He aha ʻo Pioglitazone: Nā Hoʻohana, Ka Leka, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau lapaʻau i kauoha ʻia ʻo Pioglitazone e kōkua i ka poʻe me ka maʻi diabetes type 2 e mālama pono i ko lākou pae kōpaʻa koko. No ka papa o nā lāʻau i kapa ʻia ʻo thiazolidinediones, e hana ana ma ka hana ʻana i nā cell o kou kino i ʻoi aku ka naʻau i ka insulin. Ua kōkua kēia lāʻau lapaʻau mālie akā maikaʻi i nā miliona o nā kānaka e ola i nā ola olakino me ka maʻi diabetes no nā makahiki he iwakālua.

He aha ʻo Pioglitazone?

He lāʻau lapaʻau waha ʻo Pioglitazone e hoʻomaikaʻi ai i ka hoʻohana ʻana o kou kino i ka insulin. E noʻonoʻo iā ia he kī e kōkua ana i ka wehe ʻana i kāu mau cell i hiki iā lākou ke komo maikaʻi i ka glucose mai kou kahe koko. ʻAʻole like me kekahi mau lāʻau lapaʻau diabetes e koi ana i kou pancreas e hana ikaika, lawe ʻo pioglitazone i kahi ala ʻokoʻa ma ka hoʻoponopono ʻana i ke kūpaʻa insulin ma ke kelepona.

Ua manaʻo ʻia kēia lāʻau lapaʻau he lāʻau lapaʻau diabetes ikaika e hana mālie ana i ka manawa. ʻAʻole ʻoe e ʻike i nā loli nui i ka pō, akā me ka hoʻohana mau ʻana, hiki iā ia ke hāʻawi i ka mana kōpaʻa koko paʻa a hilinaʻi. Nui nā kauka e mahalo iā pioglitazone no ka mea hāʻawi ia i nā pōmaikaʻi hou aʻe ma mua o ka mālama ʻana i ke kōpaʻa koko, me ka pale ʻana i ka puʻuwai.

No ke aha e hoʻohana ʻia ai ʻo Pioglitazone?

Hoʻohana nui ʻia ʻo Pioglitazone e mālama i ka maʻi diabetes type 2 i nā pākeke. Hiki i kāu kauka ke ʻōlelo iā ia ke kiʻekiʻe mau nā pae kōpaʻa koko me ka hoʻololi ʻana i ke ola e like me ka ʻai a me ka hoʻoikaika kino. He mea kōkua nui ia no ka poʻe i lilo ko lākou kino i ke kūpaʻa i ka insulin, kahi pilikia maʻamau i ka maʻi diabetes type 2.

I kekahi manawa, kauoha nā kauka iā pioglitazone me nā lāʻau lapaʻau diabetes ʻē aʻe e like me metformin a i ʻole insulin. Hiki i kēia hui ʻana ke ʻoi aku ka maikaʻi ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau hoʻokahi. Hiki i kāu mea mālama ola ke noʻonoʻo iā ia inā loaʻa iā ʻoe kekahi mau maʻi puʻuwai, no ka mea, hōʻike ka noiʻi e hāʻawi paha ʻo pioglitazone i kekahi mau pōmaikaʻi cardiovascular.

I nā hihia kakaʻikahi, hiki i nā kauka ke kuhikuhi i ka pioglitazone ma waho o ka lepili no nā maʻi e like me ka polycystic ovary syndrome (PCOS) a i ʻole ka maʻi ate momona ʻole i ka waiʻona. Eia naʻe, ʻaʻole maʻamau kēia mau hoʻohana a pono e nānā pono ʻia e kāu hui mālama ola.

Pehea e hana ai ka Pioglitazone?

Hana ʻo Pioglitazone ma ka hoʻāla ʻana i nā mea hoʻokipa kūikawā i loko o kou mau cell i kapa ʻia ʻo PPAR-gamma receptors. Ke hoʻāla ʻia kēia mau mea hoʻokipa, kōkua lākou i kou mau cell muscle a me ka momona e pane hou i ka insulin. ʻO ia hoʻi, hiki i kou kino ke hoʻohana i ka insulin e hana ai i mea e hoʻoneʻe pono ai i ka glucose mai kou kahe koko i loko o kou mau cell.

