He zunthlum chi bik, puitlingah lo awm thin (Latent Autoimmune Diabetes in Adults - LADA) hi kan sawi dawn em ni?

Vawiin hian zunthlum chi danglam deuh deuh kan sawi dawn a. Chumi chungchang chu i hre tam lo mai thei. A hming chu LADA a ni a, chu chu Latent Autoimmune Diabetes in Adults tihna a ni. Hei hi a buaithlak deuhin a lang thei a, mahse thil awmdan sawifiahna awlsam takah i then ang u.

LADA chu eng nge ni tak tak?

A awlsam zawngin sawi ila, he zunthlum LADA an tihah hian zunthlum chi khatna (`Type 1 diabetes`) chhinchhiahna bakah zunthlum chi hnihna (`Type 2 diabetes`) chhinchhiahna te pawh hmuh theih a ni. Chuvangin mi thenkhat chuan `Type 1.5 diabetes` an ti bawk. A dik zawka sawi chuan doctor-te chuan hei hi kan taksa ngeia taksa hriselna (immune system) (hei hi `autoimmune condition` an tih) avanga lo awm a ni bawk niin an ngai. Mahse, puitling lai, chu chu kum 30 leh 50 inkar vel a ni tih hmuhchhuah a ni tlangpui a, a specialty dang chu `Type 2 diabetes` ang bawkin a symptoms pawh a pung zauh zauh bawk. Hemi avang hian `Type 2 diabetes` tia hriat sual a ni fo.

LADA hi engtiang chiahin nge a awm?

Mi tam takin LADA hi hre lo mah se, a takah chuan chutiang chuan a tlem lo. Zirna hrang hrangah chuan a tir lama `Type 2 diabetes` vei nia hriat zinga 4% leh 12% inkar chuan LADA an nei tak tak thei tih a tarlang. Ngaihtuah teh, khawvel pumah puitling maktaduai 530 velin `Type 2 diabetes` an vei a ni. Chu chu mi maktaduai tam takin LADA an nei mai thei tihna a ni! Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

LADA natna lan chhuahna chu engte nge ni?

LADA natna lan chhuah dan hi zunthlum chi dang nen a inang hle. Chûngte chu i hriat lar angin a ri em tih en rawh:

• Tuihalna (polydipsia) nei reng reng.
• Zun tam a tulna .
• Ngaihtuah phak loh khawpa taksa rihna tihtlem .
• Mit hmuh a fiah lo .
• Chau tih hriat reng (chau lutuk).
• Vun vawt, a hring .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a tha ber.

Eng thilin nge LADA hi a thlen?

Zirchiangtute chuan LADA hi kan taksa antibody-te hian kan pancreas-a insulin siamtu cells te chu a beih palh a, a tihchhiat vang niin an ngai. I hriat angin insulin hi hormone a ni a, kan cell te hian kan thisena sugar (glucose) chu la chhuakin chakna atan a hmang thin. Chuvangin, insulin a siam that loh chuan thisenah sugar (glucose) a pungkhawm thin. Hetiang hian Type 1 diabetes nen a inang hle. Type 1 diabetes vei te hian an dam khawchhuah theih nan insulin injection an lak a ngai a ni. Type 1 diabetes hi naupan lai emaw, tleirawl lai emaw atanga hmuhchhuah a ni fo thin.

Mahse, Type 2 diabetes ang bawkin LADA hi puitlingah hmuhchhuah a ni a, a lan chhuah dan a lang zauh zauh. Hei hi i pancreas hian zawi zawiin insulin a siam chhuah a tihtlem vang a ni. Chuvangin symptoms a lang nghal lo mai thei. Thla tam tak emaw kum tam tak emaw chhung chu insulin injection i mamawh lo mai thei . Hei vang hian doctor thenkhat chuan a tir lamah chuan LADA ni lovin Type 2 diabetes an ringhlel thin.

LADA tan hian special trigger a awm em?

LADA tan hian ‘trigger’ bik a awm lo. Hei hi i thunun theih loh thil a nih vang a ni a, i taksa hriselna (immune system) avanga lo awm a ni. A chang chuan LADA i nei tih pawh i hre lo mai thei. Hei hi a chhan chu i pancreas hian insulin a la siam chhuak tawk a, chu chuan symptoms a siam lo.

