e/kqesg%20esa%20vkgkj

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e/kqesg esa vkgkj
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e/kqesg esa lkekU vkgkj
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MkcVht Dk gS

• MkfcVht kjhj dh og voLFkk gS ftlesa jDr esa
  Xywdkst dh ekk clt tkrh gSA g rc gksrk gS tc
  gekjk kjhj kkus dk iwjk miksx ugh dj ikrk gS
  Dksafd bUlqfyu uked gkjeksu k rks de ekk esa
  gksrk gS k fcYdqy ugh gksrk gSA

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Hkkjr esa MkfcVht

• vf/kd ikh tkrh gS
• jgu lgu esas ifjorZu ,oa ifjokj ls
• de tkudkjh dh otg ls ekywe u pyuk
• irk yxus ls ,d nkd iwoZ gksrh gS
• nqcys iryksa esa Hkh ikh tkrh gS
• bykt dks xaHkhjrk ls ugha fyk tkrk

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MkfcVht
nsku esa gYdk ykxs ?kko djs xaHkhj
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Vkbi 1 MkfcVht dk bykt

Insulin
Exercise
Monitoring
Education
Diet
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Vkbi 2 MkfcVht dk bykt

Insulin
Exercise
Monitoring
Education
Diet
Oral Agents
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MkfcVht dk fua.k
,d LoLFk Hkkstu kstuk dk ikyu djsa
fufer Okke djsa
nokbZka le ls ysa
fufer CyM kqxj dh tkap
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MkfcVht dks vki fuafr djsa

• CyM kqxj dks lkekU jksa
• CyM kqxj esa ifjorZu gks ldrk gS
• Hkkstu ls
• nokbZka k balqfyu ls
• Okke ls
• chekjh ls
• ruko ls

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Lofua.k lhkuk

• dqN ifjJe ,oa le dh vkodrk gS
• bykt esa iw.kZ i ls lgksx nsuk
• Lofua.k dks fufer thou esa yk,a
• blesa MkDVj ,oa MkfcVht dsj Vhe ds chp esa
  lgksx dh vkodrk gksrh gS

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Lofua.k dSls djsa

• fufer CyM kqxj tkapsa
• CyM kqxj dks fufer Ik ls Mkjh esa fyksa
• CyM kqxj esa mrkj k pltko dks nsksa
• CyM kqxj ds vuqlkj viuh Hkkstu ,oa nokbZka
  vuqdwy cuk,a
• MkDVj ,oa MkfcVht dsj Vhe dh lgkrk ysa

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lkekU CyM kqxj y
vuqdwy CyM kqxj Lrj gSa
Blood Sugar Good
Fasting mg/dl 90-130
Post Prandial mg/dl lt180
CyM kqxj lkekU Lrj ij jkus ls MkfcVht ls
gksus okyh tfVyrkvksa ls cpk tk ldrk gS
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MkfcVht fua.k ds vkStkj

• LoLFk Hkkstu kstuk
• Ektsnkj Okke dkZdze
• nokbka
• CyM kqxj dk fjdkMZ
• Hkkstu ,oa Okke dk fjdkMZ
• MkfcVht dsj Vhe
• Rkuko de djus ds rjhds

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vkgkj kstuk

• vkSj yksxksa ls vyx ugha gS
• lHkh rjg ds Hkkstu inkFkZ gksus pkfgs
• vukt Qy lCth v.Mk ekaal eNyh ,oa
  nqX/k mRikn
• rhu rjhds Hkkstu kstuk ds
• vkgkj fijkfeM
• Hkkstu dh vnyk cnyh
• dkcksZgkbMszV dkmafVax

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Hkkstu lykg ds Qkns

• Hkkstu ds ckjs esa lykg nsuk MkfcVht fua.k dk
  vfHkUu vax gS
• MkfcVht esa dkcksaZgkbMzszV ,oa izksVhu dk
  bLrseky kjhj esa fcxM tkrk gS
• ,d dkjxj vkStkj Okke rFkk nokbksa ds lkFk esa
  kkl rkSj ij MkfcVht ds kqvkrh nkSj esa
• ,d vfuksftr vkgkj ,d csgrj fuksftr nokbksa ds
  dkZdze dks fcxkM ldrh gS

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vkgkj fijkfeM funsZk

• ge nsk ldrs gSa Dk vkSj fdruk Hkkstu kkuk
  pkfgs
• fijkfeM ds uhps Lrj okys Hkkstuksa dks Tknk ysuk
  pkfgs ,oa mij okys Hkkstuksa dks de ysuk pkfgs
• LoLFk uhao chUl vukt ,oa lfCtksa ls curh gS
• FkksMk v.Mk ekal eNyh ,oaa nqX/k inkFkZ e/
  Hkkx esa jkus pkfgs
• Oklk ,oa ehBh phtsa cgqr de ekk esa ysuh pkfgs

