I thisen sugar a hniam em? (Hypoglycemia) Hemi chungchang hi chipchiar takin sawi ila!

Vawiin hian mi tam tak, a bik takin zunthlum vei te, a chang chuan zunthlum vei lo te pawh a nghawng thei dinhmun kan sawi dawn a ni. Chu chu thisen sugar hniam, a nih loh leh damdawi lam hawi chuan hypoglycemia a ni. Hei hi hriat a pawimawh a, a chhan chu a pawi hle thei a ni.

Hypoglycemia tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, hypoglycemia hi i thisen sugar, a nih loh leh glucose, hrisel level aia hniam a nih chuan a lo awm thin. Hei hi ‘thisen sugar hniam’ kan ti bawk. Hei hi zunthlum vei te tan chuan a awm fo thin a, a bik takin type 1 diabetes nei te tan chuan a awm fo thin.

A tlangpuiin zunthlum vei tan chuan thisen sugar level 70 mg/dL (milligrams per deciliter) emaw 3.9 mmol/L (millimoles per liter) aia hniam a nih chuan hypoglycemia ngaihtuah a ni. Diabetes nei lo tan chuan hypoglycemia chu a level 55 mg/dL (3.1 mmol/L) aia hniam a nih chuan a ni. Chutiang hunah chuan a rang thei ang bera sugar emaw carbohydrates emaw awmna thil ei emaw in emaw i mamawh a ni. Mahse, he natna hi a nasat (severe hypoglycemia) a nih chuan nunna atana hlauhawm tak a ni thei. Chutiang a nih chuan emergency glucagon treatment emaw, damdawi lam tanpuina emaw a ngai nghal a ni.

Engvangin nge kan taksa tan ‘blood sugar’ hi a pawimawh em em?

Kan taksa hian kan ei leh in a\angin glucose, a nih loh leh sugar a hmu a, a bik takin carbohydrates awmna chaw a\angin a hmu \hin. He glucose hi kan taksa chakna petu ber a ni. Car tan gasoline ang mai a ni. He glucose hi kan thisen hian taksa cell tinah a phur a, chakna a siam chhuak thin. He glucose hi kan thluak tan a pawimawh zual hle. Thluak hian hna a thawh that theih nan glucose supply reng reng a mamawh a ni.

Zunthlum i neih loh chuan i taksa hian a pianphungah i thisen sugar level chu a hrisel range chhungah a awm reng theih nan kawng hrang hrang hmangin a pui thin. Hemi thlentu lian ber chu hormone insulin – kan pancreas atanga siam a ni. Hemi kawngah hian Glucagon hi hormone pawimawh dang a ni bawk.

Amaherawhchu, zunthlum vei te hian an thisen sugar level control nan oral diabetes damdawi leh synthetic insulin an ei a ngai a ni. Tin, nunphung tihdanglam a ngai bawk. Thisen thlum hniam hi taksaa insulin tam lutuk vang a ni fo thin – a pianphung atanga siam a nih vang emaw, insulin pek tam lutuk vang emaw pawh a ni thei. Thisen thlum hniam hi hormone leh metabolic lama harsatna dang vang pawh a ni thei.

I thisen sugar level chu hrisel level aia hniam a nih chuan symptoms i nei tan a, chu chu shakiness leh heartbeat chak tak a ni. A tlak hniam lutuk chuan nunna atana hlauhawm a ni thei. A chhan chu ka sawi tawh ang khan thluak hian a hnathawh that theih nan glucose supply reng reng a mamawh a ni. Glucose a awm tawk loh chuan thluak a thawk thei lo ang.

Hypoglycemia hi engtiang chiahin nge a awm?

Hypoglycemia hi zunthlum vei tan chuan a awm fo thin a, a bik takin insulin hmangtute tan chuan a awm fo thin. Zirchianna pakhatah chuan type 1 diabetes vei mi 5 zinga 4, leh type 2 diabetes vei zinga a chanve velin insulin ei thinte chuan kar li chhungin vawi khat tal thisen sugar an tlahniam tih an sawi.

Type 2 diabetes atana meglitinides emaw sulfonylureas emaw ei thinte pawhin thisen sugar hniam an neih theihna a sang hle. Diabetes nei lo pawhin hypoglycemia i vei thei a, mahse a tlem hle.

