Zunthlum vei tan "Time in Range" (TIR) ​​hian eng nge a awmzia? I han chhui chiang teh ang!

Zunthlum i nei em? A nih loh leh i chhungte emaw, i thian emaw tu emaw chuan zunthlum a vei em? Tichuan i hre tawh mai thei, a nih loh leh i doctor pawhin he thil ‘Time in Range’ tih hi a sawi tawh mai thei bawk. Chuvangin, vawiinah hian awlsam tak leh chiang takin sawi ila. Hei hi thil thar deuh ni mahse, zunthlum dona kawngah nasa taka puitu thil a ni.

He "Time in Range" (TIR) ​​hi eng nge ni?

A awlsam zawngin, “Time in Range” (TIR) ​​tih hi zunthlum vei pakhatin a thisen sugar (glucose) level chu target range engemaw zat chhunga a dah theih hun chhung a ni . I doctor-in i thisen sugar level chu he range leh he range inkarah hian dah turin a hrilh che tih han mitthla teh. Hei hian chu range chhunga i awm rei zawng chu a teh a ni.

Zunthlum vei tam zawk, Type 1 Diabetes nei leh puitling Type 2 Diabetes nei tan pawh he target range hi deciliter khatah milligram 70 leh 180 inkar a ni tlangpui (mg/dL) Mahse hei hi mi zawng zawng tan a inang lo va, mi tin a inang lo thei bawk. TIR hi percentage anga teh a ni . Doctor te chuan i TIR chu 70% aia sang zawka dah tum turin an ti tlangpui . Chumi awmzia chu i thisen sugar chu ni khata darkar 24 chhungin darkar 17 tal chu chutiang zat zingah chuan a awm tur a ni tihna a ni. Chutih hunah chuan i zunthlum hi control tha takah i ngai thei ang.

Engtin nge he TIR hi dik taka i teh?

I TIR hriat awlsam leh dik ber chu Continuous Glucose Monitor (CGM) hman hi a ni. He device hi i lo hre tawh mai thei. A nihna takah chuan i kut emaw i pum emaw vun hnuaia dah theih hmanraw te tak te a ni . I hak lai hian nitin darkar 24 chhungin i vun hnuaia interstitial fluid-a glucose level chu a teh chhunzawm zel a, a record zel bawk. I sugar zawngtu detective te tak te ang mai a ni. Chumi hnuah chuan he glucose data hi CGM device emaw i phone-a app emaw nena inzawm software hmangin i download thei ang a, i TIR chu i track thei ang.

Dik tak chuan, i TIR chungchang hi rough idea i nei thei a , manual finger prick tih hmangin . Mahse chutianga i tih chuan ni khatah vawi tam tak i thisen sugar i enfiah a ngai a ni . Chuti chung pawh chuan `CGM` angin data chipchiar tak a pe lo. Lehkhabu phek phek chhuah ang maiin han ngaihtuah teh. Mahse `CGM` chu lehkhabu pumpui chhiar ang mai a ni! I thisen sugar level kimchang takin a pe che a ni.

Heng `CGM` machine te avang hian tunah chuan zunthlum vei tam tak leh an doctor ten he TIR hi an zunthlum enkawl nan an hmang ta a ni.I TIR data dik taka teh la, nang leh i doctor chuan thil tum thar i siam thei ang a, i enkawlna ruahmannaah a tul anga siamthatna i siam thei ang.

He TIR report hi eng ang nge a nih?

Heng TIR report-ah hian, CGM machine-a software atanga lo chhuak, i sugar level hrang hrangte chu colored vertical bar angin a lang tlangpui a ni. Hriatthiam a awl hle mai.

• I sugar level in-range a awm lai kha green in a lang . Hei hi tihchangtlun kan tum vek a ni.
• Range dang, chu chu sugar level a hniam emaw, a sang emaw hun tihna a ni a, chu chu rawng dang, yellow, orange, leh red -in a lantir a ni.

Heng range te hi `CGM` report pangngai (a hnuai atanga chunglam thleng)-a an lan dan chu hetiang hi a ni:

• 54 mg/dL aia tlem (< 54 mg/dL) — A hniam hle (target aia hniam). Hei hi a sen angin a lang ang. Hei hi dinhmun hlauhawm tak a ni thei.
• 54 mg/dL leh 69 mg/dL inkar — A hniam (target hnuai lam). Hei hi orange angin a lang thei. Hei pawh hi ngaihven tur a ni.
• 70 mg/dL leh 180 mg/dL inkar — in-range. Chu chu green-a awm chu a ni . He green part hi lian zawka siam kan tum vek!
• 181 mg/dL leh 250 mg/dL inkar — a sang (target aia sang). Hei hi yellow ang mai a ni.
• 250 mg/dL aia tam (> 250 mg/dL) — A sang hle (target aia sang). Hei pawh hi rawng sen angin a lang bawk. Hetianga a kal zel chuan a tha lo.

