Tun hnaia thisen test i neih report-ah khan doctor chuan " i sugar a sang deuh a, zunthlum a la nei lo , mahse borderline level-ah a awm" tih a hrilh che em? A nih loh leh chutiang thil chu i hre ngai em? Dik tak chuan he ‘borderline’ condition hi damdawi lama kan sawi thin ` Prediabetes ` hi a ni. Hei hi zunthlum buaina lian tak hmaa lo awm, vaukhânna chhinchhiahna te tak te ang a ni. Chuvangin, vawiin hian engkim hi awlsam takin sawi ila.
Prediabetes chu eng nge ni?
A awlsam zawngin `Prediabetes` hi intermediate stage a ni a, chutah chuan i thisen sugar level chu a pangngai aia sang a ni a, mahse diabetes tia sawi theih khawpa sang a ni lo. Traffic light-a light sen hring ang mai a ni. Ding tur chuan red light a ni lo va, kal tur pawh green light a ni lo. Mahse, a sen dawn tih vaukhânna a ni.
Type 2 Diabetes vei zawng zawng deuhthaw hian ‘Prediabetes’ tih stage an paltlang vek a. Mahse thil hlauhawm tak chu he natna vei zinga 80% aia tam hian an nei tih pawh an hre lo. Chu chu a chhan chu a tam zawkah chuan symptoms engmah a awm loh vang a ni.
Mahse thu lawmawm tak chu prediabetes i neih laiin i hriat chian a, hma i lak chuan type 2 diabetes lo awm tur chu i veng thei a, i tikhawtlai thei bawk. Tin, harsatna lian tak tak, thinlung natna, thisen kalna kawng lama harsatna, leh i mit leh kal chhiatna te pawh i pumpelh thei bawk. I doctor chuan he natna hi Impaired Glucose Tolerance (IGT) emaw Impaired Fasting Glucose (IFG) emaw a ti thei bawk.
Prediabetes pawh hian symptom a nei em?
Mi tam zawk chuan symptoms nei lo mah se, a chang chuan hetiang hi i tawng thei a:
- A hma aia tuihal zawka inhria.
- Zun fo a ngai .
- Ka mit chu a fiah deuh niin ka hria .
- A hma aia chau zawka inhriatna.
- Armpit emaw neck emaw a vun chu a dum a , a thim tawh bawk .
- Chutiang hmunah chuan vun tag te tak te tak tak a lo awm tawh bawk.
Hmeichhia te tana mizia bik
A châng chuan hmeichhiate hian he natna hi natna lan chhuahna dang an nei thei bawk. Entir nan:
- Yeast infection emaw urinary tract infection (UTI) emaw a awm fo thin.
- Thlasik mumal lo emaw thisen chhuak nasa emaw.
- Sexual process lama ngaihvenna tlahniam.
- Naupai harsat.
Engvangin nge prediabetes kan neih?
Hei hi a chhan ber chu `Insulin Resistance` an tih condition a ni.Tunah chuan eng nge a nih i en ang u.
Kan eitur, a bik takin carbohydrates ( starches ) hian kan thisenah sugar (glucose) a belhchhah a. He sugar hi kan taksa cell ten chakna atana an hman theih nan hormone `Insulin` tih a ngai a ni. `Insulin` hi chabi ang a ni a, chu chuan cell kawngkhar a hawng a, sugar chu a luh tir a ni.
`Insulin Resistance` tih awmzia chu kan taksain `Insulin` siam mah se, chu `Insulin` chu kan cell te hian an chhang tha lo tihna a ni. Chabiin kawngkhar a hawng thei lo ang mai a ni. Chuti a nih chuan eng nge thleng? Sugar chu cell-ah a lut thei lo va, thisenah a pung khawm thin. Hei hi thisen sugar level a san chuan `Prediabetes` a lo awm thin.
Hetiang `Insulin Resistance` natna thlentu hi thil engemaw zat a awm a:
- Genetic influences atanga thlah khat thleng .
- Excess body weight , a bik takin pum chhunga thau awmkhawm.
- Hun rei tak chhunga lungkhamna .
- Mut tlem lutuk .
- Exercise tih loh .
- Processed foods, sweetened beverages, leh fatty foods ei tam lutuk.
- Hormone nena inzawm natna thenkhat PCOS (Polycystic Ovary Syndrome) ang chi te.
Engtin nge prediabetes i vei tih chiang taka i hriat theih ang?
