He aha ka Pioglitazone a me Metformin: Nā Hoʻohana, Dosage, Nā ʻaoʻao ʻaoʻao a me nā mea hou aku

ʻO Pioglitazone a me metformin he lāʻau hui e kōkua ana i ka mālama ʻana i ka maʻi diabetes type 2 ma ka hana ʻana ma nā ʻano like ʻole e kāohi i nā pae kōpa koko. Hoʻohui kēia hui ikaika i ʻelua mau lāʻau lapaʻau maʻi diabetes i hoʻokahi pila maʻalahi, e maʻalahi ai iā ʻoe ke noho ma ke ala me kāu hoʻolālā lapaʻau.

Ke loaʻa iā ʻoe ka maʻi diabetes type 2, ʻaʻole hana kou kino i ka insulin lawa a i ʻole ʻaʻole hoʻohana pono i ka insulin. Hoʻoponopono kēia lāʻau hui i nā pilikia ʻelua ma ke kōkua ʻana i kou kino e hoʻohana maikaʻi i ka insulin a me ka hoʻemi ʻana i ka nui o ke kō e hana ai kou ate.

He aha ka Pioglitazone a me Metformin?

ʻO Pioglitazone a me metformin he lāʻau lapaʻau kauoha e hui pū ana i ʻelua mau lāʻau maʻi diabetes i hoʻokahi papa. Kōkua ka hui i ka poʻe me ka maʻi diabetes type 2 e hoʻokō i ka mana kōpa koko maikaʻi aʻe ma mua o ka lāʻau lapaʻau hoʻokahi.

No ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo thiazolidinediones ʻo Pioglitazone, e kōkua ana i nā cell o kou kino e ʻoi aku ka naʻau i ka insulin. He ʻāpana ʻo Metformin o kahi hui i kapa ʻia ʻo biguanides, e hana nui ana ma ka hoʻemi ʻana i ka hana glucose i kou ate a me ka hoʻomaikaʻi ʻana i ka hoʻohana ʻana o kou mau ʻiʻo i ka glucose.

Loaʻa kēia hui ʻana me ke kauoha wale nō a hele mai i nā hui ikaika like ʻole. E hoʻoholo kāu kauka i ka ikaika kūpono iā ʻoe e pili ana i kāu pae kōpa koko i kēia manawa a pehea ʻoe e pane ai i ka lāʻau.

No ke aha e hoʻohana ʻia ai ka Pioglitazone a me Metformin?

Hoʻolālā ʻia kēia lāʻau hui e mālama i ka maʻi diabetes type 2 i nā pākeke. Kōkua ia i ka hoʻohaʻahaʻa ʻana i nā pae kōpa koko ke ʻaʻole lawa ka ʻai a me ka hoʻoikaika kino e mālama i kāu maʻi diabetes.

Hiki i kāu kauka ke kuhikuhi i kēia hui ʻana inā e lawe ana ʻoe i nā lāʻau ʻelua i kaʻawale a ke hele nei nō hoʻi ʻoe. Hiki nō ke kuhikuhi ʻia inā pono ʻoe i ka mālama ʻana i ke kō koko a manaʻo kāu kauka e ʻoi aku ka maikaʻi o ka hui ʻana ma mua o ka lāʻau hoʻokahi.

He mea kōkua nui ka lāʻau lapaʻau no ka poʻe i loaʻa i ka pale ʻana i ka insulin, kahi e pane ʻole ai nā cell o ko lākou kino i ka insulin. He mea maikaʻi nō hoʻi no ka poʻe e pono ai ke kōkua i ka mālama ʻana i ko lākou kō koko i ka lā a pau, ʻaʻole wale ma hope o nā meaʻai.

Pehea e Hana ai ʻo Pioglitazone a me Metformin?

Hana kēia hui lāʻau lapaʻau ma o nā ʻano hana ʻelua like ʻole e kōkua i ka mālama ʻana i kou pae kō koko. E noʻonoʻo e like me ka loaʻa ʻana o nā kī ʻelua like ʻole e wehe i ka mālama maikaʻi ʻana i ka maʻi diabetes.

