Zunthlum i vei tih i hriat veleh hlauhna leh lungkhamna tlem a awm hi thil pangngai a ni. Mahse a tha ber chu tunlai hian i zunthlum enkawl dan tur leh nun hrisel tak nei tura puitu tur damdawi tha zawk a awm tawh a ni. Nang leh i doctor hian in thisen glucose level enkawl dan tur leh i taksa rihna hrisel tak neih theihna tura puitu tur ruahmanna in siam ang.
A châng chuan, i thisen sugar level pangngaia awm reng nân damdawi pakhat chauh a tawk lo thei bawk. Chutiang hunah chuan i doctor chuan damdawi dang a dah belh thei bawk. Heng enkawlnate hi pakhat hnu pakhatin sawi ila.
Damdawi ei tur
Type 2 Diabetes vei tam zawk chuan damdawi Metformin an tih hmangin enkawlna an tan thin. Hei hian i liver-in sugar a siam zat tihtlem hmangin hna a thawk ber. Metformin hian i taksa ruhte hian hormone insulin a hip lut tha zawk bawk a, hei hian i taksain sugar a dawn chu a hmang tangkai thei a ni.
He damdawi hi ni khatah vawi hnih ei thin a ni tlangpui. A pawimawh ber chu he pill hi ei tur nen ei tur a ni. Hei hian side effects, pum na, a bik takin diarrhea te chu nasa takin a tiziaawm thei a ni.
Metformin chauh hian i thisen sugar level a control loh chuan i doctor chuan i dose a tipung thei a, damdawi chi thar a dah belh thei bawk. Heng damdawi dangte hi eng nge ni tih han thlir ila.
Heng damdawi zawng zawng hi doctor thurawn hnuaiah chauh hman tur a ni tih hre reng ang che. Ṭhianin a hman vang mai mai tur a ni lo, mi tin taksa dinhmun a inang lo.
| Damdawi chi hrang hrang leh sawifiahna awlsam tak | Entirnan (brand hming) te chu . |
|---|---|
| Alpha-glucosidase tihkhawtlai a ni Chûngte chuan taksain kan ei tûr starchy nei, chhang leh alu te chu a ti chhe thei lo va, chu chuan thisen sugar a pun nghal thut chu a ti tlem a ni. | Acarbose (Precose) a awm a, Miglitol (Glyset) a awm bawk. |
| Bile acid hmanga thil siam chhuah Hengte hi a takah chuan taksaa cholesterol tha lo (LDL cholesterol) tihhniamtu damdawi an ni. Mahse thisen sugar level tihhniamtu an ni tih hmuhchhuah a ni bawk. Hei hi thin natna avanga zunthlum damdawi dang ei thei lo tan chuan a him thei a ni. | Colesevelam (Welchol) chuan a rawn ti a. |
| DPP-4 inhibitor te hi a ni Hengte hian thisen sugar level a tihhniam avangin zunthlum control nan a pui thin. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. |
| GLP-1 receptor agonists te hi a awm a Chungte chuan taksain insulin tam zawk siam turin a hrilh a ni. Tin, chaw ei chakna (digestion rate) an ti hniam a, i chaw ei chakna a tipung bawk. Chung zinga ṭhenkhat chu injection angin a awm bawk. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. |
| GIP leh GLP-1 receptor agonist te a ni Hei hi damdawi chi thar a ni. Hengte hian thisen sugar level a san hunah chauh insulin siam chhuah a tipung thei a ni. | Tirzepatide (Mounjaro) a ni a, a damdawi hi a tha hle. |
| Meglitinides a awm bawk Chungte chuan taksain insulin tam zawk a siam chhuah theih nan a pui a ni. Heng damdawi te hi chaw ei ber hmain ei thin a ni tlangpui. | Nateglinide (Starlix) te, Repaglinide (Prandin) te hi a awm a. |
| SGLT2 inhibitor te hi an ni Hetiang damdawi chi hi a danglam bik hle. I thisen atanga sugar tam lutuk chu i kal leh zun hmangin a paih chhuak a ni. Damdawi thenkhat (Empagliflozin ang chi) hian thinlung natna vei te tan heart attack hlauhawmna a tihziaawm bawk. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. |
| Sulfonylurea te pawh a awm Hengte hian i pancreas chu insulin tam zawk siam turin a tichak a ni. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. |
| Thiazolidinediones (TZD) te hi a awm a. Hengte hian an tih chu taksa ruh leh thau tissue te chu insulin dawng thei tura siam hi a ni. Chu chu insulin thatna an tipung tihna a ni. | Pioglitazone (Actos) te, Rosiglitazone (Avandia) te hi a awm a, a damdawi hi a tha hle. |
Insulin hmanga enkawl a ni
Insulin hi kan taksa ngeiin a siam chhuah hormone pawimawh tak a ni a, thisen a sugar chu cell-ah a sawn a, chu chu chakna atana hman tur a ni.