Mahse hre reng ang che, CGM report thenkhatah chuan he data hi a danglamin a lang thei. He thu hi hriatthiam harsa i tih chuan i doctor nen inbiakna neih hi a tha ngei ang . An hrilhfiah thei che a ni.

Ka TIR hi engzat nge ni tur?

Diabetes i vei chuan i thisen sugar level target range chu i tan a danglam bik a ni . Chumi awmzia chu i target range chu ka target range nen a inang lo tihna a ni. Nang leh i doctor chuan eng target range nge i tan a tha ber tih leh chu range atanga engzat nge awm reng tum tur tih chu in rel dun ang a , heng thil tumte hi i dam chhung zawngin a danglam thei a ni.

Glucose target tichhe thei thil engemaw zat a awm a:

• Eng chen nge zunthlum i vei tawh ?
• I kum leh i hriselna tlangpui .
• I thisen sugar level tichhe thei damdawi dang i nei a, chu chu kal (kidney dysfunction) emaw, gastroparesis emaw a ni.
• Cardiovascular disease i neih chuan .
• Thisen sugar tlahniam (hypoglycemia unawareness) chhinchhiahna i hriat lohna dinhmun .A awm chuan. Chu chu, i sugar level a tlahniam huna i luak chhuak leh thawk hah ang kha i hriat loh chuan a risky deuh tihna a ni.
• If you are pregnant or trying to get pregnant , heng hun chhung hian i thil tumte chu a danglam nasa hle.

Okay, tunah chuan eng general recommendation nge an pek tlangpui tih hi han en ila.

Type 1 emaw type 2 diabetes vei puitling tam zawk tan TIR target:

• A tlem berah 70% tal chu 70 leh 180 mg/dL inkar (prescribed range chhungah) a ni.
• 54 mg/dL hnuai lam a nih chuan 1% aia tlem a ni tur a ni.
• 54 leh 69 mg/dL inkar hun hi 4% aia tlem lo tur a ni.
• 181 leh 250 mg/dL inkar hun hi 25% aia tlem lo tur a ni.
• 250 mg/dL aia sang a nih hun chhung chu 5% aia tlem a ni tur a ni.

TIR target chu thisen sugar hniam (hypoglycemia) vei theihna chance sang zawk nei te tan:

Hei hi thisen sugar hniam fo te tan a ni.

• 70 leh 180 mg/dL inkar (normal range chhungah) 50% tal.
• 70 mg/dL hnuai lam hun hman chu 1% aia tlem lo tur a ni.
• 250 mg/dL aia sang a nih hun chhung chu 10% aia tlem a ni tur a ni.

Naupai laiin type 1 diabetes vei puitling tan TIR target:

Hei hi a pawimawh hle a, a chhan chu naute a nghawng thei a ni.

• A tlem berah chuan 70% vel chu 63 leh 140 mg/dL inkar (normal range-ah) a ni. Heta range hi a danglam deuh, i hmu em? Naupai lai hian i sugar level control a pawimawh hle.
• 63 mg/dL hnuai lam a nih chuan 4% aia tlem a ni tur a ni.
• 140 mg/dL aia sang a nih hun chhung chu 25% aia tlem a ni tur a ni.

Naupai laiin gestational diabetes leh type 2 diabetes chungchanga kaihhruaina chu a danglam thei. Hetah pawh hian hengte hi kaihhruaina tlangpui a ni. I doctor nen eng glucose target nge i tan a tangkai ber leh a tak tak tih sawiho a pawimawh. I dinhmun atana hmalak dan tur tha ber tur thurawn an pe ang che.

He TIR leh A1C hi eng inzawmna nge ni?

He A1C test hi i hre tawh ngei ang . Doctor tam tak chuan i zunthlum hi engtiang chiahin nge control a nih tih hriat nan an hmang thin. Chuti a nih chuan, TIR leh A1C hi thil inang an ni em? Ni e, tlem tal.

TIR hian CGM i bun laiin hun engemaw chen, darkar tlemte atanga ni engemaw zat chhungin i glucose level a teh thin . Hun rei lote chhunga snapshot ang mai a ni . Nitin i sugar a inthlak dan chiang takin i hmu thei.