Hypoglycemia (thisen sugar hniam) natna lan chhuah dan engte nge ni?

Hypoglycemia symptoms hi a intan thuai thei hle. Mi hrang hrangah pawh an danglam thei bawk. Mi pakhatah pawh hian episode hrang hrangah symptoms a inang lo thei.

Heng symptoms te hi a tricky deuh a ni. Mahse i thisen sugar a tlahniam lehzual hmaa hma la turin vaukhânna ṭha tak an pe che a ni. A lan chhuah dan thenkhat chu hetiang hi a ni:

• A khur emaw, a nghing emaw nature.
• Taksa nunna nei lo.
• Thawmhnaw hak leh khawsik tih hriat.
• riltam nasa tak (polyphagia).
• Heart rate a sang chho zel.
• Luak chhuak emaw, inher chhuah emaw.
• Thil ngaihtuah harsa emaw, buai emaw.
• Lungkhamna emaw, thinrimna emaw reng reng.
• Vun rawng a danglam (pallor).
• I hmui, i lei emaw, i hmui emaw a hrual ang maia inhriatna.

Hypoglycemia na tak natna lan chhuah dan chu:

• Blurred vision emaw double vision emaw a awm thei.
• Thusawi hrual (slurred) a ni.
• Balance hloh emaw hna thawh harsat emaw.
• Disoriented (disoriented) a nih.
• Seizures a awm thin.
• Thil hriatna hloh.

Hypoglycemia na tak hi nunna atana hlauhawm tak a ni! Damdawi lam pan vat a ngai a ni. A tlem hle nachungin, enkawl loh chuan coma leh thihna thlengin a thlen thei.

A chang chuan i mut laiin i thisen sugar a tlahniam thei. Hei hi zan lama hypoglycemia kan ti a. A lan chhuah dan chu:

• Mut theih lohna emaw, mut hahdam lo emaw.
• Thawmhnaw emaw khum emaw thawk hah avanga hnim hring.
• I mut laiin au chhuak.
• Mumang tha lo tak tak.
• Harh veleh chau lutuk, buai lutuk, emaw, ngaihtuahna buai tak tak anga inhriatna.

Engtikah nge hypoglycemia symptoms hi a lo lang thin?

Zunthlum vei tan chuan glucose level a symptoms tanna hi mi hrang hrangah a inang lo. A tlangpuiin zunthlum vei te hian an thisen sugar 70 mg/dL aia hniam a nih chuan symptoms an nei tan thin. Mahse, i thisen sugar a tlahniam chak chuan symptoms i nei hma zawk thei.

Diabetes thenkhat chuan glucose level sang takah pawh hypoglycemia symptoms an nei thei. Hei hi a chhan chu thisen sugar level rei tak (chronic hyperglycemia) a san chuan taksain ‘normal’ level anga ngaih chu a lo thiam tawh thin a ni. Thisen sugar tlahniam symptoms hmuh theihna level chu a danglam thin.

Mi thenkhat chuan thisen sugar hniam mahse symptom an nei lo, a nih loh leh an hre lo. Doctor te chuan hei hi hypoglycemia unawareness an ti a . Heng mite hian hypoglycemia na tak an nei tam zawk a, damdawi lam pan ngai an tam zawk bawk.

Zunthlum vei, thisen sugar level rei tak nei tawhte zingah Hypoglycemia unawareness hi a awm thei a ni. An taksaah hian an thisen sugar level a tlahniam chuan symptoms a lantir tawh lo.

Hypoglycemia unawareness i neih chuan i thiante leh chhungte hrilh a pawimawh a, chutiang chuan i thisen sugar a tlahniam lutuk a nih chuan an pui thei ang che. Hêng thilte hi ṭangkai takin i hmu thei bawk ang:

• I thisen sugar a hniam huna hriattirtu Continuous Glucose Monitoring (CGM) device hman.
• I thisen sugar level chu kut hmangin enfiah fo thin ang che.
• Diabetes alert dog – Heng ui te hi a bik takin i thisen sugar a hniam chuan alert turin an zirtir a ni.

