I doctor-in Type 2 Diabetes i vei tih a hrilh che chuan zawhna i rilruah a lo lang hi thil pangngai a ni. ‘Tunah hian eng nge ka tih ang?’, ‘He damdawi hi ka tan a tha em?’, ‘Nakinah eng nge thleng ang?’ a ti a. Hetiang thil hi ka rilruah a lo lang mai thei. Chuvângin, i enkawl dân, i damdawi hman dân, a nih loh leh i nun dân chungchânga zawhna i neih apiang chu i doctor hnêna zawt hreh ngai suh. I ngaihtuahna hriat chian hi enkawlna atana thil pawimawh tak a ni. Vawiin hian mi tam takin zunthlum chungchanga zawhna an neih fo thin leh a chhanna awlsam tak takte kan sawi dawn a ni.
He natna hi a dam kim thei ang em?
Hei hi a chhanna chu ‘ni lo’ tih hi a ni. Mahse, lungngai suh. Type 2 diabetes hi tihdam kim theih ni lo mah se, enkawl theih a ni a, a nih loh leh ‘remission’-ah hruai theih a ni. A awlsam zawngin, i thisen sugar level chu a pangngaia i hruai kir leh chuan zunthlum avanga harsatna tam tak i veng thei a ni. I doctor chuan i damdawi ei chu a tihtlem thei a, rei lo te chhung pawh a titawp thei bawk.
Chumi atana thil pawimawh ber chu nunphung thlak danglam hi a ni.
- Ei leh in hrisel: Hei atan hian i doctor emaw, nutritionist emaw nen inbiain i duh ang ei tur ruahmanna i siam thei ang.
- Exercise: Ni tam zawkah minute 30 tal exercise tlemte tih tum ang che. I tih nghal theih loh chuan a te atanga tan la rawh.
- Weight loss: I thau lutuk a nih chuan i taksa rihna tihtlem a pawimawh hle.
Sure, i doctor-in damdawi a pek te hi i enkawlnaah hian a pawimawh hle. Mahse nun hrisel nei tur chuan ei leh in dik leh exercise hi i list-ah a chung berah a awm tur a ni. Tin, mut tam hi a pawimawh hle bawk. Ni khatah darkar 7 aia tlem i mut chuan i thisen sugar level a inthlau thei hle.
Clinic-a i kal hian doctor-in eng nge a zawn?
Diabetes clinic i kal hunah i doctor chuan i dinhmun enfiah turin test eng emaw zat a ti ang. Heng test te hian i zunthlum hi a control tha em tih leh harsatna dang a lo awm em tih a enfiah ang.
| Eng nge test/eng nge en? | Engvângin nge chu chu a pawimawh? |
|---|---|
| A1c test a ni | Hei hi thla 2-3 kalta chhunga i thisen sugar level control dan dik tak i hriat theih dan a ni. |
| Thisen sang a ni | Zunthlum ruala thisen sang neih hian natna khirh tak tak, thinlung natna leh stroke te a thlen theihna a tipung a ni. Chuvangin he hlutna hi thunun a pawimawh hle. |
| Cholesterol level a ni | Thisen sang leh cholesterol level control hian lung natna vei theihna a ti tlem a ni. |
| Mit enfiah a ni | Zunthlum hian mit a tichhe thei a ni. Hetiang dinhmun hi retinopathy an ti a . A hmaa hriatchhuah a nih chuan mit hmuh lohna hi a veng thei a ni. |
| Ke enfiah a ni | Diabetes hian kea nerve te a tichhe thei a, sensation a ti tlem thei bawk. Chuvângin, hliam tê tê pawh hriat lohvin a awm thei a, ke ruh chu a dam lo thei a, natna hrik a kai a, a châng chuan ke ruhte pawh a tikehsawm thei bawk. |
Insulin pawh ka ei a ngai dawn em ni?
Type 1 Diabetes vei te hian insulin an ei a ngai ngei ang, mahse Type 2 Diabetes vei zawng zawng hian insulin an mamawh vek lo.
I doctor chuan i thisen sugar level chu ei leh in, exercise leh weight control hmangin control a tum hmasa ber ang. Chu chuan a hlawhtlin loh chuan damdawi ei tan a ni ang. Vawi tam tak chu damdawi hman tan hmasak ber chu metformin tih damdawi a ni. Hei hian i taksain insulin a neih chu a hmang tangkai zawk thin. Heng damdawi te hian i thisen sugar level a control loh chuan i doctor chuan damdawi dang emaw insulin emaw ei tan tir che a tum mai thei.
Zunthlum hi natna zual zel a ni tih hre reng ang che. Chumi awmzia chu vawiinah hian insulin i mamawh lo a nih pawhin nakin lawkah i mamawh mai thei tihna a ni. Chu chu natna awm dan chu a ni.
Engtin nge in lamah ka sugar level ka check theih ang?
Chutianga tih dan tlangpui chu thisen glucose meter hman hi a ni. I tih tur chu i kut zungtang chu needle te tak te hmangin i chil a, test strip-ah thisen tlem i dah a, meter chhungah i dah lut mai tur a ni. Hei hian i thisena sugar awm zat a hril ang.
Insulin i ei a, thisen sugar tlahniam hlauhawmna i neih chuan, a bik takin zan lamah i doctor chuan CGM (Continuous Glucose Monitoring) device hman a rawt thei ang. Hei hian i vunah sensor dahna a huam a ni. Nitin minute engemaw zat chhungin i thisen sugar level a teh a, a record bawk.
Insulin ka ei tan a nih chuan ka dam chhung zawng ka ei a ngai dawn em ni?
Engtik lai pawhin a ni lo. A chang chuan insulin hi temporary solution atan pek a ni. Entirnan, naupai emaw, emergency dang avanga damdawi ina awm emaw i nih chuan i doctor chuan rei lo te chhungin insulin a pe tan thei che a ni. Mi thenkhat chuan type 2 diabetes atana insulin ei thin zinga 67% vel chuan an ei leh ngai tawh lovang.
Zunthlum vangin ka kal a chhe dawn a, dialysis ka tih a ngai dawn em ni?
Hei hi mi tam tak tan chuan hlauhthawnna lian tak a ni. Zunthlum hi kal natna thlentu lian ber a ni tih hi a dik a ni. Amaherawhchu, mahni invenna tur thil tam tak a awm.
Damdawi ei tur dik tak ei leh thisen thlum leh thisen sang thunun reng hi a pawimawh ber a ni. Early stage kidney disease nei mah la, i thisen thlum leh thisen sang i control tha chuan i kal chhiatna dang chu a chanve velin i tihtlem thei a ni. Chuvangin, hlauthawng suh la, i natna chu thunun rawh.
Take-Home Thuchah a ni
- Type 2 diabetes hi tihdam kim theih ni lo mah se, nunphung thlak danglam (ei leh in, exercise) hmangin a thunun tha hle a, damdawi mamawhna pawh a tlahniam thei bawk.
- A hun ruatah doctor pan a, i A1c, thisen sang, cholesterol level, leh mit leh ke te enfiah a pawimawh hle.
- Type 2 diabetes vei zawng zawng hian a tir atang khan insulin an mamawh vek lo. Vawi tam tak chu miten pill hmangin an tan thin.
- I thisen sugar level leh thisen sang control tha taka i vawn hian kal, thinlung leh mit ang chi taksa peng hrang hrangte tihchhiat i veng thei a ni.
- I enkawlna emaw, damdawi emaw chungchanga zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
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