Sɛ́ obi a ɔwɔ asikreyare no, ebia sɛ wosɔre anɔpa ara pɛ a, wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu. Sɛ wususuw ho a, sɛ woadi w’aduan so na woanom w’aduru anadwo mpo a, ɛsɛ sɛ wohaw wo ho nso bere a wuhu sɛ asikre dodow a wowɔ no dɔɔso anɔpa no, ɛnte saa? "Meyɛɛ biribiara yiye, adɛn nti na me asikre kɔ soro anɔpa nkutoo?" Ebia wobɛdwene nso. Nneɛma atitiriw abien nti na ɛte saa. Baako ne Dawn Phenomenon, na biako nso ne Somogyi Effect. Ɛwom sɛ edin abien no yɛ nwonwa kakra de, nanso nsuro. Momma yɛnka eyi ho asɛm tiawa.
Abusuabɔ a Ɛda Insulin, Mogya Mu Asikre, ne Dae Ntam
Nea edi kan no, ma yenhu nnipa atitiriw a wɔwɔ asɛm yi mu no. Yɛn nipadua mu ahoɔden fibea titiriw ne asikre bi a wɔfrɛ no glucose. Ɛte sɛ pɛtro a wɔde yɛ kar. Hormone a ɛboa ma saa glucose yi fi yɛn mogya mu kɔ yɛn nkwammoaa mu na ɛma ahoɔden ne insulin. Sɛ yɛbɛka no tiawa a, insulin te sɛ safe a ebue yɛn nkwammoaa no apon na ɛma glucose kɔ mu.
Sɛ yɛda a, yɛn nipadua nhia ahoɔden pii. Ɛte sɛ kar a wɔafi ase nkyɛe. Nanso, sɛ bere du sɛ yɛsɔre anɔpa a, yɛn nipadua resiesie ne ho ama da no mu adwuma. Afei nipadua no de sɛnkyerɛnne bi kɔ yɛn mmerɛbo no so, na ɛka sɛ, "Ɛyɛ, afei ne bere a ɛsɛ sɛ yefi ase yɛ adwuma, gyae glucose foforo bi kɔ mogya no mu." Wɔ saa kwan yi so no, sɛ glucose boaboa ano wɔ mogya no mu anɔpa a, obi a ɔwɔ apɔwmuden nipadua no yɛ insulin pii de hwɛ asikre dodow so.
Nanso, wɔ obi a ɔwɔ asikreyare nipadua mu no, saa adeyɛ yi nkɔ so yiye. Esiane sɛ wɔnyɛ insulin dodow a wɔhwehwɛ nti, asikre dodow a ɛwɔ mogya mu no kɔ soro anɔpa. Yɛfrɛ eyi hyperglycemia. Sɛ eyi kɔ so a, ebetumi apira akwahosan.
Dɛn ne Adekyee Adeyɛ yi?
Sɛ yɛbɛka no tiawa a, Dawn Phenomenon yɛ abɔde mu hormone adeyɛ a ɛma asikre dodow kɔ soro anɔpatutuutu, mpɛn pii no wɔ anɔpa 3 ne anɔpa 8 ntam Eyi yɛ soronko ma obiara. Nanso sɛ wowɔ asikreyare a, wo nipadua no nni insulin a ɛdɔɔso a ɛbɛma asikre a ɛkɔ soro no so, enti wosɔre a asikre a ɛwɔ wo mogya mu no dɔɔso. Eyi taa ba nnipa a wɔwɔ asikreyare a ɛto so 1 ne ɔkwan a ɛto so abien no mu bɛyɛ fã so.
Eyi nyɛ yare, na mmom ɛyɛ adebɔ mu adeyɛ bi a asikreyare de ba wɔ nipadua no mu ho mmuae ara kwa. Enti mma ɛnhaw wo wɔ ho.
Nanso wubetumi ne wo duruyɛfo akasa na woayɛ nneɛma bi de adi eyi so.
- Kwati sɛ wubedi nnuan a carbohydrates pii wom ansa na woada.
- Insulin anaa asikreyare aduru no dodow ne bere a wobɛsesa (sɛ nhwɛso no, sɛ wobɛnom ansa na woada mmom sen sɛ wobɛnom anwummere).Mma w’ankasa nyɛ nsakrae yi da. Kɔ wo duruyɛfo nkyɛn bere nyinaa.
- Sɛ wode insulin pɔmpɛ di dwuma a, sesa ne nhyehyɛe.
Enti, dɛn ne Somogyi Nkɛntɛnso no?
Somogyi Effect no yɛ ade koro no ara a ɛba bere a asikre dodow a ɛwɔ wo mogya mu kɔ soro anɔpa no. Nanso nea ɛde ba no yɛ soronko koraa. Ɛba efisɛ wonom insulin pii anadwo, wonom kakraa bi, anaasɛ wuhuruw adidi anadwo .
