ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤꯗꯃꯛꯇꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯂꯧꯒꯗ꯭ꯔꯥ? ꯑꯩꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯃꯦꯂꯤꯇꯁ ꯂꯩ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯏꯅꯁꯨꯂꯤꯟ ꯂꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯕꯗꯤ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯂꯧꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯖ ꯑꯁꯤ ꯃꯁꯥꯃꯛꯅꯥ ꯁꯦꯃꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯏꯅꯁꯨꯂꯤꯅꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯒꯦ?

ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯁꯥꯐꯕꯥ ꯔꯦꯟꯖ ꯑꯃꯗꯥ ꯊꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯃꯈꯜ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯈꯜ ꯑꯃꯗꯒꯤ ꯍꯧꯏ꯫

꯱.ꯂꯣꯡ-ꯑꯦꯛꯇꯤꯡ ꯏꯅꯁꯨꯂꯤꯟ꯫

ꯃꯁꯤꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡꯗꯤ ꯕꯦꯁꯦꯜ ꯏꯅꯁꯨꯂꯤꯅꯅꯤ . ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 24, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯇꯨꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯅꯣꯡꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯧꯏ, ꯑꯗꯨꯕꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯇꯝ ꯑꯃꯗꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯗꯣꯖ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ?

ꯏꯅꯁꯨꯂꯤꯟ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯗꯣꯖꯁꯤꯡ ꯑꯁꯤ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫

• ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯒꯤ ꯗꯣꯖ: ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯌꯨꯅꯤꯠ 10ꯗꯒꯤ ꯍꯧꯏ꯫
• ꯑꯔꯨꯝꯕꯥꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯗꯣꯖ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗꯣꯖ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯁꯤ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 1 (ꯄꯥꯎꯟꯗ 2.2) ꯑꯃꯗꯥ ꯏꯅꯁꯨꯂꯤꯅꯒꯤ ꯌꯨꯅꯤꯠ 0.2 ꯑꯣꯏꯅꯥ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯍꯥꯅꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯐꯕꯥ ꯍꯧꯔꯀꯐꯝ ꯑꯃꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯖ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯨꯅꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯃꯔꯤ ꯐꯥꯎꯕꯥ ꯍꯦꯅꯒꯠꯍꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯇꯥꯔꯒꯦꯠ ꯂꯦꯚꯦꯂꯗꯥ (ꯃꯍꯧꯁꯥꯅꯥ 80-130 mg/dLꯒꯤ ꯃꯔꯛꯇꯥ) ꯌꯧꯔꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ꯫ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯏꯅꯁꯨꯂꯤꯅꯒꯤ ꯃꯈꯜ ꯑꯃꯥ ꯈꯅꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ, ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ, ꯅꯍꯥꯛꯀꯤ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ, ꯏꯅꯁꯨꯂꯤꯅꯒꯤ ꯃꯃꯜ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯄꯥꯝꯂꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

2. ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯏꯅꯁꯨꯂꯤꯟ (Short- or Rapid-acting Insulin)

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯕꯨ ꯕꯣꯂꯁ ꯏꯅꯁꯨꯂꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯦꯟꯗꯤꯌꯥꯜ ꯏꯅꯁꯨꯂꯤꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯁꯨ ꯌꯥꯏ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯥꯀꯁꯉ ꯑꯃꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯤꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨꯗꯥ ꯀꯥꯔꯕꯣꯟ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯅꯁꯨꯂꯤꯟ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯃꯈꯜ ꯑꯁꯤ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫

ꯗꯣꯖ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ?

ꯗꯣꯖ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ: ꯅꯍꯥꯛꯀꯤ ꯇꯥꯔꯒꯦꯠ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ, ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨꯗꯥ ꯀꯥꯔꯕꯣꯟ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯒꯤ ꯆꯥꯡ꯫

• ꯐꯤꯛꯁ ꯇꯧꯔꯕꯥ ꯗꯣꯖ: ꯱.ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯌꯨꯅꯤꯠ 4-6ꯗꯒꯤ ꯍꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯅꯨꯃꯤꯠ 3 ꯈꯨꯗꯤꯡꯒꯤ ꯌꯨꯅꯤꯠ 2-3 ꯍꯦꯅꯒꯠꯄꯥ ꯌꯥꯏ꯫
• ꯀꯥꯔꯕ ꯀꯥꯎꯟꯇꯤꯡ: ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯃꯦꯊꯗ ꯑꯃꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯦꯇꯔꯤꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯅꯁꯨꯂꯤꯅꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯟꯊꯕꯤꯌꯨ: ꯅꯍꯥꯛꯅꯥ ꯄꯤꯖ꯭ꯖꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯆꯥꯔꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯀꯥꯔꯕꯣꯟ ꯒ꯭ꯔꯥꯝ ꯶꯰ ꯌꯥꯑꯣꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯔꯦꯄꯤꯗ-ꯑꯦꯛꯇꯤꯡ ꯏꯅꯁꯨꯂꯤꯅꯒꯤ ꯌꯨꯅꯤꯠ 1ꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯀꯥꯔꯕꯣꯟ ꯒ꯭ꯔꯥꯝ 10-15 "ꯀꯚꯔ" ꯇꯧꯏ꯫ ꯒ꯭ꯔꯥꯝ ꯱꯰ ꯍꯥꯌꯔꯁꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯖꯔꯤꯕꯥ ꯁ꯭ꯂꯥꯏꯁ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯌꯨꯅꯤꯠ 6 ꯃꯊꯧ ꯇꯥꯏ꯫