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MkfcVht vkgkj fijkfeM
olk rsy cknke vkjksV dktw ,oa ewaxQyh 23
Hkkx
v.Mk ekal ,oa eNyh 12 Hkkx
nqX/k ,oa nqX/k mRikn 23 Hkkx
Qy 23 Hkkx
lfCtka 34 Hkkx
vukt ,oa nkysa 812 Hkkx
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Hkkstu lewg Hkkstu vnyk cnyh

• vukt
• nkysa
• nqX/k ,oa nqX/k mRikn
• lfCtka
• Qy
• olk rsy vkjksV ewaxQyh dktw
• v.Mk ekal eNyh

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vukt

• vukt Hkkstu dk ,d eq lzksr gS A blesa
  dkcksZgkbMzsV kfut ,oa
• foVkfeu ch lewg vf/kd ekk esa feyrk gS
• vkVk pkoy eDdk cktjk Tokj bRkfn
• jksVh ijkBk iwMh bMyh Mkslk fcfLdV czsM
  eSdjksuh uwMYl bRkfn

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nkysa

• buls kkdkgkjh Hkkstu esa izksVhu vf/kd feyrk gS
  
• vjgj ewax puk mMn elwj jktek

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nqX/k ,oa nqX/k mRikn

• nw/k lHkh mez ds OfDrksa ds fy, Qknsean gS A
  nw/k esa mRre izksVhu feyrh gSA HkSal ds nw/k
  esa xk ds nw/k ls vf/kd olk feyrh gSA
• nw/k vyx vyx rjhdksa ls fyk tk ldrk gS tSls ngh
  iuhj pht nw/k ikmMj

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lfCtka

• lfCtka kfut foVkfeu ,oa jskksa ds fy, tjh gSA
  lfCtksa dks rhu lewg esa
• foHkkftr fdk tk ldrk gS
• gjh iRrsnkj lfCtka ikyd iRrk xksHkh lksk
  esFkhA
• dUn ewy vkyw Ikt xktj ewyh pqdUnj kyte A
  
• vU lfCtka eVj cSaxu iRrkxksHkh fHk.Mh
  yksSdh rjksbZ ijoy

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Qy

• Qyksa ls foVkfeu lh vf/kd feyrk gS A dbZ Qyksa
  esa dkcksZgkbMsZzV vPNh ekk esa jgrk gSA ihys
  Qy tSls vke rFkk iihrk esa dSjksVhu vf/kd feyrk
  gS
• lsc dsyk vaxwj larjk ven vkfn

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Oklk rsy esos vkfn

• buesa olk mtkZ foVkfeu ,oa kfut vf/akd feyrk gS
  A lkFk esa buls izksVhu Hkh feyrk gS A cknke
  dktw fpyxkstk ewxQyh vkjksV vkfn
• Hkkjr esas nskh ?kh eDku ,oa fofHkUu izdkj ds
  rsy vf/kd izksx gksrs gSA olk ,d mtkZ dk HkaMkj
  gSA blls 9 fdyks dSyksjh izfr xzke feyrh gS

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v.Mk ekal eNyh

• izksVhu foVkfeu vkju ,oa QkLQksjl vf/kd feyrk
  gSA v.Mk vfrmRre izksVhu lzksr gSA blesa gj izdkj
  ds tjh vehuks ,flM lgh ekk esa miyC/k gSa A
  ekalkgkjh Hkkstu esa foVkfeu ch 12 vf/kd feyrk gS
  
• eVu fpdu eNyh v.Mk A

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Hkkstu dh vnyk cnyh
Food Exchanges

• Hkkstu dh vnyk cnyh cjkcj ekk esa dh tkuh pkfgs
  
• Hkkstu vnyk cnyh kstuk fokskK ls vius kkuiku
  dh vknrksa dsa fglkc ls cuokuh pkfgs
• fdlh lewg ds ,d Hkkx esas cjkcj dSyksjh dh ekk
  gksrh gS vr vnyk cnyh dh tk ldrh gS
• tSls ,d lkekU jksVh rhu pkSFkkbZ dVksjh pkoy
  vFkok ,d bMyh vFkok nks lkekU czsM ls vnyk cnyh
  dh tk ldrh gS A
• ,d jksVh nks pEep ?kh ls vnyk cnyh ugha dh tk
  ldrh tcfd nksuksa dh dSyksjh ekk cjkcj gS

