How to treat Diabetes?

['Kelg-y seb-kãngã']

Wãn to la b tõe n tɩp bãagã?

Sẽn na yɩl n tɩp bãagã, yaa tɩlae tɩ b bao tɩbsg sẽn na n sõng-b tɩ b tõog n mao ne b zu-loeesã.

Ad bũmb kẽer sẽn tõe n sõng-y tɩ y tõog n mao ne y bãagã:

1. D toeeme:

- Rɩ-y rɩɩb sẽn yaa sõma: Rɩ-y rɩɩb sẽn pa tar kaam wʋsg la sẽn pa tar kalori wʋsgo, la sẽn tar zẽ-vãad wʋsgo, wala tɩɩs biis la ka-zut la ka-bĩis sẽn pa ningd zom.

- Maan yĩn-wɩsgr wakat fãa: Modg-y n maand-y yĩn-wɩsgr sẽn zems minit 30 bɩ sẽn yɩɩd rẽ, wala makre, kẽn-y ne yãgbo, semen fãa rasem wʋsgo.

- Tall-y yĩns zɩslem sẽn zems ne y laafɩ wã: Y sã n boog y yĩns zɩslem, tõe n sõngame tɩ y yĩnsã pa le sakd insulinã sõma, la kɩt me tɩ y zɩɩmã pʋgẽ sukrã ra paasdẽ ye.

- Bas sɩgaarã yũubu: Sɩgaarã yũub paasda bãas nins sẽn tɩ loe ne diabɛtã.

2. Tɩbsgã:

- Rɩ-tɩrsã: Rɩ-tɩrsã tõe n booga zɩɩmã pʋgẽ sukrã, bala b kɩtdame tɩ ninsaal paamd insulin n paasdẽ, tɩ kɩtdẽ t'a pa le tõe n yũ sõma, wall kɩtdẽ t'a pa le tõe n yũ sõma ye.

- Insulin tɩbsg: Neb nins sẽn tar pipi bãagã, la neb kẽer sẽn tar yiib- n- soabã tõe n data insulin wẽkr bɩ insulin pusli.

3. gesgo:

- Y sã n dat tɩ y zɩɩmã ra wa lebg zɩ-pɛla, y segd n deng n maana y meng vaeesgo.

- Gesg wakat fãa: Kẽng- y logtor yir n tɩ ges y meng wakat fãa n bãng y sã n tara diabɛte, la y laafɩ wã sẽn yaa to- to.

4. Yɛl nins sẽn tõe n wa ne zu-loeesã:

- Y sã n dat n boog y yĩn-wɩsgrã la y yĩn-wɩsgrã bãase, y segd n gũusda ne y zɩɩmã sẽn wat ne bãas ninsã.

- Ges- y y naoã yell sõma n da wa sãam y naoã la y wa lʋɩ bãase.

- Ges-y y ninã n ges wakat fãa n bãng bãag ning sẽn kɩt tɩ ninã lebg likã, la y tɩp- a.

5. Sõngre:

- Kẽ-y sõngr sull pʋgẽ, bɩ y sõs ne sagend sẽn na yɩl n tõog n mao ne sũ-sãams nins sẽn tɩ loe ne bãagã.

- Sõs ne ned sẽn zãmsd yãmb bãagã n bãng y sẽn tõe n mao ne y bãagã to- to.

Tẽeg-y tɩ tara yõod tɩ y sõs ne logtorã sõma n bãng tɩbsg ning sẽn na n sõng-y n yɩɩdã.

['Sõss sẽn tik Biiblã zugu']

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

Handorf AM, Sollinger HW, Alam T: Insulin gene therapy for type 1 diabetes mellitus. Exp Clin Transplant. 2015, 13 Suppl 1 (): 37-45.

Galakhov EV, Zhiliaeva EP: [Problems concerning the training of feldshers in foreign countries]. Feldsher Akush. 1975, 40 (9): 37-41.

Ceriello A, Barkai L, Christiansen JS, Czupryniak L, Gomis R, Harno K, Kulzer B, Ludvigsson J, Némethyová Z, Owens D, Schnell O, Tankova T, Taskinen MR, Vergès B, Weitgasser R, Wens J: Diabetes as a case study of chronic disease management with a personalized approach: the role of a structured feedback loop. Diabetes Res Clin Pract. 2012, 98 (1): 5-10.

McElduff A: Type 2 diabetes mellitus: an evolving therapeutic approach. P N G Med J. , 44 (3-4): 124-30.

Koskinas K, Melmer A, Steiner N, Gübeli A, Wilhelm M, Laimer M: [Diagnosis, Prevention and Treatment of Cardiovascular Disease in People with Diabetes and Prediabetes]. Praxis (Bern 1994). 2021, 110 (1): 37-47.

Filippi CM, von Herrath MG: Strategies to treat autoimmune diabetes. Expert Rev Endocrinol Metab. 2007, 2 (2): 185-194.

Tibaldi J: Intensifying treatment in poorly controlled type 2 diabetes mellitus: case reports. Am J Med. 2008, 121 (6 Suppl): S30-4.

Verrotti A, Chiuri RM, Blasetti A, Mohn A, Chiarelli F: Treatment options for paediatric diabetes. Expert Opin Pharmacother. 2010, 11 (15): 2483-95.

Nadeau DA: Partnering with patients to improve therapeutic outcomes: incretin-based therapy for type 2 diabetes. Postgrad Med. 2010, 122 (3): 7-15.

