Insulin hian thisen sugar a tihhniam a, ‘shock’ a thlen em? Hypoglycemia chungchang hi i zir chiang ang u

Zunthlum damdawi, a bik takin insulin hmang thin mi i ni em? Tichuan i thisen sugar level a hniam lutuk hun te kha i hre tawh ngei ang. Hei hi damdawi lam chuan hypoglycemia kan tih chu a ni. Mi thenkhat chuan ‘insulin shock’ an ti bawk. A takah chuan hlauhawm deuh mahse, uluk taka enkawl a nih chuan he hlauhawmna atanga him taka awm chu chutiang chuan a harsa lo. Vawiin hian hetiang thil hi a thlen chhan te, a ven dan tur te, emergency-a tih tur te kan sawi dawn a ni.

Engvangin nge kan thisen sugar hi a tlahniam thut?

A awlsam zawngin, hei hi i ei leh in, exercise i tih leh zunthlum damdawi i ei (a bik takin insulin) inkara inthlauhna a awm hian a thleng thin.

Scale ang maiin han ngaihtuah teh. Khaw khatah chuan i insulin leh damdawi (thisen sugar tihhniamtu) a awm a. A lehlamah chuan i ei tur (thisen sugar tisangtu) a awm. Exercise i tih pawhin i taksain i thisen a sugar awm chu a hmang zo vek a ni. Chuvangin, i damdawi i ei loh a, ei tur dik tak i ei loh chuan, i exercise tur aia nasa zawk i exercise a nih chuan, emaw, i damdawi ei hun dik loah i ei chuan, scale-a balance awm chu paih bo a ni thei a, i thisen sugar level pawh hlauhawm takin a tlahniam thei a ni.

A hlauhawm ber chu a chang chuan thisen sugar hniam hi a awm thei a, symptom engmah a awm lo. Hetiang dinhmun hi hun rei tak chhung zunthlum vei tawh emaw, thisen thlum hniam fo tawhte zingah a tam zawk. Hei hi (Hypoglycemia Unawareness) kan ti a.

Enkawl loh chuan thisen thlum hniam chuan muhil thei a ni. Insulin shock na tak hi medical emergency a ni a, enkawl vat a ngai a ni.

Thisen thlum hniam lo turin eng nge kan tih theih ang?

Thisen thlum tlem enkawl ai chuan ven a tha zawk. Doctor nen in inbia a, management plan tha tak i siam chuan i hrisel thei ang. I tanpui theih tur thil thenkhat chu hetiang hi a ni.

I sugar level kha enfiah fo thin ang che.

I thisen sugar level dik taka hriat theih dan tha ber chu thisen glucose meter hmanga test hi a ni. I doctor thurawn ang chiah chiah hian ti thin ang che. Hengte hi test hun tha ber a ni tlangpui.

I sugar level chu target range pawnah a awm chuan i doctor emaw diabetes clinic emaw hnenah hriattir nghal rawh .

Exercise i tih hian fimkhur hle ang che.

I active lai hian i taksa hian sugar hi energy atan a hmang thin. Chuvangin exercise neih laiin thisen sugar tlahniam lo tur chuan:

• Exercise i tih hmain chawhmeh tlemte (e.g. banana, biscuit pahnih emaw pathum emaw) ei hmasa phawt ang che.
• I insulin dose kha thlak rawh. Mahse hei hi doctor rawn hnuah chauh tih tur a ni .

Exercise i tih hma, exercise i tih lai leh i tih zawhah i thisen sugar level i check chuan a tlahniam zia chu i hre chiang ang. I tih dan pangngai aia nasa zawka workout i tih chuan a nghawng chu darkar 24 thleng a daih thei tih hre reng ang che .

Damdawi leh ei leh in lamah fimkhur rawh.

• Damdawi dose dik tak ei: Insulin an pek aia tam ei loh tur. Tin, a hun dik takah la suh. Insulin injection hi vun hnuaia thau layer-ah pek tur a ni. Muscle-ah i inject palh a nih chuan insulin chu a absorb rang lutuk thei a, i thisen sugar pawh a tlahniam thei bawk.
• Chaw ei hi skip suh: I chaw ei ber leh snacks te chu a hun takah ei thin ang che.
• Natna ni atan ruahmanna siam rawh: I dam lo emaw, i luak emaw pawh nise, i damdawi pek chu skip suh. A rualin thil ei emaw in emaw tum bawk ang che. Engmah ei leh in theih loh chuan doctor ko nghal rawh.
• Zu chungchangah fimkhur rawh:Zu in hian i thisen sugar level control a ti harsa thei hle. Tin, zu in laiin thisen sugar tlahniam chhinchhiahna i hmu lo mai thei bawk. Zu i in chuan pum ruak chungin in ngai suh . Chaw nen chauh in rawh.
• Tui lum leh insulin: Insulin i ei zawhah tui lum leh inbual loh tur. Chu lumna chuan thisen kalna kawng a tizau thei a, insulin chu a hip rang zawk thei bawk. Shower i lak hmain darkar khat leh a chanve tal nghak rawh.

Tunlai thiamna atang hian tanpuina kan dawng thei ang em?

• CGM (Continuous Glucose Monitor): Hei hi sensor te tak te, vun hnuaiah dah a ni. I thisen sugar level a enfiah chhunzawm thei a, a hniam chuan a hriattir thei bawk. Hei hi symptoms nei lo (hypoglycemia unawareness) tan chuan a tangkai hle.
• Insulin Pump: Hei hi hmanraw te tak te, taksaa inbuntir a ni. Nitin insulin mamawh zat chu taksaah zawi zawiin a pe chhuak thei a ni.

Hengte hi i tan a tha em tih chu i doctor nen inbiakna hmangin i rel thei ang.

He dinhmun hian naupang tê tête a nghawng dân

Naupang tê tê thisen sugar level hniam loh hi a pawimawh hle . Naupang kum 4 hmasa berah thluak hi a thang chak hle. Hemi hun chhunga thisen sugar tlahniam nasa tak hian thluak hmasawnna a tichhe thei a ni.

Nausen emaw, naupang tê tê emaw chuan thisen sugar an neih tlem chuan an tap thei a, a hma aia nasain an buai thei bawk . Tlemte an lo upa tawh a nih chuan thisen thlum tlahniam chhinchhiahna hmasa berte chu i zirtir tur a ni.

• Shakiness a ni
• Thawmhnaw hak
• I thinlung chu a na hle ang tih hriatna

Mahni inhriatchhuah tir che - Medical ID pawimawhna

Nangmah emaw i fa emaw chu hypoglycemia vei fo tur a nih chuan medical alert bracelet emaw necklace emaw bun a pawimawh hle .

Kawngpuiah i hriatna hloh nghal vat a, thisen sugar a tlahniam tih han mitthla teh. Tu nge i nih leh eng natna nge i neih tih hi tumahin an hre lo. Mahse i kutphahah ‘I have Diabetes’ tih ziakna bracelet i neih chuan pui theitu che chuan rang takin a hre thei a, damdawi in Emergency Treatment Unit (ETU)-ah a hruai thei che a ni.

He feature hi tunlai smartphone-ah pawh hman theih a ni. Phone lock lai pawha i medical information (Medical ID) en theih turin i set up thei bawk. iPhone-ah chuan Health app-a "Medical ID" tih section aṭangin tih theih a ni a, Android phone-ah chuan Settings aṭangin tih theih a ni bawk.