Kōkua ka lāʻau lapaʻau i ka hōʻemi ʻana i ka hana glucose i loko o kou ate, hiki ke kōkua i nā kiʻekiʻe o ke kō koko. Eia kekahi, hiki i ka pioglitazone ke kōkua i ka hoʻokaʻawale ʻana i ka momona i loko o kou kino, e hoʻoneʻe ana mai kou ate a i loko o ka ʻiʻo subcutaneous kahi i emi ai ka pōʻino.

Ua manaʻo ʻia he lāʻau lapaʻau ikaika waena no ka mea e hana mālie a mālie. ʻAʻole paha ʻoe e ʻike i nā loli nui i kou kō koko no kekahi mau pule a i ʻole mau mahina. Hiki i kēia ala lohi a paʻa ke maikaʻi no ka mea e hāʻawi ana i kou kino i ka manawa e hoʻoponopono ai me ka ʻole e hoʻoulu i nā loli nui i kou pae glucose.

Pehea wau e lawe ai i ka Pioglitazone?

E lawe i ka pioglitazone e like me ke kauoha a kāu kauka, maʻamau hoʻokahi manawa i ka lā me ka ʻole o ka meaʻai. Nui ka poʻe i ʻike he mea maʻalahi ke lawe i ka manawa like i kēlā me kēia lā, malia paha me ka ʻaina kakahiaka a i ʻole ka ʻaina ahiahi. Hana maikaʻi ka lāʻau lapaʻau inā lawe ʻoe ma ka ʻōpū ʻole a i ʻole me ka ʻai.

ʻAʻole pono ʻoe e hahai i nā kapu meaʻai kūikawā i ka wā e lawe ai i ka pioglitazone. Eia naʻe, ʻo ka mālama ʻana i ka meaʻai kaulike me ka lawe ʻana i ka carbohydrate mau e kōkua i ka hoʻomaikaʻi ʻana i kāu kaohi kō koko. Inā ʻoe e lawe ana i nā lāʻau lapaʻau diabetes ʻē aʻe, e hoʻonohonoho kāu kauka i ka manawa e hoʻonui ai i ka pono.

E ale i ka papa holoʻokoʻa me ke aniani wai. Mai ʻoki, nau, a ʻokiʻoki paha i ka papa ke ʻole e ʻōlelo pololei kāu kauka iā ʻoe. Inā pilikia ʻoe i ka ale ʻana i nā pila, e kamaʻilio me kāu kauka lāʻau e pili ana i nā koho a i ʻole nā ​​ʻenehana i loaʻa e kōkua ai.

Pehea ka lōʻihi e lawe ai au i ka Pioglitazone?

ʻO ka hapa nui o nā kānaka me ka maʻi diabetes type 2 e lawe i ka pioglitazone no ka wā lōʻihi, pinepine no nā makahiki a i ʻole mau loa. He maʻi maʻi ka maʻi diabetes e pono ai ka mālama mau ʻana, a hiki i ka pioglitazone ke lilo i ʻāpana nui o kāu hoʻolālā lapaʻau no ka lōʻihi o ka maikaʻi a me ka palekana iā ʻoe.

E nānā mau kāu kauka i kāu pane ʻana i ka lāʻau lapaʻau ma o nā hoʻokolohua koko a me nā nānā ʻana. E loiloi lākou i kāu pae kōpaʻa koko, ka hana ʻana o ka puʻupaʻa, ka hana ʻana o ke ake, a me ke olakino holoʻokoʻa e hōʻoia i ka pioglitazone ka koho kūpono iā ʻoe. Pono paha kekahi poʻe e hoʻoponopono i kā lākou mahele a i ʻole e hoʻololi i nā lāʻau lapaʻau i ka manawa.

Mai hooki koke i ka lawe ʻana i ka pioglitazone me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka hooki ʻana i ka hikiwawe hiki ke hoʻonui i kāu pae kōpaʻa koko, hiki ke pilikia. Inā hoʻoholo ʻoe a me kāu kauka e hoʻōki i ka lāʻau lapaʻau, e kōkua lākou iā ʻoe e hoʻololi palekana i nā lāʻau lapaʻau ʻē aʻe.

