Yu dɔktɔ dɔn gi yu wan kɔmbayn sitagliptin ɛn metformin fɔ tayp 2 dayabitis? Na wi kɔntri, dis mɛrɛsin de ɔnda di brand nem Janumet. Bikɔs dayabitis na sik we yu nid fɔ kɔntrol fayn fayn wan, i rili impɔtant fɔ mek yu ɔndastand di mɛrɛsin we yu de tek gud gud wan. So tide, lɛ wi tɔk smɔl bɔt dis mɛrɛsin, wetin i de du to yu bɔdi, ɛn di tin dɛn we yu nid fɔ tek tɛm wit we yu de yuz am.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, di tu mɛrɛsin dɛn we de insay dis pil kin ɛp fɔ kɔntrol di glukɔs we de na yu blɔd tu we dɛn.
1. Sitagliptin: Dis de ɛp fɔ mek yu bɔdi gɛt mɔ ɔmon we dɛn kɔl insulin afta yu dɔn it. Insulin na di tin we de ɛp di shuga we de na di blɔd fɔ go insay di bɔdi in sɛl dɛn ɛn yuz am fɔ gɛt ɛnaji.
2. Metformin: Dis kin wok mɔ bay we i de ridyus di shuga we yu liva de mek we nɔ nid fɔ de. I de mek bak yu bɔdi in sɛl dɛn fil bad fɔ insulin. Dis min se i de ɛp yu fɔ yuz di insulin we yu gɛt fayn fayn wan.
Di tin we impɔtant pas ɔl na dat fɔ tek dis mɛrɛsin nɔmɔ nɔ go du. Yu nid bak fɔ fala gud it ɛn ɛksesaiz ɔltɛm . Na da tɛm de nɔmɔ yu go ebul fɔ gɛt di bɛst rizɔlt.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi istri bifo yu gi yu ɛni mɛrɛsin. So if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl dɛn ɛn nɔ ayd am. Dis rili impɔtant fɔ mek yu sef.
| Yu gɛt dɛn sik ya? |
|---|
| Kidni sik ɔ liva sik |
| At sik ɔr at pwɛl hat sik |
| If yu dɔn gɛt pankrias bifo |
| Di ay triglisrayd lɛvɛl na di blɔd |
| Lɔw vaytamɛn B12 lɛvɛl ɔ anemia |
| Fɔ gɛt di abit fɔ drink rɔm ɔltɛm |
| Fɔ gɛt bɛlɛ, fɔ plan fɔ bɔn pikin, ɔ fɔ gi pikin in bɛlɛ |
| Fɔ gɛt alɛji to ɛni ɔda mɛrɛsin, it, ɔ sɔntin |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
- Swɛla di pil wit wan glas wata.
- Dis rili impɔtant: Tek dis pil ɔltɛm wit ɔ afta yu it . If yu tek am ɛmti bɛlɛ i kin mek yu bɛlɛ at pwɛl (at at bɔn, nɔs).
- Tek di doz we dɛn tɛl yu nɔmɔ, di tɛm we yu dɔktɔ tɛl yu. Nɔ chenj di doz lɛk aw yu want.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu nɔ gɛt dɔktɔ advays.
- If yu mis wan doz: Tek di doz we yu mis as yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.
- If yu tek tumɔs: If yu tink se yu dɔn tek bɔku mɛrɛsin bay mistek, 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 .
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Blɔd Shuga Lɛvɛl: Lan aw fɔ mɛzhɔ yu blɔd shuga lɛvɛl. Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (Hypoglycemia) ɛn yu blɔd shuga bɔku (Hyperglycemia).
- Lɔw blɔd shuga (Hypoglycemia): Dis kin bi imejensi. If yu gɛt sɔm sayn dɛn lɛk fɔ swet, shek, angri pasmak, ɔ diziz, it sɔntin we swit (shuga kiub, kandy, ɔ glukɔs tablɛt) wantɛm wantɛm . If yu nɔ no natin, tɛl yu famili se ɔda pipul dɛn nɔ fɔ fos yu fɔ it ɔ drink, ɛn dɛn fɔ kɛr yu go na ɔspitul wantɛm wantɛm.
