz am, trowe di pen, ilɛksɛf mɛrɛsin lɛf insay.
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ dɔn tɛl yu, di doz we dɛn tɛl yu fɔ tek ɛn di rayt tɛm.
- Nɔ sheb yu injɛkshɔn pen wit ɛni ɔda pɔsin fɔ ɛni rizin.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Ɔltɛm kip sɔntin lɛk kandy we gɛt shuga nia yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- If yu notis ɛni sayn we de sho se yu gɛt siriɔs sayd ɛfɛkt, go to dɔktɔ wantɛm wantɛm ɛn nɔ de te.
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