He aha nā hopena ʻaoʻao o Pioglitazone?

E like me nā lāʻau lapaʻau a pau, hiki i ka pioglitazone ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e ʻoluʻolu e pili ana i kāu lapaʻau a ʻike i ka manawa e hoʻokaʻaʻike aku ai i kāu mea mālama ola.

ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a pinepine e hoʻomaikaʻi i ka hoʻoponopono ʻana o kou kino i ka lāʻau lapaʻau:

• Ka loaʻa ʻana o ke kaumaha maʻalahi (maʻamau 2-5 paona)
• Ka pehu ʻana i kou mau lima, nā wāwae, a i ʻole nā ​​kūwae
• ʻEha ke poʻo
• ʻEha ʻiʻo a i ʻole nāwaliwali
• Nā hōʻailona e like me ke anu e like me ka ihu kahe a i ʻole ka ʻeha ʻāʻī
• Nā pilikia niho

ʻO kēia mau hopena ʻaoʻao maʻamau, hiki ke mālama ʻia a ʻaʻole pono e hoʻōki i ka lāʻau. Eia naʻe, pono nō ʻoe e kūkākūkā me kāu kauka, ʻoiai inā e lilo ana lākou i mea hoʻoluhi a ʻaʻole e hoʻomaikaʻi i ka wā.

Hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao koʻikoʻi e pono ai ka lāʻau lapaʻau koke. ʻOiai ʻaʻole maʻamau kēia mau mea, he mea nui e ʻike iā lākou:

• Ka loaʻa ʻana o ke kaumaha nui a i ʻole ka pehu wikiwiki
• Ka pōkole o ka hanu a i ʻole ka pilikia o ka hanu
• ʻEha o ka umauma a i ʻole ka luhi ʻole
• Melemele o ka ʻili a i ʻole nā maka (jaundice)
• Mimi ʻeleʻele a i ʻole nā ʻōpala palapala
• ʻEha iwi ʻole, ʻoiai ma nā lima, nā lima, a i ʻole nā wāwae
• Nā loli ʻike a i ʻole ka ʻeha o ka maka

He mea maʻamau ʻole kēia mau hopena ʻaoʻao koʻikoʻi akā pono e loiloi lāʻau lapaʻau koke. Mai kānalua e hoʻokaʻaʻike i kāu kauka a i ʻole e ʻimi i ka mālama ulia pōpilikia inā ʻoe e ʻike i kekahi o kēia mau hōʻailona.

Aia kekahi mau pilikia maʻamau loa akā hiki ke koʻikoʻi e pili ana i ka hoʻohana ʻana i ka pioglitazone no ka wā lōʻihi. Aia kēia mau mea i ka piʻi ʻana o ka pilikia o ka maʻi maʻi ʻōpū me ka hoʻohana ʻana no ka manawa lōʻihi (ʻoi aku ma mua o hoʻokahi makahiki) a me nā haʻi iwi, ʻoiai ma nā wahine. E ana kāu kauka i kēia mau pilikia e kūʻē i nā pōmaikaʻi i ka wā e kuhikuhi ai i ka pioglitazone a e nānā pono iā ʻoe.

ʻO wai ka mea ʻaʻole pono e lawe i ka Pioglitazone?

ʻAʻole kūpono ka Pioglitazone no nā mea a pau me ka maʻi diabetes. E nānā pono kāu kauka i kāu moʻolelo olakino a me ke kūlana olakino o kēia manawa ma mua o ke kuhikuhi ʻana i kēia lāʻau e hōʻoia i ka palekana iā ʻoe.

ʻAʻole pono ʻoe e lawe i ka pioglitazone inā loaʻa iā ʻoe kekahi mau maʻi e hiki ke hoʻoweliweli i ka lāʻau:

• ʻO ka maʻi diabetes Type 1 a i ʻole ka diabetic ketoacidosis
• Maʻi ate hana a i ʻole nā enzyme ate kiʻekiʻe loa
• ʻO ka maʻi puʻuwai a i ʻole ka moʻolelo o ka maʻi puʻuwai
• Maʻi maʻi ʻōpū hana a i ʻole ka moʻolelo o ka maʻi maʻi ʻōpū
• Maʻi kīkī koʻikoʻi
• ʻIke ʻia ka maʻi maʻi i ka pioglitazone a i ʻole nā lāʻau like

Hana kēia mau kūlana i nā kūlana e hiki ai i ka pioglitazone ke hoʻonui i kou olakino a i ʻole ke keakea i nā lāʻau lapaʻau ʻē aʻe āu e pono ai.

