We yu dɔktɔ tɛl yu se yu gɛt Tayp 2 Dayabitis, yu kin fred smɔl ɛn wɔri, nɔto so? Na nɔmal tin fɔ gɛt bɔku kwɛstyɔn dɛn lɛk "A nɔ go ɛva ebul fɔ it swit igen?" ɛn "A go gɛt fɔ tek mɛrɛsin fɔ di res ɔf mi layf?" Bɔt nɔ wɔri. Infakt, if yu de manej am fayn, yu go ebul fɔ liv fayn layf ɛn nɔmal layf. Bɔku tritmɛnt dɛn de fɔ dis. Di it, ɛksesaiz, ɛn mɛrɛsin de wok togɛda fɔ kɔntrol di glukɔs we de na yu blɔd.
Tide, lɛ wi tɔk bɔt us tritmɛnt opshɔn dɛn de fɔ kɔntrol dayabitis.
Us pils fɔ bigin wit fɔs?
Bɔku tɛm, we pɔsin we gɛt tayp 2 dayabitis nɔ ebul fɔ kɔntrol in blɔd shuga bay we i de it ɛn ɛksesaiz nɔmɔ, di dɔktɔ go fɔs bigin fɔ tek wan kayn mɛrɛsin. Dɛn tin ya kin wok difrɛn we dɛn na di bɔdi. Sɔntɛnde, na wan mɛrɛsin nɔmɔ dɛn kin yuz, ɛn ɔda tɛm dɛn kin yuz tu ɔ tri mɛrɛsin togɛda. Lɛ wi tek wan luk pan di men kayn mɛrɛsin dɛn we dɛn kin yuz.
| Kategori fɔ drɔgs | Aw i de wok ɛn wetin fɔ no |
|---|---|
| Metfɔmin we dɛn kɔl | Dis na di mɛrɛsin we dɛn kin yuz fɔ gɛt dayabitis pas ɔl na di wɔl. I de wok mɔ bay we i de ridyus di shuga we di liva de mek ɛn mek am izi fɔ di bɔdi in sɛl dɛn fɔ tek shuga. Dɛn kin tek am tu tɛm insay di de wit it. Sɔm pipul dɛn kin gɛt bɛlɛ at ɛn blo fɔs. |
| Sɔlfɔnilɔria dɛn Eks: Glimepiride, Gliklazayd | Dɛn mɛrɛsin ya de wok bay we dɛn de gi sayn to wi pankrias fɔ mek i mek mɔ ɔmon we dɛn kɔl insulin. Insulin na di tin we de mek shuga go insay wi sɛl dɛn. Dɛn kin tek dɛn tin ya bifo yu it, ɛn sɔntɛnde kin mek yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu gɛt bɔku bɔku bɔdi. |
| DPP-4 Inhibitɔ dɛn Eks: Sitagliptin, Linagliptin, ɛn ɔda pipul dɛn | Dɛn mɛrɛsin ya de wok bay we dɛn de mek wan ɔmon we de na wi bɔdi we de ɛp fɔ mek insulin nɔ pwɛl. So dɛn ɔmon dɛn de kin de wok fɔ lɔng tɛm, ɛn na we dɛn go ɔp nɔmɔ dɛn kin kɔntrol di blɔd shuga. Di sayd ɛfɛkt dɛn nɔ bɔku. |
| SGLT2 Inhibitɔ dɛn Fɔ ɛgzampul: Dapagliflɔzin, Ɛmpagliflɔzin | Dis na mɛrɛsin we de wok difrɛn we smɔl. I de wok na di kidni dɛn. Dis mɛrɛsin de ɛp fɔ pul di shuga we pasmak na wi blɔd tru urine. Dis kin mek di blɔd shuga nɔ bɔku ɛn i kin ɛp bak fɔ ridyus di bɔdi wet ɛn blɔd prɛshɔn. |