Tunah chuan insulin injection i lak a ngai a nih chuan , "Aw, ka natna hi ka thunun thei tawh lo ang," tih hi ngaihtuah ngai suh. Chutiang chu a ni lo. Mi tin taksa hi a danglam vek. Zunthlum i vei rei tawh a nih chuan, i thisen sugar a sang hle a nih chuan, emaw, hriselna lama harsatna dang i neih chuan pill chauh hmanga i thisen sugar control harsa i neih chuan, i doctor chuan pill nen insulin hmang turin a rawt mai thei.
Mi tam zawk chuan vun hnuaia thau layer-ah insulin an inject thin. Ni khata i mamawh zat chu i doctor chuan a rel ang.
Insulin chi hrang hrang a awm bawk.
- Rapid-acting: Hengte hian inject atanga minute tlemte chhungin hna an thawk a, darkar engemaw zat an daih.
- Short-acting: Darkar chanve chhungin a thawk tan a, darkar 3-6 chhung a daih.
- Intermediate-acting: Darkar 2-4 chhungin a thawk tan a, darkar 12-18 chhung a daih.
- Hun rei tak thawk thei: Hengte hian nitin thisen sugar level a nghet reng theih nan a pui thin.
Syringe emaw, prefilled pen emaw, vun hnuaia dah device te tak te (insulin pump) hmangin insulin i dawng thei bawk. I doctor chuan hetiang tih dan tur dik tak a hrilh ang che.
Damdawi hi engtin nge dik taka hman ang?
Hei hi a pawimawh ber a ni.
- I doctor thupek zawm rawh: I damdawi chu i doctor-in a hrilh ang chiah chiah, a hun leh a pek zat zat ei tur a ni. Damdawi thenkhat chu ei leh in rualin ei tur a ni a, a side effect tihziaawm nan. Chu thupekte chu zawm ngei ang che.
- I damdawi dahkhawm dan: I doctor emaw pharmacist emaw chuan i damdawi dahkhawm dan tur a hrilh ang che. A bik takin insulin ang chi thil hi temperature dik takah dah a ngai a ni. Hei hian damdawi quality humhalh nan a pui dawn a ni.
- Zu chungchangah fimkhur rawh:Damdawi thenkhat, metformin ang chi ei hian zu in a tha lo. Zunthlum vei te hian mi dang aiin zu in a nghawng dan hi an hrethiam zawk mai thei. Chuvangin zu i in chuan fimkhur hle ang che. Hemi chungchang hi Doctor nen sawipui a tha ber.
Take-Home Thuchah a ni
- Diabetes hi enkawl theih a nih avangin hlau lutuk suh.
- I doctor nen thawk ho la, i tana enkawlna tur ruahmanna tha ber siam rawh. Zawhna i neih chuan zawh hreh suh.
- Mi tam tak chuan metformin an tih pill hmangin enkawlna an tan thin. Chaw ei ruala ei hian side effect a tihziaawm thei.
- Insulin hman a ngai tih hian i natna chu thunun theih loh a ni tihna a ni lo. Enkawlna tul leh tangkai tak a ni.
- Doctor-in damdawi a pek, a hun takah, a dose dik tak, leh a pek ang chiah chiah ei hi a pawimawh hle.
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