1

ABCD

Es

MNuhf;fpakhf ,Ug;gJilg; 2 ilagpBi] (Type 2 Diabetes) rkhspg;gJ

cq;fSf;F cq;fs; ABCDEs njhpAkh?cq;fs; vj;jifa Fwp ,yf;Ffs; MNuhf;fpakhdit mij vg;gb mile;J fhyiltpy; gukhpg;gJ vd;W cq;fs; FLk;g ey ftdpg;gspg;gthplk; NgRq;fs;.

A1C (V1]p)* ghpe;Jiuf;fg;gl;l Fwp ,yf;Ffs;:7.0 rjtpfpjk; my;yJ mjw;F fPohf(ilagpB]; cs;s ngUk;ghyhdth;fSf;F)vd; Fwp ,yf;Ffs;

*fhy mstpy; ,uj;j FSf;Nfh]; msT fh;g;gpdpfSf;Fk; 12 taJ my;yJ mJf;F fPohd Foe;ijfSf;F AIC Fwp ,yf;fq;fs; NtWgLk;.

Blood Pressure (,uj;j mOj;jk;) ghpe;Jiuf;fg;gl;l Fwp ,yf;Ffs;: ,yf;Ffs; 130/80 mm Hg-f;F fPNo vd; Fwp ,yf;Ffs;

Cholesterol (nfhy];l;why;) ghpe;Jiuf;fg;gl;l Fwp ,yf;Ffs;: LDL: 2.0 mmol/L my;yJ fPNonkhj;j nfhy];l;whyf;F HDL ratio: 4 f;F fPNo vd; Fwp ,yf;Ffs;

cq;fSila ,jaj;ij ghJfhg;gjw;fhd kUe;Jfs;: ,uj;jk; mOj;j khj;jpiufs (ACE ,d;̀ pgpl;lh;]; my;yJ ARBs; fs;) nfhy];l;uhiyf; Fiwf;Fk; khj;jpiufs; ];lhl;bd;];), my;yJ ASA (M];gphpd;) cq;fSila ,uj;jk;mOj;jk; my;yJ nfhy];l;uhy; Vw;fdNt ,yf;if mile;Jtpl;lhYk; ,e;j kUe;Jfs; cq;fSila ,jaj;ij ghJfhf;Fk;.

clw;gapw;rp/czTg;gof;fk; - MNuhf;fpakhd czTfis cz;L, MNuhf;fpakhd clk;G viliag; ngw;W mijg; guhkhpf;f xOq;fhd Kiwapy; njhlh;e;J clw;gapw;rp eltbf;iffspy; <LglNtz;Lk;.

Gifg;gpbg;gij epWj;Jf kw;Wk; kdr;Nrhh;it mfw;Wf.

ilg; 2 ilagpB]; vd;why; vd;d?

cztpypUe;J tUk; rf;jpia cgNahfpf;f cq;fs; clYf;F

,d;Rypd; Njit. ilg; 2 ilagpl;B]; fizar;Rug;gp Nghjpa

,d;Rypidj; jahhpf;f Kbahky; NghFk;nghONjh my;yJ

jahhpj;j ,d;Rypid cly; rPu cgNahfpf;fhj nghONjh

Vw;gLtjhFk;. cq;fSf;F ilg; 2 ilagpl;B]; ,Ue;jhy;

rf;jpf;F cgNahfkpy;yhky; FSf;Nfh]; cq;fs; ,uj;jj;jpy;

mjpfk; Nrh;e;JtpLfpwJ.

cq;fSf;Fj; Njitahd Mjuit ngWq;fs;

cq;fSf;Nfh cq;fs; FLk;g cWg;gpdUf;Nfh ilg; 2

ilagpl;B]; ,Ug;gij xj;Jf;nfhs;s cq;fSf;F fbakhf

,Uf;fyhk;. gak;, mjph;r;rp, jiyKofy; Nghy; my;yJ

Nfhgk; $l ePq;fs; czh;tJ mrhjhuzk; my;y. ilagpl;B];

cs;sth;fsplk; NgRq;fs;: xU jpl;ltl;lkhd ajhh;j;jkhd

kdg;Nghf;F cq;fs; epiyikia rkhspf;f cjTk;.