Mahse, A1C hi thisen test lab-a tih a ni . Kar 8 atanga kar 12 kalta chhunga i glucose level average a teh thin . A1C test hian i thisen sugar a inthlak danglam dan a hrilh thei lo. Average value chauh a pe a ni.

A awlsam zawngin:

Hetiang hian han ngaihtuah teh: A1C hi lehkhabu bung thupui chhiar ang mai a ni.. Mahse `CGM` hman leh TIR en chu bung pumpui chhiar ang mai a ni . Tichuan, a chungchang hriatthiamna thuk zawk, nuanced zawk i nei ta a ni. I hrethiam em? TIR hian ni khat chhunga hun hrang hrang, chaw ei kham, exercise zawh hnua sugar a awm dan chiang takin a tarlang a ni.

Kum 1960 chho atang khan doctor leh zunthlum vei te chuan zunthlum enkawlna kawngah engtiang chiahin nge a kal tih tehna atan A1C hi an ring ber a ni. Mahse, CGM machine lo chhuah a\ang khan doctor leh damlote chuan he TIR hian zunthlum enkawlna kawng \angkai zawk leh dik zawk a pe tih an hrechhuak ta a ni

A bik takin Type 1 Diabetes vei tan chuan thisen sugar level hi ni tam tak, kar leh thla tam tak chhungin nasa takin a inthlak danglam thei a ni . Chuvangin, A1C value average hi an management tehna dik tak a ni ngai lo.

Entîr nân, hetiang hian ngaihtuah teh:

Mi pakhat a awm a, a thisen sugar level chu a tlahniam zel a, a sang leh zel bawk. Mahse an A1C chu 7% a ni mai thei.

Mi dang pakhat pawh a awm a, a thisen sugar level chu a tam zawkah chuan 154 mg/dL vel a ni. A A1C pawh 7% a ni thei bawk.

Hmu? An A1C chu inang mahse an TIR value hi a danglam thei hle. Mi pakhatna TIR hi a hniam zawk a, a chhan chu target range pawnah a awm reng a ni. Hypoglycemia vei theihna a sang zawk.

Tin, A1C test hi a hnuaia natna nei te tan chuan a dik lo thei bawk :

• Anemia (thisen tlakchhamna).
• Hemoglobin chi hrang hrang.
• Iron tlakchhamna.
• Naupai lai.
• Liver natna.

A1C value dikna hi population hrang hrangah pawh a inang lo thei bawk.

Mahse, thil awm dan ang chuan TIR lo chhuah hian A1C testing hi hmanlai tawh lo a ni dawn tihna a ni lo . Kum sawm tam tak chhung zirchianna atanga a lan dan chuan A1C level hian zunthlum natna lo awm tur emaw, a ven dan emaw a hrilhfiah thei a ni. Chuvangin doctor-te chuan TIR leh A1C test pahnih hi an hmang dun a, glucose management chungchang hi a kimchang zawkin an hmu thei a ni.

Engvangin nge he TIR hi a pawimawh em em?

TIR hian zunthlum nena lo awm glucose level inthlak danglamna dik zawk a pe che a ni. Thil engzat nge i sugar level a nghawng tih ngaihtuah teh, chu chu i ei leh in te, exercise i tih te, damdawi i ei te, leh i stress level te hi a ni ! Chuvangin, i TIR data en hian (a bik takin `CGM` i hman hunah) heng thil hrang hrangte hian i glucose level direct-a nghawng dan hi hriatthiamna tha zawk a pe thei che a ni

Entirnan, kar khat chhung zet khawsik i neih chuan i TIR a tlahniam tih i hmu mai thei. A nih loh leh, ei tur pakhat i ei hnuah i thisen sugar a sang hle tih i hmu thei a, i TIR pawh a tlahniam tih i hmu thei bawk. Chutiang thil i hmuh chuan i doctor hnenah, ‘Engtin nge ka damloh leh hunah ka zunthlum thunun tumin ka inbuatsaih tha zawk ang?’ tiin i zawt thei ang. A nih loh leh, ‘Chutiang chaw chi chuan engtin nge min nghawng a, ka ei dan pawh ka thlak danglam tur em ni?’ tiin i ngaihtuah mai thei. Phên dangin sawi ila, TIR hi i nunphung nena inmil taka i zunthlum enkawlna kawngah ṭanpuitu lian tak a ni thei a ni .

TIR a tlahniam chuan diabetic complication a awm thei em?