Thisen sugar hniam vangin eng harsatna nge thleng thei?

Hypoglycemia na tak, rei tak a awm chuan nunna a tichhe thei a ni. Tin, harsatna a thlen thei bawk a, chungte chu:

• Organ tam tak a tlakchhiat.
• Lung lam natna (Cardiac arrhythmias) a awm.
• Lung natna (Cardiac arrest) a awm.
• Thluak a tichhe vek.
• Coma state ah a awm.
• Thihna.

Tin, i thisen sugar a hniam laiin machine rit tak tak, lirthei khalh ang chi hman hi a hlauhawm hle bawk. Accident i neih a rinawm zawk. Zunthlum i neih chuan machine rit tak tak i hman hmain i thisen sugar level enfiah hmasa phawt ang che.

Zunthlum vei te zingah hian eng thilin nge hypoglycemia (thisen sugar hniam) a thlen thin?

Hypoglycemia hi i thisen sugar level hrisel level aia hniam a nih chuan a awm thin. Hei hi zunthlum vei tan chhan hrang hrang avangin a thleng thei a ni. I ei leh in, exercise leh zunthlum damdawi te a balance loh chuan hypoglycemia a awm thei.

Zunthlum vei te hian hypoglycemia an neih theihna tur thil awm dan tlangpui chu hengte hi an ni:

• Insulin ei tam lutuk, insulin chi dik lo ei emaw, thau tissue aiah muscle-a insulin inject emaw.
• Insulin leh carbohydrate ei hun tur dik tak siam loh (entir nan, chaw ei tur insulin ei hnua ei tur nghah rei lutuk).
• Zunthlum damdawi ei tam lutuk emaw, a aia tam emaw ei.
• A tlangpui aia active (exercising) zawk nih.
• Chaw ei lova zu in.
• Chaw ei tlai emaw, chaw ei skip emaw.
• Chaw eiah hian thau, protein leh fiber balance a awm lo.

Naupai leh type 1 diabetes i neih chuan hormone inthlak danglam vangin first trimester chhungin thisen sugar tlahniam i nei tam zawk.

Zunthlum vei lote zingah eng thilin nge hypoglycemia a thlen?

Zunthlum vei lote zingah hian hypoglycemia hi chi hnih a awm a, chungte chu reactive hypoglycemia leh fasting hypoglycemia te an ni.

Reactive Hypoglycemia a awm thei

Reactive hypoglycemia chu chaw ei zawha thisen sugar level hniam a ni. Ei atanga darkar hnih atanga darkar li chhungin a awm tlangpui.

Zirchiangtute chuan hetiang thil hi a thlen chhan chiang takin an hre lo a, mahse ei tur thenkhat, a bik takin carbohydrates awlsam tak tak, buhfai var, alu, chhang, cake, leh sweets te ei hian thisen sugar a tisang nghal a, chu chu a tlahniam nghal vat vang niin an ngai.

Tin, taksa rihna tihtlem surgery thenkhat (bariatric surgery) hian reactive hypoglycemia a thlen thei bawk. Gastric bypass surgery ang chi surgery hnuah taksa hian sugar hi a hip rang hle. Hei hian insulin a siam tam phah a ni. Hei hian hypoglycemia a thlen thei a ni.

Taksa hian he dinhmun hi a mah chauhin a siam \ha \hin a, mahse carbohydrates \henkhat ei hian a natna lan chhuah dan a tihziaawm thuai thei a ni.

Chaw nghei Hypoglycemia a awm

Zunthlum vei lo tam zawk chuan rei tak chaw nghei hnuah pawh hypoglycemia an nei lo. Hei hi taksaa hormone leh glucose dahkhawmte hian thisen sugar level a control vang a ni.

