Zunthlum chungchang i sawi hian chi hnih, Type 1 leh Type 2 chungchang hi i hre tawh ngei ang, a dik em? Mi tam zawk chuan Type 1 diabetes hian naupang leh puitling tleirawl chauh a nghawng niin kan ngai a, Type 2 hian puitling chauh a vei niin kan ngai. Mahse chu chu a dik vek lo. Type 1 diabetes hi puitlingah pawh a lo awm thei bawk. Hei hi doctor-te pawhin an hmu lo thei a, chu chuan diagnosis dik tak siam a tikhawtlai thei a ni. Chuvangin vawiin hian he thupui pawimawh tak hi kan sawi dawn a ni.
Puitling atanga lo chhuak Type 1 diabetes hi eng nge ni?
A awlsam zawngin, hei hi Type 1 diabetes nen a inang a ni. Mahse puitlin a\angin a in\an \hin. Pancreas hi kan taksa peng pakhat, insulin an tih hormone siam chhuaktu a ni. He insulin hian taksa cell-te chu chakna kan neih theih nan kan ei tur a sugar (glucose) awmte chu a hip lut thei a ni.
Type 1 diabetes hi kan taksa insiamthatna (immune system) ngeiin a beih palh a, insulin siamtu cell te a tihchhiat hian a lo awm thin. Hei hi autoimmune condition a ni a . Puitlingah a lo awm chuan damdawi lamah chuan Latent Autoimmune Diabetes in Adults (LADA) tia hriat a ni.
Hetiang dinhmun hi kum 30 hnuah a intan fo thin a, a natna lan chhuah dan hi Type 2 diabetes nen a inang em em avangin mi tam tak chu a tir lamah chuan Type 2 diabetes tia hriat sual an ni thin. Mahse, an pahnih inthlauhna hrethiam a, i tana enkawlna dik tak i hmuh a pawimawh.
Hei hi naupangte zingah Type 1 awm thin nen a danglam em?
Hetiang hian han ngaihtuah teh: LADA leh naupan laia Type 1 diabetes hi thawnthu khata mi pahnih ang mai an ni. An pahnih hian immune system-in pancreas a beih a ni. Mahse a danglamna ber chu natna a kal chak dan hi a ni.
- Naupang type 1 diabetes: Hei hi a lo thang chak hle. Pancreas chhunga cell awmte chu a chhe nghal vat a, insulin siamchhuah chu a tawp ta a ni. Chuvangin, symptoms a lo lang nghal vat a, insulin injection hi tan nghal a ngai a ni.
- Puitling atanga tan LADA: Hei hi a lo thang zawi zawi hle. Pancreas chhunga cell awmte chu a chhe zauh zauh a. Chuvangin taksain a tir lamah insulin engemaw zat a siam chhuak thin. Hemi avang hian Type 2 tia ngaih sual a ni fo a, doctor thenkhat chuan "Type 1.5 diabetes" an ti bawk.
Hetiang dinhmun a lo awm chhan te hi engte nge ni?
Kan taksa hriselna (immune system) hian pancreas a beih chhan dik tak hi hriat a la ni lo a, mahse thil engemaw takin a thawhpui thei niin an ngai.
- Genetic influence: I nu leh pate hian Type 1 diabetes an vei a nih chuan nang pawhin i vei theihna chance a sang deuh hlek a ni.
- Virus emaw, boruak chhiatna emaw:Viral infection emaw, boruak chhunga toxin emaw thenkhat chuan he immune process hi a tichhuak thei a ni.
- Nunphung: Naupang Type 1 diabetes ang lo takin nunphung thenkhat hian puitlingah LADA a nghawng thei bawk. Entirnan, thau lutuk te, exercise lak loh te, zu in te, zu in te hian a hlauhawmna a tipung a ni.
Eng symptoms nge hriat theih?
A châng chuan he natna hi chhinchhiahna awm lovin a awm thei bawk. Mahse, a lan chhuah tam ber chu Type 2 diabetes nen a inang a ni. Chûngte chu thla engemaw zât chhûngin a lo lang zauh zauh thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Tuihalna leh riltam lutuk | Tui engzat pawh in emaw, ei tur emaw i ei pawhin lungawi lohna. |
| Zun chhuah fo thin | Zun tam a tulna, a bik takin zan lamah. |
| Chauhna danglam tak | Chhan awm lovin chau leh chak lo anga inhriatna. |
| A taksa rihna tlahniam nghal | Ei leh in leh exercise tihdanglam ngai lovin taksa rihna tihtlem. |
| Mit hmuh a fiah lo | Mit hmuh dan inthlak danglam, chiang taka hmuh theih lohna. |
| Hri kai fo thin | Hmeichhia vun, zun kawng emaw, hnute kawng emawa yeast infection awm fo thin. |
| Thil dang pawh a awm | Thâwk rah chhuah, ke ruh a hring, vun vawt leh hnim hring. |
Engtin chiah nge doctor hian hei hi a hmuh?
