Diabetes i neih chuan i thisen sugar level enfiah fo a pawimawh zia i hria . I enkawlna ruahmanna a thawh that zia tarlanna ‘report card’ ang mai a ni. He information hi nitin , a chang chuan darkar tin, i zunthlum enkawl dan tur chungchanga thutlukna siam nan hman a ni. Hei hi insulin i hman chuan a pawimawh hle .
Engvangin nge kan thisen sugar hi kan enfiah fo a ngaih?
Kan thisen sugar level hi thil chi hrang hrang avangin a inthlak danglam thei a. Thil \henkhat chu thil tawn a\anga kan hriatthiam theih laiin, a \hen erawh chu sawi lawk a har hle thung. Chuvang chuan doctor-in a tih angin i thisen sugar enfiah fo a pawimawh.
A awlsam zawngin, i ei leh in, exercise leh damdawi ang chi thil hmanga i thisen sugar level a inthlak dan dik tak hriat theihna awmchhun a ni. Heng thute hmang hian nang leh i doctor chuan i tana tha ber tur enkawlna ruahmanna i siam thei ang.
Eng thil nge kan thisen sugar level tichhe thei tih hi han ngaihtuah teh. I han en teh ang.
| Thisen sugar level tisang fo thin thil | Thisen sugar level tihhniam tlangpui thil |
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| Thil, a chang chuan sugar level tisang emaw tihhniam emaw thei thil | |
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In lama thisen sugar enfiah dan thenkhat chu engte nge ni?
In lama thisen sugar level enfiah dan tlangpui pahnih a awm.
1. Glucose meter leh finger prick (lancet) hmangin.
2. Continuous Glucose Monitor (CGM) hman dan.
Chûng hmanraw pakhat emaw, pahnih emaw hman i tum chu i doctor thurâwn, zunthlum i neih chi, hmanrua man, leh i insurance coverage ang chi thilte a innghat ang.
Glucose meter leh test strip te a awm bawk
Hei hi mi tam takin an hman tlanglawn ber a ni. Hetah hian i kut zungtang chu lancet an tih needle te tak te hmangin i chil a, thisen tlem i la a, glucose meter-a test strip-ah i dah a. Second tlemte chhungin i thisen sugar level chu meter screen-ah a rawn lang ang.
Hetiang method hian chutih lai chuan sugar level chauh a teh thin. Chuvangin insulin ei thin ang mite hian hetiang hian ni khatah vawi eng emaw zat an sugar an check a ngai a ni.
Glucose Monitor (CGM) hmanga enkawl chhunzawm zel a ni.
Hei hi technology hmasawn deuh deuh a ni. Hei hian a tih theih chu, i vun hnuaiah sensor te tak te dah a ni. Hei hian i taksa cell inkar interstitial fluid-a glucose level chu darkar 24 chhung a teh a, graph angin a tarlang bawk. Hei hian nitin i sugar level a inthlak dan chu a tha hle thei a ni. CGM tam tak hian i sugar level a san emaw a hniam emaw chuan alarm a pe thei bawk.
Mahse, hre reng ang che, CGM hi 100% a dik lo hun a awm thin . Chuvangin a chang chuan, a bik takin CGM chhiar dan hi i natna lanchhuahna nen a inmil lo a nih chuan, fingerstick thisen test hmanga fingerstick neih hi a finthlak hle.
Thisen sugar check dan dik leh engtikah nge check tur tih
Glucose meter hmanga thisen sugar enfiah dan?
Meter tinah hian danglamna tlem awm mah se, hengte hi a tlangpuiin zawm tur a ni.
1. A hmasa berin sahbawn hmangin i kut uluk takin silfai ang che. I kut zungtangte hian ei tur a neih chuan chhiar dan chu a dik lo mai thei.
2. Test strip la la, meter chhungah dah rawh.
3. I kut zungtang sir lam chu lancet hmangin prick rawh. Side pricking hi a laiah puncture aiin a hrehawm lo zawk.
4. Thisen tla khat hrual la, test strip-a hmun remchang takah khawih rawh. Second tlemte hnuah chuan i thisen sugar level chu meter screen-ah a lang ang.
Engtikah nge i thisen sugar i check ang?
Hei hi mi tin a inang lo. I doctor chuan i tan eng hun nge tha ber tih a hrilh ang che. Mahse a tlangpuiin heng hun lai hian i thisen sugar level enfiah hi i enkawlna tur ruahmanna tehna atan a pawimawh hle.
