Diabetes natna hriattirna ngawi reng: Insulin resistance chungchang zir rawh

Diabetes tih thumal hi i hlau deuh em? A nih loh leh i doctor-in insulin resistance i nei tih a hrilh che a, eng nge a nih tih i buaipui ngai em? Lungngai suh. Vawiin hian he insulin resistance an tih hi awlsam tak leh friendly takin kan sawi dawn a ni. Diabetes a lo luh hmaa kan taksain silent warning min pek ang mai a ni.

A awlsam zawngin, insulin resistance chu eng nge ni?

Ngaihtuah teh, kan taksaa cell te hi in te tak te ang mai an ni. Heng in te hian hnathawh nan chakna an mamawh a ni. Chu chakna chu kan ei leh in atanga siam glucose an tih sugar atanga lo chhuak a ni. He glucose hi thisen atanga cell an tih in chhunga a kal theih nan kawngkhar hawn nan chabi a mamawh a ni. Chu key chu insulin an tih hormone a ni . He insulin key hi kan pancreas siam a ni.

I ei hian glucose chu thisenah a lut a. Chutih rual chuan pancreas hian thisenah insulin an tih key a chhuah tir bawk. Insulin hian cell kawngkhar a hawn chuan glucose chu cell chhungah a lut a, chakna a lo ni ta a ni.

Tunah chuan insulin resistance nei chunga thil thleng hi han en teh.

I cell te hian he insulin key hi an chhang tha lo hle. Kawngkhar khar rusty ang mai a ni. Chabi chuan kawngkhar chu a hawng tha lo ang. Chuvangin cell chhunga lut thei lo glucose chu thisenah a pungkhawm tan ta a ni.

Hetih lai hian thluak chuan, "Aw, thisenah hian sugar a tam hle a, chabi tam zawk ka mamawh a ni," tiin a ngaihtuah a. Chuvangin pancreas hian insulin tam zawk siam turin message a dawng a ni. Hun a kal zel a, pancreas hi a chau a, insulin a siam tam a, a tawpah chuan a hnathawh a tlahniam thei a ni. Chutah chuan thisen sugar level a sang chho tan ta a ni.

Insulin resistance, pre-diabetes, leh diabetes inthlauhna

Heng pathumte hi inzawm tlat mah se, an inang lo. Dawhkan pakhat atang hian han thlir ila.

Hetiang natna lan chhuah dan hi engte nge ni?

Hetah hian harsatna lian ber chu insulin resistance hi silent condition a ni . I taksaah kum tam tak hre lo pawhin i nei thei a ni. Hriat chian theihna awmchhun chu thisen test neih hi a ni.

Mahse, he natna nena inzawm pawn lam chhinchhiahna leh chhinchhiahna thenkhat a awm. Hengte pawh hi i nei em tih enfiah rawh:

• Waist circumference tihpun: Mipaah ​​chuan waist circumference inches 40 aia tam leh hmeichhiaah inches 35 aia tam a ni.
• Thisen sang: Thisen sang 130/80 mmHg aia sang.
• Thisen test-a thil dik lo awmte: 1.1.
• Chaw nghei laia thisen sugar level 100 mg/dL aia tam.
• Chaw nghei laiin triglyceride level 150 mg/dL aia tam a awm.
• Cholesterol tha (HDL cholesterol) level chu mipaah ​​40 mg/dL aia tlem leh hmeichhiaah 50 mg/dL aia tlem a ni.
• Vun inthlak danglamna:
• Kawr leh kawrfual vun chu a dum a, velvety a ni. Hei hi damdawi lam chuan Acanthosis Nigricans tia hriat a ni.
• Vun atanga innghat ang maia moles te te (skin tags) lo lang.

Insulin resistance awm chhante chu engte nge ni?

Hei hi a chhan pakhat chiah hriat a harsa a, mahse mithiamte chuan a hlauhawmna tipungtu thil engemaw zat an hmuchhuak a ni.

• Taksa rihna tam lutuk: Thau pungkhawm, a bik takin pum chhungah (belly fat).
• Exercise neih loh leh thut reng: Taksa tihchak loh.
• Carbohydrates tamna chaw: Chhang, buhfai, chaw thlum, leh in tur thlum ei tam lutuk.
• Chhungkaw chanchin: Chhungkaw zinga mi tu emaw chuan zunthlum a nei a.
• Kum: Kum 45 hnuah chuan a hlauhawmna a sang chho thin.
• Gestational Diabetes: Nu naupai laia zunthlum vei te chu a hnuah he natna hi an vei theihna a sang hle.
• Thil dang: Zu nei lo thau liver natna leh Polycystic Ovary Syndrome (PCOS) te.
• Meizial zuk.
• Damdawi thenkhat: Damdawi thenkhat, steroid ang chi te hun rei tak hman.
• Mut lama harsatna: Mut laiin thawk hah (sleep apnea) ang chi dinhmun.

