etIGVICaCm¶WTwkenamEp¥m ?
Cm¶WTwkenamEp¥mmann½yfakarekIneLIgCatisáreRcIn
hYskMritenAkñúg  Qam  . G aharEdlmnusSeyIgbri
ePaK RtUv)anbMEbkeTACa KøúykUs. c MeBaHmnusSFmµ

ta GaMgs‘uylIn ¬EdlplitedaysarIragÁm:üagehAfa   { lMEBg } ¦ CaG½rm:Un júaMg[ekasika
RsUbykKøúykUs ¬Glucose¦ eTAeRbIR)as; nigsþúknUvCatiKøúykUsTukkñúgeføImeBleRbIsl;.
GñkEdlmanCm¶WTwkenamEp¥m mankMritGaMgs‘uylInminRKb;RKan; b¤ GaMgs‘uylIndMeNIrkar
min)anl¥EdlCalT§pl  eFVI[ekIneLIgnUvkMritCatisárenAkñúgQam  EdlCamUlehtunaM[
ekItCm¶WTwkenamEp¥m.

etInrNaEdlRbQmnwgeRKaHfñak;enH ?
Cm¶WTwkenamEp¥mKWCaCm¶WmYysßitkñúgcMeNamCm¶WruaMér:CageKTaMg10RbePT.
Cm¶WTwkenamEp¥mGacekItmancMeBaHmnusSRKb;v½y. 90° ekItelImnusSEdlmanv½ycab;BI
40eLIgeTA. ktþaEdlGacnaM[ekItCm¶WenH mandUcteTA ³
• RbvtþiRKYsarEdlmanCm¶WTwkenamEp¥m
• kareLIgTMgn;
• karrs;enABuMsUvbeBa©jskmµPaB
• v½yelIsBI 40qñaM
• Føab;manRbvtþiekItCm¶WTwkenamEp¥mkñúgGMLúgeBlmanépÞeBaH ¬Gestational diabetic ¦
• Cm¶WTwkenamEp¥mRbePT 2 eRcInekItmancMeBaHCnCati\NÐa nigm:aeLsuI
• GñkEdlmankarERbRbYlkMritCatisáreBlRBwkminTan;jauMGVI   nig kMritCatisáreRkay
Gahar 2 h ¬CadMNak;kal nigvivtþ eTACaCm¶WTwkenamEp¥mnaeBlxagmux ¦
• karbgáeraKedaysarvIrusEdlnaM[xUcdl;lMEBg

RbePTCm¶WTwkenamEp¥m
Cm¶WTwkenamEp¥mmanBIrRbePT.
Cm¶WTwkenamEp¥mRbePTTI1EdlRtUvkarGaMgsu‘ylInCacaM)ac; ³ Cm¶WRbePTenH
minsUvekItmaneT CaFmµtaekItelIyuvv½y. kñúgkrNIenH lMEBgminmansmtßPaBplit
GaMgsu‘ylIneLIy. eBlKµanGaMgsu‘ylIn ragkayrbs;eyIgnwgminGacsþúk KøúykUs
enAkñúgekasika)aneLIy. enHCamUlehtuEdlnaM[mankarekIneLIgnUv   KøúykUsQam
nig QaneTAdl;karxUcdMeNIr karemtabUlIs.
Cm¶WTwkenamEp¥kRbePTTI2 edayminRtUvkarGaMgs‘uylInCacaM)ac;³ RbmaN
80° manCm¶WRbePTenH.  ragkayeyIgplit  GaMgs‘uylInFmµta   EtKµanRbsiT§PaB
eRBaHekasikaminTTYlykGaMgs‘uylIn)anEdleFVI[kMritCatisárkñúgQamekIneLIg.

