l/ltsf /+lhtsf/

kl/ro

dw'd]xnfO{ c+u|hLdf 8folal6h -Diabetes_ elgG5 eg] g]kfnLdf lrgL/f]u eg]/ klg lrlgG5 . dfgj zf/L/df x'g] ljleGg /;foflgs k|lqmofsf sf/0f /utdf nfdf] ;do ;Dd lrgLsf] dfqf a9L x'g] ;d:ofnfO{ dw'd]x -DIABETES_ elgG5 . dw'd]xdf KoflGqmofn] -pancreas_ kof{Kt dfqfdf OG;'lng -insulin_ pTkfbg ug{ g;s]df jf pmTkfbg ePsf] OG;'lngk|lt zfl//Ls sf]ifx?n] /fd|f];Fu k|ltlqmof hgfpg g;s]df pTkGg x'g] ;d:of xf] .

dw'd]xaf6 kLl8tx?df ljleGg ;d:of b]vf k5{g\ . z/L/n] /utdf ePsf] ;a} lrgL -Un'sf]h_ k|zf]wg ug{ g;Sbf dflg;df Åbo3ft, dl:tis3ft / cGwf]kg x'g ;S5 clg lduf}{nfn] sfd ug{ 5f8\g] cj:yf klg lglDtg ;S5 . dw'd]xsf] ;d:of ljZje/L lg/Gt/ al9/x]sf] 5 . ljZje/L cg'dflgt $@ s/f]8 dflg; dw'd]xaf6 kLl8t 5g\ . clxn]sf] ;+Vof $) jif{cl3sf] eGbf rf/u'gf a9L ePsf] ljZj :jf:Yo ;Ë7gn] hgfPsf] 5 . hf]lvd eP klg dw'd]x ePsf cfwfeGbf w]/} dflg;x¿nfO{ of] /f]uaf/] yfxf g} 5}g . t/ hLjgz}nL kl/jt{g ubf{ w]/}df of] hf]lvd lgoGq0f ug{ ;lsG5 .

OG;'lng -insulin_  sf] sfd s] xf] t<

– OG;'lng] -insulin_ sf] d'Vo sfd eg]sf] Un'sf]hnfO{ -glucose_ sf];Lsf -cell tissue_ h:t} sn]hf], df:k];L clg ljleGg c++ux?df hDdf / k|of]u ug]{ xf] . OG;'lngn] /utdf ePsf] ;'u/nfO{ cyjf Un'sf]h -glucose_ nfO{ z/L/sf] ljleGg sf]lzsfx? leq nu]/ /utaf6 ;'u/sf] dfq 36fpg' xf] .

dw'd]xsf nIf0fx? M

• w]/} Kof; nfUg] .
• w]/} lk;fa nfUg] -/ftLsf] ;dodf w]/}_ .  
• cfFvf wldnf] b]vg yNg] .
• jhg 36\g] .

• vfg vfP kl5 rf–rfF8} ef]s nfUg yfNg] .
• 3fp, rf]6k6s l9nf] lgsf] x'g].
• xft v'§f emd– emd ugL{÷lgbfpg] .
•  w]/} ysfg] dx;'; x'g] .

dw'd]x d'Vot tLg k|sf/sf x'G5g\ .  lt x'g\ M

!= 6fOk jfg -Type I_ 8folal6h

     zf/L/n] OG;'lngsf] pTkfbg ug{ ;Sg] Ifdtf u'dfO{ ;s]kl5 b]vf kg]{ o; k|sf/sf] dw'd]x /f]u crfgs b]vf kb{5 .  of] j+zfg'ut x'G5 . of] 6fOkdf cf};lwsf] ;fy} OG;'lngsf] k|of]u a9L x'G5 .

@= 6fOk 6'-Type II_ 8folal6h

     ;+;f/df w]/} JolQmnfO{ x'g] k|sf/sf] dw'd]x 6fOk 6' 8folal6h  xf] . of] k|sf/sf] dw'd]x lar pd]/sf dfG5]df ;fwf/0f to $) jif{ eGbf a9L pd]/sf JolQmdf w]/} b]vf k5{ .

#=h]:6];gn -Gestational_ 8folal6h

h]:6];gn 8folal6h ue{ cj:yfdf  b]vf k5{ . k|foM ue{cj:yfsf] @$ b]vL @* xKKtfsf] j/k/ ljsf; x'G5 . w]/} dlxnfx?df aRrf hlGdPkl5, dw'd]x x/fP/ klg hfG5 .

dw'd]x /f]usf] /f]syfg / pkrf/ M

! ;Gt'lnt ef]hg

@ zf/Ll/s Aofofd

# cf}iflwsf] k|of]u

$ lgoldt k/LIf0f

dw'd]x xf] ls x}g eg]/ yfxf kfpg] Nofa k/LIf0fx?M

! FASTING TEST  vfnL k]6df -laxfgsf] ;dodf _

   of] laxfgsf] ;dodf lbg] /utsf] hfFr xf] . of] * b]lv !@ 306fsf] ;do ;Dd vfnL k]6 ePsf] a]nf ug]{ /ut hfFr xf] .  of]  FASTING TEST sf] ;fdfGo bfo/f ^) b]lv !!) mg/dl ;Dd dflgG5 . 99 mg÷dL jf sd pkjf;sf] /utdf lrgLsf] :t/ ;fdfGo 5, 100 b]lv 125 mg÷dL n] tkfO{+nfO{ lk|–dw'd]x ePsf] ;+s]t u5{, / 126 mg÷dL jf ;f]eGbf a9Ln] tkfO{+nfO{ dw'd]x ePsf] ;+s]t u5{ .