$Ljyhf cq;fs; ilagpl;B]; cly;ey ftdpg;G FO cq;fs;

ilagpl;Bi] rkhspg;gijg; gw;wp cq;fs; midj;Jf;

Nfs;tpfSf;Fk; gjpyspf;Fk;. cq;fs; FOtpy; xU FLk;gey

ftdpg;gspg;gth;( cq;fs; FLk;g itj;jpah; my;yJ xU

ilagpl;B]; epGzh;) kw;Wk; ilagpl;B]; fw;gpg;ghsh;fs; (eh;];

kw;Wk; ey czT epGzh;) $l fPo;f;fz;l tUk; ,Uf;fyhk;:

• kUe;jhSdh;

• r%f Nritahsh;

• kNdhjj;Jt epGzh;

• ghj ftdpg;G ty;Ydh;

• vd;Nlhf;iwehy[p];l

• fz; ftdpg;G ty;Ydh;

epidT $Wq;fs;: cq;fs; cly;ey ftdpg;Gf;

FOtpd; mjp Kf;fpa cWg;gpdh; ePq;fNs.

ey;y nra;jp

cq;fs; FLk;g cly;ey

ftdpg;gspg;gth; Fwpj;J ,yf;f

tPrj;jpy; cq;fs; ,uj;j

FSf;Nfh]; (,uj;jj;jpy;

rh;f;fiuapd; msT) msTfis

guhkhpj;jy; ePq;fs; ePz;l

MNuhf;fpa tho;f;if thoyhk;.

MNuhf;fpakhf ,Ug;gJ - ilg; 2 ilagpl;Bi] rkhspg;gJ

2

epidtpUf;fl;Lk;, cq;fs; ,uj;j FSf;Nfh]; kw;Wk; ,uj;j mOj;jj;ij Fiwg;gJ – rw;Nw vdpDk; – ePq;fs; NkYk; MNuhf;fpakhfTk; mg;gbNa guhkhpf;fTk; cjTk;.

nra;aNtz;bait!

,uj;j FSf;Nfh];

ePq;fs; cq;fs; cly;ey ftdpg;G FOTk; cq;fs; ,uj;j

FSf;Nfh]; msTfSf;F ,yf;Ffis Fwpf;fNtz;Lk;. cq;fs;

,uj;j FSf;Nfh]; ,yf;Ffis mila ePq;fs; cq;fs;

tho;f;if tpj khw;wq;fspy; (rhg;ghL jpl;lkpLjy; kw;Wk;

mjpfhpj;j cly;hPjpahd nraw;ghL) khj;jpiufs; kw;Wk;/my;yJ ,d;Rypd; Nrh;f;fj; NjitapUf;fyhk; vd;gij

milahsk; fhZtJ Kf;fpakhFk;. cq;fs; ,uj;j FSf;Nfh];

msTfis gpd;njhlu cjt ,uj;j FSf;Nfh]; kPl;lh; gw;wp

NfSq;fs;. Nkyjpf jftYf;F ,e;jf; ifg;ngl;bapy; cs;s

“,uj;j FSf;Nfh]; msTfis rkhspg;gJ” (“Managing Blood Glucose Levels”) vd;w jfty; jhis thrpAq;fs; kw;Wk; “cq;fs; ,uj;j

FSf;Nfhi] rkhspg;gJ” (“Managing Your Blood Glucose”) vd;w tPbNahitg; ghUq;fs;.

cly;hPjpahd nray;ghL

cly;hPjpahd nray;ghL ,uj;j FSf;Nfh]; msTfis

fl;Lg;gLj;j cjTfpwJ. vil Fiwf;fpwJ kw;Wk; mah;r;rpia

Fiwf;f cjTfpwJ. thuj;jpy; 150 epkplq;fshtJ (cjhuzkhf

30 epkplq;fSf;F, thuk; Ie;J ehl;fs;) kpjkhdjpypUe;J typikahd Mo;thd VNwhgpf;]; clw;gapw;rp nra;Aq;fs;.

