Shin sukarin jininka na safe yana ƙaruwa idan kana da ciwon suga? (Abubuwan da ke faruwa a farfaɗo da tasirin Somogyi)

A matsayinka na mutum mai ciwon suga, wataƙila za ka duba matakin sukarin jininka da zarar ka tashi da safe. Idan ka yi tunani a kai, ko da ka sarrafa abincinka kuma ka sha maganinka da daddare, dole ne ka ji damuwa idan ka ga cewa matakin sukarinka yana da yawa da safe, ko ba haka ba? "Na yi komai daidai, me yasa sukarina yake ƙaruwa da safe kawai?" Hakanan zaka iya tunani. Akwai manyan dalilai guda biyu na wannan. Ɗaya shine Faruwar Dawn, ɗayan kuma shine Tasirin Somogyi. Kodayake sunayen biyu suna da ɗan ban mamaki, kada ka ji tsoro. Bari mu yi magana game da wannan a sauƙaƙe.

Alaƙar da ke Tsakanin Insulin, Sukarin Jini, da Barci

Da farko, bari mu san manyan haruffan wannan labarin. Babban tushen kuzarin jikinmu wani nau'in sukari ne da ake kira glucose. Yana kama da fetur ga mota. Hormone ɗin da ke taimakawa wajen ɗaukar wannan glucose daga jininmu zuwa ƙwayoyin halittarmu kuma ya samar da kuzari shine insulin. A taƙaice dai, insulin kamar mabuɗin ne da ke buɗe ƙofofin ƙwayoyin halittarmu kuma yana barin glucose ya shiga.

Idan muna barci, jikinmu ba ya buƙatar kuzari mai yawa. Kamar mota ce da aka kunna. Duk da haka, idan lokacin tashi da safe ya yi, jikinmu yana shirin yin aikin yini. Sai jiki ya aika da sigina zuwa hanta, yana cewa, "To, yanzu ne lokacin fara aiki, a saki ƙarin glucose a cikin jini." Ta wannan hanyar, idan glucose ya taru a cikin jini da safe, jikin mutum mai lafiya yana samar da ƙarin insulin don sarrafa matakan sukari.

Duk da haka, a jikin mutumin da ke fama da ciwon suga, wannan tsari ba ya faruwa yadda ya kamata. Tunda ba a samar da isasshen insulin ba, matakin sukari a jini yana ƙaruwa da safe. Muna kiran wannan da hyperglycemia. Idan wannan ya ci gaba, zai iya zama illa ga lafiya.

Menene wannan Al'amarin Dawn?

A taƙaice dai, Dawn Phenomenon wani tsari ne na halitta wanda ke sa matakan sukari a jini su tashi da sassafe, yawanci tsakanin ƙarfe 3 na safe zuwa 8 na safe. Wannan ya bambanta ga kowa. Amma idan kana da ciwon suga, jikinka ba shi da isasshen insulin don sarrafa hauhawar sukari, don haka kana tashi da yawan sukari a jini. Wannan abu ne da ya zama ruwan dare a kusan rabin mutanen da ke fama da ciwon suga na nau'in 1 da na nau'in 2.

Amma za ka iya yin magana da likitanka ka kuma yi wasu abubuwa don shawo kan wannan.

• Ka guji cin abinci mai yawan carbohydrates kafin kwanciya barci.
• Canza yawan allurar insulin ko maganin ciwon suga (misali, shan sa kafin kwanciya barci maimakon da yamma).Kada ka taɓa yin waɗannan canje-canje da kanka. Kullum ka tuntuɓi likitanka.
• Idan kana amfani da famfon insulin, canza saitunan sa.

To, menene tasirin Somogyi?

Tasirin Somogyi iri ɗaya ne da ke faruwa idan matakin sukari a cikin jininka ya tashi da safe. Amma dalilin ya bambanta gaba ɗaya. Yana faruwa ne saboda kana shan insulin da yawa da dare, ko kuma kana shan kaɗan, ko kuma ka tsallake cin abinci da daddare .

Ka yi tunanin wannan. Ka sha ɗan insulin da yawa da daddare. Sai tsakiyar dare, matakin sukarin jininka ya ragu sosai. Muna kiran wannan da hypoglycemia. Jiki yana mayar da martani ga wannan digo ta hanyar firgici. Tunani, "Oh, sukarina yana raguwa, ina buƙatar ƙara yawan sukarina da sauri," ba zato ba tsammani jiki zai saki hormones da yawa waɗanda ke aiki da insulin (misali, cortisol, hormone girma). Sakamakon haka, ƙarancin matakin sukari ya tashi ba zato ba tsammani. Wato, matakin sukari ya ragu sosai, sannan ya sake tashi sosai. Wannan ana kiransa 'Rebound Hyperglycemia'. Wannan yanayin ya fi yawa a cikin mutanen da ke fama da ciwon suga na Type 1.

Amma sabon bincike, musamman na amfani da Continuous Glucose Monitors (CGMs) , ya gano cewa Somogyi Effect ba abu ne da aka saba gani ba kamar yadda aka yi zato a baya. Wasu kwararru yanzu suna ganin cewa Dawn Phenomenon, ko rashin daidaiton allurar insulin, na iya zama sanadin yawan ƙaruwar safe maimakon Somogyi Effect.

Ta yaya ka san ainihin bambancin da ke tsakanin waɗannan biyun?

Duk waɗannan yanayi suna haifar da yawan sukari a cikin jini da safe, amma maganin ya bambanta saboda dalilan sun bambanta. Don haka likitanka zai buƙaci ya tantance wanne daga cikin biyun da kake da shi. Don taimakawa wajen hakan, likitanka zai iya tambayarka ka duba matakan sukarin jininka da tsakar dare (da misalin ƙarfe 2-3 na safe) na 'yan kwanaki. Idan ka yi amfani da CGM, zai sami wannan bayanan ta atomatik.

Teburin da ke ƙasa ya ƙara bayyana manyan bambance-bambancen da ke tsakanin su biyun.

Mene ne alamun waɗannan yanayi guda biyu?

Babban alamar cutar ita ce yawan sukari a cikin jini idan ka tashi da safe. Bugu da ƙari, dangane da yawan sukarin da ke cikin jininka, za ka iya fuskantar alamu kamar:

• Jin ƙishirwa fiye da yadda aka saba
• Jin yunwa fiye da yadda aka saba
• Yawan buƙatar yin fitsari
• Ciwon kai
• Jin rashin jin daɗi da fushi

Ko da kuwa akwai ɗaya daga cikin waɗannan alamomin, ya fi kyau a rubuta adadin sukari da ke cikin jininka sannan a ga likitanka.