{"id":4757,"date":"2026-01-13T10:49:18","date_gmt":"2026-01-13T06:19:18","guid":{"rendered":"https:\/\/pohawaimedia.com\/?p=4757"},"modified":"2026-01-13T10:49:20","modified_gmt":"2026-01-13T06:19:20","slug":"%d8%af-%d8%b4%da%a9%d8%b1%db%90-%d9%86%d8%a7%d8%b1%d9%88%d8%ba%d9%8a-%db%8c%d8%a7-dm-diabetes-mellitus","status":"publish","type":"post","link":"https:\/\/pohawaimedia.com\/?p=4757","title":{"rendered":"\u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u064a \u06cc\u0627 (DM) Diabetes Mellitus"},"content":{"rendered":"\n

\u0689\u0627\u06a9\u062a\u0631 \u0639\u0628\u062f\u0627\u0644\u0631\u0634\u06cc\u062f \u062a\u0633\u0644<\/strong><\/p>\n\n\n\n

\u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u06cd \u0646\u0646 \u0633\u0628\u0627 \u0632\u0645\u0648\u0696 \u067e\u0647 \u0647\u06d0\u0648\u0627\u062f \u06a9\u06d0 \u0689\u06cc\u0631\u0647 \u0639\u0627\u0645\u0647 \u0646\u0627\u0631\u0648\u063a\u064a \u062f\u0647 \u0686\u06d0 \u0689\u06cc\u0631 \u0634\u0645\u06cc\u0631 \u06a9\u0645 \u0639\u0645\u0631\u0647 \u0627\u0648 \u067e\u0627\u062e\u0647 \u0639\u0645\u0631 \u0644\u0631\u0648\u0646\u06a9\u064a \u067e\u0631\u06d0 \u0627\u062e\u062a\u0647 \u062f\u064a.<\/p>\n\n\n\n

\u062f\u0627 \u06cc\u0648\u0647 \u0627\u0646\u062f\u0648\u06a9\u0631\u0627\u06cc\u0646\u064a \u0646\u0627\u0631\u0648\u063a\u064a \u062f\u0647 \u0686\u06d0 Hyperglycemia) \u067e\u0647 \u0648\u06cc\u0646\u0647 \u06a9\u06d0 \u062f \u06ab\u0644\u0648\u06a9\u0648\u0632 \u062f \u06a9\u0686\u06d0 \u0644\u0648\u0693\u0648\u0627\u0644\u06cc) \u067e\u0647 \u0648\u0627\u0633\u0637\u0647 \u0686\u06d0 \u062f \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u0647\u0648\u0631\u0645\u0648\u0646 \u062f \u06a9\u0645\u0648\u0627\u0644\u06d0 \u0644\u0647 \u0627\u0645\u0644\u0647 \u0648\u064a \u067e\u06cc\u0698\u0646\u062f\u0644 \u06a9\u06cc\u0696\u064a.<\/p>\n\n\n\n

\u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u0685\u0647 \u0634\u06cc \u062f\u064a\u061f<\/strong><\/strong><\/p>\n\n\n\n

\u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u062f \u067e\u0627\u0646\u06a9\u0631\u0627\u0633 \u062f Islets of langarhans \u062f B__cells \u06cc\u0627 Beta cells \u0685\u062e\u0647 \u0627\u0641\u0631\u0627\u0632\u06cc\u0696\u064a.<\/p>\n\n\n\n

\u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u06cc\u0648 Poly peptide \u062f\u06cc \u0686\u06d0 \u062f \u06f5\u06f1 \u0627\u0645\u06cc\u0646\u0648 \u0627\u0633\u06cc\u062f\u0648\u0646\u0648 \u0685\u062e\u0647 \u062c\u0648\u0693 \u0634\u0648\u06cc \u062f\u06cc. \u0645\u0627\u0644\u06cc\u06a9\u0648\u0644\u064a \u0648\u0632\u0646 \u06cc\u06d0 \u06f5\u06f8\u06f0\u06f8 \u062f\u06cc. \u062f \u0627\u0645\u06cc\u0646\u0648 \u0627\u0633\u06cc\u062f\u0648\u0646\u0648 \u062f \u062f\u0648\u0647 \u0681\u0646\u0681\u06cc\u0631\u0648\u0646\u0648 \u0685\u062e\u0647 \u062c\u0648\u0693 \u0634\u0648\u064a \u062f\u064a \u0686\u06d0 \u062f \u0627\u0644\u0641\u0627 \u0627\u0648 \u0628\u06cc\u062a\u0627 \u067e\u0647 \u0646\u0648\u0645\u0648\u0646\u0648 \u06cc\u0627\u062f\u06cc\u0696\u064a.<\/p>\n\n\n\n

