Isishukela se-High Morning Blood: I-Dawn Phenomenon Versus Effective Somogyi

Imiqathango enokukwenza amazinga e-glucose wakho asekuseni aphezulu

Ukuba uye wavavanya igazi lakho kwi-glucose yegazi ngaphambi kokusasa kwasekuseni kwaye ucinga "wow, ophakamileyo kunokwesiqhelo," kukho izinto ezimbalwa eziza kuqhubeka. Khangela okokubangela ukuba ushukela wegazi eliphakamileyo kunye nento oyenzayo malunga nalo.

I-Mostly Culprit

Iyona nto ibangela ukuba i-glucose ephakamileyo yantambama ingathathi i- insulin eyaneleyo ebusuku, ilahleka ngokuhlwa kwilungu le-diabetes okanye iidrobohydrates ekudleni okanye ngexesha lokulala.

Oku kunokuba nzima ngamahomoni alawulayo, anokungavuka kusasa kusasa kunye ne-glucose yasekuseni yokunyanga. Ukuba le ngxaki, ungadinga unyango olongezelelweyo (ukuba awukho i-doses) okanye i-carbohydrate engaphantsi ebusuku. Ngamanye amaxesha, ukutshintsha ixesha lonyango lakho kunokukunceda ukunciphisa ushukela wegazi.

Somogyi Effect

Ngaphantsi kaninzi ingxaki ingakho ngenxa yento ebizwa ngokuba yimpembelelo yeSomogyi, ebangelwa yi-hyperglycemia ephezulu (isishukela segazi ephezulu) emva kwesiganeko se-hypoglycemia (isishukela segazi eliphantsi) ngelixa ulele. Okuqhelekileyo kubantu abanesifo sikashukela se-type 1 , oku kuya kwenzeka xa uthatha i-insulin yobusuku kwaye kubonakala ukuba kwenzeka ngokuphindaphindiweyo kulabo abakwizinga eliphezulu le-insulin. Kungenzeka kwakhona ukuba uthatha i-insulin kunye nekhefu lakho lexesha lokulala i-sugar kwi-side engezansi kwaye awuzange udle i-snack ngaphambi kokulala. Kwimeko nayiphi na, ishukela lakho legazi lihlahla ebusuku kwaye umzimba wakho ukhulula ama-hormone ukulwa nokulahla.

Isiphumo? Uvuka ngezinga eliphakamileyo kunegazi eliqhelekileyo le-glucose.

I-Dawn Phenomenon

Esinye isizathu sentshukela ephakamileyo yegazi "yinto yokusa." Ngethuba lokusa, umzimba wakho ukhulula i-hormone edala isibindi sakho ukukhupha i-glucose ngexesha ulala. Ukuba akukho-insulin eyaneleyo emzimbeni ukuphikisana nalokhu, i-blood glucose iphakama ngamanqanaba ebusuku, okubangela ukufunda okuphezulu ekuseni.

Indlela Yokuxelela Umehluko

Indlela yodwa yokwazi ngokuqinisekileyo ukuba unobungozi bokuqala okanye umphumo weSomogyi ukuvavanya ishukela lakho segazi phakathi kobusuku. Vuka ixesha eliphakathi kwe-2 no-3 ngomhla ubuninzi ubusuku obulandelayo, kwaye khangela isetyhi yegazi. Ukuba ungezantsi ngeli xesha (<70mg / dL), kunokuthi kube yimpembelelo yeSomogyi. Ukuba uqhelekileyo okanye uphakamileyo, intsingiselo yokusa kusenokwenzeka ukuba yinto enecala.

Indlela yokujongana nale miba

Ukumelana noshukela wegazi ephakamileyo, kukho amanyathelo amabini aphezulu ongayithatha:

Iindlela zokulwa nePhenomenon

Ukuba ukugqithwa kwelanga kusenza ukuba ushukela wegazi lakho kusasa, uzame ezi ngcebiso ezongezelelweyo zokulwa nalo:

> Imithombo:

"I-Dawn Phenomenon." Iindaba zeDOC. 01 Julayi 2006. Umqulu 3 Inombolo 7 iphe. 5 I-American Diabetes Association.