Izizathu Ezibili Igazi Legazi Lakho Lingaphakanyiswa Ekuseni
Uvuka ekuseni bese uhlola ushukela wegazi ngaphambi kokudla kwasekuseni. Futhi liphakeme. Okuphakeme kunalokho kuvamile ekuseni. Kwenzakalani? Ishukela egazini egazini egazini lingabangelwa izinto ezihlukahlukene: mhlawumbe udle ama-carbohydrate amaningi kakhulu ebusuku , uthathe imithi encane kunalokho okumele uyikhohlwe noma ukhohlwa ukuyithatha ngokuphelele .
Mhlawumbe ugula noma ugxilile kakhulu? Noma mhlawumbe akuyona enye yalezo zinto, kodwa yini engayenza ukuba ibe phezulu? Uma usuqaphele iphethini lamashukela ephakeme egazini ekuseni, kungaba umphumela wento ethiwa yi-dawn phenomenon noma umphumela we-Somogyi. Isenzakalo sekusasa kanye ne-Somogyi sithinta kokubili ukuphakamisa amazinga egazini egazini legazi ekuseni, kodwa ngezizathu ezahlukene.
Yini Ebangelwa I-Somogyi Effect and Dawn Phenomenon?
Zombili lezi zenzakalo zifana kakhulu kwezinye izici futhi zihlobene nama-hormone asho isibindi ukukhulula i-glucose engxenyeni yakho yegazi ngenkathi ulele. Umehluko yingakho ama-hormone ekhishwa.
Umphumela we-Somogyi ubangelwa ukuthi ube ne-insulini eningi egazini ebusuku. Lokhu kungenzeka kubantu abathatha insulini esetshenziswa isikhathi eside , noma uma udinga ukudla isidlo ngaphambi kombhede ukugcina ushukela wakho wegazi uzinzile futhi awukwenzi.
Ngenxa yokuthi kukhona inqwaba ye-insulini egazini hhayi ne-glucose ngokwanele, kubangela ukuba ushukela wegazi lilahle ngenkathi ulele. Ekuphenduleni, umzimba wakho ukhulula ama-hormone ukulwa nokudonsa. Lokhu kuvame ukubhekwa ngokuthi "i- hyperglycemia evukelayo." Umphumela? Uvuka ngegazi eliphakeme eliphakathi kwegazi elingaphandle kwebala lesikhangiso.
Isikhathi sokusa, ngakolunye uhlangothi, asibangelwa ushukela ophansi wegazi. Esikhundleni salokho, isenzakalo sekusasa sibangelwa ukuqhuma kwamahomoni umzimba ophuma ngawo ekuseni. Ngalesi sikhathi, umzimba wenza insulini encane namahomoni avuse isibindi ukuze asebenzise i-glucose engaphezulu. Ngaphandle kwe-insulin eyanele yokulwa nalokhu, amashukela egazi aphakama futhi aphezulu ekuseni. Ngokusho kwe-American Diabetes Association, "wonke umuntu unenkinga yesifo sikashukela uma engenayo isifo sikashukela noma cha. Abantu abanesifo sikashukela abanalo izimpendulo ezijwayelekile zokungenisa i-insulin ukuze balungiselele futhi yingakho ushukela wabo wegazi ukhuphuka."
Ungayitshela Kanjani Umehluko?
- Indlela kuphela yokwazi ukuthi yikuphi okungenza amazinga e-glucose wakho ekuseni avuke ukuvuka esikhathini esithile phakathi kuka-2 no-3 ekuseni ngobusuku obuningana elandelanayo, bese uhlola ushukela wegazi lakho. Uma uphansi ngaleso sikhathi, kungaba umphumela we-Somogyi. Uma ungumuntu ojwayelekile noma ophakeme, isenzakalo sekusasa singase sibe yikhotho. Kungenzeka kungabi umsebenzi olula, kodwa kungakusiza ukuxazulula le puzzle uma uke waba nesikhathi esinzima ukuthola ukudla kwakho okushukela egazini kumgomo.
- Enye inketho mhlawumbe ukubona ukuthi uvumelekile yini ukuba uqaphele i-glucose monitor . Umshini wokugcina we-glucose (CGM) iyisisetshenziswa esincane esilinganisa isikhathi sangempela seglucose amahora angu-24 ngosuku. Kungakusiza ukuthi uthola ushukela ophezulu nephansi wegazi. Ukuba nale divayisi kungasho ukuthi ngeke uphakamise ebusuku, kodwa izinkampani zomshuwalense zinemigomo ethile yokufaneleka okusho ukuthi akuwona wonke umuntu oyobe ehlanganisiwe.
Okufanele Ukwenze Ukuphikisa I-Somogyi Effect
- Qinisekisa ukuthi une-snack ngaphambi kombhede oqukethe amaprotheni amaningi kune-carbs.
- Vumela udokotela wakho azi ukuthi kwenzekani. Angase ashintshe imithi yakho noma i-insulin dosages.
Okufanele Ukwenze Ukuphikisa I-Phenomenon YaseDawn
- Yidla ukudla kwakusihlwa kusihlwa - gwema ama-carbohydrate ebusuku.
- Ukusebenzisa kusihlwa kungasiza ukugcina ushukela wegazi ekuseni.
- Xoxa nodokotela wakho - kungadingeka ulungise isikhathi osithatha imithi yakho noma uhlobo lwemithi oyithathayo.
Kubuyekezwe ngoJuni 29, 2016 nguBarbie Cervoni MS, RD, CDE
> Umthombo
> I-American Diabetes Association. I-Dawn Phenomenon. Kufinyelelwe ku-intanethi. NgoJuni 24, 2016: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/dawn-phenomenon.html?referrer=https://www.google.com /