Type 2 diabetes tan pills nge insulin? - I duh ber i thlang ang u

I doctor-in Type 2 Diabetes i vei tih a hrilh che chuan exercise i la tan tawh ngei ang a, i ei leh in i control tawh bawk. Chu chu thil tha tak a ni. Mahse a chang chuan, nun hrisel tak hmang chauhin i thisen sugar level control chu a harsa thei hle. Chutah chuan i doctor chuan damdawi ei tan turin a hrilh che a ni.

Type 2 diabetes damdawi chi hnih a awm a, chungte chu pills leh insulin te an ni. An pahnih hian i thisen sugar level chu a pangngai hnaih turin a pui a ni. Hei hi a pawimawh a, a chhan chu i thisen sugar level rei tak a san chuan nerve chhiatna, mit lama harsatna, kal lama harsatna, leh thinlung natna te ang chi natna khirh tak tak i nei tam zawk a ni.

Chuti a nih chuan, eng pill emaw insulin emaw nge i tan a tha ber? Hemi chungchang hi i doctor i biak hmain chipchiar zawkin i sawi hmasa ang.

Zunthlum damdawi chi hrang hrang

Type 2 diabetes i vei tih hmuhchhuah chauh i nih chuan i doctor chuan damdawi chi khat a rawn pe hmasa ber mai thei. Hengte hian hormone insulin a thlak lo a, mahse i taksa a pui thei a ni:

• Insulin tam zawk siam chhuak rawh.
• Taksa siam chhuah insulin hi tha zawkin hmang thin ang che.
• Thisen sugar level tihhniam.

Heng damdawi zinga pakhat emaw, a tam zawk inzawm emaw pek i ni thei bawk. Damdawi chi hrang hrang hi han thlir ila.

Metformin a ni

A awlsam zawngin sawi ila, hei hi doctor-te’n type 2 diabetes damdawi an pek thin first-line damdawi hman tlanglawn ber a ni. Pill leh liquid angin a awm. Metformin hian hna a thawk ber a, i liver-in sugar a siam zat a tihtlem bakah i taksain insulin a hman that theih nan a pui bawk. A rualin zunthlum damdawi dang pawh pek i ni thei bawk. He damdawi hian i taksa rihna engemaw zat tihtlem nan a pui thei bawk.

Sulfonylurea te pawh a awm

Heng damdawi te hian i taksain insulin tam zawk a siam chhuah theih nan hna a thawk a ni. Hetiang damdawi chi hrang hrang hi Glimepiride (Amaryl), Glipizide (Glucotrol), leh Glyburide (DiaBeta) te hi a ni. Amaherawhchu, taksa rihna a tipung thei a, thisen thlum (hypoglycemia) a ti hniam thei bawk.

Meglitinides a awm bawk

Heng damdawi te hian pancreas chu insulin tam zawk siam turin a tichak bawk. Mahse, sulfonylureas aiin hna an thawk rang zawk a, mahse an daih rei zawk. Heng damdawi zingah hian Repaglinide (Prandin) leh Nateglinide (Starlix) te pawh an tel. Side effects chu thisen sugar tlahniam leh taksa rihna sang te a ni thei.

Thiazolidinediones a awm bawk

Hengte hian i taksa tissue te chu insulin laka sensitive zawka siamin hna an thawk a ni. Hei hian i taksain insulin a hman tangkai theih nan an pui tihna a ni. Rosiglitazone (Avandia) leh Pioglitazone (Actos) te hi he class-a damdawi an ni. Mahse a tlangpuiin enkawlna dang a hlawhchham a nih chauhvin pek an ni a, a chhan chu side effect na tak tak, heart attack leh anemia te a awm thei a ni.

Heng damdawi chi hrang hrangte hi hriatthiam awlsam takin han khaikhawm ila.

Engtikah nge insulin hi a mamawh?

Pill chauh hmanga i thisen sugar level i control theih loh chuan i doctor chuan insulin a ei tan tir thei che a ni. Insulin hi shot anga i hmuh thin thil a ni.

Insulin chi hrang hrang a awm bawk a, an hnathawh hun chhung a inang lo.

• Long-acting insulin: Injection hnu darkar engemaw zat hnuah thisenah a lut lo a, mahse darkar 24 chhung thisen sugar level control-na a nei reng a ni. Doctor-te chuan type 2 diabetes vei tan zanah he insulin chi hi an rawt fo thin.
• Intermediate-acting insulin: Hei pawh hian darkar tlemte chhungin hna a thawk tan a, darkar 12 leh 18 inkar chhung chu a thawk chhunzawm zel a ni.
• Regular emaw “short-acting” insulin: Injection atanga darkar chanve vel thisenah a lut a, darkar 3 leh darkar 6 inkar a thawk thin.
• Rapid-acting insulin: Injection hnu lawkah hna a thawk tan nghal a, mahse hun rei lote chhung, darkar 2 atanga darkar 4 vel a thawk thei.

Tun hma chuan doctor-te chuan a hnuhnung ber atan insulin an pe thin. Mahse tunah chuan thisen sugar level a control thuai theih avangin insulin hi a hmaa tan theih hun a awm. Insulin chi hrang hrang side effect ber chu thisen sugar tlahniam (hypoglycemia) a ni .

I doctor zawh tur zawhna

I tana enkawlna tha ber chu nang leh i doctor in thutlukna siam dun hi a ni. Damdawi eng pawh ei tur ni se, heng thilte hi zawt ngei ang che.

• Damdawi pakhat zel hian eng side effect nge a neih?
• Engtin nge an man te chu a awm?
• He damdawi hi engtin nge ka hman ang?
• He damdawi hi engtin nge kan dahkhawm ang?

Tin, i thisen sugar level a hniam lutuk (hypoglycemia) tih hriat dan dik tak zir bawk la, chutiang a nih chuan eng nge i tih tur tih te pawh zir bawk ang che. Hei hi a pawimawh hle.