\u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u064a \u0627\u0642\u0633\u0627\u0645 \u06cc\u0627 <\/strong>Types<\/strong><\/p>\n\n\n\n

\u06f1) Type 1 DM \u06cc\u0627 Insulin Depending \u06cc\u0627 (IDDM)<\/p>\n\n\n\n

\u067e\u0647 \u062f\u06d0 \u0689\u0648\u0644 \u06a9\u06d0 \u062f \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u0645\u06a9\u0645\u0644 \u06a9\u0645\u0628\u0648\u062f \u0648\u064a (\u067e\u0627\u0646\u06a9\u0631\u0627\u0646\u0633 \u0646\u0634\u064a \u06a9\u0648\u0644\u0627\u06cc \u0686\u06d0 \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u062a\u0648\u0644\u06cc\u062f \u06a9\u0693\u064a)<\/p>\n\n\n\n

\u06f2) Type 2 DM<\/p>\n\n\n\n

\u067e\u062f\u06d0 \u0689\u0648\u0644 \u06a9\u06d0 \u062f \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u0646\u0633\u0628\u064a \u06a9\u0645\u0628\u0648\u062f \u0645\u0648\u062c\u0648\u062f \u0648\u064a (\u067e\u0627\u0646\u06a9\u0631\u0633 \u0644\u0696 \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u062a\u0648\u0644\u06cc\u062f\u0648\u064a)<\/p>\n\n\n\n

\u062f \u0627\u0633\u0628\u0627\u0628\u0648 \u0644\u0647 \u0646\u0638\u0631\u0647 \u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u064a \u062f\u0648\u0647 \u0689\u0648\u0644\u0647 \u062f\u06cc:<\/p>\n\n\n\n

\u06f1 \u0627\u0628\u062a\u062f\u0627\u06cc\u064a \u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u06cd: \u062f \u0627\u0628\u062a\u062f\u0627\u06cc\u064a \u0646\u0627\u0631\u0648\u063a\u06cd \u0627\u0635\u0644\u064a \u0633\u0628\u0628 \u0645\u0639\u0644\u0648\u0645 \u0646\u0647 \u062f\u06cc.<\/p>\n\n\n\n

\u06f2) Secondary \u062b\u0627\u0646\u0648\u064a \u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u06cd \u06cc\u0627<\/p>\n\n\n\n

\u06a9\u06cc\u062f\u0627\u06cc \u0634\u064a\u060c \u0686\u06d0 \u062f \u0646\u0627\u0631\u0648\u063a\u06cd \u0633\u0628\u0628 \u0645\u0639\u0644\u0648\u0645 \u0648\u064a.<\/p>\n\n\n\n

\u062f Secondary DM \u0627\u0633\u0628\u0627\u0628 \u0644\u0627\u0646\u062f\u06d0 \u06a9\u06cc\u062f\u0627\u06cc \u0634\u064a:<\/p>\n\n\n\n

* \u062d\u0627\u0645\u0644\u06ab\u064a (Gestational DM)<\/p>\n\n\n\n

* \u062f\u0631\u0645\u0644 \u0644\u06a9\u0647 Cortico steroid, Thiazide Diuretics \u0627\u0648 \u0646\u0648\u0631..<\/p>\n\n\n\n

* \u062f \u067e\u0627\u0646\u06a9\u0631\u0627\u0633 \u0627\u0644\u062a\u0647\u0627\u0628 \u06cc\u0627 \u062f \u062c\u0631\u0627\u062d\u064a \u067e\u0647 \u0648\u0627\u0633\u0637\u0647 \u062f \u067e\u0627\u0646\u06a9\u0631\u0627\u0633 \u0644\u0631\u064a \u06a9\u0648\u0644\u0648 \u0644\u0647 \u0627\u0645\u0644\u0647.<\/p>\n\n\n\n

* \u062f \u062a\u0627\u06cc\u0631\u0648\u06a9\u0633\u06cc\u0646 \u0647\u0648\u0631\u0645\u0648\u0646 \u062f \u0632\u06cc\u0627\u062a\u0648\u0627\u0644\u064a \u0644\u0647 \u0627\u0645\u0644\u0647 \u06cc\u0627 ( Hyperthyroidism)<\/p>\n\n\n\n