Cm¶WTwkenamEp¥meBlmanépÞeBaH
®sþImYycMnYnekItmanCm¶WTwkenamEp¥m kñúgeBlmanépÞeBaH. Gakar ³enHehAfaCm¶WTwk
enamEp¥meBlmanépÞeBaH  ehIyCaFmµta )at;eTAvijeRkayeBlsMralkUnrYc. cMeBaH
®sþIxøH karekItCm¶WTwkenamEp¥mkñúgeBlmanépÞeBaHGacnaM[BYkeKRbQmmuxnwgkar
ekItCm¶WTwkenamEp¥m)an.

etICm¶wTwkenamEp¥mGacBüa)al[CasHes,Iy)anEdrb¤eT?
bc©úb,nñBuMmankarBüa)alCm¶WTwkenamEp¥m[CasHes,IyenAeLIyeT. eTaHCay:ag
enHkþI eKGacTb;sáat;Cm¶WenH nigkarBar plvi)akrbs;va)an.

kareFVIeraKvinicä½yCm¶WTwkenamEp¥m
Cm¶WTwkenamEp¥mxøHminelcecjCaeraKsBaØaGVIeT ehIyGackMNt;dwgEtenAeBleFVI
kar BinitüsuxPaBCaeTogTat; CamYyRKUeBTü    Cm¶WTUeTAb:ueNÑaH. GñkxøHGacman
Gakar ³mYycMnYndUcxageRkam ³
• bt;eCIgtUcjwkjab;
• eRskTwkxøaMg
• RskTMgn;eTaHbIbriePaKGahareRcInk¾eday
• Gs;kmøaMg nigcuHexSay
• dMe)ABüa)alRkCasHes,Iy
• rbYselIEs,kkøay
• eLIgs<wk nigkat;bnßyvijaNenAéd b¤eCIg
• RsvaMgEPñk
RbsinebIelakGñkmanGayuelIsBI   40qñaM  sUmeTABinitüCatiKøúykUskñúgQam[)an
y:agehacNas; k¾mþgEdrkñúgmYyqñaM.   RbsinebIelakGñkekIt    manktþaeRKaHfñak; b¤
sBaØaN nig   eraKsBaØadUcmanerobrab;xagelI   sUmeTABieRKaHCamYyRKUeBTüeraK TU
eTArbs;Gñk.

etICm¶WTwkenamEp¥mmaneRKaHfñak;EdreT ?
Cm¶WTwkenamEp¥mEdlminGacRKb;RKg)an GacnaMeTArkplvi)akGaRkk;)an. plvi)ak
GaRkk;TaMgenHRtUv)anEbgEckCaBIr RkumFM² KWplvi)akekIteLIgPøam² nig plvi)ak
ruaMér:.

	plvi)akekIteLIgPøam²
Diabetic  ketoacidosis	enAeBlEdlmanGaMgs‘uylInminRKb;RKan;edIm,IbMElgKøúykUs[eTA CafamBleTenaH   ragkayrbs;eyIgnwgeRbIR)as ;xøaj;EdlCaRbPB famBl ehIyvanwgeFVI[ekItman ektUn  (ketones) EdlCaFatueRKaH fñak;Nas;  cMeBaHragkayrbs;;  Gñk EdltMrUvTamTar[mankarGnþra Kmn_BIRKUeBTüCacaM)ac;eraK  sBaØarYmmaneRskTwkxøaMg bt;eCIgtUc brimaNeRcInelIslb; k¥Ütceg¥ar nigQWeBaH.
Hypoglycaemia	sßanPaBenHGacekItman RbsinebIGñkCm¶WTwkenamEp¥mminTTYlTan GahareRkayeBlBüa)alCm¶WTwkenamEp¥m  minTTYlTanGaharmun eBleFVIlMhat;R)aN  b¤ kñúgkrNIEdlkarBüa)al  Cm¶WTwkenamEp¥m x<s;eBkenaH. GñkRtUvEtTTYlsÁal; eraKsBaØamuneBlnigTTYlTan GaharPøam²dUcCasársuT§ bEg¥m TwkXµúM ePsC¢³ b¤RKab;fñaMKøúykUs. eraKsBaØaTaMgenHman dUcCa   qab;mYem:A  vegVgvgVan;  j½rjak; Ebk ejIseRcIn cgVak;ebHdUgelatjab; nigqab;Xøan.