Hana ʻo Pioglitazone e like me ke kī e kōkua ana i ka wehe ʻana i nā puka o kāu mau cell, e hoʻomaikaʻi ana iā lākou i ka insulin. Ke hiki i kāu mau cell ke hoʻohana i ka insulin me ka maikaʻi, hiki iā lākou ke lawe i ka glucose mai kou kahe koko me ka maʻalahi, e kōkua ana i ka hoʻohaʻahaʻa ʻana i kou pae kō koko.

Hana ʻokoʻa ʻo Metformin ma ka manaʻo nui ʻana i kou ate, e hōʻemi ana i ka nui o ka glucose e hana ai a hoʻokuʻu i loko o kou kahe koko. Kōkua nō hoʻi ia i kou mau ʻiʻo e hoʻohana i ka glucose me ka maikaʻi a hiki ke hoʻolohi i ka lawe ʻana i ka glucose i loko o kou ʻōpū.

ʻO ka hui pū ʻana, hana kēia mau lāʻau lapaʻau i kahi ala piha i ka mālama ʻana i ke kō koko. Manaʻo ʻia kēia hui ʻana he ikaika a maikaʻi no ka hapa nui o ka poʻe me ka maʻi diabetes type 2 e pono ai ma mua o hoʻokahi lāʻau lapaʻau e loaʻa ai kā lākou pae kō koko i manaʻo ʻia.

Pehea e Lawe ai au i ka Pioglitazone a me Metformin?

E lawe i kēia lāʻau lapaʻau e like me ke kuhikuhi ʻana a kāu kauka, maʻamau hoʻokahi a ʻelua paha manawa i ka lā me nā meaʻai. ʻO ka lawe ʻana me ka meaʻai e kōkua i ka hōʻemi ʻana i ka ʻōpū a hoʻomaikaʻi i ka maikaʻi o ka lawe ʻana o kou kino i ka lāʻau.

Hiki iā ʻoe ke lawe i ka lāʻau me ka wai, ka waiū, a i ʻole ka wai hua. ʻO ka lawe ʻana me ka ʻai i loaʻa kekahi protein a me nā momona maikaʻi e kōkua i ka hōʻemi ʻana i nā hopena ʻaoʻao digestive. Nui ka poʻe i ʻike i ka lawe ʻana me kā lākou ʻai nui loa o ka lā e hana maikaʻi loa.

E ale i nā papa holoʻokoʻa me ka ʻole o ka ʻoki ʻana, ka wāwahi ʻana, a i ʻole ka nau ʻana iā lākou. Inā pilikia ʻoe i ka ale ʻana i nā pila, e kamaʻilio me kāu kauka e pili ana i nā koho ʻē aʻe, akā mai hoʻololi i nā papa ma kāu iho.

E hoʻāʻo e lawe i kāu lāʻau i ka manawa like i kēlā me kēia lā e kōkua iā ʻoe e hoʻomanaʻo a mālama i nā pae paʻa i loko o kāu ʻōnaehana. ʻO ka hoʻonohonoho ʻana i kahi hoʻomanaʻo kelepona a i ʻole ka mālama ʻana i kāu mau pila me kāu pulupulu niho hiki ke kōkua iā ʻoe e hoʻokumu i kahi hana maʻamau.

Pehea ka lōʻihi e lawe ai au i ka Pioglitazone a me Metformin?

Pono ka hapa nui o ka poʻe me ka maʻi diabetes type 2 e lawe i kēia lāʻau lōʻihi e mālama i ka mana kōpaʻa koko maikaʻi. ʻO ka maʻi diabetes type 2 he maʻi maʻi e koi pinepine ai i ka mālama mau ʻana i kou ola.

E nānā kāu kauka i kāu mau pae kōpaʻa koko i nā manawa a pau e ʻike ai i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau iā ʻoe. Hiki iā lākou ke hoʻoponopono i kāu mahele a i ʻole e hoʻololi i nā lāʻau lapaʻau inā e loli kāu mau pae kōpaʻa koko a i ʻole inā ʻoe e ʻike i nā hopena ʻaoʻao.

Pono paha kekahi poʻe e lawe i kēia hui no nā makahiki he nui, ʻoiai e hiki paha i nā mea ʻē aʻe ke hoʻololi i nā lāʻau lapaʻau like ʻole i ka wā e loli ai ko lākou kūlana. ʻO ke kī, ʻo ka hana pili ʻana me kāu hui mālama ola e ʻimi i ka hoʻolālā lapaʻau e hana maikaʻi loa no kou kūlana pilikino.

