Zunthlum tan insulin sensitivity damdawi chungchang i zir dawn teh ang.

I doctor chuan zunthlum i vei tih a hrilh che em, a nih loh leh zunthlum (prediabetes) vei i hnaih tawh tih a hrilh che em? Chutianga i sawi chuan "insulin resistance" tih thumal hi i hre tawh mai thei. He thumal thar hi eng nge ni tih i ngaihtuah mai thei. Hlau suh. Vawiin hian hemi chungchang leh he natna atana damdawi pek dan tur kan sawi dawn a ni. Thian nena inbiakna ang maiin heng thilte hi awlsam takin i hrethiam ang u.

Insulin Sensitivity hi eng nge ni?

A awlsam zawngin sawi ila, insulin hi kan taksa peng pakhat, pancreas an tih atanga siam hormone pawimawh tak a ni. Kan chaw ei a sugar (glucose) chu thisenah a luh chuan, chu chu taksa cell chhunga sugar lut a, chakna siam tura puitu chabi a ni.

I taksaa cell-te chu kawngkhar niin han ngaihtuah teh, chu kawngkhar hawnsaktu chabi chu insulin a ni.

• Insulin sensitivity tha neih awmzia chu: He chabi (insulin) hi i dah chuan kawngkhar (cell) chu awlsam takin a inhawng thin. Thisen chhunga sugar awm chu awlsam takin cell chhungah a lut a, chakna ah a inthlak a ni.
• Insulin resistance tih awmzia chu: Chu chabi chuan kawngkhar hawn a harsat hle. Kawngkhar a inkhar ang mai a ni. Chuvangin kawngkhar hawn theih loh avangin thisen sugar level a sang chho ta a ni. Tichuan pancreas chuan insulin tam zawk a siam tan a, kawngkhar khar hawn nan chabi tam zawk rawn ken ang maiin. Hun kal zelah hei hi zunthlum (type 2 diabetes) thlentu a ni.

Chuvangin, insulin sensitivity damdawi hian a tih chu chu kawngkhar tangkhangte chu hawn awlsam zawka siam hi a ni. Chu chu insulin hnathawh that nan an pui tihna a ni.

Hemi atana damdawi hman berte chu engte nge ni?

Insulin sensitivity tihchangtlun dan tha ber chu nunphung thlak danglam hi a ni. Hei hian exercise neih fo te, ei leh in tha tak ei te, leh i taksa rihna control te a huam a ni. Mahse, i doctor pawhin hengte nen hian damdawi a pe thei bawk.

Damdawi chi hnih a awm a.

1. Biguanides - He category-a damdawi awm chhun chu Metformin hriat lar tak a ni.

2. Thiazolidinediones (TZDs) - He group-ah hian damdawi a awm bawk.

Tunah chuan heng chi hrang hrangte hi a hranin han thlir ila.

Metformin, kan hriat vek

Metformin hi khawvela type 2 diabetes damdawi hman lar ber a ni. Zunthlum i neih chuan he damdawi hi i ei a nih a rinawm ber.

Engtin nge metformin hian hna a thawh?

Metformin hian thisen sugar control nan kawng lian pahnih a pui a:

• Liver-in sugar a siam chhuah a ti tlem: Kan thin hian taksain a mamawh hunah sugar a siam chhuak bawk. Metformin hian he thil hi a control avangin thisenah hian a tul lo taka sugar awm khawm chu a tlahniam a ni.
• Muscle-a insulin sensitivity a tipung: Hei hi a pawimawh ber a ni. Muscle cells te hian insulin an dawng tha tan thin. Tichuan thisena sugar chu awlsam takin taksa peng hrang hrangah a lut a, chakna ah a chang ta a ni.

Zunthlum damdawi dang ang lo takin metformin hian taksa rihna a tipung lo tlangpui. Mi thenkhat phei chuan an taksa rihna engemaw zat an hloh thei bawk.

Thiazolidinediones (TZD) te hi a awm a.

Hei hi ruihhlo pawl dang chu a ni. Chungte chuan insulin sensitivity a tipung bawk. He pawlah hian damdawi chi hnih a awm a, chungte chu Pioglitazone leh Rosiglitazone te an ni.

Doctor-te chuan metformin hi an rawt hmasa ber ṭhin. Chumi hmanga control harsa a nih chuan emaw, chhan dang vang emaw chuan he TZD class damdawi hi i ngaihtuah mai thei.

Engtin nge i tan damdawi dik tak i thlan?

Hei hi zawhna pawimawh tak a ni. Mahse, i chhan tur a ni lo, i doctor tan a ni . A chhan chu i tana damdawi dik a thlan dawnin thil tam tak a ngaihtuah a ni.

• I zunthlum hi engtin nge a awm?
• Damdawi dang (thinlung natna, kal natna, thin natna) i nei em?
• I kum leh nunphung chu eng nge ni?
• Damdawi hian a side effect leh thatna leh that lohna te chu engte nge ni?

Heng zawng zawng a ngaihtuah hnu hian i tan damdawi tha ber leh him ber leh a hman dan tur a ruat thin.I thianpain damdawi a ei lai emaw, mi dangin a rawt damdawi emaw hmang ngai suh.