Matas Mayumu

## Sangkan

### Diabetes mellitus
Ing pangmaluatan a sakit a matas a mayumu (chronic hyperglycemia) nung nu e mamako agiang kareng makadietang o kaya magbawas pamangan a states ing karaniwan a aus da iyapin ing diabetes mellitus, ing tutu na niti ing pangmaluatan a matas a mayumu, iya mismu ing sakit.  Ing pabigla-biglang hyperglycemia a ala naman sangkan iti ing pauaga ning manalkus a diabetes o bibitasan na ing pamanyatang ning sakit.  Ing mababang insulin keng katawan iya ing aske ning hyperglycemia.  Iting mababang insulin iya ing sasagkal keng pamanagus ning mayumu (glucose) kareng  cell membranes inya mitatas la mayumu deng tau.

### E ustung pamamangan
Ing e ustung pamamangan malyari yang mamye biglaan a e-diabetic hyperglycemia, kalupa na mo ning bulimia nervosa, nung nu ing metung a tau mangan misan a dakal a matas a calories  king metung a pamamangan, maralas kareng mangatas a simpli ampong complex carbohydrates. Deng aliwang panulu magpatas lang mayumu, kayabe no keti deng  beta blockers, thiazide diuretics, corticosteroids, niacin, pentamidine, protease inhibitors, L-asparaginase, and some antipsychotic agents.

Dakal kareng mikabigalaan a stress, malyari lang mika stroke o kaya myocardial infarction at mika hyperglycemia la, agiang ala yang mesuring diabetes. Ing pamanigaral kareng tau ampong animal, eya grabi iti, at ing stress-induced hyperglycemia makataid ya keng keraklan king pangamate kaibat ning stroke ampong  myocardial infarction.

### Panaun ning Sakit Lub o E Mayap Panamdaman
Ing Hyperglycemia (Matas Mayumu) malilyari iti kareng panaun ning pamagnana o kaya pamangalbag. Patse ing katawan daranas yang kasakitn antimo ing stress, deng endogenous catecholamines lulual - kayabe no reng aliwang bage- iti ing magpatas keng mayumu keng daya.  Ing pangatas ning mayumu manaliwa balang keng metung a tau. Deng aliwa matibe la. Inya dapat nung iti iya pa ing primeru nang sakit a hyperglycemia eya dapat surian bilang atin diabetes nung nu ing masakit ya naman kareng adua, ing diabetes at hyperglycemia. Dapat daptan da ing dakal pang pamanyuri kalupa na mo deng fasting plasma glucose, random plasma glucose, o kaya aduang-oras  a postprandial plasma glucose level.

## Measurement and definition
Glucose levels are measured in either: 

# Milligrams per deciliter (mg/dL), in the United States and other countries (e.g., Japan, France, Egypt, Colombia); or
# Millimoles per liter (mmol/L), which can be acquired by dividing (mg/dL) by factor of 18.

Scientific journals are moving towards using mmol/L; some journals now use mmol/L as
the primary unit but quote mg/dl in parentheses.

Comparatively:

*72 mg/dL = 4 mmol/L
*90 mg/dL = 5 mmol/L
*108 mg/dL = 6 mmol/L
*126 mg/dL = 7 mmol/L
*144 mg/dL = 8 mmol/L
*180 mg/dL = 10 mmol/L
*270 mg/dL = 15 mmol/L
*288 mg/dL = 16 mmol/L
*360 mg/dL = 20 mmol/L
*396 mg/dL = 22 mmol/L
*594 mg/dL = 33 mmol/L

Glucose levels vary before and after meals, and at various times of day; the definition of "normal" varies among medical professionals. In general, the normal range for most people (fasting adults) is about 80 to 120 mg/dL or 4 to 7 mmol/L. A subject with a consistent range above 126 mg/dL or 7 mmol/L is generally held to have hyperglycemia, whereas a consistent range below 70 mg/dL or 4 mmol/L is considered hypoglycemic. In fasting adults, blood plasma glucose should not exceed 126 mg/dL or 7 mmol/L.  Sustained higher levels of blood sugar cause damage to the blood vessels and to the organs they supply, leading to the complications of diabetes.

Chronic hyperglycemia can be measured via the HbA1c test. The definition of acute hyperglycemia varies by study, with mmol/L levels from 8 to 15.

## Symptomas

Deng makatuking symptomas makataid la keng biglaan o pangmaluatan a hyperglycemia, nung  ding mumunang atlu ila reng bibilug  keng pamipinduan a hyperglycaemic atlungan:

* Polyphagia - maralas maranup, lalu na itang maranup a maranup
* Polydipsia - maralas kauang danum, lalu na keng mauang-mauang danum.
* Polyuria - pane mimi, lalu na mimi-mung mimi.
* Malabug akakit
* mangaina
* Mebawas timbang
* Ela kakayap deng sugat (gasgas, gamus, alwp.)
* Malanging asbuk
* Malanging balat
* Emangasias (lalaki)
* Balikbalik a nana kalupa ning pamanggatal keng pekpek, pamangatal kareng singit, nana keng balugbug.
* Kussmaul hyperventilation: malalam, maralas mangisnawa
* Cardiac arrhythmia
* Stupor
* Coma

Ing maralas maranup nung alang aliwang symptomas malyari ka mu naman ing mababa mayumu.
Iti malilyari ustung deng atin disbetes miminum lang dakal a panulung insulin nung  mauauangins ya keng nung makananu karakal ing kakanan da. Ing pamagbaba na ning mayumu  lalam ning kaustuan iti ing magparanup. Iti danup eya mayayakit keng Pamitinduk I diabetes, lalau nung magumpisa pa, dapot magkasit lang mamye reseta uling milalako la pamanalan keng pamamanulu.

Polydipsia ampong  polyuria malilyari iti neng ing mayumu mitas ya at iti palual na keng batu (glycosuria), a magpalual yang osmotic diuresis.

Symptoms of acute hyperglycemia may include:
* Ketoacidosis
* A decreased level of consciousness or confusion
* Dehydration due to glycosuria and osmotic diuresis
* Acute hunger and/or thirst
* Impairment of cognitive function, along with increased sadness and anxiety

## Pamanulu

Ing pamanulu keng hyperglycemia mangailangan yang ilako reng bage nung bakit iti daratang ya, kalupa na mo ing pamanulu keng diabetes nung ing diabetes iya ing sangkan. Ing biglaan ampong grabing hyperglycemia malyari yang maulu kapamilatan ning pamamye insulin agadagad keng katawan, lalam ning metung a doctor o medico.

## Lawen ya rin
* Hypoglycemia
* Glucose
* Diabetes

## Dalerayan

## Suglung Palual
*High blood sugar “Hyperglycemia” article from the Diabetes Care Group 
*Symptoms of hyperglycemia