Mahse, natna leh dinhmun thenkhatah chuan zunthlum vei lote tan chaw nghei (fasting hypoglycemia) a awm thei a ni. Chung zingah chuan:

• Zu in tam lutuk: 1.1.Zu hian taksain glucose cell thar a siam theihna (gluconeogenesis) a tikhawlo a ni. Ni eng emaw zat i ei tha lo a, i in tam chuan i taksain a glucose (glycogen) a dahkhawm chu a tichhe thei a ni. Hei hian hypoglycemia a thlen thei a, chu chu i taksain i thisen sugar level a tihdanglam theih loh vang a ni.
• Natna khirh tak: Hypoglycemia hi natna khirh tak, end-stage liver disease, sepsis, chaw nghei, emaw kidney failure-ah te a awm thei. Hei hi i taksain i ei tur atanga glucose thar a siam theih aiin chakna atan glucose awmsa a hmang rang zawk vang a ni.
• Adrenal insufficiency: Hetiang dinhmunah hian cortisol level chu a tlangpui aia hniam a ni. Cortisol hian thisen sugar a tihpun avangin a control theih avangin cortisol level hniam hian hypoglycemia a thlen thei a ni.
• Non-islet cell tumor hypoglycemia (NICTH): Hei hi a awm lo hle a, mahse a na hle. Hetiang dinhmunah hian tumor hian Insulin-like Growth Factor 2 (IGF-2) tih hormone a tichhuak tam lutuk a ni. He hormone hian insulin angin hna a thawk a. IGF-2 a san chuan hypoglycemia a awm thin. NICTH hi benign (noncancerous) leh malignant (cancerous) tumor chi hrang hrang avanga lo awm thei a ni.
• Insulinoma: Hei hi cancer hmuh tur awm lo, pancreas-a lo awm thin a ni. Insulin a siam tam lutuk a, chu chuan hypoglycemia a thlen thin – a tam zawk chu zingkar hma takah.

A tlem hle nachungin, hypoglycemia hi zunthlum nena inzawm lo damdawi, beta-blocker leh antibiotics thenkhat vang pawh a ni thei.

Diabetes tel lova hypoglycemia i neih chuan doctor pan a pawimawh.

Engtin nge zunthlum vei te hian hypoglycemia hi an hriat theih?

Hypoglycemia i vei leh neih loh hriat chian theihna awmchhun chu glucometer hmanga i thisen sugar level test hi a ni. Heng hmanrua tam zawk hian lancet an tih needle te tak te hmangin i kut zungtang tip atanga thisen tla pakhat an la chhuak thin.

Continuous glucose monitoring (CGM) device hi thisen sugar tlahniam hriatchhuah leh venna atana hmanraw tha tak a ni. A chhan chu i thisen sugar a hniam hunah alert turin i set thei a ni. Heng CGM alerts te hi thisen sugar tlahniam hlauhawmna hmunah te, i mut lai emaw, lirthei khalh lai emaw ah te a tangkai hle.

Hypoglycemia symptoms i nei a, mahse i thisen sugar enfiah dan tur a awm loh chuan hypoglycemia hi enkawl rawh.

Engtin nge zunthlum vei lote hian hypoglycemia hi an hriat theih?

I doctor-in hypoglycemia i vei nia a rinhlelh chuan ni engemaw zat chaw nghei laiin darkar tlemte danah i thisen sugar a enfiah thei a ni. Test dang pawh tih theih a ni a, chu chu hypoglycemia awm chhan bulpui ber a ni. Entirnan, cancer hian thisen sugar a tihhniam em tih hriat nan imaging test pawh tih theih a ni.

Reactive hypoglycemia i neih chuan i doctor chuan Mixed-Meal Tolerance Test (MMTT) tih test a rawt thei ang. He MMTT-ah hian protein, thau leh sugar awmna special drink i in hmasa ber a ni. He in tur hian i thisen glucose level a tisang a, chu chuan i taksain insulin a siam tam zawk a ni. Tichuan, doctor chuan darkar nga chhungin i thisen glucose level vawi tam tak a enfiah thin.

Hypoglycemia (thisen sugar hniam) hi engtin nge enkawl a nih?

Mild and moderate hypoglycemia hi sugar (carbohydrates) awmna thil ei emaw in emaw hmanga enkawl a ni.

American Diabetes Association chuan hypoglycemia episode na lo emaw, na lo emaw enkawl nan "15-15 rule" hman a rawt a:

• Fast-acting carbohydrates gram 15 ei emaw in emaw hian i thisen sugar level a tisang a ni.
• Minute 15 hnuah i thisen sugar level enfiah thin ang che.
• 70 mg/dL hnuai lam a la nih chuan fast-acting carbohydrates gram 15 dang ei leh la.
• Hei hi i thisen sugar level 70 mg/dL tal a nih hma loh chuan ti leh rawh.

