I zunthlum hi thunun a harsa em? ‘Brittle Diabetes’ chungchang hi han sawi ila!

Zunthlum vei enkawl mek i ni em? Chuvangin, a chang chuan i thisen sugar level a tlahniam nghal vat a, i muhil mai ang tih i hre thin em? A nih loh leh a sang lutuk ang maiin i inhriat ngai em? Doctor-te chuan he zunthlum chi, thunun harsa tak leh nghet lo tak hi, "Brittle Diabetes" an ti. "Labile Diabetes" tih pawh a ni. "Brittle" emaw "Labile" emaw tih hian "a awlsam taka inthlak danglam" emaw "a nghet lo" emaw tihna a ni.

A awlsam zawngin ‘Brittle Diabetes’ tih hi eng nge ni?

A awlsam zawngin sawi ila, ‘Brittle Diabetes’ chu i thisen glucose level hniam tak (`(Hypoglycemia)' kan tih) atanga sang tak (`(Hyperglycemia)' kan tih)-a a inthlak chak lutuk hi a ni.

Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?

Dik tak chuan zunthlum natna eng pawh hi uluk taka enkawl loh chuan a nghet lo thei hle. Chuvangin, ‘Brittle Diabetes’ dik taka hriat hi a buaithlak deuh a ni. I sugar level nasa taka a inthlak danglam theih chhan hi chhan hrang hrang a awm thei.

Chûng thilte chuan nangmah pawh nghawng a nei em tih ngaihtuah rawh:

• Damdawi leh test skip: I damdawi ei tur hi doctor-in a tih ang chiah khan i ei em? Ni khatah vawi tam tak i glucose level i check thin em? Hengte hi i skip chuan a chhan lian tak a ni thei.
• Stress na tak: Stress nasa tak, thinrimna leh lungngaihna ang chi thilte hian kan taksa hormone direct-in a nghawng a, sugar level a tibuai bawk.
• Ei leh in lama harsatna (Eating Disorders): Chaw ei tam lutuk, ei leh in tha lo, vawi khata ei tam lutuk ang chi dinhmun.
• Nutritional problems: Intestines hian i eitur chhunga nutrients awmte chu a hip lut tha lo. Hei hi entirnan Celiac Disease ang chi natna te hi a ni.
• Pum lam harsatna: Gastroparesis hi chaw ei tur chu pum atanga intestines thlenga kal a slow em em a, a chang chuan a tawp thin. Hei hian insulin hnathawhnaah nghawng lian tak a nei thei a ni.
• Insulin sensitivity: Mi thenkhat chuan insulin hi an sensitive hle a, a tlem berah pawh thisen sugar a tlahniam nghal thei a ni.

Vawi tam tak chu, chûng thil pakhat emaw, a aia tam emaw chuan chutiang chu a thlen thei a ni. A \henah chuan doctor-te pawhin a chhan chiang tak an hmu thei lo.

Engtin nge he natna hi hriat chhuah a nih? Eng nge a lan chhuah dan?

I thisen sugar level sang leh hniam a zirin symptoms a inang lo. Heng symptoms te hi a hranin han en ila.

Fimkhur rawh! Thisen thlum sang hi a hlauhawm thei (Ketoacidosis) .

Thisen sugar sang (hyperglycemia) hi i enkawl vat loh chuan natna hlauhawm takah a chang thei a, chu chu ketoacidosis an ti a ni. Hei hi taksain glucose chu chakna atan a hmang thei lo va, chu ai chuan thau a hal tan ta zawk a ni. Chuvang chuan thisen leh zun-ah hian chemical tha lo (toxic chemicals) ketones an tih chu a lo pungkhawm a ni. Hei hi medical emergency a ni.

Ketoacidosis natna lan chhuah dan:

• Thâwk chungah thei rim a nam
• Nausea leh luak chhuak
• Thâwk harsa
• Chak lohna nasa tak
• Thil hriatna hloh
• Pum a na
• Coma-ah a tlu lut

He natna hi tuin nge vei tam zawk?

Brittle diabetes hi a hluar vak lo. Zunthlum vei, insulin hmangtu mi 1,000 zinga 3 velin a nghawng a ni. Kum eng pawha nghawng thei mah se, mipa aiin hmeichhiaah a tam zawk.

Thil pawimawh dang chu hypoglycemic episode i neih fo chuan i risk a sang deuh a ni. A chhan chu i thisen sugar a tlahniam lutuk chuan hun kal zelah i taksain a hriat theihna a tlahniam thin. Tichuan i thisen sugar a tlahniam apiangin a na zual thei a, ‘brittle diabetes’ a thlen thei a ni.

Engtin nge he thil hi i nunpui? Enkawlnate chu engte nge ni?

Hetiang dinhmun hian i nitin nun a tibuai thei tak zet a ni. A chhan chu i thisen sugar a tlahniam leh a san hun tur chu i sawi lawk thei lo. Damdawi inah i kal fo a ngai mai thei a, chu chuan hnathawh emaw, inchhung hna thawh emaw a ti harsa thei a ni. Nunna atana hlauhawm pawh a ni thei.

I enkawl hunah i doctor chuan i thisen sugar level i mamawh nghal tur chu a ngaihtuah hmasa ang. Tichuan, i zunthlum hi ngun taka enkawl dan tur ruahmanna an siam ang. Vanneihthlak takin tunlai technology thar leh enkawlna thar hian he natna hi a enkawl thei che a ni.

Damdawi chi hrang hrang pek i ni thei bawk a, chungte chu:

• Continuous Glucose Monitor (CGM): Hei hi hmanraw te tak te, vun hnuaiah emaw, vun chungah emaw dah a ni. I thisen sugar level a teh chhunzawm zel a, hlauhawm taka a hniam emaw a sang emaw chuan alarm a tichhuak thin .
• Insulin pump: Hei hi machine te tak te, nitin i hman thin a ni bawk. A hun takah leh a zat dik takah taksaah insulin a pe chhuak nghal vek a ni. Hei hian thisen sugar level a ti nghet thei a ni.
• Pancreatic Transplant Surgery: Hei hi surgery buaithlak tak a ni. Hetah hian donor thi tawh atanga pancreas hrisel tak chu taksaah dahin insulin siamchhuahna a tichak leh thin.

I doctor chuan i tana enkawlna tha ber tur a ruat ang. I dinhmun chhan chu amah ngeiin a hril ang. Enkawl dan tur ruahmanna i neih hnuah chuan a hlawhtlin theih nan mawhphurhna lian tak i nei a ni.

• Exercise neih fo thin ang che.
• Nutritional advice pek che chu a nihna ang takin zawm rawh.
• Damdawi ei hun emaw, a dose emaw pawh pelh ngai suh.
• A chung berah chuan i zunthlum doctor leh medical team te nen inzawmna nei reng ang che. An hnen atangin medical leh emotional support i mamawh chu la rawh.