Hei hi nemnghet turin i doctor chuan thisen test vawi engemaw zat neih a rawt mai thei. He table hian heng test te leh an result te hi a hriatthiam theih nan a pui ang che.
| Test Hming | Normal Range a ni | Prediabetes level a ni | Diabetes level a ni |
|---|---|---|---|
| Chaw nghei Thisen Sugar (FBS) 1.1. (Darkar 8 chaw nghei hnua test neih thin) | 100 mg/dL aia tlem lo | 100 - 125 mg/dL a ni | 126 mg/dL aia tam a ni |
| Oral Glucose Tolerance Test (OGTT) hmanga enfiah a ni. (Glucose drink in atanga darkar 2 hnuah test neih thin) | 140 mg/dL aia tlem lo | 140 - 199 mg/dL a ni | 200 mg/dL aia tam a ni |
| HbA1c Test a ni (Thla 2-3 kalta chhunga sugar level average a lantir thei test) | 5.6% aia tlem lo a ni | 5.7% - 6.4% inkar a ni. | 6.5% aia tam a ni |
Pawimawh: Heng test zinga pakhat result chu `Prediabetes` tia a lo lang leh a nih chuan, i doctor chuan test dang a rawn rawt thei ang a, chu chu a nemnghet thei ang.
Hetiang dinhmun atanga chhuak tur hian eng nge kan tih ang?
Thu lawmawm tak chu prediabetes hi reversible condition a ni. I nunphungah inthlâk danglamna tê tê siam hian danglamna nasa tak a thlen thei a ni.
1. Ei leh in hrisel
Hemi atan hian "diet" bik a awm lo. Mahse, heng inthlâk danglamna awlsam tak takte hi i nunah hian telh tum ang che:
- Chhangphut, buhfai, leh noodles ang chi chhangphut var atanga siam ei ai chuan, buhfai, buckwheat, oats, leh brown rice ang chi thlai chi hrang hranga siam ei tum ang che.
- In tur thlum leh thei tui ai chuan tui, tea, leh coffee (sugar tel lo) in rawh .
- Sa sen (bawngsa, vawk sa) leh sausage ang chi processed meat ai chuan sangha, vawk, nut, leh legumes ei rawh.
- Deep-frying ai chuan ei tur bake/roast emaw boil emaw a ni.
- Portion size tlem tal tihtlem la, chutah chuan thlai leh thei chi hrang hrang dah belh rawh.
2. Exercise neih fo
Exercise i tih hian i taksa ruhte hian chakna a mamawh a ni. Chutiang ti tur chuan i thisena sugar an hmang thin. Chuvangin exercise hian i thisen sugar level a tihniam a ni. Kar khatah minute 150 talBrisk walking, cycling, emaw swimming ang chi thil ti rawh (e.g., ni khatah minute 30, kar khatah ni 5).
3. Taksa rih zawng control
I thau lutuk a nih chuan i taksa rihna 5% - 10% chauh tihtlem chuan zunthlum vei theihna chu 50% aia tam a tihniam thei a ni.
4. Meizial zuk loh tur leh zu in dan thunun tur
Meizial zuk hian insulin resistance a tichhe nasa hle. Chuvângin, zu i in chuan bânsan tûrin ṭanpuina zawng rawh. Zu in hi tihtlem a pawimawh bawk.
5. Damdawi lam thurawn zawm
Mi thenkhat tan chuan nunphung tihdanglam rualin i doctor chuan Metformin (Glucophage) ang damdawi ei tan a rawt mai thei. Nangmah chauhin damdawi ei tan emaw, chawlhsan ngai suh. Thutlukna i siam hmain i doctor nen inbia fo ang che.
Take-Home Thuchah a ni
- `Prediabetes` hi zunthlum hmaa vaukhânna chhinchhiahna pawi tak a ni. Ngaihtuah suh.
- Hei hi condition a ni a, a reversible vek tawh mai. Diabetes lo awm tur venna hun i la nei tho.
- I damdawi ber chu: ei leh in tha, exercise, leh i taksa rihna tihtlem te hi a ni .
- Symptoms nei lo mah la, zunthlum vei theihna i nei a nih chuan (i chhungkuaa mi tu emaw chuan a nei a nih chuan, i thau lutuk a nih chuan), i thisen sugar level enfiah fo thin ang che.
- Hei hi hlau suh. I doctor nen inbia la, vawiin atang hian inthlak danglamna siam tan rawh. Nangmah ah investment i tih theih tha ber a ni ang.
Prediabetes, Zunthlum, Sugar Level, Insulin Resistance, Thisen Sugar, HbA1c, Zunthlum chhinchhiahna te
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