Thisen sugar tlahniam nghal mai pawh i tawng ve em? Hypoglycemia chungchang hi han sawi ila!

I nghing nghal mai em? Thaw chhuak, luak chhuak, riltam lutuk? Hengte hi i thisen sugar level hrisel aiin a hniam zawk tih chhinchhiahna a ni thei. Damdawi lam hawi chuan he dinhmun hi hypoglycemia kan ti a ni. Hei hi zunthlum vei zingah a hluar hle. Mahse a chang chuan zunthlum nei lote chungah pawh a thleng thei. Chuvangin, hlauthawng suh. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.

A awlsam zawngin, hypoglycemia chu eng nge ni?

Hypoglycemia chu i thisena glucose, a nih loh leh kan tih dan pangngaia sugar awm zat taksain a mamawh hriselna atana a mamawh aia hniam a nih chuan a ni.

• Zunthlum vei tam zawk tan chuan thisen sugar level 70 mg/dL (milligrams per deciliter) emaw 3.9 mmol/L (millimoles per liter) aia hniam chu hypoglycemia anga ngaih a ni.
• Diabetes nei lo tan chuan hypoglycemia hi 55 mg/dL (3.1 mmol/L) aia hniam level tihna a ni tlangpui.

Hetiang dinhmun a lo awm chuan sugar emaw carbohydrates emaw awmna thil ei emaw in emaw hmanga enkawl nghal tur a ni. A chang chuan hei hian natna khirh tak (severe hypoglycemia) a thlen thei bawk. Chutiang a nih chuan nunna atana hlauhawm a ni thei a, damdawi lam pan vat a ngai a ni.

Engvangin nge glucose hi kan taksa tan a pawimawh em em?

Kan taksa hian kan ei carbohydrates atang hian glucose (sugar) a hmu thin. Hei hi kan taksa chakna bulpui ber a ni. Car tan gasoline ang mai a ni. A bik takin glucose hi kan thluak hnathawh nan a pawimawh hle. Thluak hian glucose supply reng reng a mamawh a ni.

Diabetes i neih loh chuan kan taksa hian natural process engemaw zat hmangin thisen sugar level chu a bituk chhungah a vawng reng thin. Hemi atana puitu ber hormone chu insulin a ni a, chu chu pancreas atanga siam a ni. Chumi atan chuan hormone glucagon an tih pawh a pawimawh hle.

Amaherawhchu, zunthlum vei te tan chuan he kalphung hian hna a thawk tha lo. Chuvangin an thisen sugar level chu damdawi (entir nan, insulin injection) leh nunphung thlak danglam hmangin an control a ngai a ni. Thisen thlum hniam chhan ber chu taksaa insulin level a san vang a ni.

Thisen sugar tlahniam hian eng symptoms nge a neih?

Hypoglycemia symptoms hi a intan nghal thei a ni. Tin, mi hrang hrangah an inang lo thei bawk. Heng symptoms te hi tlem a nuam lo deuh thei a, mahse, "I sugar a hniam a, thil ti vat rawh," tih min hrilhtu vaukhânna tha tak a ni.

Mut laiin thisen sugar tlahniam (Nocturnal Hypoglycemia) .

A chang chuan kan mut lai pawhin thisen sugar level a tlahniam thei. A lan chhuah dan thenkhat chu hetiang hi a ni:

• Mutnaah harsatna a tawk
• Sweating lutuk a, sheets a hnim vek
• I mut laiin au chhuak
• Mumang tha lo tak tak
• Zingkar thawh veleh chau lutuk leh buai tak tak anga inhria

Symptoms lang lovin thisen sugar a tlahniam thei em? (Hypoglycemia hriat lohna) .

Ni e, hei hi thil hlauhawm deuh a ni. Mi thenkhat, a bik takin zunthlum vei, thisen sugar hniam fo thin tan chuan hun kal zelah an thisen sugar level chu engmah lanchhuahna nei lovin a tlahniam thei a ni. Taksa hian thisen sugar level hniam chu a thiam a, warning signal a pe tawh lo. Hei hi hypoglycemia unawareness an ti a .

Hetiang natna vei te hi rang takin natna khirh tak an nei tam zawk. Hetiang thil hi i chungah a lo thleng a nih chuan i chhungte leh i thiante hnenah he thil hi i hrilh a pawimawh hle. Chuvangin emergency-ah an pui thei che a ni. Pawh,

• Glucose level tehna hmanrua (Continuous Glucose Monitoring - CGM) hman hian i thisen sugar a hniam lai hriat theih nan a pui thei che a ni.
• Tin, ni khatah vawi tam tak i thisen sugar hi glucometer pangngai hmanga enfiah a tha.

Thisen thlum hniam chhante chu engte nge ni?

A chhan chu chi hnihah then theih a ni a, chungte chu zunthlum vei leh zunthlum vei lote an ni.