ehnshd;Wf;F Ie;jpypUe;J 10 epkplq;fshtJ tpiuthd

eilAld; ePq;fs; Muk;gpf;fNtz;bapUf;Fk;. $Ljyhf thuk;

%d;W jilt nu]p];nld;]; clw;gapw;rp (vilfSld;

gapw;rp Nghd;wit) nra;aNtz;Lk;. ePq;fs; ,g;nghOJjhd;

Muk;gpf;fpwPh;fs; vd;why; cq;fs; FLk;g cly;ey

ftdpg;gspg;gthplk; Kjypy; Nfl;Lf;nfhs;Sq;fs;. Nkyjpf

jftYf;F ,e;jf; ifg;ngl;bapy; cs;s “cly;hPjpahd

nraw;ghL” (“Physical Activity”) vd;w jfty; jhis thrpAq;fs; kw;Wk; “cq;fs; cly; ,irit rkhspg;gJ” (“Managing Your Fitness”)vd;w tPbNahitg; ghUq;fs;.

MNuhf;fpakhd cz;Zjy;

,uj;j FSf;Nfh]; msTfis rPh;gLj;j vJ, vq;Nf kw;Wk; vt;tsT cz;ZfpwPh;fs; vd;gnjy;yhk; xU Kf;fpa gq;F

tFf;fpwJ. epiyahd czT jpl;lj;ij filg;gpbAq;fs;.

MNuhf;fpakhd cz;Zjiyg; gw;wp mwpa cq;fs; FLk;g

cly;ey ftdpg;gspg;gtiu xU gjpTg;ngw;w ey czT

ty;YeUf;F cq;fis mDg;gr; nrhy;Yq;fs;, kw;Wk; Eating Well with Canada’s Food Guide. vd;w topfhl;bia gpd;gw;Wq;fs;. Nkyjpf jftYf;F ,e;jf; ifg;ngl;bapy; cs;s “MNuhf;fpakhd

cz;Zjy;: mbg;gilfs;;” (“Healthy Eating: The Basics”) vd;w jfty;jhis thrpAq;fs; kw;Wk; “cq;fs; rj;JztUe;Jjiy

rkhspg;gJ” (“Managing Your Nutrition”) vd;w tPbNahitg; ghUq;fs;.

3

MNuhf;fpakhf ,Ug;gJ - ilg; 2 ilagpl;Bi] rkhspg;gJ

vilia fl;Lg;gLj;jy;

ilg; 2 ilagpl;Bi] rkhspg;gjpy; MNuhf;fpakhd vilia

guhkhpg;gJ mjp Kf;fpakhFk;. mg;gb nra;tJ cq;fs; ,uj;j

FSf;Nfh],; ,uj;j mOj;jk; kw;Wk; ,uj;j nfhOg;G msTfis

fl;Lg;gLj;j cjTk;. Nkyjpf jftYf;F ,e;jf; ifg;ngl;bapy;

cs;s “MNuhf;fpakhd vilia fl;Lg;gLj;JtJ” (“Managing a Healthy Weight”) vd;w jfty; jhis thrpAq;fs; kw;Wk; “cq;fs;

vilia fl;Lg;gLj;JtJ” (“Managing Your Weight”) vd;w tPbNahitg; ghUq;fs;.

kUe;J cl;nfhs;sy;

rpy NehahspfSf;F, ilg; 2 ilagpl;B]; cly;hPjp

nray;ghl;bdhYk; MNuhf;fpa cztpdhYk; rkhspf;fyhk;.

MdhYk; tha;top kUe;JfSk; kw;Wk;/my;yJ ,d;RypDk;

mbf;fb Fwpg;gplg;gLfpwJ. cq;fs; FLk;g cly;ey

ftdpg;gspg;gth; nrhd;dg;gb mij vLj;Jf;nfhs;sTk;.