olb tkfOF /ut k/LIf0f ug{' eGbf !@ 306f eGbf nfdf] ;do;Dd pkjf; ug{'x'G5 eg] s] x'G5 <

la/fdLx¿n] !@ 306feGbf a9L pkjf; a:g' x'Fb}g . olb tf]lsPsf] ;do eGbf l9nf] ePdf OG;'lng k|lt zf/L/sf sf]ifx?n] /fd|f];+u k|ltlqmof lbb}g / k/LIf0f kl/0ffd ;xL c+sdf cfpb}g .

@ POST–PRANIDAL-PP_ -vfg vfPsf] @ 306fdf _

vfg vfPkl5 @ 306f leq OG;'lng -insulin_ / ;'u/sf] b'a}sf] dfqf ;fdfGo bfo/fdf cfpg' k5{ . PP hfFr vfgf vfPkl5sf] ;'u/sf] dfq x]g{sf] nflu ul/G5.  vfg vfPsf] @ 306f kl5 zf/L/n] Un'rf];] -glucose_ ;+u s:tf] k|lqmof b]vfPsf] 5 eg]/ x]g{sf] nflu PP ul/G5 . of] PP *) b]lv !$) mg÷dl ;DdnfO{ ;fdfGo dflgG5 .

PP hfFr ug{nfO{ @ 306fd} lsg ul/G5<

o; cj:yfsf] k|ltlqmofdf, KoflGqmofhn] /utaf6 lrgLnfO{, df+;k]zL / cGo sf]lzsfx¿df ;fg{ OG;'lng hf/L ub{5 . To;sf/0f, vfgf vfPsf] @ 306f leq, OG;'lng / /utdf Un'sf]hsf] :t/ ;fdfGodf kmls{G5 . o; ;dodf, kf]:6k|flG8on Un'sf]h k/LIf0fn] /utdf Un'sf]h Psfu|tf yfxf kfO{G5 .

tkfO{+n] vfgf vfO;s]kl5 tkfO{+sf] z/L/n] lrgL / :6fr{nfO{ s;/L k|ltlqmof lbG5 egL x]g{ of] k/LIf0f ul/G5 . tkfO{+sf] k]6df vfgf krfpFbf, /utdf Un'sf]h, jf /utdf lrgLsf] dfqf tLj| ¿kdf a9\5 .

– vfg vfPkl5 zf/L/df vfg 6'lqmP/ To:nfO{ tfut -energy_ sf] ?kdf kl/jt{g ug{ s]xL ;do nUb5 t/ k|fo vfg zf/L/leq krfpg clg ;'u/ a9fpg @ 306f nfU5 . pRr ;'u/ :t/ yfxf kfpg, vfg vfPsf] @ 306f kl5sf] ;donfO plrt ;do dflgG5 .

#= Hba1c hfFreg]sf] s] xf]<

– /utsf] /ftf] sf]l;sx?;Fu hf]8]/ a;]sf ;'u/sf] dfqf gfKg', of] hfFrsf] kmfObf xf] eg] /utdf /Qm sf]l;sx?sf] pd]/ !@) lbg jf # dlxgf x'g] ePsf] x'Fbf of] hfFrn] la/fdLsf] # dlxgf cuf8Lsf] ;'u/ status b]vfpg dbt u5{ .

HbA1c k/LIf0fn] tkfO{+nfO{ ut tLg dlxgfdf nueu rln/x]sf] cf};t /utdf lrgLsf] :t/sf] af/]df atfpF5 . tkfO{sf] /utdf Un'sf]hsf] dfqf hlt a9\5, tkfO{sf] x]df]Unf]lagdf Un'sf]h a9L x'G5 . HbA1C k/LIf0fn] tkfO{+sf] /ftf] /Qm sf]lzsfx¿df Un'sf]h nf]8 x]df]Unf]lag ePsf] k|ltzt gfK5./ftf] /Qm sf]lzsfx¿ ;lqmo / hLljt /xFbf;Dd Un'sf]h x]df]Unf]lag;Fu hf]l8G5 / of] cjlw nueu # dlxgf x'G5 .

cGoM hf+rx?df ;'u/sf] :t/ yfxf kfpg ælk;faÆ hf+r klg ug{ ;lsG5 .

-gf]6M dfly pNn]v ;a} hfFr CWC kf]lnlSnlgs ;y} ag]kf 8fO{Ugf]l:6s Nofadf– rf/bf]af6f] ag]kfdf pknAw 5 ._

-n]vs CWC– kf]lnlSnlgs, ag]kfdf sfo{/t x'g'x'G5 .