I doctor-in Type 2 Diabetes i vei thu a hrilh che chuan i hlauthawng leh lungkham deuh mai thei, a dik em? "Sweets ka ei leh thei tawh dawn lo em ni?" leh "Ka dam chhung zawng damdawi ka ei a ngai dawn em ni?" Mahse, lungngai suh. Dik tak chuan, uluk taka i enkawl chuan nun hrisel tak, nun pangngai tak i hmang thei a ni. Hei hi enkawl dan tur tam tak a awm a. Ei leh in, exercise leh damdawi te hian i thisen glucose level a control theih nan an thawk dun a ni.
Vawiin hian zunthlum dona tur hian eng damdawi nge awm tih kan sawi dawn a ni.
HbA1c converter
Convert HbA1c values to normal blood sugar levels
Eng pills nge tan hmasak tur?
Vawi tam tak chu type 2 diabetes vei miin ei leh in leh exercise chauh hmanga thisen sugar level a control theih loh chuan doctor chuan damdawi chi khat hmangin a tan hmasa ber ang. Chûngte chuan taksaah kawng hrang hrangin hna an thawk a ni. A châng chuan damdawi pakhat chauh hman a ni a, a châng chuan damdawi pahnih pathum hman dun a ni bawk. Damdawi hman chi hrang hrangte han thlir ila.
| Ruihhlo chi hrang hrang | Engtin nge a thawh tih leh eng nge hriat tur tih |
|---|---|
| Metformin a ni | Hei hi khawvela zunthlum damdawi hman lar ber a ni. A hnathawh ber chu thin (liver)-in sugar a siam chhuah tihtlem bakah taksa cell-te’n sugar an lakluh awlsamna a siamsak a ni. Ni khatah vawi hnih ei tur nen ei tur a ni tlangpui. Mi thenkhat chuan a tir lamah chuan pum na leh pum na an nei thei. |
| Sulfonylurea te pawh a awm Ex: Glimepiride, Gliclazide tih te hi a ni | Heng damdawi te hian kan pancreas te hian hormone insulin tam zawk siam turin signal pein hna an thawk a ni. Insulin hian kan cell-ah sugar a lut thei a ni. Hengte hi chaw ei hmaa ei thin a ni a, a chang chuan thisen sugar hniam (hypoglycemia) leh taksa rihna a tipung thei bawk. |
| DPP-4 Inhibitor te hi a awm a Ex: Sitagliptin, Linagliptin tih te hi a ni | Heng damdawi te hian kan taksaa insulin siamchhuahna atana puitu hormone pakhat tihchhiat loh nan hna a thawk a ni. Chuvangin chu hormone te chu hun rei zawk an thawk reng a, thisen sugar level chu an san hunah chauh an control thin. Side effects hi a tlem hle. |
| SGLT2 Inhibitors te hi a awm bawk Entirnan: Dapagliflozin, Empagliflozin tih te hi a ni | Hei hi damdawi a ni a, a hnathawh dan chu a danglam deuh hlek a ni. Kidney-ah hna a thawk a ni. He damdawi hian kan thisena sugar tam lutuk chu zun hmangin a paih chhuak thei a ni. Hei hian thisen thlum a tihniam bakah taksa rihna leh thisen sang a tihniam bawk. |
| Thiazolidinediones (TZD) te hi a awm a. Ex: Pioglitazone tih hi a ni | Hengte hian taksa cell-a insulin resistance tihziaawmna leh insulin hnathawh thatna hmangin hna an thawk a ni. Hengte hi thinlung lam natna nei tan chuan a tha lo hle. Hemi chungchang hi i doctor-in a rel ang. |
A pawimawh ber chu i doctor chauh hian i tan damdawi leh dose dik tak a ruat thei ang . Damdawi mi dangin an ei chuan i tan hna a thawk lo mai thei. Chuvangin doctor thupek zawm a pawimawh hle.
Damdawi inzawmkhawm
A châng chuan damdawi pakhat chauh hmanga thisen thlum control a harsa ṭhin. Chutiang hunah chuan doctor chuan damdawi pahnih a pe dun thei a ni. Tunah chuan chutiang damdawi pahnih chu pill khatah a awm ta. Entirnan, metformin leh sulfonylurea, a nih loh leh DPP-4 inhibitor te hi pill khatah an awm a. Hei hian ni khata pill i ei tur zat a tihtlem thei a ni.
Injection hmanga enkawl
"Aw, ni lo, injection pawh a awm lo," tiin i ngaihtuah mai thei. Mahse a then phei chuan, a bik takin pill hmanga i sugar control theih loh hunah chuan injection i hmang a ngai thin. Chung zinga ṭhenkhat chu i thinlung tan pawh a tha a, i taksa rihna tihtlem nan a pui bawk.