Insulin resistance leh PCOS inzawmna

Hmeichhe tam tak natna vei thin polycystic ovary syndrome (PCOS) leh insulin resistance te hi inzawmna nghet tak a awm a ni. PCOS vei hmeichhe tam tak pawhin insulin resistance an nei ve bawk. An pahnih inzawmna dik tak chu zirchian mek a ni.

Engtin nge hei hi i hmuh theih, Doctor?

Insulin resistance chungchangah hian test pakhat chauh a awm lo. I doctor chuan i natna hriat theihna turin thil hrang hrang a en ang.

1. Zawhna zawh che: I chhungte hriselna chanchin leh i nunphung zawt.

2. Taksa enfiahna: I rih zawng, i san zawng, i BMI tehna a ni ang. I thisen sang chu a teh ang.

3. Thisen test: Hengte hi a pawimawh ber a ni.

• Fasting Plasma Glucose (FPG): Darkar 8 tal chaw nghei hnua thisen test thin a ni.
• Oral Glucose Tolerance Test (OGTT): A hmasa berin chaw nghei thisen lak a ni a, chumi hnuah tui thlum (sugary liquid) in tur pek a ni a, darkar hnih hnuah thisen test nawn leh a ni.
• Hemoglobin A1c (HbA1c): Hei hian thla 2-3 kalta chhunga i thisen sugar level zatve (average) hriat theihna a pe a ni.
• Lipid Panel: Thisen a cholesterol leh triglyceride level a check thin.

A hnuaia value te hian prediabetes i vei leh vei loh hriat theihna turin a pui thei che a ni :

• FPG: 100-125 mg/dL a ni
• OGTT (darkar 2 hnuah): 140-199 mg/dL
• A1c: 5.7% - 6.4% inkar a ni.

Engtin nge he dinhmun hi kan thunun theih ang?

Thu lawmawm tak chu insulin resistance hi a let leh thei fo! Chumi atana pawimawh ber chu nunphung tihdanglam hi a ni. Heng thilte hi damdawi aiin a chak zawk hle.

1. Exercise tih tur a ni

I active lai hian i taksa ruhte hian chakna an mamawh a ni. Insulin an sensitive zawk a, i thisena glucose awm chu an hmang tan ta a ni. Ni khatah minute 30, kar khatah ni 5 tal brisk walking ang chi exercise awlsam tak pawh hian danglamna nasa tak a thlen thei.

2. Rihna hrisel tak vawn reng

I taksa rih zawng 5% atanga 7% tihtlem pawhin zunthlum vei theihna chu nasa takin a ti tlem thei a ni. Entirnan, kg 100 i rit chuan kg 5-7 hloh hi thil lian tak a ni. Hemi chungchangah hian doctor rawn la.

3. Ei leh in thlak danglam

Hei atan hian "magic" diet bik a awm lo a, mahse thil thenkhat hriat chian a pawimawh hle.

• Fiber tamna ei tur: Whole grains, legumes, thlai leh thei chi hrang hrang ei hian chaw ei khamna a tipung a, thisenah sugar a luh chakna a ti hniam bawk.
• Glycemic index (GI) hniam tak ei tur: A awlsam zawngin sawi ila, hengte hi ei zawh hnua thisen sugar level tisang thuai lo ei tur an ni.
• Ei fo (Low-GI): Thlai leh thei tam tak, brown rice, chickpeas, lentils, yogurt.
• A chang chuan ei thin (Medium-GI): Chhangphut pum pui, banana, corn.
• A theih ang anga tihtlem (High-GI): chhang var, buhfai var, cake, biscuit, sweet drinks, potato.

4. Thil pawimawh dang

• Meizial zuk loh tur.
• Stress control dan tur.
• Mut tlem (ni khatah darkar 7 tal).

Damdawi lam pawh zir ila: Insulin resistance damdawi bik a awm lo. Mahse, zunthlum vei theihna chance sang tak i neih chuan i doctor chuan Metformin ang damdawi a pe thei che a ni. Mahse doctor chauhin thutlukna a siam thei.