Tun hnaia i thisen test khan i thisen sugar level a sang deuh tih a lang em? Mahse, Doctor khan zunthlum i la nei lo, mahse fimkhur em em a hun tawh a ti em? Hetiang thil hi i tawng tawh a nih chuan vawiinah hian i tana pawimawh tak thupui kan sawi dawn a ni. Chu chu zunthlum hma stage a ni a, damdawi lam hawi chuan Prediabetes . Hei hi vaukhânna ang a ni a, traffic light-a êng dum ang mai a ni. Accident a thlen hmaa min hriattir theihna hun remchang a ni.
A awlsam zawngin, prediabetes chu eng nge ni?
A awlsam khawp mai. Prediabetes hi intermediate stage a ni a, i thisen sugar (glucose) level chu a tlangpui aia sang a ni a, mahse diabetes (Type 2 Diabetes) tia sawi theih khawpa sang a ni lo. Amah hi natna a ni lo va, i taksa atanga vaukhânna chhinchhiahna chak tak a ni. Hetiang hunah hian hmalakna dik tak i neih chuan full-blown diabetes lo awm tur chu i veng thei a, i tikhawtlai thei bawk. Chu chu hetah hian chanchin lawmawm chu a ni.
A tlangpuiin mi hrisel chuan thisen sugar level 70 leh 99 (mg/dL) inkar a ni tur a ni. Mahse, prediabetes vei chuan he value hi 100 leh 125 (mg/dL) inkar a nei thei. Hetiang dinhmun hi ngaihtuah a nih loh chuan kum 10 chhunga full-blown diabetes vei theihna chance a sang hle.
Prediabetes natna lan chhuah dan chu engte nge ni? Engtiang chiahin nge a hluar?
Hei hi mi tam tak tibuaitu chu a ni. Mi tam tak chuan prediabetes an neih hian symptom an nei lo. Ni e, engmah hrehawmna leh hrehawmna i nei lo mai thei. Hetianga an ngawih reng avang hian khawvela prediabetes vei zinga 80% aia tam chuan an hre lo.
Chuvang chuan chhungkaw doctor pan fo a, kum nena inmil thisen test neih a pawimawh em em a ni. Chumi hnuah chauh chuan heng dinhmunte hi i hre hmasa thei ang.
Mahse, a tlem hle a, mi thenkhat chuan a hnuaia chhinchhiahna thenkhat hi an nei thei a ni:
- Armpits, kawr hnunglam, leh taksa sir lehlamah te vun chu velvet ang maiin a dum a, a thim bawk. Hei hi damdawi lamah chuan `(acanthosis nigricans)` tia hriat a ni.
- Vun chunglama hnah te te (skin tags) lo lang.
- Hun a kal zel a, mit hmuh danah inthlak danglamna a lo awm thin. Hei hian a hnuah zunthlum kaihhnawih retinopathy, mit tichhe thei natna a thlen thei a ni.
"Buaina ka nei lo" tih hi ngaihtuah suh. Prediabetes hi hmêlma ngawi reng ang a ni. Chuvangin risk factors i neih chuan doctor pan a, test neih a finthlak.
Engvangin nge prediabetes kan neih? Risk factors te chu engte nge ni?
Prediabetes awm chhan ber chuInsulin laka invenna a ni. Hei hi a buaithlak deuhin a lang thei a, mahse awlsam takin ka hrilhfiah ang che.
Hetiang hian han ngaihtuah teh: kan taksa chhunga cell awmte hi in ang an ni. Kan ei sugar (glucose) hian heng in te hi chakna a pe a ni. Hormone insulin hi heng in kawngkhar hawnsaktu leh sugar luhtirtu chabi a ni.
Insulin resistance a awm chuan chu in kawngka keyhole-te chu rust-in a khuh ang mai a ni. Chuvangin, insulin an tih chabi hian kawngkhar chu a hawng tha thei lo. Tichuan sugar chu cell chhungah a lut thei lo va, thisenah a pung khawm tan ta a ni. Hei hi thisen sugar level a san dan a ni.
Insulin resistance tipungtu leh prediabetes vei theihna tipungtu thil engemaw zat a awm a:
- Genetics: I nu, i pa emaw, i unaute emaw hian zunthlum an vei a nih chuan prediabetes vei theihna i nei bawk.
- Taksa rih lutuk: Thau awm, a bik takin pum vel (protruding belly) hi a chhan lian ber a ni.
- Exercise neih loh: Taksa tihchak loh, hmun khata awm rei lutuk.
- Ei leh in hrisel lo: Chaw thlum, chhangphut, hriak leh processed ei fo.
- Kum: Kum 45 hnuah chuan a hlauhawmna a sang chho thin.
- Meizial zuk.
- Damdawi lam harsatna dangte:
- Naupai laiin zunthlum vei (gestational diabetes).
- A rilru a buai em em a, a rilru a hah em em bawk a. Polycystic Ovarian Syndrome (PCOS).
- Obstructive sleep apnea hi hnim hring nena inzawm a ni.
