Yu gɛt Tayp 2 Dayabitis bak? If na so, chans de fɔ mek yu dɔktɔ gi yu wan mɛrɛsin we dɛn kɔl Metformin. Tide wi de tɔk bɔt dis mɛrɛsin we rili kɔmɔn bitwin wi na Sri Lanka, we bɔku pipul dɛn kin yuz fɔ kɔntrol dayabitis. Wi go luk ɔltin insay wan we we rili simpul ɛn we wi go ɔndastand, lɛk aw fɔ tek am, us tin dɛn fɔ tek tɛm wit, ɛn if ɛni sayd ɛfɛkt de.
Wetin rili na Metformin?
Fɔ tɔk am simpul wan, Metformin na mɛrɛsin we dɛn kin gi pipul dɛn we gɛt tayp 2 dayabitis. I kin wok mɔ bay we i de kɔntrol di shuga we de na yu blɔd, ɔ di glukɔs lɛvɛl. I de ɛp yu bɔdi bak fɔ yuz di ɔmon we dɛn kɔl insulin fayn fayn wan.
Bɔku tɛm, dɔktɔ dɛn kin gi dɛn dis mɛrɛsin wit gud it ɛn ɛksesaiz. Fɔ tek di mɛrɛsin nɔmɔ nɔ go du, yu nid fɔ tek kia ɔf dɛn tin ya bak. Sɔntɛnde, dɛn nɔ kin gi dis mɛrɛsin fɔ dayabitis nɔmɔ, bɔt dɛn kin gi am bak fɔ ɔda tin dɛn lɛk Polycystic Ovary Syndrome (PCOS).
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek metformin
I rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi biznɛs bifo yu gi yu Metformin. 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 anemia.
- Di wata we nɔ de na di bɔdi na wan tin we kin mek di bɔdi nɔ gɛt wata.
- If yu gɛt at sik.
- If yu na pɔsin we de drink ɔltɛm.
- If yu gɛt sik na yu kidni.
- If yu gɛt liva sik.
- If yu gɛt polycystic ovary syndrome (PCOS).
- If yu gɛt siriɔs infɛkshɔn ɔ injuri.
- If pɔsin de vɔmit ɔltɛm.
- If yu gɛt alɛji fɔ mɛtfɔmin ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu de tray fɔ gɛt bɛlɛ ɔ yu dɔn gɛt bɛlɛ.
- If yu na mama we de gi pikin in bɛlɛ.
I rili impɔtant fɔ yu yon sef fɔ tɛl di dɔktɔ dis infɔmeshɔn we yu nɔ ayd am.
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Yu fɔ yuz dis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu. Fɔ fala di instrɔkshɔn dɛn we de na di mɛrɛsin bɔtul ɛksaktɔli.
- Tek wit yu it: Dɛn kin tek dis mɛrɛsin wit ɔ afta yu it. Dis go mek yu bɛlɛ nɔ fil fayn.
- Kɔrɛkt we fɔ mɛzhɔ:If yu de gi dis as sɔlv, yuz spɛshal mɛzhɔmɛnt spun ɔ kɔp nɔmɔ. Nɔ yuz ti spɔnj dɛn we dɛn kin yuz na kichin ɔltɛm, bikɔs dɛn nɔ kɔrɛkt.
- Na di rayt tɛm: Mek am yu abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Nɔ tek pas wetin di dɔktɔ tɛl yu fɔ tek.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu dɔn fɔgɛt.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu gɛt ivin smɔl saspek se yu dɔn tek ɔvados, 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 dɛn we kin miks wit mɛtfɔmin
Metformin na wan mɛrɛsin wae kin intarakt wit sɔm ɔda mɛrɛsin dɛm, so i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek.
