Izizathu ezibini Igazi leSirayi lingaphakanyiswa kwiMasa
Uvuka ekuseni kwaye ujonge ishukela lakho legazi ngaphambi kokutya kwasekuseni. Kwaye kuphakamileyo. Ephakamileyo kunokuba ikhona kusasa. Kuqhubekani? Ishukela legazi eliphakamileyo elinokungahle libe ngumphumo wezinto ezihlukahlukeneyo: mhlawumbi udla amaninzi ama-carbohydrates ngobusuku obuphambili , uthathe unyango oluncinane kunokuba ufanele ubale okanye ulibale ukuwuthatha ngokupheleleyo .
Mhlawumbi ugule okanye ugxininiswe kakhulu? Okanye mhlawumbi ayikho yezo zinto, kodwa yintoni ebenokubangela ukuba ibe phezulu? Ukuba uye waphawula umzekelo wamashukela egazini ephakamileyo ekuseni, kungaba ngumphumo wento ebizwa ngokuba yintyatyambo yesantya okanye isiphumo seSomogyi. Isiqhamo sentsasa kunye nesiphumo seSomogyi sinokuphakamisa iinqwelo zegazi kwi-glucose yegazi ekuseni, kodwa ngezizathu ezahlukeneyo.
Yintoni ebangela i-Somogyi Effect and Dawn Phenomenon?
Zombini iziganeko zifana kakhulu kwezinye iindawo kwaye zibandakanya namahomoni axela isibindi ukukhulula i-glucose kwigazi lakho xa ulala. Ukwahlula kutheni ama-hormone akhululwa.
Impembelelo yeSomogyi ibangelwa ukuba ne-insulin kakhulu kwigazi ngeli busuku. Oku kunokwenzeka kubantu abathatha i -insulin engamaxesha amade , okanye ukuba kufuneka udle i-snack ngaphambi kombhede ukugcina i-sugar sugar isitshile kwaye awuzange.
Ngenxa yokuba kukho ininzi ye-insulin egazini kwaye ayikho i-glucose eyaneleyo, kubangela ukuba ushukela wegazi uphonye ngexesha ulala. Ekuphenduleni, umzimba wakho ukhulula ama-hormone ukulwa nokulahla. Oku kudla ngokuba kubizwa ngokuthi "i- hyperglycemia ehlaziyiweyo ." Isiphumo? Uvuka kunye negazi eliphezulu le-glucose eliphuma kwiithagethi.
Ingqungquthela yesantya, ngakwelinye icala, ayibangelwa yishukela eliphantsi kwegazi. Kunoko, into eyenza ukusa kwelanga kubangelwa ukunyuka kwamahomoni apho umzimba uphuma ngexesha lokusa. Ngeli xesha, umzimba wenza i-insulin encinane kunye nama-hormone abangela isibindi ukubeka i-glucose engaphezulu. Ngaphandle kwe-insulin eyaneleyo yokulwa nalokhu, iishukela zegazi ziphakama kwaye ziphezulu ekuseni. Ngokwe-American American Diabetes Association, "wonke umntu unobunzima bokusalela ukuba unesifo sikashukela okanye ayikho. Abantu abanesifo sikashukela abanalo iimpendulo eziqhelekileyo ze-insulin ukulungelelanisa kwaye yingakho igazi labo liphuma phezulu."
Ungayichazela njani Ukwahlukana?
- Indlela yodwa yokwazi ngokuqinisekileyo ukuba yeyiphi na eyenza ukuba amazinga e-glucose wakho asekuseni aphakanyiswe ukuvuka ixesha eliphakathi kwe-2 no-3 ngomzuzu ubuninzi kumqolo, kwaye khangela isetyhu yegazi. Ukuba uphantsi ngaloo xesha, unokuba ngumphumo weSomogyi. Ukuba uqhelekileyo okanye uphakamileyo, intsingiselo yokusa kusenokwenzeka ukuba yinto enecala. Akunakuba ngumsebenzi olula, kodwa unokukunceda ukuxazulula iphazili xa unenkathazo yokufumana i-sugar sugar fast to your goal.
- Enye inketho mhlawumbi ukubona ukuba unelungelo lokujonga i- glucose monitor . I-monitor ye-glucose eqhubekayo (CGM) isisityana esincinci esilinganisa i-glucose yangempela iiyure ezingama-24 ngosuku. Ingakunceda ukuba ufumene ushukela ophezulu kunye nezantsi. Ukuba le fowuni ithetha ukuba awuyi kuvuka ebusuku, kodwa iinkampani zomshuwalense zinemilinganiselo ethile yokufaneleka, oko kuthetha ukuba akuyikuba wonke umntu uya kuhlanganiswa.
Yintoni ongayenza ukuphikisana nomphumo weSomogyi
- Qinisekisa ukuba ne-snack phambi kombhede oqukethe iphrotheni ngaphezulu kune-carbs.
- Yenza ugqirha wakho azi oko kwenzekayo. Angatshintsha iyeza lakho okanye i-insulin dosages.
Yintoni enokuyenza ukuchasana nePhenomenon ye-Dawn
- Yidla isidlo sakusihlwa kwangaphambili kusihlwa-gwema i-carbohydrates ebusuku.
- Ukusebenzisa ngokuhlwa kukunceda ukugcina ushukela wegazi kusasa elungileyo.
- Xoxa nodokotela wakho - ungadinga ukulungisa ixesha othabatha amayeza akho okanye uhlobo lonyango othabathayo.
Ukuhlaziywa ngoJuni 29, 2016 nguBarbie Cervoni MS, RD, CDE
> Umthombo
> I-American Diabetes Association. I-Dawn Phenomenon. Ufikelele kwi-line. NgoJuni 24, 2016: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/dawn-phenomenon.html?referrer=https://www.google.com / U