- HbA1C test: Yu dɔktɔ go aks yu fɔ du dis blɔd tɛst lɛk wan tɛm ɛvri 3 mɔnt. Dis de mɛzhɔ aw yu dɔn de kɔntrol yu blɔd shuga fayn fayn wan fɔ di pas 2-3 mɔnt.
- Ɔpreshɔn ɛn skan dɛn:If dɛn go du ɔpreshɔn pan yu, MRI, ɔ CT skan, tɛl di dɔktɔ dɛn bifo tɛm se yu de tek dis mɛrɛsin. Yu kin nid fɔ stɔp fɔ tek di mɛrɛsin sɔm dez bifo di ɔpreshɔn .
- Alkol: If yu drink rɔm, i kin mek yu blɔd shuga go dɔŋ wantɛm wantɛm ɛn i kin mek yu gɛt wan bad bad sik we dɛn kɔl laktik asid. So tɔk to yu dɔktɔ bɔt rɔm.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔrku tɛm, dɛn tin ya nɔr kin siriɔs, bɔt sɔm sayn dɛm de wae yu fɔ no mɔr bɔt.
| Siriɔs sayn dɛm wae nid fɔ go to dɔktɔ kwik kwik wan | |
|---|---|
| Laktik Asidכsis Simptom dεm | Mɔsul dɛn de pen ɔ stiff, bɛlɛ de pen, yu nɔ de blo fayn, yu taya pasmak. (Dis na wan sayd ɛfɛkt we nɔ kin bɔku bɔt we rili denja fɔ Metformin). |
| Pankriaytis we gɛt sik | I kin pen bad bad wan na di ɔp pat na di bɛlɛ, i kin go na di bak, i kin vɔmit, ɛn i kin gɛt fiva. |
| Alɛji Riakshɔn | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo ɔ swɛla. |
| Ɔda siriɔs sayn dɛn | Bɔrku joyn pen, skin blista ɔ sos, i nɔ kin izi fɔ blo, yu leg ɔ ankles kin swel, yu bɔdi kin gɛt bɔku bɔku wet wantɛm wantɛm. |
| Kɔmɔn (nɔto siriɔs) sayd ɛfɛkt dɛm | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Bɛlɛ we de at, gas, dayarɛa, nɔs (bɔku tɛm i kin apin ali na di tritmɛnt ɛn i kin go leta. Dis kin ridyus if yu tek am wit it). |
| Ɔda | Ed we de at, trot we de at, nos we de rɔn. |
Mɛsej we dɛn kin kɛr go na os
- Sitagliptin ɛn Metformin na mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn tayp 2 dayabitis. Fɔ mek yu gɛt di bɛst rizɔlt, i impɔtant fɔ it fayn ɛn fɔ du ɛksɛsayz .
- Tek dis tablɛt ɔltɛm wit ɔ afta yu it .
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin, vaytamɛn, ɔ tradishɔnal mɛrɛsin we yu de tek.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) (we yu de shek, yu de swet, yu de tɔn diziz). Kip sɔntin we swit nia yu fɔ tek if dis kayn tin apin.
- If yu gɛt siriɔs pen na yu bɛlɛ, i nɔ izi fɔ blo, ɔ yu gɛt bad bad mɔsul pen, i kin bi sayn fɔ wan siriɔs sik lɛk Lactic Acidosis ɔ Pancreatitis . Go na ɔspitul in ETU wantɛm wantɛm.
- Nɔ stɔp fɔ tek di mɛrɛsin ɔ chenj di doz we yu nɔ gɛt dɔktɔ advays. If yu gɛt ɛnitin we de mɔna yu, tɔk to yu dɔktɔ.
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