E hoʻohana pū kāu kauka i ka mālama keu inā loaʻa iā ʻoe kekahi mau maʻi ʻē aʻe. ʻOiai ʻaʻole pono kēia mau mea e pale iā ʻoe mai ka lawe ʻana i ka pioglitazone, pono lākou i ka nānā pono ʻana:

• Nā pilikia puʻuwai māmā a i ʻole nā mea pilikia no ka maʻi puʻuwai
• Mōʻaukala o nā haʻi iwi a i ʻole osteoporosis
• Nā pilikia ate māmā
• Pehu a i ʻole ka wai
• Nā pilikia maka, ʻo ia hoʻi ka macular edema
• Nā wahine premenopausal ʻaʻole e hoʻohana ana i ka contraception

Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e kaupaona kāu kauka i nā pōmaikaʻi kūpono e kūʻē i nā pilikia a nānā pono iā ʻoe inā hoʻoholo lākou he kūpono ka pioglitazone iā ʻoe.

Nā inoa inoa Pioglitazone

Loaʻa ka Pioglitazone ma lalo o kekahi mau inoa inoa, ʻo Actos ka mea i ʻike nui ʻia. ʻO Actos ka inoa inoa mua i ka wā i loaʻa mua ai ka lāʻau lapaʻau a ua ʻike nui ʻia e nā maʻi a me nā mea mālama ola.

Hiki nō hoʻi iā ʻoe ke hālāwai me ka pioglitazone i nā lāʻau lapaʻau hui pū. Hoʻohui ʻo Actoplus Met i ka pioglitazone me ka metformin, ʻoiai ʻo Duetact e hoʻohui iā ia me ka glimepiride. Hiki i kēia mau pila hui ke maʻalahi inā ʻoe e lawe ana i nā lāʻau lapaʻau maʻi diabetes he nui, no ka mea, hoʻemi lākou i ka helu o nā pila e pono ai ʻoe e lawe i kēlā me kēia lā.

Loaʻa nō hoʻi nā mana generic o ka pioglitazone a hana like me nā mana inoa inoa. Hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e hoʻomaopopo i ka mana āu e loaʻa nei a pane i nā nīnau e pili ana i ka hoʻololi ʻana ma waena o nā koho generic a me nā inoa inoa.

Nā koho ʻē aʻe o Pioglitazone

Inā ʻaʻole kūpono ka pioglitazone iā ʻoe, hiki i kekahi mau lāʻau lapaʻau maʻi diabetes ʻē aʻe ke kōkua i ka mālama ʻana i kāu pae kōpaʻa koko. E noʻonoʻo kāu kauka i kāu mau pono kikoʻī, ka mōʻaukala olakino, a me nā pahuhopu lapaʻau i ka wā e ʻōlelo ai i nā koho ʻē aʻe.

ʻO nā lāʻau lapaʻau ʻē aʻe e hana like me ka pioglitazone e komo pū ana me rosiglitazone, akā ʻaʻole i hoʻohana pinepine ʻia kēia ma muli o nā hopohopo e pili ana i ka naʻau. ʻOi aku ka pinepine, hiki i nā kauka ke ʻōlelo i nā papa like ʻole o nā lāʻau lapaʻau maʻi diabetes:

• Metformin (ʻo ia ka lāʻau lapaʻau mua)
• Nā mea pale SGLT2 e like me empagliflozin a i ʻole dapagliflozin
• GLP-1 receptor agonists e like me liraglutide a i ʻole semaglutide
• DPP-4 inhibitors e like me sitagliptin a i ʻole linagliptin
• Sulfonylureas e like me glipizide a i ʻole glimepiride
• Insulin ma nā ʻano like ʻole

Hana ʻokoʻa kēlā me kēia o kēia mau mea ʻē aʻe a loaʻa iā ia iho nā pōmaikaʻi a me nā hopena ʻaoʻao. E kōkua kāu kauka iā ʻoe e ʻike i ke koho kūpono loa e pili ana i kou kūlana pilikino, me kou mau maʻi olakino ʻē aʻe, ke ʻano o ke ola, a me nā makemake lapaʻau.

