As pɔsin we gɛt dayabitis, yu go mɔs chɛk yu blɔd shuga lɛvɛl jɔs afta yu wek na mɔnin. If yu tink bɔt am, ilɛksɛf yu dɔn kɔntrol di tin dɛn we yu de it ɛn tek yu mɛrɛsin na nɛt, yu fɔ de wɔri bak we yu si se yu shuga bɔku na mɔnin, nɔto so? "A du evritin rait, wetin mek mai shuga de onli inkri fo moning?" Yu kin tink bak. Tu men rizin dɛn de fɔ dis. Wan na di Dawn Phenomenon, ɛn di ɔda wan na di Somogyi Effect. Pan ɔl we di tu nem dɛn strenj smɔl, nɔ fred. Lɛ wi tɔk bɔt dis simpul wan.
Di Rilayshɔn Bitwin Insulin, Blɔd Shuga, ɛn Slip
Fɔs, lɛ wi no di men pipul dɛn we de insay dis stori. Di men tin we wi bɔdi de gi wi ɛnaji na wan kayn shuga we dɛn kɔl glukɔs. I tan lɛk petrol fɔ motoka. Di ɔmon we de ɛp fɔ tek dis glukɔs frɔm wi blɔd insay wi sɛl dɛn ɛn mek ɛnaji na insulin. Fɔ tɔk am simpul wan, insulin tan lɛk di ki we de opin di domɔt dɛn na wi sɛl dɛn ɛn mek glukɔs kam insay.
We wi de slip, wi bɔdi nɔ nid bɔku ɛnaji. I tan lɛk motoka we dɛn jɔs dɔn stat. Bɔt we i rich di tɛm fɔ grap na mɔnin, wi bɔdi de rɛdi fɔ di de wok. Dɔn di bɔdi kin sɛn signal to wi liva, se, "Okay, naw na di tɛm fɔ bigin wok, rilis sɔm mɔ glukɔs insay di blɔd." Dis we ya, we glukɔs gɛda na di blɔd na mɔnin, pɔsin we gɛt wɛlbɔdi in bɔdi kin mek mɔ insulin fɔ kɔntrol di shuga lɛvɛl.
Bɔt na pɔrsin wae gɛt shuga in bɔdi, dis prɔses nɔr kin apin fayn fayn wan. Bikɔs dɛn nɔ de mek di insulin we dɛn nid, di shuga we de na di blɔd kin go ɔp na mɔnin. Wi kin kɔl dis haypa glycemia. If dis kɔntinyu, i kin ambɔg pɔsin in wɛlbɔdi.
Wetin na dis Dawn Phenomenon?
Fɔ tɔk am simpul wan, di Dawn Phenomenon na natura l ɔmon prɔses we de mek di blɔd shuga lɛvɛl go ɔp na mɔnin, bɔku tɛm bitwin 3 a.m. ɛn 8 a.m. Dis difrɛn fɔ ɔlman. Bɔt if yu gɛt dayabitis, yu bɔdi nɔ gɛt insulin fɔ kɔntrol di shuga we de go ɔp, so yu wek wit ay blɔd shuga. Dis kin apin to lɛk af pan pipul dɛm wae gɛt Tayp 1 ɛn Tayp 2 dayabitis.
Dis nɔto sik, bɔt na jɔs fɔ ansa to wan natura l prɔses na di bɔdi we dayabitis kin kam wit. So nɔ wɔri bɔt am.
Bɔt yu kin tɔk to yu dɔktɔ ɛn du sɔm tin dɛn fɔ kɔntrol dis.
- Nɔ it tin dɛn we gɛt bɔku kabɔhaydrɛt bifo yu go slip.
- Fɔ chenj di doz ɛn tɛm fɔ yu insulin ɔ dayabitis mɛrɛsin (fɔ ɛgzampul, fɔ tek am bifo yu go slip instead fɔ tek am na ivintɛm).Nɔ ɛva mek dɛn chenj ya fɔ yusɛf. Ɔltɛm, go to yu dɔktɔ.
- If yu de yuz insulin pɔmp, chenj in sɛtin dɛn.
So, wetin na di Somogyi Effect?
Di Somogyi Effect na di sem tin we kin apin we yu blɔd shuga lɛvɛl go ɔp na mɔnin. Bɔt di tin we mek i apin rili difrɛn. I kin apin bikɔs yu kin tek bɔku insulin na nɛt, yu kin tek smɔl, ɔ yu kin skip fɔ it na nɛt .