Nkyjpf jftYf;F ,e;jf; ifg;ngl;bapy; cs;s “,d;Rypd; cgNghfpg;gJ” (“Using Insulin”) vd;w jfty; jhis thrpAq;fs; kw;Wk; “kUe;J cl;nfhs;sy;” (“Medication”) vd;w tPbNahitg; ghUq;fs;.

tho;f;ifg; gzp rkhspg;gJ

mah;r;rp ,uj;j FSf;Nfh]; msTfis ghjpf;fyhk;. ehSf;F

ehshd mah;r;rpia rkhspf;f fw;Wf;nfhs;StJ ePq;fs; NkYk;

fl;Lg;ghl;Lld; ,Uf;f cjtyhk;. mah;r;rpia Nkyjpf

jftYf;F ,e;jf; ifg;ngl;bapy; cs;s “cq;fs; mah;r;rpia

rkhspg;gJ” (“Managing Your Stress”) vd;w tPbNahitg; ghUq;fs;.

Gifg;gpbg;gij tpl;LtpLq;fs;

Gifg;gpbg;gJk; ilagpB]_k; xU Mgj;jhd fyitahFk;.

ePq;fs; Gifg;gpbj;jiy epWj;j Kk;Kukhf ,Ue;jhy; cq;fs;

FLk;g cly;ey ftdpg;gspg;gth; my;yJ cly;ey ftdpg;G

FO cjtf;$Lk;. Kaw;rp nra;Jf;nfhz;Nl ,Uq;fs;;; cq;fs;

cly;eyj;Jf;F mJ ngWkhdJ.

4

mwpe;jpUf;f Ntz;bait

,uj;j mOj;jk;

cah;e;j ,uj;j mOj;jk; fz; Neha; ,ja Neha; FUjpj;jil

kw;Wk; rpWePuf Neha;fis tpistpf;fyhk;. cq;fs; ,uj;j

mOj;jj;ij 130/80 mm Hg f;F fPo; itj;jpUf;f ePq;fs; cq;fs;

czT kw;Wk; cly;gapw;rp goq;fis khw;wTk; kw;Wk; / my;yJ kUe;J vLj;Jf; nfhs;sYk; Njitg;glyhk;.

nfhy];l;why;;

cah;e;j nfhy];l;whYk; ,uj;jj;jpy; kw;wf; nfhOg;GfSk;

,ja Neha; kw;Wk; FUjpj;jilia tpistpf;fyhk;. cq;fs;

,uj;jk; nfhOg;Gfis MNuhf;fpa msTfspy; itf;f ePq;fs;

cq;fs; czT kw;Wk; clw;gapw;rp gof;fq;fis khw;wTk;

kw;Wk; / my;yJ kUe;J vLj;Jf;nfhs;sTk; Njitg;glyhk;.

Nkyjpf jftYf;F ,e;jf; ifg;ngl;bapy; cs;s “cq;fs;

nfhy];l;whiy fl;Lg;gLj;JtJ” (“Managing Your Cholesterol”) vd;w jfty; jhis thrpAq;fs; kw;Wk; “,uj;j mOj;jKk;

nfhy];l;whYk;” (“Blood Pressure and Cholesterol”) vd;w tPbNahitg; ghUq;fs;.

fz; Neha

cq;fs; fz;zpd; fUtpopia

tphpj;J fz; Neha;f;fhd

mwpFwpia Nrhjpf;Fk; fz;

ftdpg;G epGzuhy; ePq;fs;

ghh;f;fg;glNtz;Lk;. cq;fs;

rhjhuz FLk;g cly;ey

ftdpg;gspg;gth; ,e;j gpuj;jpNaf

ghpNrhjidia jk; mYtyfj;jpy; nra;aKbahJ.

fz; ftdpg;G epGziu ghh;f;f Vw;ghL NfSq;fs;.

