I thisen sugar chu a tlahniam nghal em? Hypoglycemia chungchang hi han sawi ila!

Zunthlum i nei em? Chutiang a nih chuan, a châng chuan rang takin i thawmhnaw a chhuak a, i khur a, i rilru a hah deuh ṭhin em? I ril a tam a, i lu a na emaw, i thinlung a na emaw pawh a ni thei. Hei hi damdawi lam chuan ‘hypoglycemia’ kan tih chu a ni. A awlsam zawngin kan taksain chakna atana a hman theih sugar chu a tlahniam nghal vek a ni.

Hypoglycemia tih hi eng nge ni?

Kan taksa hi motor angin han ngaihtuah teh. Car tlan nan gasoline a mamawh ang bawkin, kan taksa hian ni tin hna, ngaihtuahna te, thawk te, kea kal te, leh tlan te tih theih nan chakna a mamawh a ni. Kan taksaa chakna petu ber chu glucose, a nih loh leh ‘sugar’ mai mai a ni. Zunthlum vei taksaa sugar level a tlakhniam thut chuan taksain a hnathawh theihna tura a mamawh ‘fuel’ chu a hloh ta a ni. A tlangpuiin heng symptoms te hi thisen sugar level 70 mg/dL (milligrams per deciliter) aia hniam a nih chuan a lang tan thin.

Hetiang hunah hian eng symptoms nge awm?

Hypoglycemia symptoms hi mi zawng zawng tan a inang vek lo. Zunthlum i vei chuan zawi zawiin i taksain he natna a chhan dan hi i hre chiang tawh ang. Heng symptoms te hi chi hnih ah then theih a ni a, symptoms hmasa ber leh symptoms na zawk.

Engvangin nge thisen sugar hi hetiang hian a tlahniam?

Hei hi chhan hrang hrang a awm a. A bulpui ber chu zunthlum damdawi kan ei leh kan ei leh in dan te hi a ni.

Zunthlum damdawi thenkhat

Zunthlum damdawi i ei hian thisen thlum a tihniam thei em tih doctor zawh a pawimawh hle.

• Insulin Enkawl dan: Insulin hi thisen sugar level control tu hormone ber a ni. Pawn lam atanga insulin ei hian a chang chuan taksa mamawh aia tam a ei chuan thisen sugar level a tlahniam thei a ni.
• Sulfonylureas: Heng damdawi chi hrang hrang, zunthlum enkawlna atana hman tlanglawn tak a ni. Insulin tam zawk siam turin pancreas tichakin hna an thawk a ni. Hei hian a chang chuan thisen sugar level a ti hniam thei bawk. Entirna thenkhat chu:
• Glimepiride (Amaryl) hmanga siam a ni.
• Glipizide (Glucotrol) hmanga siam a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a.

Tin, zunthlum damdawi nen zu i in a nih chuan, emaw, damdawi dang allopurinol, aspirin, warfarin emaw i ei chuan an inzawm khawm thei a, thisen sugar level a tlahniam thei bawk. Chuvangin, i damdawi ei zawng zawng chu i doctor hnenah hrilh rawh.

Ei leh in in nghawng a neih dan

Carbohydrates (starch/sugar) i ei zat nena inmil lo insulin emaw diabetes pill emaw i ei chuan i thisen sugar a tlahniam thei.

• Chaw ei loh emaw tihkhawtlai emaw: Damdawi i ei hnua a hun taka i ei loh chuan i thisen sugar level a tlahniam ang a, a chhan chu i taksaah sugar tlem zawk a lut a ni.
• Simple sugar tamna diet ei: Sugar tamna ei tur tam tak (e.g., sweet drinks, cakes) vawi khata i ei chuan i taksain insulin tam tak a siam chhuak nghal mai ang. Hei hian i thisen sugar level a ti tlahniam nghal thei a ni.
• Pum ruak chunga zu in: Chaw engmah tel lova zu in hian thin (liver) sugar production process a titawp thei a, hypoglycemia a thlen thei bawk.
• Exercise: Exercise i tih hian i taksain chakna atan sugar a hmang thin. Chuvangin exercise hma leh exercise zawhah i sugar level i fimkhur a ngai a ni.