- Hormone lama harsatna thenkhat.
- Damdawi thenkhat, steroid ang chi te hun rei tak hman.
- Stress leh mut tlem.
Heng risk factor thenkhat (kum leh genetics ang chi) hi kan thunun theih loh a ni. Mahse thil dang tam tak (ei leh in, exercise, leh meizuk te ang chi) chu kan thunun theih a ni. Heng risk factors te hi i neih chuan prediabetes test chungchangah i doctor nen inbiakna neih a pawimawh hle.
Prediabetes hi enkawl loh chuan eng nge thleng thei?
Prediabetes complication lian ber leh pawimawh ber chu Type 2 Diabetes ah a lo chang thei a ni . Zunthlum hi kan taksa peng hrang hrang tam tak a tichhe thei a, chu chu uluk taka control a nih loh chuan kan taksa peng tam tak a tichhe thei a ni.
Zunthlum natna avanga hun rei tak chhunga harsatna awm thei te chu:
- Heart attack leh stroke vei theihna a sang .
- Mit chhiatna (diabetes-related retinopathy): Hun a kal zel a, mit a tichhe thei a, mitdelna hial a thlen thei bawk.
- Kidney chhiatna (diabetes-related nephropathy): Kal a tichhe thei hial a ni.
- Nerve chhiatna (diabetes kaihhnawih neuropathy): 1.1.Ka taksa peng hrang hrangah rilru hah, kang leh na a awm thei a, hliam pawh hriat lohvin a awm thei bawk.
Prediabetes hi a reverse thei tih hre reng ang che. Mahse zunthlum natna avanga harsatna awmte tihdanglam chu thil theih loh a ni fo. Chuvang chuan he thil hi hriat hmasak a pawimawh a, i dam chhung zawngin a tul anga hma i lak a pawimawh.
Engtin nge prediabetes i vei tih chiang taka i hriat theih ang?
Hriat chian theihna awmchhun chu thisen test neih hi a ni. I doctor chuan heng test te hi a rawt tlangpui ang. Test chi hnih a awm a.
1. Fasting Plasma Glucose (FPG) Test: Hei hi zingkar, engmah ei loh hnua (darkar 8 vel chaw nghei hnuah) thisen sugar level endikna atana kan tih tlangpui a ni.
2. A1C Test: He test hian thla hnih atanga thla thum kalta chhunga i thisen sugar level average a hriat theih.
Heng test result atang hian doctor chuan khawiah nge i awm tih a rel ang.
| Fiahna | Hriselna level | Prediabetes level a ni | Diabetes level a ni |
|---|---|---|---|
| Chaw nghei laiin Plasma Glucose (FPG) a awm a. | 99 mg/dL aia tlem lo a ni | 100 - 125 mg/dL a ni | 126 mg/dL aia tam a ni |
| A1C Test a ni | 5.7% aia tlem lo a ni | 5.7% - 6.4% inkar a ni. | 6.5% aia tam a ni |
Chanchin tha ber! Prediabetes hi tihdanglam theih a ni. Engtin?
Ni e, hei hi i hriat tur chanchin tha ber a ni. Prediabetes hi zunthlum i vei dawn tih thutlukna hnuhnung ber a ni lo. Nun hrisel tak i hman hian he dinhmun hi i tidanglam vek mai thei a, i thisen sugar level chu a pangngaiah i hruai kir leh thei bawk.
Hei hi thil lian tak a nih a ngai lo. Hrilhfiahna tenau te hmangin i tan thei bawk. Thil pawimawh pathum ngaihtuah tur a awm.
| Thiltih | Engvângin nge chu chu a pawimawh? | A bul tan dan awlsam tak |
|---|---|---|
| 1. Thau tihniam | Rihna tam lutuk, a bik takin pum thau hi insulin resistance thlentu lian tak a ni. A taksa rihna tlemte pawh tihtlem hian taksain insulin a sensitivity a tipung a ni. | I taksa rihna zawng zawng atanga 5% - 7% tihtlem tum ang che. Entirnan, kg 80 i rit chuan kg 4-6 chauh i hloh chuan danglamna nasa tak a thlen ang. |
| 2. Exercise neih fo | Exercise i tih hian i taksa peng hrang hrangte hian i thisena sugar awm chu chakna atan an hmang thin. Hei hian a pianphungah i thisen sugar level a tihhniam a ni. | I thawmhnaw i tihchhiat thlengin chak takin kal la, kar khatah ni 5 chhung, ni khatah minute 30 tal kal rawh. Kea kal, zai, cycle, tui chawi tur i lazy lutuk a nih chuan i duh duh ti rawh. |
| 3. Ei leh in hrisel | Kan ei hian kan thisen sugar level direct-in a nghawng a ni. Ei leh in tha lam pan hian thisen sugar level a control thei a ni. | Sugary tea leh in tur ai chuan tui, coconut tui, belimal ang chi thil in tur a ni. Starchy foods, buhfai, chhang, leh noodles te kha tihtlem la, i eitur ah thlai, thlai, thei, nut leh sangha tam zawk telh bawk ang che. |
Heng bakah hian thil dang i tih theihte chu:
- Meizial zu mi i nih chuan zu in loh tum ang che .
