If yu na pɔsin we dɛn de trit fɔ dayabitis, yu dɔktɔ go dɔn tɛl yu dis kayn insulin injɛkshɔn. Yu kin gɛt am ɔnda nem dɛn lɛk Humulin 70/30, Novolin 70/30. Dis nɔto rili wan kayn insulin, bɔt na tu kayn insulin we dɛn jɔyn togɛda. Na dat mek wi nid fɔ tek tɛm smɔl we wi de yuz am. So tide wi go tɔk bɔt wetin na dis mɛrɛsin, aw dɛn kin yuz am di rayt we, ɛn us tin dɛn fɔ pe atɛnshɔn to.
Wetin kin rili apin wit dis miks insulin?
Fɔ tɔk am simpul wan, dis na mɛrɛsin we de ɛp fɔ kɔntrol dayabitis. I de wok bay we i de mek di insulin we de na yu bɔdi go ɔp ɛn i de mek di shuga (glucose) we de na yu blɔd go dɔŋ.
Tink bɔt am lɛk spɛshal kɔmbaynshɔn fɔ insulin we de wok fɔ shɔt tɛm ɛn insulin we de wok bitwin dɛn. We dɛn tu tin ya kam togɛda, dat go ɛp yu fɔ kɔntrol di shuga we de na yu blɔd bɛtɛ bɛtɛ wan. Bɔt mɛmba se dis mɛrɛsin nɔmɔ nɔ go du fɔ am. Fɔ it fayn ɛn ɛksesaiz na impɔtant tin dɛn bak fɔ dis tritmɛnt.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ tɛl yu bɔt dɛn tin ya bifo yu bigin fɔ tek dis insulin.
- If yu gɛt di episɔd dɛn we yu kin gɛt bɔku bɔku blɔd shuga (lɔ blɔd shuga ).
- If yu gɛt sik dɛn na yu yay ɔ yu nɔ de si fayn .
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik.
- If yu gɛt alɛji fɔ insulin, di tin we dɛn de yuz fɔ mek di bɔdi we dɛn kɔl mɛtakresol, ɔda mɛrɛsin dɛn, it dɛn, ɔ tin dɛn we de mek yu kɔlɔ.
- If yu gɛt bɛlɛ ɔ yu op fɔ gɛt bɛlɛ .
- If yu na mama we de gi yu pikin in bɛlɛ .
Bay dis infɔmeshɔn, di dɔktɔ go mek di tritmɛnt plan we go fayn fɔ yu.
Aw fɔ yuz dis insulin kɔrɛkt wan?
Dis na di pat we impɔtant pas ɔl. Yu fɔ fala dɛn instrɔkshɔn dɛn ya di rayt we.
1. Aw fɔ gi di injɛkshɔn: Dis na injɛkshɔn we dɛn kin injɛkt ɔnda di skin. Yu dɔktɔ ɔ nɔs go sho yu aw fɔ gi am di rayt we.
2. Tɛm bifo yu it: Di dɔktɔ go tɛl yu aw lɔng afta di injɛkshɔn yu fɔ it. Bɔku tɛm, yu fɔ tek di injɛkshɔn lɛk 30 minit bifo .
3. Aw di insulin de luk: Dis rili impɔtant. Luk di bɔtul ɔltɛm bifo yu yuz am.
- Bifo yu miks: Dis fɔ wayt, i fɔ tan lɛk milk.
- Afta yu miks: Yu fɔ si wan yunifom milk kɔlɔ (yunifɔm klawd).
- Aw yu de stir?Rol di bɔtul lɛk tɛn tɛm bitwin yu an dɛn. Nɔ ɛva shek am tranga wan.
- Nɔ yuz: If di insulin dɔn chenj in kɔlɔ, if yu si klɔmp pan am, ɔ if i nɔ miks fayn , fɔ tru nɔ yuz am.
4. Nidul ɛn sirinj: Nɔ ɛva trowe nidul ɛn sirinj we yu dɔn yuz na dɔti. Put dɛn insay wan kɔntena we gɛt shap tin dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ bɔt am.