LADA vei theihna tur risk factors te chu engte nge ni?

LADA hian genetic component chak tak a nei a. Chumi awmzia chu i nu leh pa emaw, i pi leh pute emawin he natna hi an neih chuan i vei tam zawk tihna a ni. Tin, boruak leh nunphung, thau lutuk te hian LADA lo awm chhan hi a pui thei tih finfiahna a awm bawk. Amaherawhchu, hengte hi a chhan awmchhun a ni lo.

LADA avanga harsatna awm thei

Harsatna lian ber chu he natna hi uluk taka enkawl loh vang a ni. Type 2 diabetes ang deuha a lan avangin insulin enkawl hi i mamawh angin i tan lo mai thei. Hei hian hriselna lama harsatna hrang hrang kidney chhiatna a thlen theihna a tipung a ni .

Diabetes-related ketoacidosis (DKA) hi LADA natna khirh tak, nunna atana hlauhawm tak a ni . I cell-in chakna atana hman tur glucose (thisen sugar) a neih tlem laiin i liver-in chakna atana taksa thau a tihchhiat tan hian a thleng thin. Hei hi medical emergency a ni.

Engtin nge LADA hi hmuhchhuah a nih?

LADA hian a tir lama Type 2 diabetes vei nia hriat puitlingte a nghawng tlangpui. Mahse, damdawi ei (metformin ang chi) leh nunphung thlak danglam (ei leh in tha ei ang chi) hmanga i thisen sugar level i control theih loh chuan doctor-te chuan Type 1.5 diabetes (LADA tia hriat bawk) an ringhlel mai thei.

I doctor chuan LADA hi thisen test hmangin a hmu thei a, chu chu GAD Antibodies Test (`GAD Antibodies Test` - `glutamic acid decarboxylase antibodies`) tih a ni. Hei hian glutamic acid decarboxylase (`GAD`) beitu `autoantibodies` awm leh awm loh a enfiah a ni. I thisena heng autoantibodies te hi i neih chuan i pancreas tichhe thei autoimmune disease i nei tihna a ni. Puitling i nih chuan LADA a nih a rinawm ber.

Doctor chuan C-peptide test a order mai thei.Test pawh an pe thei bawk. Hei hian i thisena C-peptide awm zat a teh a ni. C-peptide hian i doctor hnenah i pancreas hian insulin engzat nge a siam tih a hrilh thei a ni.

LADA enkawl dan tur chu engte nge ni?

LADA enkawl hi a buaithlak deuh. A tir lamah chuan zunthlum damdawi ei hian i chhang let thei a ni. I thisen sugar level chu rei lo te chhung control turin an pui thei a ni. Mahse, a natna a zual zel chuan i taksain chutiang damdawi a dawn dan chu a tlahniam ta a ni. Tichuan i thisen sugar control nan insulin injection lamah i inthlak a ngai a ni . A chhan chu i pancreas hian a mah chauhin insulin siam chhuah theihna a hloh vek a ni. Hei hi thla tam tak emaw, kum tam tak chhung emaw a thleng thei a ni.

LADA enkawlna tur hi inremna siam a ni lo. Specialist thenkhat chuan insulin hmanga enkawl tan nghal a tha ber an ti. Mi dangte chuan insulin injection an tan hmain rei vak lo an nghak thei bawk. I doctor chuan eng enkawlna nge i tan a tha ber tih a rel ang.

Insulin i mamawh zat leh a zat a danglam thei avangin i thisen sugar level hi i enfiah chhunzawm zel a ngai a ni.

LADA vei chuan eng nge a beisei theih ang?

Type 1.5 diabetes hi damdawi a la awm lo. Mahse i doctor chuan a enkawl dan tur enkawlna zawng turin a pui thei che a ni. Insulin i ei tan chuan i thisen sugar level chu i control tha zawk thei tawh ang. Enkawlna mumal tak nen chuan nun pangngai i hmang thei ang.

LADA vei dam rei zawng chu engzat nge ni ang?