Mai hooki i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka, ʻoiai inā ʻoe e manaʻo maikaʻi ana. Hiki i kāu mau pae kōpaʻa koko ke piʻi nui loa, e alakaʻi ana i nā pilikia koʻikoʻi.

He aha nā hopena ʻaoʻao o Pioglitazone a me Metformin?

E like me nā lāʻau lapaʻau a pau, hiki i ka pioglitazone a me ka metformin ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i ʻike nā mea a pau iā lākou. ʻO ka hapa nui o nā hopena ʻaoʻao he maʻalahi a maʻa mau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia nā pilikia o ka ʻōpū a me nā loli kino liʻiliʻi. Eia nā hopena ʻaoʻao e kū pinepine ana:

• Nausea a i ʻole ka ʻōpū
• Pilikia a i ʻole nā ʻōpū palupalu
• He ʻono metala i kou waha
• Poʻo
• Nā maʻi o ka ʻōnaehana hanu luna
• ʻEha ʻiʻo a i ʻole nāwaliwali
• Ka pehu ʻana i kou mau lima, nā wāwae, a i ʻole nā kuʻekuʻe wāwae
• Loaʻa ke kaumaha

Hoʻomaikaʻi maʻamau kēia mau hopena ʻaoʻao maʻamau i loko o kekahi mau pule i ka wā e maʻa ai kou kino i ka lāʻau. Hiki i ka lawe ʻana i ka lāʻau me ka meaʻai ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka ʻōpū.

ʻOiai ʻaʻole maʻamau, aia kekahi mau hopena ʻaoʻao koʻikoʻi e koi ana i ka lāʻau lapaʻau koke. ʻO kēia mau hopena ʻaoʻao laha akā koʻikoʻi, ʻo ia:

• Lactic acidosis (he maʻi laha akā koʻikoʻi e hoʻoulu ai i ka ʻeha ʻiʻo, ka pilikia o ka hanu ʻana, a me ka luhi ʻole)
• Nā hōʻailona o ka puʻuwai (pōkole o ka hanu, luhi ʻole, pehu)
• Nā pilikia o ke ake (melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele, nausea mau)
• Nā hōʻailona o ka maʻi maʻi ʻōpū (ke koko i loko o ka mimi, ka ʻeha i ka wā e mimi ai, ka pono wikiwiki e mimi)
• Nā haʻi iwi, ʻoi aku hoʻi i nā wahine
• Nā hopena maʻi maʻi koʻikoʻi (ʻulaʻula, ʻū, pehu o ka maka a i ʻole ka ʻāʻī)

Inā ʻike ʻoe i kekahi o kēia mau hopena ʻaoʻao koʻikoʻi, e kelepona koke i kāu kauka a i ʻole e ʻimi i ka lāʻau lapaʻau pilikia. ʻOiai he laha kēia mau pilikia, he mea nui e ʻike iā lākou i hiki iā ʻoe ke loaʻa ke kōkua wikiwiki inā pono.

ʻO wai ka mea ʻaʻole pono e lawe iā Pioglitazone a me Metformin?

ʻAʻole kūpono kēia hui lāʻau no nā mea a pau, a ʻo kekahi mau maʻi e palekana ʻole ai ka hoʻohana ʻana. E nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana i kēia lāʻau.

ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau inā he maʻi maʻi maʻi type 1 a i ʻole ka maʻi ketoacidosis diabetic, no ka mea, ua hana kūikawā ʻia no ka maʻi maʻi type 2. ʻAʻole hoʻi i ʻōlelo ʻia inā he maʻi kīkī koʻikoʻi a i ʻole nā pilikia kīkī, no ka mea, hiki i ka metformin ke kūkulu i nā pae weliweli i loko o kāu ʻōnaehana.

