1 e/kqesg esa vkgkj

2 e/kqesg esa lkekU; vkgkj

3 Mk;cVht D;k gS Mk;fcVht+ “kjhj dh og voLFkk gS] ftlesa jDr esa Xywdkst+ dh ek=k c

4 Hkkjr esa Mk;fcVht  vf/kd ik;h tkrh gS  jgu 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

5 Mk;fcVht+ ns[ku esa gYdk ykxs ?kko djs xaHkhj

6 Insulin Monitoring Diet Education Exercise Vkbi 1 Mk;fcVht dk bykt

7 Insulin Monitoring Diet Education Exercise Vkbi 2 Mk;fcVht dk bykt Oral Agents

8 Mk;fcVht dk fu;a=.k,d LoLFk Hkkstu ;kstuk dk ikyu djsa nokbZ;ka le; ls ysa fu;fer O;k;ke djsa fu;fer CyM “kqxj dh tkap

9 Mk;fcVht dks vki fu;af=r djsa  CyM “kqxj dks lkekU; j[ksa  CyM “kqxj esa ifjorZu gks ldrk gS l Hkkstu ls l nokbZ;ka ;k balqfyu ls l O;k;ke ls l chekjh ls l ruko ls

10 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

11 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

12 lkekU; CyM “kqxj y{; vuqdwy CyM “kqxj Lrj gSa Blood SugarGood Fasting mg/dl90-130 Post Prandial mg/dl

13 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

14 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 ds vkgkj fijkfeM Hkkstu dh vnyk cnyh dkcksZgkbMsz~V dkmafVax vkgkj ;kstuk

15 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

16 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

17 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

18 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

19

20  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

21 nkysa  buls “kkdkgkjh Hkkstu esa izksVhu vf/kd feyrk gS  vjgj] ewax] puk] mM+n] elwj] jktek

22 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

23 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 l gjh iRrsnkj lfCt;ka % ikyd] iRrk] xksHkh] lks;k] esFkhA l dUn ewy % vkyw] I;kt] xktj ]ewyh] pqdUnj] “kyte A l vU; lfCt;ka % eVj ]cSaxu] iRrkxksHkh] fHk.Mh] yksSdh] rjksbZ] ijoy

24 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 l lsc] dsyk] vaxwj] larjk] ve:n vkfn

25 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 l 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

26 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 l eVu] fpdu] eNyh] v.Mk A

27 Food Exchanges  Hkkstu 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

28 vukt lewg essa vnyk cnyh [kk| inkFkZEkk=k czsM2 ihl HkVwjk1 ihl jksVh2 ihl ijkBkvk/kk iqykovk/kk dVksjh iwjhnks ihl pkoy1 dVksjh bMyh2 ihl eSjh fcfLdV6&7 ihl uwMYl1%25 dVksjh f[kpM+h1 dVksjh izfr vnyk cnyh lkS dSyksjh ds cjkcj gS

29 nky lewg essa vnyk cnyh [kk| inkFkZEkk=k Lkkcqr ewaxvk/kh dVksjh Nksysvk/kh dVksjh qvjgj nkyRkhu pkSFkkbZ dVksjh mM+n nkyvk/kh dVksjh izfr vnyk cnyh lkS dSyksjh ds cjkcj gS

30 nqX/k lewg essa vnyk cnyh [kk| inkFkZEkk=k HkSal dk nw/k@nghvk/kk di Xkk; dk nw/k ;k ngh1 di nw/k fpdukbZjfgr2 di eV~BkMs

31 Ekkal lewg essa vnyk cnyh [kk| inkFkZEkk=k fpduIkpkl xzke &1 ihl fpdu lwi2 di eVu pki25 xzke ehV djhfrgkbZ dVksjh 1 v.Ms dk vkeysV 1 ihl mcyk v.Mknks ihl izfr vnyk cnyh lkS dSyksjh ds cjkcj gS buesa dkcksZgkbMzs~V ughs gksrk gSA