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vukt lewg essa vnyk cnyh
izfr vnyk cnyh lkS dSyksjh ds cjkcj gS
kk inkFkZ Ekkk
czsM 2 ihl
HkVwjk 1 ihl
jksVh 2 ihl
ijkBk vk/kk
iqyko vk/kk dVksjh
iwjh nks ihl
pkoy 1 dVksjh
bMyh 2 ihl
eSjh fcfLdV 67 ihl
uwMYl 125 dVksjh
fkpMh 1 dVksjh
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nky lewg essa vnyk cnyh
izfr vnyk cnyh lkS dSyksjh ds cjkcj gS
kk inkFkZ Ekkk
Lkkcqr ewax vk/kh dVksjh
Nksys vk/kh dVksjh
qvjgj nky Rkhu pkSFkkbZ dVksjh
mMn nky vk/kh dVksjh
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nqX/k lewg essa vnyk cnyh
izfr vnyk cnyh lkS dSyksjh ds cjkcj gS
kk inkFkZ Ekkk
HkSal dk nw/k_at_ngh vk/kk di
Xkk dk nw/k k ngh 1 di
nw/k fpdukbZjfgr 2 di
eVBk Mslt fxykl
iuhj 15 xzke
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Ekkal lewg essa vnyk cnyh
izfr vnyk cnyh lkS dSyksjh ds cjkcj gS buesa
dkcksZgkbMzsV ughs gksrk gSA
kk inkFkZ Ekkk
fpdu Ikpkl xzke 1 ihl
fpdu lwi 2 di
eVu pki 25 xzke
ehV djh frgkbZ dVksjh
1 v.Ms dk vkeysV 1 ihl
mcyk v.Mk nks ihl
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lCth lewg essa vnyk cnyh
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
kk inkFkZ Ekkk
djsyk 100ls150xzke k vk/kh dVksjh
ykSdh 100ls150xzke k vk/kh dVksjh
khjk _at_ddMh 100ls150xzke k vk/kh dVksjh
iRrkxksHkh 100ls150xzke k vk/kh dVksjh
Ikjoy 100ls150xzke k vk/kh dVksjh
QwyxksHkh 100ls150xzke k vk/kh dVksjh
fV.Mk 100ls150xzke k vk/kh dVksjh
Ikyd 100ls150xzke k vk/kh dVksjh
eSFkh 100ls150xzke k vk/kh dVksjh
dnnw 100ls150xzke k vk/kh dVksjh
pkSykbZ 100ls150xzke k vk/kh dVksjh
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lCth lewg essa vnyk cnyh
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
kk inkFkZ Ekkk
PqkdUnj 100ls150xzke k vk/kh dVksjh
fHk.Mh 100ls150xzke k vk/kh dVksjh
cSaxu 100ls150xzke k vk/kh dVksjh
XokjQyh 100ls150xzke k vk/kh dVksjh
Xkktj 100ls150xzke k vk/kh dVksjh
fkeyk fepZ 100ls150xzke k vk/kh dVksjh
Ikt 100ls150xzke k vk/kh dVksjh
kyte 100ls150xzke k vk/kh dVksjh
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lCth lewg essa vnyk cnyh
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
kk inkFkZ Ekkk
vkyw 50xzke k ,d pkSFkkbZ dVksjh
kdjdUnh 50xzke k ,d pkSFkkbZ dVksjh
eVj 50xzke k ,d pkSFkkbZ dVksjh
vjoh 50xzke k ,d pkSFkkbZ dVksjh
fla?kkMk 50xzke k ,d pkSFkkbZ dVksjh
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Qy lewg essa vnyk cnyh
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
kk inkFkZ Ekkk
Lskc 1 ihl k 80 xzke
dsyk vk/kk k ipkl xzke
phdw 1ihl k ipkl xzke
lhrkQy_at_ kjhQk ,d pkSFkkbZ k 50xzke
ktwj 2 ihl k 15 xzke
ven 1 ihl k 100 xzke
tkequ 10 ihl k 80 xzke
vke vk/kk ihl k 70 xzke
kjcwtk ,d pkSFkkbZ k 200 xzke
Lakrjk ,d ihl k 100 xzke
Ukkkikrh 100 xzke
Rkjcwt 300 xzke
yhph 45 ihl k 80 xzke
Ikihrk s150xzke
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olk lewg essa vnyk cnyh
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
kk inkFkZ Ekkk
rsy kkuk cukus okyk 1 pEep
eDku k ?kh 1 pEep
ewaxQyh 25 ihl
cknke 10 ls 12
vkjksV 1.5
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1600 dSyksjh Hkkstu dh vnyk cnyh
vukt 100 dSyksjh nky 100 dSyksjh nqX/k 100 dSyksjh Ekakl 100 dSyksjh lCth 50 dSyksjh Qy 50 dSyksjh Oklk 50 dSyksjh
Ukkrk 2 lfoZx 1 lfoZax 1 lfoZax 1 lfoZax
nksigj dk kkuk 2 lfoZax 1 lfoZax 0.5 lfoZax 1 lfoZax 1.5 lfoZax
kke dk ukrk 1 lfoZax 0.5 lfoZax
jkr dk kkuk 2 lfoZax 1 lfoZax 1 lfoZax 1 lfoZax 1 lfoZax 1.5 lfoZax
dSyksjh 700 200 200 100 100 100 200
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1600 dSyksjh kkus dk mnkgj.k
vnyk cnyh lewg Hkkstu inkFkZ
nqX/k lewg csM Vh ,d di pk fcuk phuh
Lkqcg dk Ukkrk
vukt ,oa olk iRrkxksHkh k ewyh ds ijkBs 1 ihl
nqX/k lewg ngh ,d di
Qy lewg ,d lsc
nksigj dk kkuk
vukt nks jksVh
nky Rkhu pkSFkkbZ dVksjh
lCth ,d dVksjh
nqX/k khjs dk jkrk 1 dVksjh
olk Mslt pEep
vnyk cnyh lewg Hkkstu inkFkZ
kke dk ukrk
vukt lSaMfop 2 ihl
nqX/k Pkk fcuk phuh dh
jkr dk kkuk
vukt Lkknk ijkBk ,d
nky rhu pkSFkkbZ dVksjh
ekal fpdu 1 ihl
lCth Lkykn 1 IysV
olk Mslt pEep
Qy Ikihrk 2 Qkad
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fxuks