Imajin dis. Yu bin tek smɔl tumɔs insulin na nɛt. Dɔn midul nɛt, yu blɔd shuga kin go dɔŋ bad bad wan. Wi kin kɔl dis haypoglycemia. Di bɔdi kin riak to dis drɔp bay we i kin panik. we yu tink se, "Oh, mi shuga de rכn lכw, a nid fכ rεs mi shuga lεvεl kwik," di bכdi de rilis bכku כmon dεm we de wok agens insulin (e.g., kכtisol, growth כmon). Dis kin mek di shuga we nɔ bɔku kin go ɔp wantɛm wantɛm. Dat min se di shuga lɛvɛl kin drɔp rili smɔl, ɛn afta dat i kin go ɔp bad bad wan bak. Dɛn kɔl dis ‘Ribaund Hyperglycemia’. Dis sik kin mɔs pan pipul dɛm wae gɛt Tayp 1 dayabitis.
Bɔt nyu risach, mɔ di stɔdi dɛn we dɛn dɔn du we dɛn yuz Kɔntinyu Glukɔs Monitor (CGM) , dɔn sho se di Somogyi Ifɛkt nɔ kɔmɔn lɛk aw dɛn bin de tink bifo tɛm. Sɔm masta sabi pipul dɛn biliv naw se di Dawn Phenomenon, ɔ insulin doz instability, kin bi di rizin fɔ bɔku mɔnin spayk pas di Somogyi Effect.
Aw yu go no gud gud wan di difrɛns bitwin dɛn tu tin ya?
Dɛn tu tin ya kin mek yu blɔd shuga bɔku na mɔnin, bɔt di tritmɛnt dɛn difrɛn bikɔs di tin dɛn we kin mek yu gɛt am difrɛn. So yu dɔktɔ go nid fɔ no uswan pan dɛn tu yu gɛt. Fɔ ɛp wit dat, yu dɔktɔ kin aks yu fɔ chɛk yu blɔd shuga lɛvɛl na di midul nɛt (arawnd 2-3 a.m.) fɔ sɔm dez. If yu yuz CGM, i go gɛt dis data ɔtomɛtik wan.
Di tebul we de dɔŋ ya de ɛksplen mɔ bɔt di men difrɛns bitwin dɛn tu.
| Di kwaliti we pɔsin gɛt | Dawn Fenomen we de apin | Somogyi Ifɛkt we pɔsin kin gɛt |
|---|---|---|
| Men rizin | Na natura l ɔmon prɔses na di bɔdi. | Di shuga lɛvɛl kin go dɔŋ midul nɛt, dɔn di shuga lɛvɛl kin kam bak. |
| Blɔd shuga lɛvɛl na di midul nɛt (2-3 am) . | Nɔmal ɔ ay. | Di blɔd shuga we nɔ bɔku. |
| Di we aw dɛn kin trit am | Nɔ tek kabɔhaydrɛt bifo yu go slip, chenj di mɛrɛsin/insulin tɛm ɔ di doz. | Ridyus insulin doz, it snek bifo yu go slip. |
Wetin na di sayn dɛm fɔ dɛn tu tin ya?
Di men sayn na di ay blɔd shuga lɛvɛl we yu wek na mɔnin. Apat frɔm dat, dipen pan aw yu blɔd shuga de bɔku, yu kin gɛt sɔm sayn dɛn bak lɛk:
- Fɔ fil se yu tɔsti pas aw yu kin fil
- Fɔ fil angri pas aw i kin fil
- Nid fɔ pis bɔku tɛm
- Ed de at
- Fɔ fil se yu nɔ fil fayn ɛn fɔ vɛks
I nɔ mata ɛni wan pan dɛn sayn ya, i go fayn fɔ mek yu rayt di shuga we yu gɛt ɛn go to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Di rizin we mek yu mɔnin shuga lɛvɛl kin go ɔp kin bi di Dawn Phenomenon, we na natura l prɔses na di bɔdi, ɔ di Somogyi Effect, we kin mek yu shuga lɛvɛl go dɔŋ na di midul nɛt.
- Di bɛst we fɔ no uswan pan dɛn tu ya yu gɛt na fɔ chɛk yu blɔd shuga lɛvɛl na midul nɛt (2-3 am) fɔ sɔm dez, lɛk aw yu dɔktɔ advays yu.
- Nɔ ɛva chenj yu insulin ɔ dayabitis mɛrɛsin fɔ yusɛf if yu dɔktɔ nɔ gri fɔ yu. If yu du dat, dat kin mek yu denja.
- If yu mɔnin shuga de bɔku ɔltɛm, tɔk to yu dɔktɔ bɔt am. I go gi yu di sɔlv we fit yu pas ɔl.
- If yu rayt di dayari bɔt di shuga we yu gɛt na yu blɔd, di it we yu de it, ɛn di mɛrɛsin dɛn we yu de tek, dat go ɛp yu dɔktɔ fɔ disayd di rayt tin.
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