I thisen sugar a hniam chuan eng nge i tih thin?

Hypoglycemia symptoms i nei nia i hriat chuan hlau suh la, heng step te hi zawm rawh.

1. I thisen sugar level enfiah nghal rawh: A theih chuan i thisen sugar level chu i glucometer hmangin enfiah thin ang che. 70 mg/dL hnuai lam a nih chuan hma la nghal rawh.

2. ‘15-15 rule’ zawm rawh:

• Step 1: Fast-acting carbohydrates gram 15 vel ei emaw in emaw.
• Glucose tablet 3-4 ei tur a ni
• Toffee thlum 4-6 (sugar tel lo) .
• Thei tui cup 1/2 (sugar tel lo) .
• Bawnghnute thlum cup 1
• Soft drink sugary cup 1/2 in tur a ni
• Honey tablespoon khat (hei hi lei hnuaia dah a nih chuan thisenah a lut nghal vat thin) .
• Step 2: Minute 15 vel nghak rawh.
• Step 3: I thisen sugar enfiah leh rawh. 70 mg/dL hnuai lam a la nih chuan a chunga kan tarlan ei tur pakhat hi gram 15 ei leh rawh.

3. I thisen sugar level a normal leh tawh chuan: I thisen sugar level a normal leh tawh chuan i thisen sugar level a nghet theih nan protein leh complex carbohydrates (e.g., cream cracker biscuit cheese nen) awmna snack te tak te ei la.

Miin hriatna a hloh chuan engtin nge ni ang?

Thil na tak tak thenkhatah chuan hypoglycemia hian hriatna a hloh thei a ni. Hei hi emergency a ni.

• Hriat lohna nei lo hnenah ei leh in chu ka hmanga pe ngai suh. Chutianga tih chuan thawkna kawngah a awmtîr thei a, dinhmun chu a tichhe zual thei a ni.
• Ambulance ko nghal la emaw, chu mi chu damdawi in hnai ber Emergency Treatment Unit (ETU) ah hruai rawh .
• I doctor-in glucagon an tih injection hmang turin a rawt che a nih chuan, emergency-a i chhungte leh i thiante i pek dan tur i zirtir a pawimawh hle. Glucagon hi hormone a ni a, rang takin thisen sugar level a tisang a.

Motor khalh dawnin fimkhur rawh!

Thisen sugar hniam taka lirthei khalh hi a hlauhawm hle . Motor khalh laiin hypoglycemia symptoms i neih chuan kawngpuiah hmun him takah lirthei kha titawp nghal rawh. Tichuan i thisen sugar check la, thil thlum tak ei la, minute 15 nghak la, check leh la, i thisen sugar a normal leh hunah chauh khalh leh rawh. Emergency a nih chuan i car chhungah sweet treat (toffee, glucose) dah fo ang che.

Hypoglycemia hi engtin nge kan ven theih ang?

• I doctor emaw nutritionist emaw-in meal plan a pek che kha zawm chiang rawh.
• I chaw ei ber pathum chu a hun takah ei rawh. Chaw ei inkar hi darkar 4-5 aia tam lo awm tir suh.
• Exercise i tih chuan darkar chanve emaw, chaw ei zawh darkar khat emaw velah tih tur a ni. Exercise hma leh exercise zawhah i thisen sugar level enfiah thin ang che.
• Damdawi i ei hmain damdawi dik leh ei tur dik tak i ei tih vawi hnih enfiah hmasa phawt ang che .
• Zu i in chuan khap tlat ang che. Pum ruak chunga zu in loh tur.
• I damdawi ei tur peak level chungchang hi doctor zawt la.
• Doctor thurawn angin i thisen sugar level enfiah fo thin ang che .
• Zunthlum i vei tih ziakna ID card emaw bracelet emaw bun hi emergency-ah chuan a pawimawh hle thei a ni.

Kar khat chhungin chhan hriat loha i thisen sugar level vawi tam tak a tlahniam a nih chuan i doctor nen sawiho rawh. Chutih laia i thil tih hun, ni, leh i thil tih chu chhinchhiah rawh. Hei hian i doctor chu pattern pakhat a hriat theih nan leh i enkawlnaah a tul apiang a tihdanglam theih nan a pui ang.