• Hkkstu esa dkcksZgkbMzsV CyM kqxj cltkrk gS
• feBkbZ ikidkuZ vkyw czsM pkoy Qy nw/k ,oa
  lfCtka lHkh esa dkcksZgkbMzsV gksrk gS A
• fdlh Hkh rjg ds Hkkstu k feBkbZ dh eukgh ugha
  gSA
• gesa legt cwgt ds vius Hkkstu dh kstuk cukuh
  pkfgs
• vf/kd lfCtka feBkbZksa dh viskk
• Rkktk Hkkstu lajfkr Hkkstu dh viskk

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dSyksjh eqDr Hkkstu

• dPph lfCtka tSls VekVj iRrkxksHkh ikyd ,oa
  khjk bRkfn
• Pkk dkQh fcuk nw/k k phuh ds uhacw ikuh fcuk
  phuh ds lkQ osthVscy lwi eVBk

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de kkus ds uqLks

• Vscy ij IysV ds vykok Hkkstu u jksa
• NksVh IysVsa ,oa dVksjh bLrseky djsa
• kkrs le dkQh ikuh fisa
• gj dkSj dks /khjs /khjs chl ckj pcksaA chl feuV
  esa yxHkx isV Hkjk eglwl gksxk

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miksxh funsZk

• Hkkstu dh vnyk cnyh izksx djsa ukiu ykus ds
  fy,
• ?kjsyw rjhds izksx djsa
• us rjhds ykus ds ctk orZeku Hkkstu kstuk ds
  rkSj rjhds esas
• ifjorZu djsa
• Hkkstu dk le ckj ckj kkuk ,oa Hkkstu dh ekk
  dks nokbka ,oa
• balqfyu ds fglkc ls vuqdwy cuk,aA

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Hkkstu tks de vFkok ugha kkuk pkfgs

• Pkhuh ,oa muls cus gq, inkFkZ
• xqM kgn Xtwdkst tSe tSyh ehBh pVuh dsd
  isLVzh feBkbZ tysch vkbldzhe xqykctkequ
  cQhZ pkdysV VkQh isIlh kjcr ,oa vU ehBs
  is inkFkZZ
• Rkys gq, Hkkstu
• idkSMh dpkSMh lekslk Hkqftk fpoMk rys
  gq, esos feDlpj vkfn

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Lkkjkak

• MkfcfVd OfDr viuk ilanhnk Hkkstu kk ldrk gS
  ysfdu mls
• vf/kd Okke djuk gksxk
• CyM kqxj dh fufer tkap djuh gksxh
• kqxj Tknk k de gks rks Dk djuk pkfgs
• vius MkDVj dks lgh le ij fnkkuk pkfgs

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Hkkstu Okke ,oa nokbksa esa lgh larqyu