Dayabitis na wan sik wae kin pasmak pan wi na Sri Lanka. So, yu dɔktɔ dɔn gi yu mɛrɛsin fɔ kɔntrol yu dayabitis. If yu na wan pan di wan dɛn we de yuz di mɛrɛsin we dɛn kɔl Sitagliptin, dis atikul go rili impɔtant fɔ yu. Lɛ wi si bɔt dis mɛrɛsin, aw i de wok, ɛn wetin na di tin dɛn we wi fɔ tek tɛm wit we yu de yuz am.
Us kayn mɛrɛsin na Sitagliptin?
Fɔ tɔk am simpul wan, Sitagliptin na mɛrɛsin we dɛn kin yuz fɔ mɛn Tayp 2 Dayabitis . I de wok insay wan we we rili intrestin na wi bɔdi. I kin mek di insulin we de na yu bɔdi go ɔp mɔ ɛn i kin mek di glukɔs we de na yu blɔd nɔ bɔku. I de ridyus bak di shuga we di liva de ad to di blɔd.
Di tin we impɔtant pas ɔl na dat dis mɛrɛsin nɔmɔ nɔ go du fɔ am. Na if yu it gud it ɛn ɛksesaiz ɛvride yu kin gɛt di maksimal rizɔlt frɔm dis mɛrɛsin.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Bifo yu bigin fɔ tek Sitagliptin, sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ. Nɔ ayd dɛn tin ya, bikɔs dɛn rili impɔtant fɔ yu sef.
- If yu gɛt dayabitik ketoacidosis.
- If yu gɛt sik na yu kidni: Dis rili impɔtant bikɔs yu kin nid fɔ ajɔst di doz fɔ dis mɛrɛsin dipen pan aw yu kidni de wok.
- If yu bin dɔn gɛt pankrias bifo tɛm.
- If yu dɔn ɛva gɛt yu tɔŋ, yu fes, ɔ yu lip swel, i nɔ izi fɔ blo, i nɔ izi fɔ swɛla, ɔ yu vɔys chenj afta yu dɔn tek wan patikyula mɛrɛsin: Dis min se yu dɔn gɛt bad bad alɛji.
- If yu gɛt Tayp 1 dayabitis: Dis mɛrɛsin nɔ fayn fɔ yu.
- If yu gɛt alɛji to sitagliptin ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ.
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Dis mɛrɛsin rili izi fɔ yuz. Swɛla dis pil wit wan glas wata. Yu kin tek am bifo ɔ afta yu it. Tek am jɔs lɛk aw yu dɔktɔ dɔn tɛl yu.
Sɔm impɔtant tin dɛn:
- Nɔ brok, krɔs, ɔ chew di mɛrɛsin. Swɛla di tablɛt ɔl.
- Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Da we de yu nɔ go fɔgɛt.
- Te di dɔktɔ se so.Nɔ stɔp fɔ tek di mɛrɛsin.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ gi am to ɛni ɔda pɔsin.
Wetin yu go du if yu mis yu mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz wantɛm wantɛm, 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 dabl doz.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink wantɛm wantɛm se yu dɔn tek mɔ pas di doz we dɛn tɛl yu fɔ tek, 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.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Si yu dɔktɔ pan di de dɛn we dɛn dɔn sɛtul fɔ mek shɔ se yu tritmɛnt de go fayn.
- HbA1c tɛst: Yu dɔktɔ go ɔda fɔ mek dɛn du blɔd tɛst we dɛn kɔl HbA1c (A1C) . Dis de mɛzhɔ aw dɛn dɔn kɔntrol yu blɔd shuga fayn fayn wan fɔ di pas 2-3 mɔnt. Yu go nid fɔ gɛt dis tɛst ɛvri 3 to 6 mɔnt.
- Fɔ wach di blɔd shuga: I impɔtant fɔ lan aw fɔ wach yu blɔd shuga na os. Dɔn bak, no bɔt di sayn dɛm we de sho se yu gɛt ay blɔd ɛn blɔd blɔd, ɛn wetin fɔ du if dɛn apin.
