Izimo ezingenza amazinga e-glucose wakho ekuseni aphezulu
Uma uhlolile i-glucose yegazi lakho ngaphambi kokudla kwasekuseni futhi ucabanga ukuthi "wow, okuphakeme kunokujwayelekile," kunezinto ezimbalwa ezingase ziqhubeke. Thola ukuthi yini engabangela ushukela ophezulu wegazi ekuseni nokuthi kufanele ukwenze ngani.
I-Culprit Enhle Kakhulu
Isizathu esiningi kakhulu se-glucose ephakeme ekuseni asithathi isisindo esanele sokushisa i- insulini ebusuku, ukulahlekelwa imithi yakho yesifo sikashukela sakusihlwa noma ukudla ama-carbohydrate ekudleni noma ngesikhathi sokulala.
Lokhu kungaba nzima ngamahomoni alawula ukulawula, okungavuka ekuseni bese ukhathaza kakhulu ukusabalalisa i-glucose ekuseni. Uma lokhu kuyinkinga, ungadinga imithi eyengeziwe (uma ungekho amanani) noma ama-carbohydrate angaphansi ebusuku. Ngezinye izikhathi, ukushintsha isikhathi semithi yakho kungasiza ekunciphiseni ushukela wegazi ekuseni.
I-Somogyi Effect
Ngaphansi kaningi inkinga ingase ibe ngenxa yalokho okuthiwa umphumela we- Somogyi, obangelwa i-hyperglycemia ephindaphindiwe (ushukela ephezulu wegazi) ngemva kwesigaba se-hypoglycemia (ushukela wegazi ophansi) ngenkathi ulele. Okuvamile kakhulu kubantu abanesifo sikashukela sohlobo 1 , lokhu kungenzeka uma uthatha i-insulin ebusuku futhi kubonakala sengathi kwenzeka kaningi kulabo abakwezinga eliphezulu le-insulin. Kungenzeka futhi uma uthatha i-insulin futhi ushukela wakho wegazi lokulala ngesikhathi eselala ubuthongo usezingeni elingezansi futhi awuzange udle isidlo ngaphambi kombhede. Kunoma yikuphi, ishukela lakho legazi liyancipha phakathi nobusuku futhi umzimba wakho ukhulula ama-hormone ukulwa nokudonsa.
Umphumela? Uvuka ngezinga eliphakeme kunegazi evamile legazi.
I-Dawn Phenomenon
Enye imbangela yokushukela egazini ephakeme kakhulu "yinto yokusa." Esimweni sekusasa, umzimba wakho ukhulula ama-hormone abangela isibindi sakho ukukhipha i-glucose ngenkathi ulele. Uma kungekho insulini eyanele emzimbeni ukuphikisana nalokhu, amazinga egazi le-glucose aphakama phakathi nobusuku, okuholela ekufundeni okuphezulu ekuseni.
Indlela Yokutshela Ukuhluka
Indlela kuphela yokukwazi ngokuqinisekile ukuthi uhlangabezana nesenzakalo sezulu noma umphumela we-Somogyi ukuhlola ushukela wegazi phakathi nobusuku. Vuka isikhathi esithile phakathi kuka-2 no-3 ekuseni ngobusuku obuningana emgqeni, bese uhlola ushukela wegazi lakho. Uma uphansi ngaleso sikhathi (<70mg / dL), kungaba umphumela we-Somogyi. Uma ungumuntu ojwayelekile noma ophakeme, isenzakalo sekusasa singase sibe yikhotho.
Indlela Yokuphikisana Lezi Zenzakalo
Ukulwa noshukela wegazi eliphezulu ekuseni, kunezinyathelo ezimbili ezinkulu ongayithatha:
- Uma uthatha i-insulin, qapha ishukela lakho legazi ngaphambi kokulala. Uma uphansi kakhulu, isibonelo, ngaphansi kuka-100 mg / dL (ibanga ngalinye lokubhekisela lihlukile kubantu ngabanye), kungadingeka ube nesidla ngaphambi kombhede oqukethe amaprotheni amaningi kunamarobhothi. Ngokwesibonelo, ungaba namantongomane noma ushizi.
- Vumela udokotela wakho azi ukuthi kwenzekani. Gcina i-log yemithi yakho, ukudla kanye noshukela wegazi ekuseni ngezinsuku ezimbalwa ukuze ukwazi ukuphatha iphethini. Lolu lwazi luwusizo kakhulu ekuzameni ukuthola ukuthi kwenzekani. Udokotela wakho angayisebenzisa ukwenza izinguquko emithini yakho, i-insulin dosages, isikhathi somuthi wakho, umshini wokuzivocavoca, noma uhlelo lokudla.
Izindlela Zokulwa NePhenomenon
Uma isenzakalo sekusasa senza ukuthi ushukela wegazi lakho ekuseni likhule, zama lezi zeluleko ezengeziwe zokubhekana nazo:
- Ukusebenzisa kusihlwa kungasiza ukugcina ushukela wegazi ekuseni.
- Yidla ukudla kwasekuseni, ngisho noma ushukela wegazi lakho liphakeme. Ukudla okuthile kuzokwenqabela inqubo ye-phenomenon ye-dawn bese uvumela ushukela wegazi lakho libuyele evamile.
> Imithombo:
"I-Dawn Phenomenon." Izindaba ze-DOC. 01 Jul 2006. Umqulu 3 Inombolo 7 p. 5 I-American American Diabetes Association.