Wo de susuw eyi ho hwɛ. Wonom insulin a ɛboro so kakra anadwo. Afei anadwo fã no, asikre dodow a ɛwɔ wo mogya mu no so tew koraa. Yɛfrɛ eyi hypoglycemia. Nipadua no yɛ n’ade wɔ saa nsu a ɛtɔ yi ho denam ehu a ɛbɔ so. Sɛ nipadua no susuw sɛ, "Oh, me asikre so retew, ɛsɛ sɛ mema asikre dodow kɔ soro ntɛmntɛm," mpofirim ara nipadua no yi nkwaadɔm pii a ɛyɛ adwuma tia insulin (e.g., cortisol, onyin hormone). Ne saa nti, asikre dodow a ɛba fam no kɔ soro mpofirim. Ɛne sɛ, asikre dodow no so tew koraa, na afei ɛsan kɔ soro kɛse bio. Wɔfrɛ eyi sɛ ‘Rebound Hyperglycemia’. Saa tebea yi taa ba nnipa a wɔwɔ asikreyare a ɛto so 1 so.
Nanso nhwehwɛmu foforo, titiriw nhwehwɛmu ahorow a wɔde Continuous Glucose Monitors (CGMs) , di dwuma no ada no adi sɛ Somogyi Nkɛntɛnso no ntaa mma sɛnea na wosusuw kan no. Mprempren abenfo binom gye di sɛ ebia Dawn Phenomenon, anaasɛ insulin dodow a entumi nnyina no na ɛde anɔpa dodow a ɛkɔ soro pii ba mmom sen Somogyi Nkɛntɛnso no.
Wobɛyɛ dɛn ahu nsonsonoe a ɛda abien yi ntam ankasa?
Saa tebea abien yi nyinaa ma asikre kɔ soro wɔ mogya mu anɔpa, nanso ɛsono ayaresa ahorow no efisɛ ɛsono nea ɛde ba. Enti ɛho behia sɛ wo duruyɛfo hu abien no mu nea wowɔ. Nea ɛbɛyɛ na aboa wɔ ɛno mu no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ hwɛ asikre dodow a ɛwɔ wo mogya mu anadwo fã (bɛyɛ anɔpa 2-3) nna kakraa bi. Sɛ wode CGM di dwuma a, ɛno ara na ɛbɛnya saa data yi.
Nsonsonoe titiriw a ɛda abien no ntam no kyerɛkyerɛ pon a ɛwɔ ase ha no mu bio.
| Su a ɛwɔ hɔ | Adekyee Adeyɛ | Somogyi Nkɛntɛnso |
|---|---|---|
| Ade titiriw nti a ɛte saa | Abɔde mu hormone adeyɛ bi a ɛwɔ nipadua no mu. | Asikre dodow so tew anadwo fã, na ɛno akyi no asikre dodow no san kɔ soro. |
| Asikre dodow a ɛwɔ mogya mu wɔ anadwo fã (anɔpa 2-3) . | Normal anaasɛ ɛkorɔn. | Asikre a ɛwɔ mogya mu a ɛba fam. |
| Ɔkwan a wɔfa so sa yare | Carbohydrates a wɔrennom ansa na wɔada, nnuru/insulin bere anaa dodow a wɔbɛsesa. | Insulin dodow a wɔtew so, aduan a wodi ansa na woada. |
Dɛn ne tebea abien yi nyinaa ho sɛnkyerɛnne?
Nsɛnkyerɛnne titiriw ne asikre a ɛkɔ soro wɔ wo mogya mu bere a wosɔre anɔpa no. Bio nso, egyina sɛnea asikre dodow a ɛwɔ wo mogya mu no kɔ soro so no, wubetumi anya sɛnkyerɛnne ahorow te sɛ:
- Sukɔm a wɔte nka kɛse sen sɛnea ɔtaa yɛ
- Ɔkɔm a wɔte nka kɛse sen sɛnea ɔtaa yɛ
- Ɛho hia sɛ wɔtaa tow nsu
- Tipaeɛ
- Te nka sɛ ne ho nyɛ no dɛ na ne bo afuw
Ɛmfa ho sɛnkyerɛnne ahorow yi mu biara no, ɛbɛyɛ papa sɛ wobɛkyerɛw asikre dodow a wowɔ no ho kyerɛwtohɔ na woakɔ wo duruyɛfo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Nea enti a asikre dodow a ɛwɔ wo anɔpa no kɔ soro no betumi ayɛ Dawn Phenomenon, abɔde mu adeyɛ bi wɔ nipadua no mu, anaa Somogyi Effect, a asikre dodow a ɛkɔ fam anadwo fã na ɛde ba.
- Ɔkwan pa a wobɛfa so ahu abien yi mu nea wowɔ ankasa ne sɛ wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu anadwo fã (anɔpa 2-3) nna kakraa bi, sɛnea wo duruyɛfo tu fo no.
- Mma w’ankasa nsakra insulin anaa asikreyare nnuru dodow a wode di dwuma no da a wunnyaa wo duruyɛfo no kwan. Saa a wobɛyɛ no betumi ayɛ nea asiane wom.
- Sɛ asikre a wowɔ anɔpa no kɔ soro bere nyinaa a, wo ne wo duruyɛfo nka ho asɛm. Ɔde ano aduru a ɛfata sen biara bɛma wo.
- Sɛ wokyerɛw asikre dodow a ɛwɔ wo mogya mu, aduan a wudi, ne nnuru a wode di dwuma no da biara da a, ɛbɛboa wo duruyɛfo no ma wasi gyinae pa.
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