5. Insulin Pen: If yu de yuz pen, nɔ fɔgɛt fɔ pul di ɔda nidul kɔva bifo yu injekt.
If yu tek ɔvados: If yu tink se yu dɔn tek ɔvados bay mistek, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin a go du if a mis wan doz?
I nɔ fayn fɔ mis wan doz. Tɔk to yu dɔktɔ bɔt wetin fɔ du if yu mis wan doz ɛn mek plan fɔ am. Nɔ tek tu doz wan tɛm fɔ mek di doz we yu mis fɔ ɛni rizin.
Ɔda mɛrɛsin ɛn tin dɛn we kin miks wit insulin
Sɔm mɛrɛsin dɛn we yu de tek kin afɛkt di we aw insulin de wok, so i impɔtant fɔ tɛl yu dɔktɔ bɔt ɛvri mɛrɛsin, vaytamɛn, ɛn ɛbul prɔdak we yu de tek.
| Sɔbstans/drɔg tayp | Tin dɛn we wi fɔ tink bɔt |
|---|---|
| Rum | Di shuga lɛvɛl kin afɛkt we yu nɔ bin de ɛkspɛkt. |
| Aspirin ɛn ɔda kayn mɛrɛsin dɛn | I kin mek di risk fɔ lɛ yu blɔd shuga nɔ bɔku. |
| Beta-blɔk dɛn | (e.g. Metoprolol, Propranolol) - I kin mask di simptom dεm fכ lכw bכdi shuga (haypoglycemia). |
| Di kayn Stɛroyd dɛn we dɛn kin yuz | (e.g. Prednisone) - I kin mek di blɔd shuga lɛvɛl go ɔp. |
| Diuretiks we dɛn kin yuz fɔ pul wata | I kin afɛkt di shuga lɛvɛl. |
| Ɔda mɛrɛsin dɛn fɔ gɛt dayabitis | (e.g. Glyburide, Glipizide) - Yu nid fɔ tek tɛm mɔ bɔt yu shuga lɛvɛl. |
| Sɔm kol/kɔf mɛrɛsin dɛn | Dɛn tin ya kin gɛt shuga ɔ rɔm. |
Dis list nɔ kɔmplit, so tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Tin dɛn we yu fɔ mɛmba we yu de yuz am
- Fɔ chɛk-ap ɔltɛm: Go to yu dɔktɔ ɔltɛm fɔ chɛk yu sik. Wan blɔd tɛst we dɛn kɔl HbA1C kin gi yu gud aidia bɔt aw yu de kɔntrol yu blɔd shuga fɔ di pas 2-3 mɔnt.
- Fɔ mɛzhɔ di blɔd shuga lɛvɛl: Lan aw fɔ wach di blɔd shuga lɛvɛl na os. Yu fɔ no di sayn dɛn we de sho se yu gɛt ay blɔd blɔd ɛn blɔd blɔd .
- If yu blɔd shuga go dɔŋ: Kip sɔntin wit yu ɔltɛm, lɛk shuga kiub, tɔfi, ɔ glukɔs tablɛt. Bɔt mɛmba se if yu gɛt sik ɔ yu nɔ no natin, yu nɔ fɔ ɛva put ɛnitin na yu mɔt , bikɔs i kin mek yu chok. If dat apin, yu fɔ go na ɔspitul wantɛm wantɛm.
- Nɔ sheb: > Nɔ ɛva, ɛva sheb insulin pen ɔ katrij wit ɛni ɔda pɔsin. Ivin if yu sheb nidul, yu kin stil spre denja vayrɔs lɛk Epataytis ɛn HIV.