Hemi chungchanga zirchianna hi kalpui mek a ni a, mahse tuna zirchianna hrang hrangah chuan TIR level a tlahniam chuan zunthlum kaihhnawih harsatna a thlen theihna a sang chho zel tih hmuhchhuah a ni

Zirna hrang hrangah chuan thisen sugar level inthlak danglamna lian tak (glycemic variability an tih) hian taksaah oxidative stress leh inflammation a tipung thei tih a tarlang. Heng dinhmunte hian cell a tichhe thei a ni . Zirna thenkhat chuan heng glucose inthlak danglamna lian tak takte hi:

• Thisen sugar tlahniam (hypoglycemia) a awm theihna a sang.
• Lung leh thisen zam natna vei theihna a sang.
• Cognitive function tihchhiatna.
• Nunphung quality tlahniam.

Chu bâkah, zirchianna pakhat chuan type 2 diabetes vei, TIR hniam leh glycemic variability sang tak neite chu zunthlum kaihhnawih retinopathy, mit tichhe thei zunthlum complication an vei theihna a sang zawk tih a hmuchhuak bawk Zirna dang pakhatah chuan TIR hniam hi cardiovascular autonomic neuropathy, cardiovascular system tichhe thei nerve disorder vei theihna sang zawk nen a inzawm tih a hmuchhuak bawk

Chuvangin, heng zirchiannate hian i TIR a sang thei ang bera dah a pawimawhzia a tilang a ni . Researcher-te’n an zir belh zel chuan diabetes expert-te chuan nakin lawkah heng TIR target-te hi an thlak danglam thei a ni.

Engtin nge ka TIR hi ka tihpun theih ang?

I TIR tihchangtlunna kawng pawimawh ber chu i glucose level tichhe thei thil dik tak hriat chhuah hi a ni . Hei hian hun engemaw chen a la duh thei. Dik tak chuan science experiment tawp ngai lo ang maiin a lang thei. Chuvângin, thil pakhat khata ngaihtuah a, mahni chunga ngilnei nih a pawimawh . Hlauthawng suh la, heng thilte hi zawi zawiin ngaihtuah chhuah tum ang che.

Ni khata hun engemaw chenah i glucose level a sang zel emaw a tlahniam zel tih i hriat chuan chutih hun lai vela i tih dan leh i thiltih dante chu ngun zawkin enfiah rawh.

Entirnan, chawhmeh ei hnuah pawh i glucose level a sang zel tih i hmu mai thei. Hetiang thil hi a thlen theih chhan hrang hrang a awm thei:

• I zunthlum damdawi (e.g. insulin ) ei hun dik tak a ni lo.
• Damdawi ei tlem emaw, a tam lutuk emaw.
• I ei tur leh a chhunga nutrient lian ber ber (carbohydrates, thau, leh protein) te balance . Carbohydrates i ei tam lutuk mai thei.
• Zing lama ei tur dang (damdawi thenkhat hian thisen thlum level a tichhe thei).
• Zing lama coffee ang chi caffeine- awmna in tur in (hei hian mi thenkhat a nghawng).

Hei hi entirnan pakhat chauh a ni. Diabetes hi a buaithlak hle a . TIR tihchangtlun theihna tur strategy hrang hrang a awm a. A hma ang bawkin, i management plan-a inthlak danglamna siam i ngaihtuah hian, zunthlum specialist (e.g., endocrinologist) emaw, certified diabetes care and education specialist (CDCES) emaw nen thawh dun a tha ber. Anni hian a kalphung an kaihruai thei che a, i zawhnate pawh an chhang thei bawk.

Take-Home Thuchah a ni

Chuvangin, he “Time in Range” (TIR) ​​hi zunthlum vei tan chuan an glucose management tehna kawng thar leh tangkai tak a ni. TIR information leh i glucose data hriatthiam hi a chang chuan a harsa deuh thei. Ngaihtuah buai suh, tlem tlem chuan i thiam thei ang.

I doctor chu i TIR hriatthiamna tur leh i hlawkna tur atana hman turin a awm reng tih hre reng ang che . In pahnih hian hun kal zelah in TIR a inthlak dan chu in track thei a, chutiang chuan in management strategy te chu in siamrem thei bawk. Zunthlum vei nun hi thil harsa tak a ni a, mahse heng ang hmanraw thar hmang hian tlem a awlsam zawkin a awm thei a ni. Nangmah chauh i ni lo va, he zinkawngah hian tanpui thei tur che mi tam tak an awm bawk.

`Zunthlum, Hun bituk, TIR, Glucose, Thisen Sugar Level, CGM, A1C