- Stress tihziaawmna tur kawng zawng rawh . Meditation leh music ngaihthlak ang chi thilte hian a pui thei a ni.
- Mut tam rawh . Ni khatah darkar 7-8 vel mut that i mamawh a ni.
- Damdawi lam harsatna dang, thisen sang emaw cholesterol emaw i neih chuan i doctor thupek angin control tha rawh.
Prediabetes damdawi a awm em?
A tam zawkah chuan prediabetes enkawl dan tha ber chu a hmaa kan sawi tawh nunphung tihdanglam hi a ni. Mahse, thil ṭhenkhatah chuan, zunthlum vei theihna hlauhawm tak i nih lai leh i thisen sugar level chu nunphung tihdanglam ringawt pawha thunun harsa a nih lai hian, i doctor chuan damdawi ei ṭan turin a rawt mai thei.
Hemi atana damdawi hman tam ber chu `(metformin)` leh `(acarbose)` te an ni. Mahse, hei hi i enfiahtu doctor-in a ruat chauh a ni.
Prediabetes natna vei lai hian engtin nge i in enkawl?
Prediabetes i vei tih i hriat chuan tlem a hlauthawng leh hlauhthawn hi thil pangngai a ni. Mahse, hei hi i nun a tha zawnga thlak danglam theihna hun remchang a ni tih hre reng ang che.
- Mahni inzirtir rawh: Prediabetes leh ei leh in hrisel chungchang hi rintlak tak tak atangin chhiar la. Doctor zawhna zawh pawh hlau suh.
- Hemi chungchang hi i chhungte leh i thiante hrilh rawh: I inthlâk danglamnate chu hrilh rawh. Tichuan an pui thei ang che.
- I rilru hrisêlna chungchâng pawh ngaihtuah teh: Chûng inthlâk danglamna siam chu a châng chuan a harsa thei hle. I rilru a buai a nih chuan sawi rawh.
- Thiltih dan thlak danglam chu a harsa: Zan khat thil thuah engkim i thlak danglam thei lo. Tlem atanga tan rawh. Goal pakhatah vawi khat insiam rawh.
- Nitin 100% perfect i ni lo vang: Ni engemaw zat chu exercise i la thei lo ang a, ni engemaw zat chu i ei leh in i thunun thei lo ang. Chu chu thil pangngai a ni. Ngaihtuah buai suh, a tuk zingah han tum leh mai rawh. A pawimawh ber chu famkim ni lovin, beih hi a ni.
- I chungah ngilnei rawh: Heng zawng zawng i tih zawh hnu pawha i thisen sugar level control-naah harsatna i la nei a nih chuan i sualna niin inhriat suh. Diabetes hi thil buaithlak tak a ni. I doctor nen inbia la, i tih leh tur chu i rel ang.
I doctor nen inbia ang che.
Prediabetes i vei emaw, a hlauhawmna i neih chuan doctor pan fo a pawimawh a, thurawn la rawh. I doctor hnenah hetiang zawhnate zawh hi a \angkai hle mai thei:
1. Engtin nge prediabetes leh diabetes vei theihna ka tihtlem theih ang?
2. Zunthlum natna lan chhuah dan engte nge ni?
3. Ka san zawng atana rit hrisel chu eng nge ni?
4. I taksa rihna tihtlem dan tha ber berte chu engte nge ni?
5. Exercise engzat nge ka tih ang? Eng ang exercise nge ka tan a tha ber?
6. Ka ei leh in lamah eng inthlak danglamna nge ka neih?
7. Nutritionist ka hmuh tur em ni?
8. Ṭanpuina dilna ka zawm theih tur group emaw programme emaw a awm em?
Prediabetes chungchang sawi dawn chuan hriatna hi thiltihtheihna a ni . Hetiang dinhmun hi i nei em tih leh a thlak danglam theih dan tur hriat hi thiltihtheihna a ni. He zinkawng hi nangmah chauhin i paltlang a ngai lo. I doctor leh i healthcare team te chu an pui reng che a ni.
Take-Home Thuchah a ni
- Prediabetes hi zunthlum lam panna kawngah yellow light a ni. Warning a ni a, thutlukna hnuhnung ber a ni lo.
- A tam zawkah chuan symptoms a awm lo. Chuvangin risk factors i neih chuan medical checkup neih fo a pawimawh hle.
- Prediabetes hi ei leh in hrisel, exercise neih fo leh taksa rihna tihtlem a nih chuan a reh vek thei tawh mai.
- He vaukhânna ngaihthah hian type 2 diabetes leh harsatna lian tak tak, thinlung natna leh kal natna te a thlen thei a ni.
- I doctor nen zalen takin inbiakna nei rawh. He zinkawngah hian i mamawh kaihhruaina leh puihna dawng rawh.
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