ghj ftdpg;G

xt;nthU tUifapYk; cq;fs; fhyzp kw;Wk;

fhYiwia mfw;Wq;fs; (cq;fs; FLk;g cly;ey

ftdpg;gspg;gth; my;yJ cly;ey ftdpg;Gf;FO cq;fis

Nfl;f kwe;jhy;$l). cs;Nehf;fp tyh;e;j fhy;tpuy; efq;fs;>

ghjj;jpy; ntl;LfSk; Gz;fSk; jPtpukhd Gw;Wf;fis

tpistpf;fyhk;. Nkyjpf jftYf;F ,e;jf; ifg;ngl;bapy;

cs;s “ghj ftdpg;G” (“Foot Care”) vd;w jfty; jhis thrpAq;fs; kw;Wk; “cq;fs; ghjq;fis rkhspg;gJ” (“Managing Your Feet”) vd;w tPbNahitg; ghUq;fs;.

ilg; 2 ilagpl;B]; vd;gJ

xU jPtpukhFk; tho;ehs;

KOtJk; ,Uf;Fk; epiy

MFk;;; ehyiltpy; cq;fs; ,uj;j FSf;Nfh];

msTfis cq;fs; ,yf;f

tPr;rpy; itj;jpUf;f

NkYk; fbdkhfyhk;.

cq;fs; czT jpl;lk;

nraw;ghLfs; kw;Wk;

kUe;Jfis rPh;g;gLj;j

cq;fs; cly;ey ftdpg;G

FO cq;fSld;

Ntiy Ghpe;J cjtyhk;.

cq;fs; ,uj;j FSf;Nfhi]

fz;fhzpg;G Kf;fpakhFk;.

cq;fs; tPl;L ,uj;j FSf;Nfh];

fz;fhzpg;G gjpit Kiwahf

cq;fs; FLk;g cly;ey

ftdpg;gspg;gthplk;

rhp ghh;f;fTk;. tUlj;jpw;F

xU KiwahtJ cq;fs;

kPl;lh; Jy;ypakhf

tpilaspf;fpwjh vd;W mwpa

Nygpy; nra;j ,uj;j

ghpNrhjid tpilAld;

xg;gpl;Lg;ghUq;fs;.

5

csr;Nrhh;Tk; kdf;fyf;fKk;

ilagPB]; cs;sth;fSf;F ,it rf[khd czh;r;rpfs;

MFk; kw;Wk; ,it cq;fs; ilagpB]; fl;Lg;ghl;ilj;

jtwhd tpjj;jpy; ghjpf;fyhk;. cq;fs; csr;Nrhh;Nth

kdf;fyf;fNkh ,Ug;gjhfj; Njhd;wpdhy; cq;fs; FLk;g

cly;ey ftdpg;gspg;gth; my;yJ cly;ey ftdpg;G

FOtplk; NgRq;fs;..

rpWePuf Neha;

vt;tsTf;nft;tsT rPf;fpuk; rpWePuf Neha;apd; mwpFwpia

fz;Lgpbf;fpwPh;fNsh mt;tsTf;ft;tsT ey;yJ. rPf;fpuk;

rpWePuf Nehapd; mwpFwpia fz;Lgpbf;f cq;fs; rpWePuf

Kiwahf ghpNrjid nra;J nfhs;sNtz;Lk;. cq;fs;

rpWePufj;Jf;F NkYk; ghjpg;ig jhkjpf;f cq;fs; FLk;g

cly;ey ftdpg;gspg;gth; kUe;Jf; Fwpg;gspf;fyhk;.

euk;G rpijT

cq;fs; iffNsh ghjq;fNsh kuj;Jg;Nghd khjphpNah

my;yJ Crpfs; Fj;JtJ Nghd;w rpyph;j;jhNyh cq;fs;

FLk;g cly;ey ftdpg;gspg;gth; my;yJ cly;ey ftdpg;G

FOtplk; NgRq;fs;.

