Diabetic, kum upa deuh i ni em? A nih loh leh i nu, i pa, i pi, i pi hian zunthlum an nei em? Kan thisen sugar level dik tak chhunga awm reng a pawimawhzia kan hre vek. Mahse, a chang chuan kan sugar level control nasat lutuk hian a takah chuan a thatna aiin a tichhe zawk tih i hria em? Hei hi vawiina kan sawi tum chu a ni.
Overtreatment hian thihna a thlen thei
Doctor-te chuan zunthlum vei tam zawk chuan HbA1c (Hemoglobin A1c) test hrisel tak nei turin an fuih a, hei hian thla engemaw zat kalta chhunga thisen sugar level average a teh a ni. Hei hi a chhan chu hun rei tak chhunga thisen sugar level sang, hyperglycemia tia hriat hi taksa tan a hlauhawm hle thei a ni. Hei hian hun rei tak chhunga harsatna lian tak tak, thluak hnathawh that lohna, chhungril taksa peng hrang hrang tihchhiat, leh thinlung natna te a thlen thei a ni.
Mahse hetah hian thil pawimawh tak chu heng hun rei tak chhunga harsatna awmte hi a lo awm theih nan kum 10 emaw a aia rei emaw a ngai tlangpui. He hun chhung hi damlo tar dam rei zawng aiin a rei thei a, a bik takin natna dang nei tan chuan a rei thei hle.
Mahse, thisen sugar level hniam lutuk tichhe thei hypoglycemia , tih hian nghawng a nei nghal thei hle. He risk hi kum upa lam a zirin a sang chho zel a ni. Hypoglycemia na tak chuan tlu hlauhawm tak a thlen thei a, damdawi inah dah a ni thei a, thihna pawh a thlen thei bawk .
Tun hnaia zirchianna pakhatah chuan puitling hypoglycemic episode na tak nei zinga hmun thuma ṭhena hmun khat chu he thil thleng aṭanga kum thum chhungin an thi tih hmuhchhuah a ni. Hei hian hypoglycemia hi kan ngaihtuah aiin a hlauhawm zawk tihna a ni.
Engvangin nge kum upat deuh deuh hian thisen sugar tlahniam hi a pung?
A awlsam zawngin kan taksa a inthlak danglam vang a ni. Kan tar chhoh zel chuan kan metabolism a danglam thin. Insulin resistance a tipung thei a ni. Tin, pancreas-a insulin siamtu cell te hian thisen sugar level inthlak danglamna chu chutiang chuan an chhang let thei lo mai thei bawk.
Sugar drop venna lam hi i ngaihtuah ber ang u
Zunthlum vei tam tak chu an A1c level 7% hnuai lama dah turin an chah. A chang chuan he thil tum hi kum, nunphung leh hriselna dinhmun nen pawh a danglam ngai lo.
Aunt Kamala hi han ngaihtuah teh ang. Tunah hian kum 71 mi a ni tawh. Kum 40 vel a nih atang tawhin zunthlum a vei tawh a ni. Heng thil tum khauh tak takte pawh hi a nei ve bawk. Hypoglycemic episode a nei fo thin a, a bik takin zanlai emaw zingkar hma takah emaw a nei fo thin. A hriat chhuah meuh chuan a thisen sugar level chu nasa takin a tlahniam tawh a ni.
"Thil hlauhawm tak a ni," tiin Aunt Kamala chuan a sawi. " Ka thinlung chu a na hle a, ka thawmhnaw a chhuak a, ka lu a buai bawk."" "
Puitling kum upa zawkte chuan heng thisen sugar tlahniam chhinchhiahnate hi an hmu lo tam zawk a, a chhan chu a lan chhuah dan thenkhat, hahna, thinrimna, vun dum, leh lu na te hi natna dang emaw, tar pangngai anga ngaih theih a nih vang a ni.
Damdawi tihpun lohvin engtin nge sugar level kan enkawl ang?
Kamala hian a duh ang damdawi hman dan tur a hmu a, mahse chu mi hma pawh chuan a thisen sugar level chu a thunun tan ta a ni. Thuruk chu diet leh exercise a ni .