['Bãngr-gomde: logtoeemdã']

['Yaa zãmsg la kibay kũun yĩng bal la b yiisd sit kãngã, la pa logtoeemdã wɛɛngẽ sagls bɩ tʋʋm-sõng maaneg yĩng ye.']

['B pa segd n tũnug ne kɩbay nins b sẽn kõ wã n bao bãag bɩ zu-loɛɛg tɩɩm ye. Sẽn dat-b tɩbsg b toor segd n tɩ yãa logtor sẽn tar sor n tõe n tɩp-ba.']

['D tẽeg tɩ b sẽn maand to-to n leokd sogsgã to-to wã pa zems ye.']

['Y sã n wa karemd bũmb sẽn be sɩtã pʋgẽ, bɩ y ra tol n yĩm tɩ y segd n tɩ gesa logtor ye. Y sã n tagsdẽ tɩ y tara yĩn-wɩsgr yell bɩ y bool 911 wall y kẽng logtor yirã.']

['Bas-m-yam: sɛbã zãab wɛɛngẽ']

['Digital Millennium Copyright Act sẽn yaa yʋʋmd 1998 soabã, 17 U.S.C. § 512 (DMCA) kõta sor tɩ ned sã n tẽed tɩ bũmb sẽn be ẽntɛrnetã pʋgẽ kɩɩsda a sẽn tar sor n tõe n maan bũmb ninsã, a tõe n tɩ kos n paam n lebse.']

['Yãmb sã n tẽed ne pʋ-peelem tɩ bũmb sẽn be tõnd sɩt wɛɛbã pʋgẽ bɩ tõnd tʋʋm-noyã pʋsẽ n sãamd yãmb dʋrwa wã, yãmb (bɩ y tʋʋm-tʋmdã) tõe n toola tõnd koɛɛg n kos tɩ d yiis bũmbã wall d gɩdg tɩ y ra paam n kẽ ye.']

['B segd n tʋma koees ne ẽtɛrnetã (Ges-y ẽtɛrnetã adɛrs sẽn be babg ning sẽn yet tɩ "Tõnd sõsg zĩigã").']

['DMCA wã baoodame tɩ yãmb sẽn na n togs ned tɩ b maan-a-la bũmb sẽn kɩɩsd a sẽn tar sor n tõe n maan bũmb ningã, bɩ y wilg-a bũmb nins sẽn pʋgdã: 1) bũmb ning sẽn kɩt tɩ b maan-a bũmb ningã, 2) bũmb ning sẽn kɩt tɩ b maan-a bũmb ningã, la y wilg-d bũmb ning sẽn kɩt tɩ d tõe n bãng a sẽn be zĩig ninga. 3) y sẽn tõe n paam ned n gom ne-a to-to, n paas y adɛrsã, telefõnnã nimero, la y e-mailã. 4) y sã n yeel tɩ y kɩsa sɩd tɩ bũmb ning sẽn kɩt tɩ y maan bũmb ningã pa ned ning sẽn tar sor n tõe n maan bũmbã, bɩ a tʋm-tʋmdã, bɩ laloa wã sẽn kõ sor tɩ y maan ye.']

['5) Y sã n wa rat n wilg tɩ y pa tar sor n na n kɩɩs ned a to, bɩ y gʋls sebr n wilg tɩ y sẽn togsã yaa sɩda, la tɩ y tara sor n na n wilg tɩ nedã sẽn maan bũmb ning n kɩɩs yãmb dʋrwa rãmbã yaa sɩda.']

['La (6) sɛb nins sẽn tar-b sor n na n yiis sɛbã, bɩ ned sẽn tar sor n na n tʋm sɛbã yiisg yĩngã.']

['Y sã n pa gʋls kibay nins sẽn be yĩngrã, tõe n kɩtame tɩ y yẽgengã kaoos n pa sa ye.']

['Sõsg ne neda']

['Y sã n tar sokr bɩ y sẽn dat n bãnge, bɩ y gʋls-d lɛtr n tool-do.']

How to treat diabetes?

To treat diabetes, it is important to follow a comprehensive approach that includes lifestyle changes, medication, and regular monitoring.

Here are some steps that can help manage diabetes:

1. Lifestyle changes:

- Eat a healthy diet: Choose foods that are low in fat and calories, and high in fiber, such as fruits, vegetables, and whole grains.

- Exercise regularly: Aim for at least 30 minutes of moderate-intensity physical activity, such as brisk walking, most days of the week.

- Maintain a healthy weight: Losing weight can help improve insulin sensitivity and blood sugar control.

- Quit smoking: Smoking increases the risk of diabetes-related complications.

2. Medication:

- Oral medications: These can help lower blood sugar levels by increasing insulin production, increasing insulin sensitivity, or decreasing glucose absorption.

- Insulin therapy: Insulin injections or an insulin pump may be necessary for people with type 1 diabetes and some with type 2 diabetes.

3. Monitoring:

- Regular blood sugar testing: Check your blood sugar levels as recommended by your healthcare provider.

- Regular checkups: Visit your healthcare provider for regular checkups to monitor your diabetes and overall health.

4. Manage complications:

- Keep your blood pressure and cholesterol under control to reduce the risk of heart disease and stroke.

- Take care of your feet to prevent nerve damage and infections.

- Regular eye exams to detect and treat diabetic retinopathy.

5. Support:

- Join a support group or talk to a counselor to help manage the emotional aspects of living with diabetes.

- Work with a diabetes educator to learn more about managing your condition.

Remember, it is important to work closely with your healthcare provider to develop a personalized treatment plan that works best for you.

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