32 lCth lewg essa vnyk cnyh [kk| inkFkZEkk=k djsyk]100ls150xzke ;k vk/kh dVksjh ykSdh100ls150xzke ;k vk/kh dVksjh [khjk @ddM+h100ls150xzke ;k vk/kh dVksjh iRrkxksHkh100ls150xzke ;k vk/kh dVksjh Ikjoy100ls150xzke ;k vk/kh dVksjh QwyxksHkh100ls150xzke ;k vk/kh dVksjh fV.Mk100ls150xzke ;k vk/kh dVksjh Ikyd100ls150xzke ;k vk/kh dVksjh eSFkh100ls150xzke ;k vk/kh dVksjh dn~nw100ls150xzke ;k vk/kh dVksjh pkSykbZ100ls150xzke ;k vk/kh dVksjh izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

33 lCth lewg essa vnyk cnyh [kk| inkFkZEkk=k PqkdUnj100ls150xzke ;k vk/kh dVksjh fHk.Mh100ls150xzke ;k vk/kh dVksjh cSaxu100ls150xzke ;k vk/kh dVksjh XokjQyh100ls150xzke ;k vk/kh dVksjh Xkktj100ls150xzke ;k vk/kh dVksjh f”keyk fepZ100ls150xzke ;k vk/kh dVksjh I;kt100ls150xzke ;k vk/kh dVksjh “kyte100ls150xzke ;k vk/kh dVksjh izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

34 lCth lewg essa vnyk cnyh [kk| inkFkZEkk=k vkyw50xzke ;k,d pkSFkkbZ dVksjh “kdjdUnh50xzke ;k,d pkSFkkbZ dVksjh eVj50xzke ;k,d pkSFkkbZ dVksjh vjoh50xzke ;k,d pkSFkkbZ dVksjh fla?kkM+k50xzke ;k,d pkSFkkbZ dVksjh izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

35 Qy lewg essa vnyk cnyh [kk| inkFkZEkk=k Lskc1 ihl ;k 80 xzke dsykvk/kk ;k ipkl xzke phdw1ihl ;k ipkl xzke lhrkQy@ “kjhQk,d pkSFkkbZ ;k 50xzke [ktwj2 ihl ;k 15 xzke ve:n1 ihl ;k 100 xzke tkequ10 ihl ;k 80 xzke vkevk/kk ihl ;k 70 xzke [kjcwtk,d pkSFkkbZ ;k 200 xzke Lakrjk,d ihl ;k 100 xzke Ukk”kikrh100 xzke Rkjcwt300 xzke yhph4&5 ihl ;k 80 xzke Ikihrks150xzke izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

36 olk lewg essa vnyk cnyh [kk| inkFkZEkk=k rsy [kkuk cukus okyk 1 pEep eD[ku ;k ?kh1 pEep ewaxQyh25 ihl cknke10 ls 12 v[kjksV1.51.5 izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

37 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 lfoZx1 lfoZax nksigj dk [kkuk 2 lfoZax1 lfoZax0.5 lfoZax1 lfoZax1.5 lfoZax “kke dk uk”rk 1 lfoZax0.5 lfoZax jkr dk [kkuk 2 lfoZax1 lfoZax 1.5 lfoZax dSyksjh 700200 100 200

38 1600 dSyksjh [kkus dk mnkgj.k vnyk cnyh lewgHkkstu inkFkZ nqX/k lewg& csM Vh,d di pk; fcuk phuh Lkqcg dk Ukk”rk vukt,oa olkiRrkxksHkh ;k ewyh ds ijkBs& 1 ihl nqX/k lewgngh,d di Qy lewg,d lsc nksigj dk [kkuk vuktnks jksVh nkyRkhu pkSFkkbZ dVksjh lCth,d dVksjh nqX/k[khjs dk jk;rk 1 dVksjh olkMs

39 fxuks Hkkstu esa dkcksZgkbM~zs~V CyM “kqxj c cw> ds vius Hkkstu dh ;kstuk cukuh pkfg;s vf/kd lfCt;ka feBkbZ;ksa dh vis{kk Rkktk Hkkstu lajf{kr Hkkstu dh vis{kk

40 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

41 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

42 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

43 Hkkstu tks de vFkok ugha [kkuk pkfg;s  Pkhuh,oa muls cus gq, inkFkZ l 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 l idkSM+h] dpkSM+h] lekslk] Hkqft;k] fpoM+k] rys gq, eso]s feDlpj vkfn

44 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

45 Hkkstu] O;k;ke,oa nokb;ksa esa lgh larqyu