ʻOi aku ka maikaʻi o Pioglitazone ma mua o Metformin?

He mau lāʻau lapaʻau maʻi diabetes maikaʻi ʻo Pioglitazone a me metformin, akā hana lākou ma nā ʻano like ʻole a hoʻohana pinepine ʻia no nā kūlana like ʻole. Ma mua o ka maikaʻi o kekahi ma mua o kekahi, loaʻa i kēlā me kēia mea nā pono kūʻokoʻa e kūpono ai no kekahi poʻe.

ʻO Metformin ka lāʻau lapaʻau mua a nā kauka e kuhikuhi ai no ka maʻi diabetes type 2 no ka mea he maikaʻi loa, maikaʻi ke ʻae ʻia, a ua hoʻohana palekana ʻia no nā makahiki he nui. Hana nui ia ma ka hoʻemi ʻana i ka hana glucose i loko o ke ake a me ka hoʻomaikaʻi ʻana i ka naʻau o ka insulin i nā ʻiʻo. Hoʻomaʻamaʻa pū ʻo Metformin i ka pohō kaumaha a loaʻa nā pōmaikaʻi cardiovascular.

ʻO Pioglitazone, ma ka ʻaoʻao ʻē aʻe, hana ʻoi aku ka maikaʻi ma ka pale ʻana i ka insulin a he mea kōkua nui paha no ka poʻe i lilo ko lākou kino i ka liʻiliʻi o ka pane ʻana i ka insulin. Hiki ke makemake ʻia inā ʻaʻole hiki iā ʻoe ke ʻae i ka metformin ma muli o nā hopena ʻaoʻao gastrointestinal, a i ʻole inā ʻaʻole hāʻawi wale ʻo metformin i ka mana kōpaʻa koko.

He nui nā kānaka e lawe pū ana i nā lāʻau ʻelua, no ka mea, ua kūpono lākou kekahi i kekahi. E noʻonoʻo kāu kauka i nā mea e like me kāu pae kōpaʻa koko i kēia manawa, nā maʻi olakino ʻē aʻe, nā pahuhopu kaumaha, a me ka maikaʻi o kou ʻae ʻana i nā lāʻau lapaʻau like ʻole i ka wā e hoʻoholo ai i ke ala maikaʻi loa no ʻoe.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Pioglitazone

He Palekana ʻo Pioglitazone no ka poʻe me ka maʻi puʻuwai?

He kumuhana paʻakikī ka palekana o Pioglitazone i ka poʻe me ka maʻi puʻuwai e loiloi pono ai kāu kauka. ʻAʻole like me kekahi mau lāʻau lapaʻau maʻi diabetes ʻē aʻe, ʻaʻole i ʻōlelo ʻia ʻo pioglitazone no ka poʻe me ka maʻi puʻuwai ikaika no ka mea hiki iā ia ke hoʻoulu i ka wai a hoʻonui i nā hōʻailona maʻi puʻuwai.

Eia naʻe, inā he mau ʻano maʻi puʻuwai ʻē aʻe kāu me ka maʻi puʻuwai ʻole, hiki iā pioglitazone ke hāʻawi i kekahi pale. Hōʻike kekahi mau haʻawina e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka puʻuwai a me ka hahau ʻana i ka poʻe me ka maʻi diabetes. E hana pū kāu cardiologist a me ke kauka diabetes e hoʻoholo inā kūpono ʻo pioglitazone no kāu maʻi puʻuwai.

He aha kaʻu e hana ai inā ua lawe hewa au i ka nui o Pioglitazone?

Inā ua lawe hewa ʻoe i ka nui o pioglitazone ma mua o ka mea i kauoha ʻia, e hoʻokaʻaʻike koke i kāu kauka a i ʻole ka mea kūʻai lāʻau no ke alakaʻi. ʻOiai ʻaʻole paha e hoʻoulu ʻo pioglitazone overdose i nā hōʻailona weliweli koke i hoʻohālikelike ʻia me kekahi mau lāʻau lapaʻau diabetes ʻē aʻe, he mea nui nō naʻe ke ʻimi i ka ʻōlelo aʻo lapaʻau.