- Zingkar i thawh veleh (Fasting glucose): Zankhuain i thisen sugar level kha engtin nge a awm tih i hre thei ang.
- Chaw ei hma: I chaw ei tur ruahmanna siam nan leh insulin ei tur zat hriat theihna turin a pui thin.
- Chaw ei hnu darkar 2: Chaw ei hian i thisen sugar level a nghawng dan hriatthiamna hun tha ber.
- Exercise hma leh tih zawh: Exercise hian thisen sugar level a tihhniam tlangpui a, mahse a chang chuan a tisang thei a ni. I hre chiang thei ang.
- Zana mut hma: Mut laiin thisen sugar level hniam hi a hlauhawm thei hle. Tin, thisen sugar level sang taka mut hian hun rei tak chhung chu i hriselna a tichhe bawk.
Thisen thlum hniam (Hypoglycemia) leh thisen thlum sang (Hyperglycemia) chhinchhiahna .
I taksa hian i sugar level a hniam emaw a san emaw chuan signal a pe ang che. Heng chhinchhiahna te hi fimkhur a pawimawh hle.
| Thisen thlum hniam (Hypoglycemia) - 70 mg/dL aia tlem | Thisen sugar sang (Hyperglycemia) - 180 mg/dL aia tam |
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Natna:
Engtin nge tih ang? Heng symptoms te hi a lo lan veleh i thisen sugar check thin ang che. A hniam chuan rang takin sugar awmna thil, banana emaw thei tui emaw ei tur a ni.Hypoglycemia na tak hian nunna a tichhe thei hial a ni. | Natna:
Engtin nge tih ang? Heng symptoms te hi i neih chuan i thisen sugar enfiah thin ang che. Insulin i ei a nih chuan i doctor-in a tih angin ei tur a ni. Heng symptoms te hi luak chhuak leh hahna nasa tak nen a awm a nih chuan Diabetic Ketoacidosis (DKA) tih hming pu natna hlauhawm tak chhinchhiahna a ni thei. Chutiang a nih chuan Doctor pan nghal emaw, Emergency Department (ETU) hnai ber pan emaw a ni ang. |
Thisen sugar enfiahna hlawkna leh harsatna te
A thatna te
I thisen sugar enfiah fo a hlawkna ber chu i zunthlum control theihna chakna i neih hi a ni. Eng ei tur nge sugar tipung tih leh exercise hian engtin nge a control theih tih i hrethiam thei. He information hmang hian i doctor chuan i tan treatment plan tha ber a siam thei bawk. Hei hian zunthlum vanga harsatna lo thleng tur tihkhawtlai leh venna kawngah a pui ang che a, nun hrisel tak i nei thei bawk ang.
Harsatna (Risks) 1.1.
- Kut zungtang na: I kut zungtang i chil nawn fo hian natna a thlen thei. Chutiang a nih loh nan i kut zungtang sir chu chhum la, lancet khat chu hmang nawn fo suh la, thlak leh rawh.
- Cost: Test strip leh CGM system te hi a man to thei hle. Hemi chungchang hi i doctor nen sawiho la, i duhthlan turte zawt rawh.
- Psychological impact: A chang chuan i thisen sugar chhiar dan i hmuh hian i lungngai thei a, i thinrim thei a, i lungawi lo thei bawk.
Heng number te hi i theihna tehna ‘score’ an ni lo tih hre reng ang che. I treatment plan hnathawh dan hriat theihna tura puitu ‘data’ mai an ni. Chuvangin beidawng suh.
I zunthlum avanga lungkhamna emaw, lungkhamna emaw i neih reng chuan i doctor nen sawiho rawh. Tin, a tul chuan rilru lam doctor emaw counselor emaw tanpuina lak a pawimawh bawk.
Take-Home Thuchah a ni
- Zunthlum enkawl nan thisen sugar enfiah fo hi a pawimawh hle.
- I thisen sugar target range bik chu eng nge ni tih chiang taka hriat tumin i doctor nen inbia ang che.
- Thisen thlum hniam (Hypoglycemia) leh thisen thlum sang (Hyperglycemia) natna lan chhuah dan fimkhur hle ang che.
- Blood sugar reading beisei angin a kal loh chuan hlauthawng suh. I enkawlna ruahmanna siamrem lehzual turin information atan hmang rawh.
- I thisen sugar record leh zawhna i neih apiang doctor hnenah sawi hreh suh.
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