- Mɛdikal ID: We yu wɛr kad ɔ breslɛt (mɛdikal ID) we gɛt di ditel dɛn bɔt yu mɛdikal kɔndishɔn ɛn mɛrɛsin dɛn, dat kin ɛp fɔ sev yu layf we ɛnitin apin.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt
| Sayd ɛfɛkt dɛn 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. |
| Lɔw blɔd shuga (Hypoglycemia) . | Yu kin shek, yu kin swet, yu nɔ kin rɛst, yu kin tɔn yu ed, yu at kin bit kwik kwik wan, ɛn yu kin kɔnfyus. |
| di potashכm lεvεl dεm we dεn dכn dכn | Mɔsul dɛn de pen ɔ stiff, wikɛd we nɔ kɔmɔn, chenj na di at rit. |
| Bɔrku tɛm nɔr kin gɛt natin fɔ wɔri bɔt (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
| Lipodistrofi we gɛt di sik | di tisu we de ɔnda di skin tik, lump, ɔ skata na di say we dɛn injekt. (Dis kin apin if yu gɛt di shot na di sem ples.) |
| Na di say we dɛn de injɛkshɔn | Smɔl pen, rɛd, ɔ it. |
| We yu de gɛt mɔ wet | Sɔm pipul dɛn kin notis se dɛn de gɛt mɔ wet. |
Aw fɔ kip insulin?
Dis na sɔntin bak we yu nid fɔ no bɔt. If dɛn nɔ kip am di rayt we, insulin kin lɛf fɔ wok igen.
Bɔtul ɛn pen dɛn we dɛn nɔ opin
- Humulin 70/30 bɔtul dɛn:Stɔr am na frij (bitwin 2-8 digri sɛlshiɔs) ɔ na rum tɛmpracha (dɔwn 30 digri sɛlshiɔs). If dɛn kip am na rum tɛmpracha, trowe am afta 31 dez .
- Novolin 70/30 bɔtul: Stɔr am na frij (2-8 sɛlshiɔs) ɔ na rum tɛmpracha (dɔwn 25 sɛlshiɔs). If dɛn kip am na rum tɛmpracha, trowe am afta 42 dez .
- Humulin 70/30 KwikPens: Stɔr am na frij (2-8 Sɛlshiɔs) ɔ na rum tɛmpracha (dɔwn 30 Sɛlshiɔs). If yu kip am na rum tɛmpracha, trowe am afta 10 dez .
- Novolin 70/30 FlexPens: Stɔr am na frij (2-8 Sɛlshiɔs) ɔ na rum tɛmpracha (dɔwn 30 Sɛlshiɔs). If dɛn kip am na rum tɛmpracha, trowe am afta 28 dez .
Bɔtul ɛn pen dɛn we dɛn de yuz
- Humulin 70/30 bɔtul: Stɔ am na frij ɔ na rum tɛmpracha (dɔwn 30 digri sɛlshiɔs). Trowe am insay 31 dez afta yu opin am.
- Novolin 70/30 bɔtul dɛn: Stɔr am na rum tɛmpracha (dɔwn 25 digri sɛlshiɔs). Nɔ put am na frij. Trowe am insay 42 dez afta yu opin am.
- Humulin 70/30 KwikPens: Stɔr na rum tɛmpracha (dɔwn 30 digri sɛlshiɔs). Nɔ put am na frij. Trowe am insay 10 dez afta yu opin am (ivin if insulin lɛf).
- Novolin 70/30 FlexPens: Stɔr am na rum tɛmpracha (dɔwn 30 digri sɛlshiɔs). Nɔ put am na frij. Trowe am insay 28 dez afta yu opin am (ivin if insulin lɛf).
Impɔtant: Nɔ ɛva friz insulin. Nɔ yuz insulin we dɛn dɔn frɔz. Kip away frɔm ɔt ɛn layt we pasmak. Trowe di mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm chɛk aw di insulin de luk (milky kɔlɔ, nɔ gɛt klɔmp) bifo yu injɛkt am. Miks am fayn fayn wan.
- Nɔ sheb yu insulin pen, sirinj, ɔ nidul 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 we gɛt shuga nia yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Stɔr insulin kɔrɛkt wan. We yu dɔn opin am, mek shɔ se yu trowe am insay di nɔmba we yu dɔn tɔk bɔt.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ yu nɔ shɔ bɔt sɔntin, nɔ ɛva shem fɔ tɔk to yu dɔktɔ.
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