Nui nā kūlana ʻē aʻe e hana ai i kēia lāʻau lapaʻau kūpono ʻole iā ʻoe. Pākuʻi ʻia kēia mau mea:

• Ka maʻi maʻi ʻōpū mimi ikaika a i ʻole ka mōʻaukala o ka maʻi maʻi ʻōpū mimi
• ʻO ka maʻi puʻuwai a i ʻole ka mōʻaukala o ka maʻi puʻuwai
• Ka maʻi ate a i ʻole nā enzyme ate kiʻekiʻe
• Ka maʻi māmā koʻikoʻi a i ʻole nā pilikia hanu
• Ka maʻi hoʻohana ʻona
• Hāpai a i ʻole e hoʻolālā ana e hāpai
• Hānai ʻana i ka waiū

Pono kekahi mau kūlana i ka mālama kūikawā a i ʻole ka hoʻōki ʻana i ka lāʻau lapaʻau. E ʻōlelo aku kāu kauka iā ʻoe e hooki i ka lawe ʻana ma mua o nā ʻoki, nā kaʻina hana lapaʻau e pili ana i nā waihoʻoluʻu contrast, a i ʻole inā maʻi nui ʻoe me ka luaʻi, ka maʻi maʻi, a i ʻole ke kuni.

Inā ʻoe ma luna o 65 mau makahiki, e nānā pono kāu kauka iā ʻoe, no ka mea, ʻoi aku ka nui o nā pākeke kahiko i nā hopena ʻaoʻao. E hōʻike mau i kāu kauka e pili ana i kāu mau maʻi a me nā lāʻau lapaʻau a pau ma mua o ka hoʻomaka ʻana i kēia lapaʻau.

Pioglitazone a me Metformin Brand Names

Loaʻa kēia hui pū ʻana o ka lāʻau lapaʻau ma lalo o nā inoa brand like ʻole, ʻo ka mea maʻamau ʻo Actoplus Met a me Actoplus Met XR. ʻO kēia nā mana inoa brand mua i ʻae mua ʻia e ka FDA.

Loaʻa pū kekahi nā mana generic o nā hui pioglitazone a me metformin a loaʻa nā mea hana like me nā mana inoa brand. ʻOi aku ka liʻiliʻi o nā lāʻau lapaʻau generic a hana like me kā lākou mau hoa inoa brand.

Hiki i kāu hale kūʻai lāʻau lapaʻau ke lawe i nā mana like ʻole o nā mea hana like ʻole o ka hui generic. ʻOiai like nā mea hana ikaika, ʻokoʻa iki paha nā mea hana ʻole ma waena o nā mea hana, kahi e pili ʻole ai i ka maikaʻi o ka lāʻau lapaʻau iā ʻoe.

Nā koho ʻē aʻe o Pioglitazone a me Metformin

Inā ʻaʻole hana maikaʻi kēia hui ʻana iā ʻoe a i ʻole e hoʻoulu ai i nā hopena ʻaoʻao pilikia, aia kekahi mau lāʻau lapaʻau ʻē aʻe. Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i ke koho maikaʻi loa e pili ana i kāu mau pono kikoʻī a me ka mōʻaukala olakino.

ʻO nā lāʻau lapaʻau hui ʻē aʻe e hana ʻokoʻa ana, ʻo ia hoʻi ka sitagliptin a me ka metformin, kahi e hui pū ai i kahi mea hoʻopaʻa DPP-4 me ka metformin. Aia kekahi empagliflozin a me ka metformin, kahi e hui pū ai i kahi mea hoʻopaʻa SGLT2 me ka metformin.

ʻO nā lāʻau lapaʻau hoʻokahi e hiki ke lilo i nā koho ʻē aʻe, ʻo ia nā papa hou o nā lāʻau lapaʻau maʻi diabetes e like me GLP-1 receptor agonists, hiki ke kōkua i ka mālama ʻana i ke kō koko a me ka mālama ʻana i ke kaumaha. ʻO nā mea hoʻopaʻa SGLT2 kekahi koho e hiki ke hāʻawi i nā pōmaikaʻi o ka naʻau a me ka puʻupaʻa ma mua o ka mālama ʻana i ke kō koko.

No kekahi poʻe, pono paha ka lāʻau lapaʻau insulin wale nō a i ʻole i hui pū ʻia me nā lāʻau lapaʻau waha. E noʻonoʻo kāu kauka i nā mea e like me kāu pae kō koko, nā maʻi olakino ʻē aʻe, a me nā pahuhopu lapaʻau i ka wā e paipai ai i nā koho ʻē aʻe.