I ei tur zingah hian carbohydrate engzat nge awm tih hriat duh chuan nutrition label chhiar la. Fast-acting carbohydrates gram 15 vel awmna ei tur thenkhat chu hetiang hi a ni:

• Thei chi te tak te, entirnan banana chanve.
• Thei tui ounces 4 (cup chanve) emaw soft drink pangngai (diet ni lo) emaw ei tur a ni.
• Sugar, khawizu emaw syrup emaw tablespoon khat.
• Instant glucose gel tube khat (instruction en rawh).
• Glucose tablet 3 emaw 4 emaw (instruction en rawh).

Hypoglycemia symptoms i nei a, mahse i thisen sugar check dan tur a awm lo a nih chuan i dam hma chu 15-15 rule hmang ang che.

Naupang tê tête chuan hypoglycemia enkawlna atan carbohydrate tlem zawk an mamawh mai thei. Hemi chungchang hi i fa doctor hnenah zawt rawh.

Hypoglycemia na tak hi engtin nge enkawl a nih?

Hypoglycemia na tak chu hypoglycemia na lo emaw, hypoglycemia na lo emaw aiin enkawl dan danglam a ngai a ni. I hriat mi pakhatin hypoglycemia a vei a, a thusawi a sawi dik lo a, a buai a, a hriatna a hloh a nih chuan, .Chaw leh tui pe suh. An choke thei.

Hypoglycemia na tak a awm chuan emergency glucagon hman tur a ni. Hei hi synthetic glucagon chi khat a ni. A chi a zirin injection angin emaw, hnar powder (dry nasal spray) angin emaw pek theih a ni. Synthetic glucagon hian i liver chu glucose dahkhawm chu a chhuah tir turin signal a pe thin. Hei hian i thisen sugar level a tisang a ni.

Glucagon hi injection a nih chuan kit-a thupek angin a hnute, a kut emaw, a kekawrte emaw-ah inject rawh. Glucagon hi hnar powder a nih chuan a bungrua a inziak angin hnar pakhatah dah la.

Vawikhat a hriatna a lo let leh chuan (a tlangpuiin minute 5 atanga 15 chhungin) a rilru a buai thei a, a luak chhuak thei bawk. A muhil a nih chuan a luak chuan a chok loh nan a sir lamah hawitir thin ang che.

911 ah tanpuina dil hreh suh. Mi pakhat chu a rilru a buai a, glucagon a nei lo a, a hman dan i hre lo a nih chuan 911 call nghal rawh.

Thisen thlum hniam hi ven theih a ni em?

Vanduaithlak takin zunthlum i neih hian thisen sugar tlahniam hi pumpelh vek a harsa hle. Mahse, i diabetes management plan chu thlak danglam tum la, hypoglycemic episode i tawn zat tihtlem nan.

Hei hi i thisen sugar tlahniam chhan chu nang leh i doctor-in in hriat chian hnuah awlsam takin tih theih a ni. I thisen sugar hniam episodes chungchang hi a theih ang anga chipchiar takin doctor hnenah pe rawh. Damdawi i ei hun te, i ei hun te, leh exercise i tih hun te tihdanglam ang chi thil awlsam tak chuan buaina chu a chinfel sak thei a ni.

Heng step te hian thisen sugar tlahniam lo turin a pui thei a ni:

• I damdawi zawng zawng chu a pek ang chiah chiah ei rawh.
• Diet leh exercise chungchanga doctor thurawn zawm rawh.
• Continuous glucose monitoring device (CGM) hmang la, a nih loh leh i thisen sugar level enfiah fo ang che – chaw ei hma leh ei zawhah, exercise hma leh ei zawhah, leh mut hmain.
• Thisen sugar hniam episode i enkawl hnuah episode kimchang ziak rawh. A hun, tun hnaia i ei leh in, exercise i tih leh neih loh, i natna lan chhuah dan leh i glucose level te ang chi chipchiar takin ziak tel bawk ang che. Hei hian nakin lawkah thisen sugar tlahniam lo turin nang leh i doctor chuan management plan siam turin a pui ang.