| Tiazolidindiɔn (TZD) dɛn . Eks: Piɔglitazɔn we dɛn kɔl Pioglitazone | Dɛn tin ya de wok bay we dɛn de ridyus di insulin we de na di bɔdi in sɛl dɛn ɛn mek di insulin wok fayn. Dɛn tin ya nɔr fayn fɔ pipul dɛm wae gɛt hat sik. Yu dɔktɔ go disayd bɔt dis. |
Di tin we impɔtant pas ɔl na dat na yu dɔktɔ nɔmɔ go ebul fɔ no di rayt mɛrɛsin ɛn di rayt doz fɔ yu . Wan mɛrɛsin we ɔda pɔsin de tek nɔ go wok fɔ yu. So, i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
Kɔmbayn Mɛdisin dɛn
Sɔntɛnde, i nɔ kin izi fɔ kɔntrol di blɔd shuga wit jɔs wan mɛrɛsin. If na so i bi, di dɔktɔ kin gi yu tu mɛrɛsin togɛda. Naw, tu kayn mɛrɛsin dɛn de de insay di sem pil. fכ egzampl, mεtformin εn wan sulfonylurea, כ wan DPP-4 inhibito, de insay di sem pil. Dis kin ridyus di nɔmba fɔ di pils dɛn we yu nid fɔ tek fɔ wan de.
Tritmɛnt bay injɛkshɔn
Yu kin tink se, "O, nɔ, nɔ injɛkshɔn." Bɔt sɔm tɛm dɛn, mɔ we yu nɔ ebul fɔ kɔntrol yu shuga wit pils, yu fɔ yuz injɛkshɔn. Sɔm pan dɛn tin ya kin fayn bak fɔ yu at ɛn dɛn kin ɛp yu fɔ lɛf fɔ it bɔku bɔku it dɛn.
- GLP-1 Receptor Agonists: Dis na injεkshכn dεm we de wok lεk כmon dεm. Dɛn kin mek dɛn mek insulin ɛn dɛn kin mek di it nɔ digest sloslo, ɛn dis kin mek yu fil ful. Dɛn kin ɛp yu bak fɔ lɛf fɔ it bɔku bɔku it dɛn. Sɔm, lɛk Dulaglutide (Trulicity), nid fɔ injekt wan tɛm insay di wik. Sɔm, lɛk Liraglutide (Victoza), nid fɔ injekt ɛvride.
- Insulin we dɛn kin yuz: .Yu kin nid fɔ yuz insulin fɔ shɔt tɛm, fɔ ɛgzampul, we yu gɛt siriɔs sik ɔ we dɛn du ɔpreshɔn pan yu. Dɔn bak, if di insulin we yu bɔdi de mek nɔ go du as tɛm de go, yu go gɛt fɔ gɛt insulin frɔm ɔdasay. Nɔto lɛk trade, naw insulin pen dɛn de we rili izi fɔ yuz. Yu dɔktɔ ɔ di nɔs na di dayabitis klinik go sho yu ustɛm fɔ injekt yusɛf.
Ivin impɔtant pas mɛrɛsin - layf stayl chenj!
I nɔ mata us mɛrɛsin yu tek, fɔ chenj yu layf rili impɔtant fɔ mek yu gɛt di bɛst rizɔlt. Dis na rili di fawndeshɔn fɔ tritmɛnt fɔ dayabitis.
1. Lɔs yu wet: If yu lɔs 5% to 10% pan yu bɔdi wet kin mek big difrɛns. Fɔ ɛgzampul, if yu wet 175 pawn, if yu lɔs jɔs 10 to 18 pawn, dat kin mek yu A1c lɛvɛl (avɛrej blɔd shuga lɛvɛl fɔ di pas 3 mɔnt) go dɔŋ ɛn i kin mek yu nɔ gɛt at sik. Yu kin ebul bak fɔ ridyus di mɛrɛsin we yu de tek.
