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