Zunthlum vei chuan thisen sugar a hniam theih chhan

Hei hi ei leh in, exercise leh zunthlum damdawi inthlauhna a awm chuan a thleng thin.

• Insulin overdose: A tul aia tam insulin inject.
• Damdawi leh chaw ei hun dik lo: Insulin ei leh rei tak ei loh.
• Diabetes pill dik lo ei: Zunthlum damdawi thenkhat (e.g. sulfonylureas) ei tam lutuk hian thisen thlum a ti hniam thei a ni.
• Exercise tih dan pangngai aia tam: Exercise tam leh compensate tur ei tlem.
• Pum ruak chunga zu in: Chaw ei lova zu in.
• Chaw ei loh: A hun taka ei loh.

Engvangin nge zunthlum vei lo hian thisen sugar a tihhniam?

Hei hi a tlem deuh. A chi hnih a awm a.

1. Reactive Hypoglycemia: Hei hi chaw ei atanga darkar hnih atanga darkar li hnuah a thleng thin . A bik takin buhfai, chhang, leh alu ang chi carbohydrates pangngai tamna ei tur i ei hian taksain insulin a siam tam nghal a, chu chuan i thisen sugar level a ti hniam a ni.

2. Chaw nghei laia thisen thlum hniam (Fasting Hypoglycemia): Hei hi thil engemaw zat vang a ni thei.

• Zu in tam lutuk: Ni eng emaw zat ei tha lova zu in tam lutuk.
• Natna khirh tak tak: Liver emaw kidney failure ang chi dinhmun.
• Hormone lama harsatna: Adrenal insufficiency ang chi natna.
• Tumors: Pancreas-a tumor hmuh tur awm lo, insulinoma ang chi te hian insulin siam tam lutuk a thlen thin.

Diabetes nei lova heng symptoms te hi i neih chuan a chhan hriat tumin doctor pan ngei ngei tur a ni.

Sugar a hniam lai hian eng nge tih tur? Enkawl dan tur

Heta kan tih ber chu taksa tana sugar (carbohydrates) rang taka pek hi a ni.

Thil awmdan pangngaiah chuan "15-15 Rule".

Hei hi hmanraw awlsam tak, hriatreng awlsam tak a ni.

1. Step 1: Carbohydrates chak tak tak gram 15 ei emaw in emaw .

2. Step 2: Minute 15 chhung nghah rawh .

3. Step 3: I thisen sugar level chu i glucometer hmangin teh leh rawh.

4. Step 4: Sugar level 70 mg/dL hnuai lam a la nih chuan step 1, 2, 3 te hi tih leh tur a ni.I sugar level a normal leh hma loh chuan hetiang hian ti rawh.

Eng ei tur nge carbohydrates gram 15 awmna?

• Glucose tablet 3-4 ei tur a ni
• Thlai tui thlum emaw soft drink emaw glass chanve (1/2 cup) in tur a ni
• Sugar, khawizu emaw, maple syrup emaw tablespoon khat
• Banana te tak te chanve

Nausen natna (Severe Hypoglycemia) a enkawl dan .

Mi pakhatin thisen sugar a hniam a, a buai a, a tawng thei lo a, a hriat loh chuan , ei leh in tur chu hmui hmanga pe ngai suh! Chutianga an tih chuan thawkna kawngah an awm thei a ni.

1. Glucagon Injection: Zunthlum vei tan chuan i doctor chuan emergency-ah glucagon injection a lo pe tawh mai thei. I chhungte pawhin an hman dan an hriat ngei ngei tur a ni.

2. Damdawi inah kal nghal rawh!: Glucagon i neih loh emaw, hman dan i hriat loh emaw chuan 1990 ambulance service call nghal la emaw, chu mi chu damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai nghal rawh.

3. Damlo chu a sir lamah hawitir: Damlo chu a hriatna a neih leh hnuah a luak chhuak thei. Chuvangin damlo chu a sir lamah hawitir la, a chok loh nan.

Hetiang dinhmun hi veng turin eng nge tih theih ang?

Zunthlum vei tan chuan hei hi pumpelh vek a harsa mai thei a, mahse he natna hi a awm fo thin hi tihtlem theih a ni.

• Damdawi lam thurawn zawm rawh: I doctor-in damdawi a pek chu dik tak leh a hun takah ei rawh.
• Ei leh in leh exercise lamah fimkhur rawh: Chaw ei hi skip suh. Exercise i tih chuan i doctor nen sawiho la, a tul chuan i ei leh in pawh thlak danglam rawh.
• I thisen sugar level enfiah fo thin: A bik takin chaw ei hma leh ei kham, exercise hma leh exercise zawh, leh mut hmaa i thisen sugar level enfiah a pawimawh hle.
• Keep a log: Thisen thlum i neih apiangin a hun, i thisen sugar level, i ei hmaa i ei tawhte, leh exercise i tih leh tih loh te ziak chhuak thin ang che. Hei hian i doctor chuan i tan enkawlna tur ruahmanna a siamsak ang.