Dietitian thiam tak hnen atanga personalized diet plan leh exercise neih fo chuan a taksa rihna nasa tak a tihtlem phah a ni.
Diet plan pakhat chauh a awm lo. Nutritionist chuan i nunphung, lab report, leh i duh leh duh loh te ngaihtuah chungin i tan bik plan a siam ang.
Exercise kan tih hian kan taksa ruhte a chak zawk thin. Muscle mass kan neih tam poh leh kan metabolism a chak zawk ang a, chu chuan kan thisen sugar level control turin min pui ang. Chuvang chuan kan upat deuh deuh pawhin nun hrisel kan vawng reng thei a, kan taksa pawh kan thunun thei a ni.
‘One size fits all’ tih dan hnawl
Heng thilte avang hian American Diabetes Association ang chi damdawi lam pawl lian tak takte pawhin tun hnaiah puitlingte tana an rawtnate chu an update ta a ni. Chumi ang chuan an rawtnate chu hetiang hi a ni.
| Damlo tar tawhte hriselna dinhmun | A1c target atana rawtna siam |
|---|---|
| Puitling hrisel, active tak tak te | 7.5% aia tlem a ni. |
| Natna dang nei leh hriselna tlemte nei te | 8.0% aia tlem lo |
| Natna chi hrang hrang nei, hriselna tha lo, emaw dam rei lote | A1c target chauh rinchhan tur a ni lo. Enkawlna tum ber chu natna lan chhuah dan tihtlem leh damlo nunphung tihchangtlun a ni tur a ni. |
Entîr nân, kum 86 mi, Siripala-a mi pakhat hi han mitthla teh. A A1c chu 7 aia tlem a ni a, doctor chuan damdawi pe duh mah se, a enkawltute chuan a ei leh in thlak danglam a, nitin kea kal rei vak lovah hruai an tum a ni. Mak tak maiin a thisen sugar level chu a pangngaiin a lo kir leh ta a, a danglam vak lo.
Kan tar chhoh zel chuan enkawlna kan ruahman dawnin, thununna khauh tak aiin damlo thlamuanna hi dah pawimawh zawk a pawimawh hle.
Nangmah thu sawi rawh.
A tawpah chuan a pawimawh ber chu mahni hriselna pilot nih hi a ni. Kamala Aunty chanchin kha han sawi nawn leh ila. Kum tlemte kalta khan a doctor hnenah `Continuous Glucose Monitor (CGM)` chungchang a zawt a, chu chuan a kut zungtang hrual ngai lovin a sugar level chu a hun takah a enfiah thei dawn a ni. Mahse doctor chuan a ti beidawng ta a ni.
"Chuvangin doctor ka thlak ta a ni," tiin Kamala chuan a sawi. Tunah chuan CGM a nei tawh a, a tul ang ang chu rang takin a ti thei tawh a, tunah chuan a sugar level pawh a stable tawh hle.
"I taksain a hriat dan hrethiam doctor zawng rawh."
I doctor-in a ngaithla lo che nia i hriat chuan Doctor dang hmuh chu hlau suh. Mi pakhat tana hnathawk chu mi zawng zawng tan a thawk lo mai thei. Mi tinin an doctor nen inbiain, an tan, an nunphung leh an hriselna atana an thil tumte tana tha thei tur enkawlna ruahmanna an siam tur a ni.
Take-Home Thuchah a ni
- Puitling zunthlum vei tan chuan thisen sugar hniam (hypoglycemia) hi thisen thlum sang (hyperglycemia) aiin a rang zawkin a hlauhawm zawk thei a ni.
- Zunthlum vei puitling zawng zawng hian A1c target khauh tak an neih a ngai lo (<7%). A hlauhawm thei hle.
- Enkawl dan tur ruahmanna chu "one size fits all" a ni tur a ni lo. I kum, i hriselna zawng zawng leh i nunphung a zirin i tan bik a siam tur a ni.
- Diet leh exercise hi hmanraw chak tak pahnih, damdawi lamah chuan a danglam bik lo.
- I hriselna atana i thil tum te, i ngaihtuahna te, leh i ngaihdan te chu i doctor nen zalen takin sawipui rawh. Nangmah tan ding rawh.











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