e/kqesg e/kqesg esa vkgkjesa vkgkj
e/kqesg esa lkekU; vkgkj
Mk;cVht D;k gS
•Mk;fcVht+ “kjhj dh og Mk;fcVht+ “kjhj dh og voLFkk gS] ftlesa jDr esa voLFkk gS] ftlesa jDr esa Xywdkst+ dh ek=k c<+ tkrh Xywdkst+ dh ek=k c<+ tkrh gSA ;g rc gksrk gS tc gekjk gSA ;g rc gksrk gS tc gekjk “kjhj [kkus dk iwjk mi;ksx “kjhj [kkus dk iwjk mi;ksx ugh dj ikrk gS] D;ksafd ugh dj ikrk gS] D;ksafd bUlqfyu uked gkjeksu ;k rks bUlqfyu uked gkjeksu ;k rks de ek=k esa gksrk gS ;k de ek=k esa gksrk gS ;k fcYdqy ugh gksrk gSAfcYdqy ugh gksrk gSA
Hkkjr esa Mk;fcVht
vf/kd ik;h tkrh gSjgu lgu esas ifjorZu ,oa ifjokj ls de tkudkjh dh otg ls ekywe u
pyuk irk yxus ls ,d n”kd iwoZ gksrh
gS nqcys iryksa esa Hkh ik;h tkrh
gS bykt dks xaHkhjrk ls ugha fy;k
tkrk
Mk;fcVht+
ns[ku esa gYdk ykxs ?kko djs xaHkhj
Insulin
Monitoring
Diet Education
Exercise
Vkbi 1 Mk;fcVht dk bykt
Insulin
Monitoring
Diet
Education
Exercise
Vkbi 2 Mk;fcVht dk bykt
Oral Agents
Mk;fcVht dk fu;a=.k
,d LoLFk Hkkstu ;kstukdk ikyu djsa
nokbZ;ka le; ls ysa
fu;fer O;k;ke djsa
fu;fer CyM “kqxj dh tkap
Mk;fcVht dks vki fu;af=r djsa
CyM “kqxj dks lkekU; j[ksa
CyM “kqxj esa ifjorZu gks ldrk gS Hkkstu ls nokbZ;ka ;k balqfyu ls O;k;ke ls chekjh ls ruko ls
Lofu;a=.k lh[kuk
dqN ifjJe ,oa le; dh vko”;drk gS
bykt esa iw.kZ :i ls lg;ksx nsuk
Lofu;a=.k dks fu;fer thou esa yk,a
blesa MkDVj ,oa Mk;fcVht ds;j Vhe ds chp esa lg;ksx dh vko”;drk gksrh gS
Lofu;a=.k dSls djsa
fu;fer CyM “kqxj tkapsa
CyM “kqxj dks fu;fer :Ik ls Mk;jh esa fy[ksa
CyM “kqxj esa mrkj ;k p<+ko dks ns[ksa
CyM “kqxj ds vuqlkj viuh Hkkstu ,oa nokbZ;ka vuqdwy cuk,a
MkDVj ,oa Mk;fcVht ds;j Vhe dh lgk;rk ysa
lkekU; CyM “kqxj y{;vuqdwy CyM “kqxj Lrj gSa
Blood Sugar Good
Fasting mg/dl 90-130
Post Prandial mg/dl
<180
CyM “kqxj lkekU; Lrj ij j[kus ls Mk;fcVht ls gksus okyh tfVyrkvksa ls cpk tk ldrk gS
Mk;fcVht fu;a=.k ds vkStkj
• LoLFk Hkkstu ;kstuk• Ektsnkj O;k;ke dk;Zdze• nokb;ka• CyM “kqxj dk fjdkMZ• Hkkstu ,oa O;k;ke dk fjdkMZ• Mk;fcVht ds;j Vhe• Rkuko de djus ds rjhds
• vkSj yksxksa ls vyx ugha gS
• lHkh rjg ds Hkkstu inkFkZ gksus pkfg;s vukt ]Qy ]lCth] v.Mk] ekaal] eNyh] ,oa
nqX/k mRikn
• rhu rjhds Hkkstu ;kstuk dsvkgkj fijkfeMHkkstu dh vnyk cnyhdkcksZgkbMsz~V dkmafVax
vkgkj ;kstuk
Hkkstu lykg ds Qk;ns
Hkkstu ds ckjs esa lykg nsuk Mk;fcVht fu;a=.k dk vfHkUu vax gS
Mk;fcVht esa dkcksaZgkbM~zszV ,oa izksVhu dk bLrseky “kjhj esa fcxM+ tkrk gS
,d dkjxj vkStkj O;k;ke rFkk nokb;ksa ds lkFk esa [kkl rkSj ij Mk;fcVht ds “kq:vkrh nkSj esa
,d vfu;ksftr vkgkj ,d csgrj fu;ksftr nokb;ksa ds dk;Zdze dks fcxkM+ ldrh gS
• ge ns[k ldrs gSa D;k vkSj fdruk Hkkstu [kkuk pkfg;s
• fijkfeM ds uhps Lrj okys Hkkstuksa dks T;knk ysuk pkfg;s ,oa mij okys Hkkstuksa dks de ysuk pkfg;s
• LoLFk uhao chUl ]vukt ,oa lfCt;ksa ls curh gS
• FkksMk v.Mk] ekal] eNyh ,oaa nqX/k inkFkZ e/; Hkkx esa j[kus pkfg;s
• Oklk ,oa ehBh phtsa cgqr de ek=k esa ysuh pkfg;s
vkgkj fijkfeM funsZ”k
Mk;fcVht vkgkj fijkfeM
vukt ,oa nkysa 8&12 Hkkx
Qy 2&3 Hkkx lfCt;ka 3&4 Hkkx
nqX/k ,oa nqX/k mRikn 2&3 Hkkx
v.Mk ekal ,oa eNyh 1&2 Hkkx