Mz; tpiug;G mila gpur;ridfs;

Mz; tpiug;G mila my;yJ guhkhpf;f gpur;rid vd;gJ

ilagpB]; cs;s Mz;fSf;F kpfg; nghJthd

njhy;iyahFk;. cq;fs; FLk;g cly;ey ftdpg;gspg;gth;

my;yJ cly;ey ftdpg;G FOtplk; Ngr ntl;fg;glhjPh;fs;.

6

MNuhf;fpakhf ,Ug;gJ - ilg; 2 ilagpl;Bi] rkhspg;gJ

cq;fs; ilagpl;Bi] fl;Lf;Fs; itAq;fs;

ed;fwpe;j Nehahspahf ,Uq;fs;: rhpahd Nfs;tpfis Nfl;L MNuhf;fpakhf ,Uq;fs;.

mbg;gil ilagpl;B]; ftdpg;Gf;fhd Kf;fpa Nrhjidfisg; gw;wp cq;fs; FLk;g cly;ey

ftdpg;gspg;gthplk; NgRq;fs;. Rl;bf;fhl;baijtpl cq;fSf;F rpy Nrhjidfis NkYk;

mbf;fb Njitg;glyhk;. cq;fs; cly; MNuhf;fpaj;ijg; nghUj;J cq;fs; ,yf;fhd ,uj;j

FSf;Nfh]_k; ,uj;j mOj;j msTfSk; khwyhk;.

vg;nghOJ vd;d ghpNrhjid?

Neha; fz;Lgpbf;Fk; nghOJ

• rpWePuf ghpNrhjid: Nygpy; nra;ag;gLk; rpWePh; ghpNrhjid • fz; ghpNrhjid: fz; ftdpg;G epGzuhy; fz;zpd; fUtpopia tphpj;Jghh;f;fg;gl Ntz;Lk;

• euk;G rpijT ghpNrhjid: xU 10-g NkhNehgpynkd;l; (monofilament) my;yJ 128-Hz l;a+dpq; Nghh;if (tuning fork) itj;J

• nfhy];l;whYk; kw;iwa ,uj;j nfhOg;G ghpNrhjidfs;: xU ,uj;j ghpNrhjid

Vwj;jho 3 khjq;fSf;F xU Kiw*,d;Dk; gyjlit rpfpr;ir

Muk;gpj;Jtpl;lhy;

• A1C ,uj;j ghpNrhjid* (,yf;F: rh;f;fiu Neha; cs;s ngUk;ghyhdkf;fspy; 6.5 rjtpfpjj;jpdh;)

• ,uj;j mOj;jk; (,yf;F: 130/80 mm Hg f;F fPNo)• tpl;L ,uj;j FSf;Nfh]; fz;fhzpg;G gjpit rhpghh;j;jy;

12 khjq;fSf;F xU Kiw

• rpWePuf Nrhjid• ghj ghpNrhjid tUlk; xUKiwahtJ Mdhy; cs;Nehf;fp

• tyh;e;j fhy;tpuy; efq;fs; my;yJ Vida Mjhu ntl;Lf;fSk; Gz;fSk; ,Ue;jhy; clDf;FlNd.

• kPl;liu tpilfSld; xg;gplTk;

• nfhy];l;uhy; kw;Wk; ,ju gpsl; / gh];l; ghpNrhjidfs;.

1 Kjy; 2 tUlq;fSf;F xUKiw

• 1Kjy; 2 tUlq;fSf;F xUKiw (fz; Neha; ,y;iynad;why;) ,y;iynadpy; NkYk; gyjlitfs;

• fz; ftdpg;G epGzuhy; fz; ghpNrhjid

Kiwahf / Fwpg;gpl;l fhyf;fzf;fpy;

• Mz; tpiug;G mila gpur;rid gw;wp Nfs;tpfs;

• csr;Nrhh;T kw;Wk; / my;yJ kdf;fyf;fk; gw;wpa Nfs;tpfs;

• MNuhf;fpakhf cz;Zjy; kw;Wk; cly;hPjpahd nray;ghL gw;wpa Nfs;tpfs;

Content taken from the Canadian Diabetes Association’s consumer fact sheet, Staying Healthy with Diabetes. Ta

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