I dam chhung hi thil engemaw zatah a innghat a ni. Type 1.5 diabetes neih hian i dam chhung a ti tawi hauh lo. Mahse LADA i neih a, i glucose level i control theih loh chuan i dam chhung ti tawi thei hriselna lama harsatna i tawk thei a ni. Hei hi a chhan ber chu hun rei tak chhunga thisen sugar level sang hian thinlung natna ang chi harsatna a thlen thei a ni . Chungte chuan i dam chhung a nghawng thei a ni. Chuvang chuan thisen sugar control hi a pawimawh em em a ni.

LADA hi ven theih a ni em?

LADA zunthlum vei dan tur a awm lo. Because you can’t control or prevent the autoimmune condition that causes it , a hmaa hriatchhuah leh enkawl hi he natna atanga harsatna lo thleng tur venna tha ber a ni.

LADA ka neih chuan engtin nge ka in enkawl ang?

Mahni in enkawl dan tha ber chu i thisen sugar level control hi a ni. LADA diabetes hi hriat sual a ni fo thin. Engkim i tih dik nia i inhriat hian a lungchhiatthlak thei hle a, mahse i thisen sugar level erawh chu control a la harsa hle. LADA i vei tih hmuhchhuah a nih chuan i doctor-in a pek che treatment plan chu zawm rawh.. I follow-up appointment zawng zawng kha zawm vek tur a ni. Heng appointment-ah hian i doctor chuan i pancreas leh i hriselna zawng zawng a enfiah thei ang. Insulin i mamawh zat pawh an siamrem thei bawk.

Engtikah nge doctor i hmuh ang?

Zunthlum natna lanchhuahna, tuihal lutuk leh zun tam lutuk te i neih chuan Doctor pan nghal tur a ni. I hriselna chanchin kimchang chu i doctor hnenah sawi chhuah theihnghilh suh.

A bik takin, `Type 2 diabetes` i vei tih hmuhchhuah a nih a, enkawl hnuah i natna lan chhuah dan a tha lo a nih chuan, i doctor hnenah `Type 1.5 diabetes` (LADA) test turin hrilh rawh.

Type 1.5 diabetes, LADA tih hi a dik lo fo thin. Type 1 leh Type 2 diabetes symptom pahnih a nei a ni. Mahse, a lan chhuah dan chuan Type 2. Chuvangin he zunthlum chi hi i nei tih hriat chu a lungchhiatthlak thei a, a buaithlak thei bawk. Damdawi ei tur i ei tan mai thei a, mahse i thisen sugar level chu a la sang hle. A nih loh leh i enkawlna hian hun engemaw chen chu hna a thawk thei a, mahse a thawk tawh lo. I doctor-te chuan i thisen sugar level control dan tur leh i hriselna zawng zawng vawng reng thei tur kawng tha ber zawng turin an pui ang che. I diagnosis leh treatment plan chungchangah zawhna zawh hlau suh.

He thuziak a\anga kan in lama kan hruai theih pawimawh berte chu engte nge ni?

LADA hi zunthlum chi khat bik a ni a, puitlingah a awm a, `Type 1` leh `Type 2` diabetes symptom pahnih a nei bawk. A chang chuan `Type 2` tia hriat sual theih a ni.

• A lan chhuah dan chu tuihal lutuk, zun tam, taksa rihna tlahniam, leh hah lutuk te a ni.
• Hei hi autoimmune condition avanga lo awm a ni a, genetic component pawh a nei thei bawk.
• Diagnose dik a nih loh a, enkawl vat a nih loh chuan kidney chhiatna leh DKA ang chi complication a awm thei a ni.
• Hei hi GAD Antibodies Test hmanga hriat chian a ni.
• Damdawi ei hi a tirah chuan enkawlna atan pek ni mah se, hun kal zelah insulin injection a ngai ta a ni.
• Type 2 diabetes i vei tih hmuhchhuah a nih a, i enkawlnain a thunun loh chuan LADA chungchang hi i doctor nen sawiho rawh. I enkawlna chu nangmah chauhin titawp ngai suh, thlak ngai suh. Doctor thupek zawm fo ang che.

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