ʻAʻole paha e hoʻoulu ka lawe ʻana i ka nui o pioglitazone i ke kōpaʻa koko haʻahaʻa loa (hypoglycemia) ma muli o ke ʻano o ka hana ʻana o ka lāʻau. Eia naʻe, hiki iā ʻoe ke ʻike i nā hopena ʻaoʻao e like me ka pehu ʻana, a he mea nui e nānā ʻia kāu kōpaʻa koko. Mai hoʻāʻo e

Inā ʻoe e poina i ka lāʻau pioglitazone, e lawe koke ʻoe ia mea ke hoʻomanaʻo ʻoe, ke ʻole e kokoke ana ka manawa no kāu lāʻau aʻe. Ma ia hihia, e lele i ka lāʻau i poina a e hoʻomau me kāu papa maʻamau. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e uku ai i ka lāʻau i poina.

ʻAʻole pilikia ka poina i kekahi lāʻau, akā e hoʻāʻo e mālama i ka kūlike no ka mālama ʻana i ke kō koko maikaʻi loa. Inā poina pinepine ʻoe i nā lāʻau, e noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila e kōkua iā ʻoe e noho ma ke ala. E kamaʻilio me kāu lāʻau lapaʻau e pili ana i nā hoʻolālā e kōkua iā ʻoe e hoʻomanaʻo i kāu lāʻau.

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

Pono ʻoe e hooki i ka lawe ʻana iā pioglitazone ma lalo o ka mālama ʻana a kāu kauka. No ka mea he maʻi maʻi ka maʻi diabetes type 2, pono ka hapa nui o nā kānaka e hoʻomau i ka lawe ʻana i nā lāʻau diabetes no ka wā lōʻihi e mālama ai i ka mālama ʻana i ke kō koko maikaʻi.

Hiki i kāu kauka ke noʻonoʻo e hooki a hoʻololi paha i ka pioglitazone inā ʻoe e ʻike i nā hopena ʻaoʻao nui, inā e loli ana kāu hana kīkī a i ʻole ke ake, a i ʻole inā lilo nā lāʻau ʻē aʻe i mea kūpono no kou kūlana. I kekahi manawa, hiki i nā loli nui o ke ola e like me ka lilo ʻana o ke kaumaha nui ke ʻae i nā hoʻoponopono lāʻau, akā pono e hana mau ʻia kēia me ke alakaʻi olakino.

Hiki i ka Pioglitazone ke hoʻoulu i ka loaʻa ʻana o ke kaumaha?

ʻAe, hiki i ka pioglitazone ke hoʻoulu i ka loaʻa ʻana o ke kaumaha maʻalahi i nā kānaka he nui, ma kahi o 2-5 paona. Hana ʻia kēia no ka mea hiki i ka lāʻau ke hoʻoulu i ka paʻa wai a hiki nō hoʻi ke hoʻopilikia i ke ʻano o kou kino e mālama ai i ka momona. ʻOiai he mālie a maʻalahi ka loaʻa ʻana o ke kaumaha, he mea hopohopo ia no nā kānaka he nui.

ʻO ka loaʻa ʻana o ke kaumaha mai ka pioglitazone he ʻokoʻa pinepine ia mai ka loaʻa ʻana o ke kaumaha maikaʻi ʻole no ka mea hiki iā ia ke kōkua i ka hoʻololi ʻana i ka momona mai kou ate a i loko o ka ʻiʻo subcutaneous, he mea maikaʻi ia no ka metabolic. Eia naʻe, inā ʻoe e ʻike i ka loaʻa ʻana o ke kaumaha wikiwiki a nui paha, e kelepona i kāu kauka no ka mea he hōʻailona paha kēia o ka paʻa wai e pono ai ka nānā ʻana. Hiki i kāu hui mālama ola ke kōkua iā ʻoe e mālama i nā pilikia kaumaha me ka loaʻa ʻana o nā pōmaikaʻi hoʻomalu maʻi diabetes mai ka pioglitazone.