A chang chuan puitlingah type 1 diabetes hmuhchhuah a harsa thei hle. Hei hi a chhan chu symptoms a lo lang zawi zawi a, mi thau lutuk lo, taksa rihna pangngaia awmte zingah a lo awm thei a, type 2 diabetes vei tam tak ang bawkin doctor pawhin a tir lamah a ringhlel lo mai thei.
A pawimawh ber chu zunthlum symptoms i neih chuan Doctor pan vat la, a tul ang ang test neih tir rawh.
Diabetes awm leh awm loh enfiahna atana hman tlanglawn test engemaw zat a awm a:
- Glycated hemoglobin (A1c) test: Hei hian thla 2-3 kalta chhunga i thisen sugar level average a enfiah thin.
- Fasting blood sugar test: Eng thil pawh ei leh in hmaa zing lama test tih thin a ni.
- Random blood sugar test: Nitin engtik lai pawha tih thin test a ni.
Heng test-te hian zunthlum a awm tih an finfiah hnuah chuan Type 1 (LADA) nge Type 2 tih hriat nan special test tam zawk neih a ni.
- Antibody Test: Hei hian thisenah hian Type 1 diabetes-a hmuh tur antibodies bik (autoantibodies) a awm leh awm loh a test thin. Hengte hi Type 2-ah hian hmuh tur a awm lo.
- C-peptide Test: C-peptide hi kan taksain insulin a siam huna a siam chhuah dang a ni. He thil hi a level hniam chuan insulin siam chhuah a tlem tihna a ni. LADA-ah hian C-peptide level a hniam a, mahse Type 2-ah chuan a pangngai emaw, a sang emaw pawh a ni thei.
Engtin nge enkawl a nih?
LADA i vei tih hmuhchhuah i nih chuan i thisen sugar level control leh natna a zual zel tur tihziaawm hi a enkawl tum ber a ni.
A tir lamah chuan insulin injection hi a ngai lo mai thei. He natna hi ei leh in hrisel, exercise neih fo , leh a nih loh leh zunthlum damdawi (e.g., `Metformin`, `Dipeptidyl peptidase (DPP)`) hmanga control theih a ni.
Mahse, hun kal zelah pancreas hi a thawk tha lo deuh deuh avangin insulin therapy a ngai mai thei. I doctor nen eng treatment plan nge i tan a tha ber tih i sawiho tur a ni.
Nunphung a inthlak danglam thin
- Meizial i zu a nih chuan bansan rawh.
- I thau lutuk a nih chuan i thau lutuk tur a ni.
- Kar khatah minute 150 tal exercise neih.(Amaherawhchu, exercise i tan hmain doctor nen inbiakna neih a pawimawh a, exercise i tih laiin i thisen sugar level control dan tur thurawn lak a pawimawh).
- Diabetes-friendly diet plan chungchang hi i doctor emaw nutritionist emaw nen sawiho rawh.
Thunun loha dah a nih chuan eng harsatna nge thleng thei?
Diabetes natna dang ang bawkin LADA hi uluk taka control loh chuan hun rei tak chhung harsatna lian tak a thlen thei a ni. Mahse, i thisen sugar level uluk taka control chuan heng harsatnate hi nasa takin a tihziaawm thei tih hre reng ang che.
- Mit lama harsatna (e.g. glaucoma) .
- Kal natna
- Lung natna, thisen sang leh stroke
- Nerve tihchhiat a ni
- Ke hliam leh hri kai
Chuvang chuan a hun taka Doctor hmuh a pawimawh em em a, i damdawi ei tur a tih angin i ei a, i thisen sugar level pawh en reng a pawimawh hle.
Take-Home Thuchah a ni
- Type 1 diabetes hi puitlingah pawh a awm thei bawk. A bik takin LADA (Latent Autoimmune Diabetes in Adults) tih a ni.
- Hei hi taksa hriselna lama harsatna avanga lo awm a ni a, naupangte zingah a awm thin Type 1 aiin a lo thang zawi zawk a ni.
- A natna lan chhuah dan chu Type 2 diabetes nen a inang avangin hriat sual a ni fo.
- Thisen test hian sugar level leh antibodies bikte chu a enfiah thei a, chu chuan diagnosis dik tak a pe thei a ni.
- Enkawlnaah chuan nunphung thlak danglam te, damdawi ei te, leh hun kal zelah insulin injection te pawh a tel thei. Doctor thupek zawm fo ang che.
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