plvi)akEdlekIteLIgyUrGEgVg
kMritCatiKøúykUskñúgQamx<s;yUreBkGacnwgbNþal[lMhUrQameTAkan;srIragÁepSg
eTotcuHexSay. EdlenHGacnaMeTArkplvi)akeRKaHfñak;F¶n;F¶rCaeRcIndUcCa  ggwtEPñk
sm<aFQameLIgx<s; KaMgebHdUg dac;srés   QamxYrk,al   exSaytMrgenam )at;cM
Ng;rYmePT rbYsBi)akBüa)al s<wkédeCIg nigeFVI[muxrbYsRkCa sHes,Iy.

karBüa)alCm¶WTwkenamEp¥m
• karpøas;bþÚrrbbGahar
• RbsinebIkarpøas;bþÚrrbbGahar  nig karerobcMEpnkarrbbGaharminGacRKb;RKg
Cm¶WTwkenamEp¥m)aneTotenaH  RKUeBTü  Cm¶WTUeTArbs;Gñk    nwgecjevC¢bBa¢a[eRbI
R)as;fñaMelbCaminxan.
• karcak;bBa©ÚlGaMgs‘uylInGacnwgRtUveFVIeLIgbEnßmedIm,IbegáInkarRKb;RKgCati
sárkñúgQam)anpgEdr.

etIGñkKYreFVIGVIxøHedIm,IRKb;RKgCm¶WTwkenamEp¥mrbs;Gñk ?
• rbbGaharsuxPaBEdlmantulüPaBRtwmRtUv -RtUvTTYlTanGaharEdlmanCati
xøaj; nig sárTab  EtmansmasFatu    kabUGIuRdatRKb;RKan; [)anjwkjab; ¬dUcCa
nMbu½geFVIBIGgársMrUb GgársMrUb ):asþa    KuyTav ¦. ehIyRtUvdak;bBa©ÚlRkum Gahar
epSgeTotcUlkñúgrbbGaharrbs;GñkpgEdr dUcCa bEnø sac;manxøaj;tic RtI b¤ Epø
eQW
• rkSaTMgn;[)ansmRsb
• TTYlTan»sfBüa)alCm¶WTwkenamEp¥mtamevC¢bBa¢a
• RtUvdwgBIkMritsm<aFQamrbs;Gñk . RtUvrkSasm<aFQamrbs;Gñk[sßiteRkam
130¼80m>l )art
• RtUvdwgBIkMritCatikUeLesþr:ulrbs;Gñk . RtUvrkSakMritcg;)antamkarENnaMrbs
;RKUeBTürbs;Gñk .
• RtUveTAeFVIkarftqøúHBinitüeCIgCaerogral;qñaMCamYynwgRKUeBTüEpñkCm¶WeCIg .
• eTAeFVIkarftqøúHBinitüEPñkCaerogral;qñaMCamYyGñkCMnajEpñkckçúsaRsþ.
• RtUveFVIlMhat;R)aN[)aneTotTat;-kareFVIdUecñHGacBRgwgskmµPaBGaMgs‘uy
lIn nigGaceFVI[ragkayeyIg eRbIR)as;KøúykUs)ankan;EtRbesIr .
• e)aHbg;Tmøab;Ck;)arI-eRBaHkarCk;)arI  GacbegáItPaBeRKaHfñak;énkarekItman
Cm¶WebHdUg CaBiesscMeBaHGñkekItTwkenamEp¥m .
• karRtYtBinitüKøúykUskñúgQamenApÞH - dUcCa eronRtYtBinitüCatiKøúykUskñúg
QamedayxøÜnÉg nigRtUvcat;viFankar caM)ac;RbsinebIRtUvkar .

EsVgrkCMnYyBIGñkCMnaj
kñúgkrNIEdlsßanPaBrbs;elakGñktMrUv[mankarykcitþTukdak;BIGñkCMnajenaH
RKUeBTürbs;elakGñkKYreFVIkarNat;CYbCamYy mnÞIreBTü Raffles. b¤elakGñk
GaceTABieRKaHCamYy mCÄmNÐlsuxPaBRKYsarenAmnÞIreBTü Raffles k¾)an.