* \u062f Cortisol \u0647\u0648\u0631\u0645\u0648\u0646 \u062f \u0632\u06cc\u0627\u062a\u0648\u0627\u0644\u064a \u0644\u0647 \u0627\u0645\u0644\u0647 \u06cc\u0627 ( Cushing Symdrome)<\/p>\n\n\n\n

\u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u06cd \u0627\u062e\u062a\u0644\u0627\u0637\u0627\u062a \u06cc\u0627 Complications<\/p>\n\n\n\n

\u221a \u062d\u0627\u062f \u0627\u062e\u062a\u0644\u0627\u0637\u0627\u062a!<\/p>\n\n\n\n

* hypoglycemia<\/p>\n\n\n\n

   (\u062f \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u06cc\u0627 \u062f \u062e\u0648\u0644\u06d0 \u0644\u0647 \u0644\u0627\u0631\u06d0 \u062f \u062f\u0631\u0645\u0644\u0648 \u067e\u0647 \u0648\u0627\u0633\u0637\u0647 \u062f \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u0632\u06cc\u0627\u062a\u0648\u0627\u0644\u06cc)<\/p>\n\n\n\n

* Diabetic Ketoacidosis<\/p>\n\n\n\n

( \u062f \u0648\u062c\u0648\u062f \u0627\u0633\u06cc\u062f\u0648\u0632\u0633 \u062f Hyperglycemia \u0644\u0647 \u0627\u0645\u0644\u0647. )<\/p>\n\n\n\n

\u221a \u0645\u0632\u0645\u0646 \u0627\u062e\u062a\u0644\u0627\u0637\u0627\u062a!<\/p>\n\n\n\n

* Diabetic Nephropathy (Kidney Damage)<\/p>\n\n\n\n

* Diabetic Retinopathy ( Eye Damage)<\/p>\n\n\n\n

* Diabetic Neuropathy ( Nerve Damage)<\/p>\n\n\n\n

* \u062f \u06a9\u0631\u0648\u0646\u0631\u064a \u0634\u0631\u06cc\u0627\u0646 \u0646\u0627\u0631\u0648\u063a\u064a.<\/p>\n\n\n\n

* CVA ( Cerebrovascular Accident)<\/p>\n\n\n\n

* Diabetic Foot( \u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u0627\u0646\u0648 \u06a9\u06d0 \u062f \u067e\u069a\u0648 \u0632\u062e\u0645\u0648\u0646\u0647<\/p>\n\n\n\n

\u06a9\u0644\u06cc\u0646\u06cc\u06a9\u064a \u0645\u0646\u0638\u0631\u0647 \u06cc\u0627 Clinical Feature<\/p>\n\n\n\n

* \u062f \u062a\u0646\u062f\u06d0 \u0632\u06cc\u0627\u062a\u0648\u0627\u0644\u06cc<\/p>\n\n\n\n

* \u062f \u062a\u0634\u0648 \u0645\u062a\u06cc\u0627\u0632\u0648 \u0632\u06cc\u0627\u062a\u0648\u0627\u0644\u06cc<\/p>\n\n\n\n

* \u062f \u0627\u0634\u062a\u0647\u0627 \u0632\u06cc\u0627\u062a\u0648\u0627\u0644\u06cc<\/p>\n\n\n\n

* \u0633\u062a\u0693\u062a\u06cc\u0627<\/p>\n\n\n\n

* \u062f \u0648\u0632\u0646 \u06a9\u0645\u0648\u0627\u0644\u06cc<\/p>\n\n\n\n

* \u062f \u0632\u062e\u0645\u0648\u0646\u0648 \u067e\u0647 \u0631\u063a\u06cc\u062f\u0646\u0647 \u06a9\u06d0 \u0648\u0631\u0648\u0633\u062a\u0647 \u0648\u0627\u0644\u06cc<\/p>\n\n\n\n

* \u062f \u067e\u0648\u0633\u062a\u06a9\u064a \u0627\u0646\u062a\u0627\u0646\u0627\u062a<\/p>\n\n\n\n

\u0645\u0639\u0627\u06cc\u0646\u0627\u062a \u06cc\u0627 <\/strong>Investigations<\/strong><\/p>\n\n\n\n

* FBS ( Fasting Blood Sugar)<\/p>\n\n\n\n

* RBS ( Random Blood Sugar)<\/p>\n\n\n\n

* Urin For sugar<\/p>\n\n\n\n

* Glycated Hemoglobin( GHb esp HbA 1c)<\/p>\n\n\n\n

* Oral Glucose Tolerance Test ( OGTT)<\/p>\n\n\n\n

\u062f\u0631\u0645\u0644\u0646\u0647 \u06cc\u0627 <\/strong>Tratment<\/strong><\/p>\n\n\n\n