- GLP-1 Receptor Agonists: Hengte hi hormone ang maia thawk injection te an ni. Insulin siamchhuahna an tichak a, chaw ei tur a tikhawtlai a, i chaw ei kham thei hle. Tin, i taksa rihna tihtlem nan an pui thei bawk. Ṭhenkhat chu Dulaglutide (Trulicity) ang chi hi kar khatah vawi khat inject a ngai a ni. Ṭhenkhat chu Liraglutide (Victoza) ang chi hi nitin inject a ngai a ni.
- Insulin: 1.1.Hun rei lote chhung insulin i hman a ngai mai thei, entirnan, natna khirh tak i neih lai emaw, zai i neih hunah emaw. Tin, hun kal zelah i taksain insulin a siam chhuah zat a tlem chuan pawn lam atanga insulin i lak a ngai dawn a ni. Tun hma ang lo takin tunah chuan hman awlsam tak tak insulin pen a awm ta. Diabetes clinic-a i doctor emaw nurse emaw chuan nangmah inject dan tur dik tak a entir ang che.
Damdawi aiin a pawimawh zawk - nunphung thlak danglam!
Eng damdawi pawh ei la, a rah chhuah tha ber tur chuan nunphung thlak danglam hi a pawimawh hle. Hei hi zunthlum enkawlna lungphum a ni tak zet a ni.
1. I taksa rihna tihtlem: I taksa rih zawng 5% atanga 10% tihtlem chuan danglamna nasa tak a thlen thei. Entirnan, pound 175 i rit chuan pound 10 atanga 18 chauh i tihtlem chuan i A1c level (thla 3 kalta chhunga thisen sugar level average) a tihhniam thei a, thinlung natna i vei theihna a ti tlem thei bawk. Damdawi i ei zat pawh i ti tlem thei bawk.
2. Ei leh in hrisel: "Diabetic diet" tih hi a awm lo. A pawimawh ber chu ei leh in inthlau tak ei hi a ni. Carbohydrates, fiber, thau leh chi (salt) te hi i fimkhur a ngai a ni. Buhfai, chhang, alu i ei tam danah fimkhur rawh. A tha ber chu i doctor emaw registered dietitian emaw nen inhmuhkhawmin i duh ang meal plan siam hi a ni.
3. Taksa tihchak (exercise): Exercise kan tih hian kan cell te hian insulin an hmang thiam lehzual a. Chumi awmzia chu kan thisena sugar awm chu chakna atan hman a ni tihna a ni. Ni khata minute 30 chhung chak taka kal emaw, inchhung hna thawh emaw ang maia awlsam a ni thei.
4. Zan mut tha rawh: Mut tlakchhamna hian thisen sugar level sang a thlen bawk. Chuvangin, nitin mut tling, mut that pawh hi a enkawlnaah a tel ve a ni.
Chuti a nih chuan, engtin nge i tana tha tur enkawlna chu i thlan ang?
I doctor chuan heng enkawlna kawng tam tak zingah hian eng nge i tan a tha ber tih a rel ang. He thutlukna hi thil engemaw zat a ngaihtuah hnuah a siam ang.
- I A1c level: I A1c chu i target aiin a sang zawk a nih chuan i thisen sugar control thuai nan insulin ang chi thil i tan a ngai mai thei. Tlemte chauh a sang a nih chuan metformin leh nunphung thlak danglam atanga tan a ngai mai thei.
- I hriselna zawng zawng: Lung natna emaw, kal natna emaw i neih chuan i tana tha zawk damdawi, SGLT2 inhibitor emaw GLP-1 inhibitor emaw pawh i thlang thei bawk.
- Hman senso: Zunthlum hi dam chhung zawnga natna a ni a, enkawl ngai a ni. Chuvangin damdawi man pawh a pawimawh hle. Damdawi thenkhat chu a man a to a, a then erawh a man a to thung. Hemi chungchang hi i doctor nen inhawng takin sawi rawh.
- I duhthlanna:Injection i duh loh chuan i symptoms i control theih leh theih loh en turin pills i enchhin thei ang. I damdawi ei theihnghilh thin i nih chuan kar khatah vawi khat injection hi a awlsam zawk mai thei.
Take-Home Thuchah a ni
- Type 2 diabetes hi natna hlauhawm tak a ni lo va, a dinhmun tha taka enkawl theih a ni.
- Enkawlna lungphum chu ei leh in hrisel, exercise, leh taksa rihna tihtlem hi a ni . Damdawi hi tanpuina dang pekna tur a ni.
- I doctor chauhvin i tan damdawi leh enkawlna tur tha ber a ruat thei ang. Chuvangin, a bulah hian inbiak reng la, a thupekte chu dik takin zawm rawh.
- Zunthlum vanga harsatna awmte chu thisen sugar level, A1c level, leh mit, ke leh kal hnathawh dan enfiah fo hian ven theih a ni.
- I enkawlna chungchangah ngaihtuahna i neih emaw, i enkawlnain beisei ang result a chhuah loh chuan emaw, i doctor nen zalen taka inbiakna neih chu hlau suh.
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