2. Fɔ it fayn fayn it: Nɔtin nɔ de we dɛn kɔl "diabetic diet." Di tin we impɔtant pas ɔl na fɔ it tin dɛn we gɛt balans. Yu nid fɔ tek tɛm wit di kabɔhaydrɛt, fayv, fat, ɛn sɔl. Tek tɛm wit di bɔku tin dɛn lɛk rays, bred, ɛn pɔt we yu de it. Di bɛst tin fɔ du na fɔ mit wit yu dɔktɔ ɔ wan rɛjista dayatist fɔ mek wan it plan we go fayn fɔ yu.
3. Fyzikal aktiviti (exercise): We wi de du eksasaiz, wi sel dεm kin ebul fכ yuz insulin mכr. Dis min se dɛn kin yuz di shuga we de na wi blɔd fɔ gɛt ɛnaji. I kin simpul lɛk fɔ waka kwik kwik wan fɔ 30 minit insay di de ɔ fɔ du os wok dɛn.
4. Gɛt gud slip na nɛt: We yu nɔ slip, na in bak kin mek yu blɔd shuga bɔku. So, fɔ gɛt inof, gud slip ɛvride na pat pan di tritmɛnt bak.
So, aw yu kin pik di tritmɛnt we go fayn fɔ yu?
Yu dɔktɔ go disayd uswan pan dɛn bɔku tritmɛnt ya we go fayn fɔ yu. I go disayd fɔ du dis afta we i dɔn tink bɔt bɔku tin dɛn.
- Yu A1c lɛvɛl: If yu A1c pas yu target, yu kin nid fɔ stat sɔntin lɛk insulin fɔ kɔntrol yu blɔd shuga kwik kwik wan. If na smɔl smɔl nɔmɔ, yu kin nid fɔ bigin wit mɛtfɔmin ɛn chenj yu layf.
- Yu ɔl wɛl bɔdi: If yu gɛt at sik ɔ kidni sik, yu kin pik bak wan mɛrɛsin we go bɛnifit yu fɔ dɛn sik dɛn de, lɛk SGLT2 inhibitor ɔ GLP-1 inhibitor.
- Di kɔst: Dayabitis na sik we pɔsin kin gɛt fɔ ɔl in layf ɛn we pɔsin fɔ kɔntrol. So, di kɔst fɔ di mɛrɛsin dɛn bak impɔtant. Sɔm mɛrɛsin dɛn nɔ dia, ɛn ɔda wan dɛn nɔ dia. Tɔk to yu dɔktɔ bɔt dis opin wan.
- Di tin we yu go pik:If yu nɔ lɛk injɛkshɔn, yu kin tray fɔ tek pils fɔ si if yu go ebul fɔ kɔntrol yu sik dɛn. If yu na pɔsin we fɔgɛt fɔ tek yu mɛrɛsin, i go izi fɔ tek injɛkshɔn wan tɛm insay di wik.
Mɛsej we dɛn kin kɛr go na os
- Tayp 2 dayabitis nɔto sik we pɔsin fɔ fred, bɔt na sik we pɔsin kin ebul fɔ kɔntrol fayn fayn wan.
- Di fawndeshɔn fɔ tritmɛnt na fɔ it fayn, ɛksesaiz, ɛn fɔ kɔntrol yu wet . Dɛn min di mɛrɛsin dɛn fɔ gi ɔda sɔpɔt.
- Na yu dɔktɔ nɔmɔ go ebul fɔ no di bɛst mɛrɛsin ɛn tritmɛnt plan fɔ yu. So, de in kɔntakt wit am ɛn fala in instrɔkshɔn dɛn ɛksaktɔli.
- Yu kin avɔyd di prɔblɛm dɛn we kin kam wit dayabitis bay we yu de chɛk ɔltɛm di shuga we de na di blɔd, di A1c lɛvɛl, ɛn di we aw yu yay, fut, ɛn di kidni de wok.
- If yu gɛt ɛnitin fɔ wɔri bɔt yu tritmɛnt ɔ if di tritmɛnt nɔ de gi di tin dɛn we yu bin de op fɔ, nɔ fred fɔ tɔk to yu dɔktɔ opin wan bɔt am.
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