- If yu blɔd shuga go dɔŋ: Ɔltɛm kip sɔntin lɛk shuga, tɔfi, ɔ glukɔs tablɛt nia yu fɔ yuz if yu blɔd shuga go dɔŋ. Bɔt mɛmba se if yu blɔd shuga go dɔŋ tumɔs ɛn yu bigin fɔ gɛt sik ɔ yu nɔ no natin, nɔ put ɛnitin na yu mɔt da tɛm de. Yu kin chok. If na so i bi, yu fɔ go to dɔktɔ wantɛm wantɛm.
- Ɔda tin dɛn: If yu sik, ɛksesaiz pas aw yu kin du am, aks yu dɔktɔ if yu nid fɔ chenj di doz fɔ yu mɛrɛsin. Nɔ skip fɔ it. Tɔk bak to yu dɔktɔ bɔt aw fɔ drink rɔm.
- Medikal ID: I fayn fɔ wɛr kad ɔ breslɛt we de sho se yu gɛt dayabitis ɛn di mɛrɛsin dɛn we yu de tek.
Sɔm sayd ɛfɛkt ɛn prɔblɛm dɛn we kin apin wit dis mɛrɛsin
Lɛk ɛni mɛrɛsin, Sitagliptin kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. I kin miks bak wit sɔm ɔda mɛrɛsin dɛn. Mek wi tek wan luk pan dat.
| Drug/sɔbstans dɛm we kin mek pipul dɛn gɛt kɔnflikt | Tin dɛn we yu fɔ wach bɔt |
|---|---|
| Insulin we dɛn kin yuz | If yu tek dɛn tu tin ya togɛda, i kin mek yu blɔd shuga nɔ bɔku (hypoglycemia). Yu dɔktɔ go ajɔst di doz. |
| Sɔlfonylureas (e.g. Glimepiride, Glibenklamayd) . | Risk de fɔ lɛ yu blɔd shuga nɔ bɔku we yu tek am wit Sitagliptin. |
| Digoxin (na mɛrɛsin fɔ at sik) . | Sitagliptin kin chenj smɔl di ifɛkt dɛm we Digoxin gɛt. Tɛl yu dɔktɔ bɔt dis. |
| Rum | Alkol kin afɛkt di shuga we de na di blɔd. Kɔnsul yu dɔktɔ bɔt dis. |
| Notis: Dis list nɔ kɔmplit. Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek. | |
| Sayd ɛfɛkt we pɔsin kin gɛt | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes/lip/tɔng, i nɔ izi fɔ blo. |
| Pankriaytis we gɛt sik | Siriɔs bɛlɛ pen we de skata to di bak, pen we kin wɔs afta yu it, fiva, nɔs, vɔmit. |
| At we nɔ de wok fayn | I nɔ izi fɔ blo, yu anklɛ/fut/an dɛn kin swel, yu bɔdi kin gɛt bɔku bɔku wet wantɛm wantɛm, yu kin fil se yu taya pasmak. |
| Kidni injury | di urine we de kכmכt dכn, di ankכl/an/fut dεm de swεla. |
| Di we aw di skin kin biev | Rɛd, blista, pil pan di skin (ivin insay di mɔt). |
| Bɔku pen na di jɔyn dɛn | Bɔku pen na di jɔyn dɛn. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Ed de at | Ed de at |
| Simptom dɛm we tan lɛk kol | Nos we de rɔn, nos we dɔn stɔp. |
| Trot de at | Trot de at |
Aw fɔ kip di mɛrɛsin?
- Kip am usay pikin dɛn nɔ go ebul fɔ rich.
- Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs).
- Trowe di mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Sitagliptin na wan mɛrɛsin wae dɛn kin yuse fɔ trit tayp 2 dayabitis. Fɔ it ɛn ɛksesaiz impɔtant fɔ mek yu gɛt di bɛst rizɔlt.
- Tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di tɛm we dɛn tɛl yu. Nɔ brok, krɔs, ɔ chew di mɛrɛsin.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda sik we yu gɛt.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Kip sɔm shuga ɔ wan kandy bar nia yu fɔ ɛnitin we apin.
- Go to dɔktɔ kwik kwik wan if yu gɛt bad bad bɛlɛ pen, i nɔ izi fɔ blo, yu skin gɛt blista, ɔ yu gɛt siriɔs alɛji.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔ fred fɔ tɔk bɔt am wit yu dɔktɔ.
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