olk] rsy] cknke ] v[kjksV ]dktw ,oa
ewaxQyh 2&3 Hkkx
Hkkstu lewg % Hkkstu vnyk cnyh
vukt nkysa nqX/k ,oa nqX/k mRikn lfCt;ka Qy olk] rsy] v[kjksV] ewaxQyh] dktw v.Mk] ekal] eNyh
vukt Hkkstu dk ,d eq[; lzksr gS A blesa dkcksZgkbMzsV] [kfut ,oa
foVkfeu ch lewg vf/kd ek=k esa feyrk gS
vkVk ] pkoy] eDdk] cktjk] Tokj bR;kfn
jksVh] ijkBk] iwMh] bMyh] Mkslk] fcfLdV] czsM] eSdjksuh] uwMYl bR;kfn
vukt
nkysa
buls “kkdkgkjh Hkkstu esa izksVhu vf/kd feyrk gS
vjgj] ewax] puk] mM+n] elwj] jktek
nqX/k ,oa nqX/k mRikn
nw/k lHkh mez ds O;fDr;ksa ds fy, Qk;nsean 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 fy;k tk ldrk gS tSls ngh] iuhj] pht] nw/k ikmMj
lfCt;ka
lfCt;ka [kfut foVkfeu ,oa js”kksa ds fy, t:jh gSA lfCt;ksa dks rhu lewg esa
foHkkftr fd;k tk ldrk gS
gjh iRrsnkj lfCt;ka % ikyd] iRrk] xksHkh] lks;k] esFkhA
dUn ewy % vkyw] I;kt] xktj ]ewyh] pqdUnj] “kyte A
vU; lfCt;ka % eVj ]cSaxu] iRrkxksHkh] fHk.Mh] yksSdh] rjksbZ] ijoy
Qy Qyksa ls foVkfeu lh vf/kd feyrk gS A dbZ Qyksa esa dkcksZgkbMsZz~V vPNh ek=k esa jgrk gSA ihys Qy tSls vke rFkk iihrk esa dSjksVhu vf/kd feyrk gS
lsc] dsyk] vaxwj] larjk] ve:n vkfn
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] v[kjksV vkfn
Hkkjr esas ns”kh ?kh eD[ku ,oa fofHkUu izdkj ds rsy vf/kd iz;ksx gksrs gSA olk ,d mtkZ dk HkaMkj gSA blls 9 fdyks dSyksjh izfr xzke feyrh gS
v.Mk ekal eNyh izksVhu foVkfeu vk;ju ,oa QkLQksjl vf/kd
feyrk gSA v.Mk vfrmRre izksVhu lzksr gSA blesa gj izdkj ds t:jh vehuks ,flM lgh ek=k esa miyC/k gSa A ekalkgkjh Hkkstu esa foVkfeu ch 12 vf/kd feyrk gS
eVu] fpdu] eNyh] v.Mk A
Food ExchangesHkkstu dh vnyk cnyh cjkcj ek=k esa dh
tkuh pkfg;s Hkkstu vnyk cnyh ;kstuk fo”ks’kK ls
vius [kkuiku dh vknrksa dsa fglkc ls cuokuh pkfg;s
fdlh lewg ds ,d Hkkx esas cjkcj dSyksjh dh ek=k 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 ek=k cjkcj gS
Hkkstu dh vnyk cnyh
vukt lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
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 6&7 ihl
uwMYl 1%25 dVksjh
f[kpM+h 1 dVksjh
izfr vnyk cnyh lkS dSyksjh ds cjkcj gS
nky lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
Lkkcqr ewax vk/kh dVksjh
Nksys vk/kh dVksjh
qvjgj nky Rkhu pkSFkkbZ dVksjh
mM+n nky vk/kh dVksjh
izfr vnyk cnyh lkS dSyksjh ds cjkcj gS
nqX/k lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
HkSal dk nw/k@ngh
vk/kk di
Xkk; dk nw/k ;k ngh
1 di
nw/k fpdukbZjfgr
2 di
eV~Bk Ms<+ fxykl
iuhj 15 xzke
izfr vnyk cnyh lkS dSyksjh ds cjkcj gS
Ekkal lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
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
izfr vnyk cnyh lkS dSyksjh ds cjkcj gSbuesa dkcksZgkbMzs~V ughs gksrk gSA
lCth lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
djsyk] 100ls150xzke ;k vk/kh dVksjh
ykSdh 100ls150xzke ;k vk/kh dVksjh
[khjk @ddM+h 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
dn~nw 100ls150xzke ;k vk/kh dVksjh
pkSykbZ 100ls150xzke ;k vk/kh dVksjh
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
lCth lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