Hypoglycemia ka neih chuan eng nge thleng?

Zunthlum vei lote zingah hypoglycemia awm theihna tur thlirna chu a chhan bulpuiah a innghat a ni. Zunthlum i neih chuan hypoglycemia neih fo hi a hlauhawm thei hle. Hypoglycemia hriat lohna a thlen thei. Hei hian thisen sugar tlahniam vaukhânna chhinchhiahna i hmu lo mai thei tihna a ni.Thisen thlum i neih fo chuan i zunthlum enkawl dan tur doctor i zawn a pawimawh hle.

Engtin nge ka in enkawl ang?

Zunthlum emaw, hypoglycemia thlentu natna dang emaw i neih chuan medical alert necklace emaw bracelet emaw bun la, medical ID card keng la, chutiang chuan midangte’n emergency-a an puih theih dan tur che an hriat theih nan.

Hengte hi hypoglycemia na tak laka invenna atana i tih theih turte chu a ni:

• In lamah leh i chhuah dawnin snacks chu i bulah dah fo ang che – thei chi hrang hrang, glucose tab, emaw juice box ang chi thil.
• Hun i hmanpui te hnenah hypoglycemia leh severe hypoglycemia chungchang te, thil thleng i neih chuan engtin nge an puih theih ang che tih te hrilhfiah bawk ang che.
• Emergency glucagon keng reng tur a ni. I hmangaihte chu a hman dan tur leh engtikah nge hman tur tih zirtir rawh.

Zunthlum i vei a nih chuan carbohydrates tam lutuk eiin i thisen sugar enkawl lutuk tum suh. Hei hian i thisen sugar a ti sang thei a ni. I taksain "fight or flight" a chhanna avang hian ei tam lutuk tihtawp a harsa thei. Carbohydrates gram 15 i in enkawl hnuah, sugar i ei leh hmain minute 15 chhung timer dah la.

Hypoglycemia chungchangah engtikah nge ka doctor ka hmuh ang?

Zunthlum i vei a, thisen sugar tlahniam i neih fo chuan i zunthlum enkawltu doctor nen inbia ang che. Management plan siam turin a pui thei che a ni. Hei hian i damdawi ei dan, ei tur ruahmanna, a nih loh leh exercise tih dan tihdanglamna a huam thei a ni.

Zunthlum nei lo thisen thlum i neih chuan doctor nen inbia ang che. A chhan bulpui zawng turin test a kalpui a ngai dawn a ni. A châng chuan a hnuaia dinhmun chu a na hle thei a ni. Chuvang chuan Doctor hmuh a pawimawh hle a ni.

Hypoglycemia leh Hyperglycemia hi eng nge an danglamna?

A awlsam zawngin sawi ila, hypoglycemia hi thisen sugar tlahniam a ni. ‘Hypo-’ tih awmzia chu ‘low’ tihna a ni. Hyperglycemia hi thisen sugar sang a ni. ‘Hyper-’ tih awmzia chu ‘high’ emaw ‘excess’ emaw tihna a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Hypoglycemia hi natna tlanglawn tak a ni a, zunthlum vei te a nghawng nasa hle. Enkawl vat loh chuan nunna atana hlauhawm a ni thei. I mimal vaukhânna chhinchhiahnate zir a pawimawh a, i thisen sugar level test reng a pawimawh a, chu chuan hypoglycemia na tak a veng thei ang.Thisen sugar hniam i neih fo chuan i doctor nen thawk ho la, zunthlum enkawl dan tur ruahmanna siam rawh. I episode siam chhan i hriat tam poh leh i ruahmanna siam a awlsam zawk ang.

Zunthlum nei lo thisen sugar hniam i neih chuan doctor pan ngei ngei tur a ni. A chhan bulpui ber chu a pawi hle a, mahse a thleng thei a ni. Chuvangin, test tlai ai chuan a hmaa test neih a tha zawk. I hriselna enkawl rawh!

` Hypoglycemia, thisen thlum hniam, zunthlum, thisen glucose hniam, symptoms, enkawl dan, glucagon