* \u067e\u0631\u0647\u06cc\u0632 \u06a9\u0648\u0644 + \u062a\u0645\u0631\u06cc\u0646 \u0627\u062c\u0631\u0627\u06a9\u0648\u0644<\/p>\n\n\n\n

* \u067e\u0631\u0647\u06cc\u0632 \u06a9\u0648\u0644 + \u062f \u062e\u0648\u0644\u06d0 \u0644\u0627\u0631\u06d0 \u062f\u0631\u0645\u0644<\/p>\n\n\n\n

* \u067e\u0631\u0647\u06cc\u0632 \u06a9\u0648\u0644 + \u062f \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u0627\u0646\u062c\u06a9\u0634\u0646<\/p>\n\n\n\n

* \u067e\u0631\u0647\u06cc\u0632 \u06a9\u0648\u0644 + inj insulin + \u062f \u062e\u0648\u0644\u06d0 \u0644\u0627\u0631\u06d0 \u062f\u0631\u0645\u0644.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0689\u0627\u06a9\u062a\u0631 \u0639\u0628\u062f\u0627\u0644\u0631\u0634\u06cc\u062f \u062a\u0633\u0644 \u062f \u0634\u06a9\u0631\u06d0 \u0646\u0627\u0631\u0648\u063a\u06cd \u0646\u0646 \u0633\u0628\u0627 \u0632\u0645\u0648\u0696 \u067e\u0647 \u0647\u06d0\u0648\u0627\u062f \u06a9\u06d0 \u0689\u06cc\u0631\u0647 \u0639\u0627\u0645\u0647 \u0646\u0627\u0631\u0648\u063a\u064a \u062f\u0647 \u0686\u06d0 \u0689\u06cc\u0631 \u0634\u0645\u06cc\u0631 \u06a9\u0645 \u0639\u0645\u0631\u0647 \u0627\u0648 \u067e\u0627\u062e\u0647 \u0639\u0645\u0631 \u0644\u0631\u0648\u0646\u06a9\u064a \u067e\u0631\u06d0 \u0627\u062e\u062a\u0647 \u062f\u064a. \u062f\u0627 \u06cc\u0648\u0647 \u0627\u0646\u062f\u0648\u06a9\u0631\u0627\u06cc\u0646\u064a \u0646\u0627\u0631\u0648\u063a\u064a \u062f\u0647 \u0686\u06d0 Hyperglycemia) \u067e\u0647 \u0648\u06cc\u0646\u0647 \u06a9\u06d0 \u062f \u06ab\u0644\u0648\u06a9\u0648\u0632 \u062f \u06a9\u0686\u06d0 \u0644\u0648\u0693\u0648\u0627\u0644\u06cc) \u067e\u0647 \u0648\u0627\u0633\u0637\u0647 \u0686\u06d0 \u062f \u0627\u0646\u0633\u0648\u0644\u06cc\u0646 \u0647\u0648\u0631\u0645\u0648\u0646 \u062f \u06a9\u0645\u0648\u0627\u0644\u06d0 \u0644\u0647 \u0627\u0645\u0644\u0647 \u0648\u064a \u067e\u06cc\u0698\u0646\u062f\u0644 […]<\/p>\n","protected":false},"author":4,"featured_media":4758,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","jnews-multi-image_gallery":[],"jnews_single_post":{"format":"standard"},"jnews_primary_category":[],"jnews_override_bookmark_settings":[],"jnews_social_meta":[],"jnews_review":[],"enable_review":"","type":"","name":"","summary":"","brand":"","sku":"","good":[],"bad":[],"score_override":"","override_value":"","rating":[],"price":[],"jnews_override_counter":[],"jnews_post_split":[],"footnotes":""},"categories":[40,123],"tags":[461,530,11,1710],"class_list":["post-4757","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-40","category-123","tag-461","tag-530","tag-cinema","tag-1710"],"_links":{"self":[{"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=\/wp\/v2\/posts\/4757"}],"collection":[{"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4757"}],"version-history":[{"count":1,"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=\/wp\/v2\/posts\/4757\/revisions"}],"predecessor-version":[{"id":4759,"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=\/wp\/v2\/posts\/4757\/revisions\/4759"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=\/wp\/v2\/media\/4758"}],"wp:attachment":[{"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4757"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4757"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pohawaimedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4757"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}