ʻOi aku ka maikaʻi o Pioglitazone a me Metformin ma mua o Metformin wale nō?

ʻOi aku ka maikaʻi o ka hui pū ʻana o ka pioglitazone a me ka metformin i ka hoʻohaʻahaʻa ʻana i ke kō koko ma mua o ka metformin wale nō. Hōʻike nā haʻawina e loaʻa i ka poʻe e lawe ana i ka hui ʻana i nā pae A1C maikaʻi aʻe ma mua o ka poʻe e lawe ana i ka metformin iā ia iho.

Hana maikaʻi kēia hui ʻana no ka poʻe i loaʻa ʻole i kā lākou pae kō koko i makemake ʻia me ka metformin wale nō. Inā ua lawe ʻoe i ka metformin no kekahi mau mahina a aia nō kāu A1C ma luna o kāu pae i makemake ʻia, hiki i ka hoʻohui ʻana i ka pioglitazone ke kōkua i ka hoʻoponopono ʻana i kēlā āpau.

Eia naʻe, hele mai ka hui pū ʻana me nā mea e pono ai ke noʻonoʻo hou ʻia. Hiki i ka Pioglitazone ke hoʻonui i ke kaumaha a me ka paʻa ʻana o ka wai, ʻaʻole ia e hana pinepine ʻia e ka metformin wale nō. Loaʻa nō hoʻi iā ia kekahi mau pilikia ʻaʻole i loaʻa i ka metformin wale nō, e like me ka piʻi ʻana o ka pilikia o ka haki ʻana o ka iwi a me ka maʻi ʻaʻai ʻōpū.

E kaupaona kāu kauka i nā pōmaikaʻi o ka mālama ʻana i ke kō koko maikaʻi aʻe i nā pilikia e hiki mai ana i ka wā e hoʻoholo ai inā kūpono ka hui pū ʻana iā ʻoe. No ka nui o nā kānaka, ʻoi aku ka maikaʻi o ka mālama ʻana i ka maʻi diabetes ma mua o nā pilikia hou, akā he mea pilikino loa kēia hoʻoholo.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Pioglitazone a me Metformin

He Palekana anei ka Pioglitazone a me Metformin no ka maʻi puʻuwai?

Pono ka noʻonoʻo pono ʻana i kēia hui pū ʻana inā loaʻa iā ʻoe ka maʻi puʻuwai, ʻoiai ka maʻi puʻuwai. Hiki i ka Pioglitazone ke hoʻonui i ka paʻa ʻana o ka wai a me ka loaʻa ʻana o ke kaumaha, hiki ke hoʻonui i nā hōʻailona o ka maʻi puʻuwai i kekahi poʻe.

Inā he moʻolelo kou o ka maʻi puʻuwai a i ʻole ke kiʻekiʻe o ka pilikia no ia mea, e koho paha kāu kauka i kahi lāʻau lapaʻau diabetes ʻē aʻe. Eia naʻe, inā loaʻa iā ʻoe nā ʻano maʻi puʻuwai ʻē aʻe me ka ʻole o ka maʻi puʻuwai, hiki nō ke kūpono kēia hui pū ʻana me ka nānā pono ʻana.

E loiloi kāu kauka i kou kūlana puʻuwai kikoʻī a me ke olakino holoʻokoʻa ma mua o ke kau ʻana i kēia lāʻau. Hiki iā lākou ke kauoha i nā hoʻokolohua e like me ka echocardiogram e nānā i ka hana o kou puʻuwai ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.

He aha kaʻu e hana ai inā ua hoʻohana hewa au i ka nui o ka Pioglitazone a me Metformin?

Inā ua lawe hewa ʻoe i ka nui o kēia lāʻau, e hoʻokaʻaʻike koke i kāu kauka a i ʻole ke kikowaena hoʻomalu lāʻau. ʻO ka lawe ʻana i ka nui hiki ke alakaʻi i nā pae kō koko haʻahaʻa loa a i ʻole nā ​​pilikia koʻikoʻi ʻē aʻe.