| Tayp fɔ mɛrɛsin | Tɔk bɔt |
|---|---|
| Mɛrɛsin dɛm wae nɔr fɔ ɛva tek wit Metformin | |
| Kɔntrast Days dɛn | Dɛn kin injɛkt sɔm kayn day dɛn na di bɔdi bifo dɛn du tɛst lɛk ɛkstrem rayt, CT skan, ɛn MRI. |
| Dofetilayd we dɛn kɔl | Wan spɛshal mɛrɛsin fɔ at sik. |
| Ɔda tin dɛm wae kin mek yu gɛt prɔblɛm wit mɛtfɔmin | |
| Rum | If yu drink rɔm, dat kin mek di blɔd shuga go dɔŋ bad bad wan ɔ i kin mek di laktik asid go ɔp. |
| Ɔda mɛrɛsin dɛn | Di mɛrɛsin fɔ ay blɔd prɛshɔn, HIV/Epataytis, bɔn kɔntrol pils, stɛroyd, tayroyd ɔmon mɛrɛsin, sɔm vaytamɛn (Niacin), ɛn bɔku ɔda wan dɛn kin intarakt wit dis. |
Di tin we impɔtant pas ɔl: Nɔ jɔs tɛl yu dɔktɔ bɔt di pils dɛn we yu de tek, bɔt tɛl yu bak bɔt ɛni Ayurveda mɛrɛsin, vaytamɛn, tradishɔnal ɛvbɔdi, ɛn sɔpɔtmɛnt dɛn we yu de yuz.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
HbA1C tɛst
Yu dɔktɔ go ɔda fɔ mek dɛn du blɔd tɛst we dɛn kɔl HbA1C fɔ si aw dɛn kin kɔntrol yu dayabitis fayn fayn wan. Dis tɛst de mɛzhɔ yu avɛrej blɔd shuga lɛvɛl fɔ di pas 2-3 mɔnt. I impɔtant fɔ mek yu gɛt dis tɛst at le ɛvri 3-6 mɔnt.
Lɔw blɔd shuga (Hypoglycemia) .
If yu tek insulin ɔ ɔda dayabitis mɛrɛsin wit mɛtfɔmin, yu blɔd shuga kin go dɔŋ wantɛm wantɛm (hypo). Yu fɔ no di sayn dɛm fɔ dis (we yu de swet, yu de shek, yu de angri pasmak, yu nɔ de rɛst). Ɔltɛm kip sɔntin lɛk kandy ɔ shuga kiub nia yu. If yu nɔ no natin igen, tɛl yu famili nɔ fɔ put ɛnitin na yu mɔt. If dis apin, yu fɔ go na ɔspitul wantɛm wantɛm.
Sik ɛn ɔpreshɔn
If yu go gɛt ɛni ɔpreshɔn ɔ MRI/CT skan, tɛl yu dɔktɔ bifo tɛm se yu de tek Metformin. Yu kin nid fɔ stɔp fɔ tek di mɛrɛsin sɔm dez bifo di tɛst/ɔpareshɔn.
Di we aw pɔsin nɔ gɛt bɛtɛ vitamin
If yu yuz mɛtfɔmin fɔ lɔng tɛm, dat kin mek sɔm pipul dɛn nɔ gɛt bɛtɛ fɔlik asid ɛn vaytamɛn B12. Tɔk to yu dɔktɔ bɔt dis ɛn tek sɔpɔtmɛnt if nid de.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, Metformin kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔku pan dɛn tin ya nɔto siriɔs tin.
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Laktik asidכsis (High laktik asid lεvεl) . | Mɔsul dɛn kin kramp ɔ pen, bɛlɛ kin at, i nɔ kin izi fɔ blo, i kin taya pasmak. (Dis na wan sik wae nɔr kin bɔrku bɔt wae kin siriɔs). |
| Vitamin B12 dɛfisiɛns (Lɔw vaytamɛn B12 lɛvɛl) . | Nɔmb, pen, mɔsul wik, diziz, mɛmori lɔs. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Bɛlɛ nɔ kin fil fayn | Daya, gas, ɛn nɔs (dɛn tin ya kin apin we yu de tek di mɛrɛsin fɔs ɛn afta dat i kin stɔp). |
| Ɔda | Ɛd pen, mɛtal teist na di mɔt. |
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tek Metformin lɛk aw yu dɔktɔ tɛl yu, insay di mɔnt we dɛn tɛl yu, wit it.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛni mɛrɛsin we yu de tek.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Ɔltɛm kip sɔntin we gɛt shuga (lɛk kandy bar) nia yu.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz we yu nɔ go to yu dɔktɔ.
- Nɔ skip di mɛdikal tɛst dɛn we dɛn dɔn sɛtul fɔ du , lɛk HbA1C.
- If siriɔs sayd ɛfɛkt apin, go to dɔktɔ wantɛm wantɛm.
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