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
f”keyk fepZ 100ls150xzke ;k vk/kh dVksjh
I;kt 100ls150xzke ;k vk/kh dVksjh
“kyte 100ls150xzke ;k vk/kh dVksjh
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
lCth lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
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?kkM+k 50xzke ;k ,d pkSFkkbZ dVksjh
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
Qy lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
Lskc 1 ihl ;k 80 xzke
dsyk vk/kk ;k ipkl xzke
phdw 1ihl ;k ipkl xzke
lhrkQy@ “kjhQk ,d pkSFkkbZ ;k 50xzke
[ktwj 2 ihl ;k 15 xzke
ve:n 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
Ukk”kikrh 100 xzke
Rkjcwt 300 xzke
yhph 4&5 ihl ;k 80 xzke
Ikihrk s150xzke
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
olk lewg essa vnyk cnyh
[kk| inkFkZ Ekk=k
rsy [kkuk cukus okyk
1 pEep
eD[ku ;k ?kh 1 pEep
ewaxQyh 25 ihl
cknke 10 ls 12
v[kjksV 1.5
izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS
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
Ukk”rk
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 uk”rk
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
1600 dSyksjh [kkus dk mnkgj.k
vnyk cnyh lewg
Hkkstu inkFkZ
nqX/k lewg& csM Vh
,d di pk; fcuk phuh
Lkqcg dk Ukk”rk
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 jk;rk 1 dVksjh
olk Ms<+ pEep
vnyk cnyh lewg
Hkkstu inkFkZ
“kke dk uk”rk
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 Ms<+ pEep
Qy Ikihrk 2 Qkad
fxuks
• Hkkstu esa dkcksZgkbM~zs~V CyM “kqxj c<+krk gS
• feBkbZ] ikidkuZ] vky]w czsM] pkoy] Qy] nw/k ,oa lfCt;ka lHkh esa dkcksZgkbMzs~V gksrk gS A
• fdlh Hkh rjg ds Hkkstu ;k feBkbZ dh eukgh ugha gSA
• gesa le> cw> ds vius Hkkstu dh ;kstuk cukuh pkfg;svf/kd lfCt;ka feBkbZ;ksa dh vis{kk Rkktk Hkkstu lajf{kr Hkkstu dh vis{kk
dSyksjh eqDr Hkkstu
dPph lfCt;ka tSls VekVj] iRrkxksHkh] ikyd ,oa [khjk bR;kfn
Pkk;] dkQh fcuk nw/k ;k phuh ds] uhacw ikuh fcuk phuh ds] lkQ osthVscy lwi] eV~Bk
de [kkus ds uqL[ks
• Vscy ij IysV ds vykok Hkkstu u j[ksa• NksVh IysVsa ,oa dVksjh bLrseky djsa • [kkrs le; dkQh ikuh fi;sa• gj dkSj dks /khjs /khjs chl ckj pck;saA
chl feuV esa yxHkx isV Hkjk eglwl gksxk
mi;ksxh funsZ”k
Hkkstu dh vnyk cnyh iz;ksx djsa] u;kiu ykus ds fy,
?kjsyw rjhds iz;ksx djsa
u;s rjhds ykus ds ctk; orZeku Hkkstu ;kstuk ds rkSj rjhds esas ifjorZu djsa
Hkkstu dk le; ckj ckj [kkuk ,oa Hkkstu dh ek=k dks nokb;ka ,oa balqfyu ds fglkc ls vuqdwy cuk,aA
Hkkstu tks de vFkok ugha [kkuk pkfg;sPkhuh ,oa muls cus gq, inkFkZ
xqM] “kgn] Xtwdkst] tSe] tSyh] ehBh pVuh] dsd] isLVz~h] feBkb]Z tysch] vkbldzhe] xqykctkequ] cQh]Z pkdysV] VkQh] isIlh] “kjcr] ,oa vU; ehBs is; inkFkZZ
Rkys gq, Hkkstu idkSM+h] dpkSM+h] lekslk] Hkqft;k]
fpoM+k] rys gq, eso]s feDlpj vkfn
Lkkjka”k
• Mk;fcfVd O;fDr viuk ilanhnk Hkkstu [kk ldrk gS ysfdu mls
• vf/kd O;k;ke djuk gksxk • CyM “kqxj dh fu;fer tkap djuh gksxh • “kqxj T;knk ;k de gks rks D;k djuk pkfg;s • vius MkDVj dks lgh le; ij fn[kkuk pkfg;s
Hkkstu] O;k;ke ,oa nokb;ksa esa lgh larqyu