Hiki i nā hōʻailona o ka overdose ke komo i ka nausea nui, ka luaʻi, ka ʻeha o ka ʻōpū, ka hiamoe, a i ʻole nā ​​hōʻailona o ke kō koko haʻahaʻa e like me ka haʻalulu, ka huikau, a i ʻole ka puʻuwai wikiwiki. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ka lāʻau lapaʻau.

Mai hoʻāʻo e hoʻokumu iā ʻoe iho e luaʻi ke ʻole i kuhikuhi ʻia e kekahi loea mālama ola. E mālama i ka hue lāʻau me ʻoe ke ʻimi nei i ke kōkua olakino i mea e ʻike pono ai nā mea mālama ola i ka mea a me ka nui āu i lawe ai.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o Pioglitazone a me Metformin?

Inā ua hala ʻoe i kahi mahele, e lawe ia i ka wā e hoʻomanaʻo ai ʻoe, ʻoi aku ka maikaʻi me ka meaʻai. Eia naʻe, inā kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia e hiki mai ana, e lele i ka mahele i hala a e hoʻomau me kāu papa hana maʻamau.

Mai lawe i ʻelua mahele i ka manawa like e hoʻoponopono ai i kahi mahele i hala, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao a me ke kōpaʻa koko haʻahaʻa. Akā, e hoʻi hou i kāu papa hana maʻamau.

Inā poina pinepine ʻoe i nā mahele, e hoʻāʻo e hoʻonohonoho i nā puʻupuʻu kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila e kōkua iā ʻoe e hoʻomanaʻo. He mea nui ka hoʻohana mau ʻana i ka lāʻau no ka mālama ʻana i ka mana o ke kōpaʻa koko i ka lā.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Pioglitazone a me Metformin?

Pono ʻoe e hooki i ka lawe ʻana i kēia lāʻau ma lalo o ka mālama ʻana a kāu kauka. He maʻi maʻi ka maʻi diabetes type 2 e koi pinepine ana i ka mālama mau ʻana e pale ai i nā pilikia.

Hiki i kāu kauka ke noʻonoʻo e hooki a hoʻololi paha i kāu lāʻau inā loaʻa iā ʻoe nā hopena ʻaoʻao nui, inā e loli ana kāu hana kīkī, a i ʻole inā e ulu ana nā maʻi olakino ʻē aʻe. Hiki nō hoʻi iā lākou ke hoʻoponopono i kāu lapaʻau inā e hoʻomaikaʻi nui ana kāu mana o ke kōpaʻa koko me nā loli o ke ola.

Hiki i kekahi poʻe ke hōʻemi i kā lākou lāʻau lapaʻau diabetes inā e loaʻa iā lākou ka pohō kaumaha nui a i ʻole e hana i nā hoʻomaikaʻi nui i kā lākou ʻai a me nā hana hoʻoikaika kino. Eia naʻe, pono e hana mau kēia hoʻoholo me kāu hui mālama ola.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana iā Pioglitazone a me Metformin?

Pono ʻoe e kaupalena i ka ʻai ʻana i ka waiʻona i ka wā e lawe ana i kēia lāʻau a kūkākūkā i kāu hoʻohana ʻana i ka waiʻona me kāu kauka. Hiki i ka waiʻona ke hoʻonui i ka pilikia o ka lactic acidosis, he hopena ʻaoʻao maʻamau akā koʻikoʻi o ka metformin.

Inā ʻoe e inu i ka waiʻona, e ʻai pū me ka meaʻai a nānā pono i kāu pae kō koko, no ka mea, hiki i ka waiʻona ke hoʻopaneʻe i nā hanana haʻahaʻa o ke kō koko. Mai inu i ka waiʻona inā ʻaʻole ʻoe e maikaʻi a ʻaʻole ʻoe i ʻai i ka meaʻai i kēia manawa.

E aʻo aku kāu kauka iā ʻoe i nā palena waiʻona palekana e pili ana i kou olakino holoʻokoʻa, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me kāu mālama ʻana i ka maʻi diabetes. ʻO ka ʻoiaʻiʻo piha e pili ana i kāu ʻai ʻana i ka waiʻona e kōkua iā lākou e hāʻawi i ke alakaʻi maikaʻi loa no kou palekana.