Zing lamah thisen sugar sang i nei em, zunthlum vei pawh nise? He ‘Somogyi effect’ hi i zir dawn teh ang?

Diabetes Mellitus tan insulin ei thin i ni em? Chutiang a nih chuan, zing i thawh chuan i thisen sugar level a sang nghal tih i hmu em? Zanah i damdawi ei a, i fimkhur hle a nih pawhin, zing lamah i la nei reng hi a mak em? Chutianga a awm chhan pakhat chu ‘Somogyi effect’ a ni thei. Hemi chungchang hi chipchiar deuhin han sawi ila .

Somogyi effect hi eng nge ni?

A awlsam zawngin sawi ila, Somogyi effect hi zunthlum vei, insulin ei thinin zan lama thisen sugar level a tlahniam nghal (hypoglycemia) a, chu chu zing lama thisen sugar level a san thut (hyperglycemia) a ni. Hei hi kan taksaa hormone thenkhat hnathawh vang a ni. Ngaihtuah teh, zanlai pelh hnuah i thisen sugar chu a tlahniam nghal a, i taksa chuan, "Aw, he tlangval hi a buai dawn a ni," tiin a ngaihtuah a, a chhanchhuah nan hormone a tichhuak ta a ni. Chuvang chuan zing lamah i thisen sugar level a sang chho thin.

Kum 1930 chho vela a hmuhchhuah hmasak ber doctor Dr. Michael Somogyi hming chawia sak a ni. Doctor-te chuan ‘rebound hyperglycemia’ an ti \hin.

Mahse, hetah hian i hriat tur thil pakhat a awm. Somogyi effect hi zirchiangtute zingah chuan ‘theory’ a la ni reng a, ngaihdan mai a ni tihna a ni. Chu chu 100% a finfiah a ni lo tihna a ni a, mahse scientific evidence a awm a, chu chu a thlawp tlat a ni. Tun hma chuan doctor-te chuan hei hi zing lama sugar a pun chhan ber niin an ngai a. Mahse zirchianna thar, a bik takin continuous glucose monitoring (CGM) hmanga zirchianna chuan he ngaihdan hi zawhna a siam a ni.

Somogyi effect chauh ni lovin, zing lama thisen sugar level a san theihna chhan dang engemaw zat a awm bawk:

• Damdawi i ei zat hi a tawk lo, a chhan chu zanah i taksa a chhuahsan vang a ni.
• Dawn phenomenon an tih dinhmun. (Hei lam pawh kan sawi dawn nia)
• Zanriah ei laia damdawi ei zat chu chaw ei zat nen a inmil lo.
• Insulin resistance nei.

Somogyi effect leh Dawn phenomenon hi eng nge a danglamna?

Okay, tunah chuan, ‘He dawn phenomenon hi eng nge ni?’ tiin i ngaihtuah mai thei. Heng pahnih hi zunthlum vei te zingah thisen sugar level tisangtu thil a ni.

dawn phenomenon hi zingkar hmaa hormone engemaw zat (cortisol leh growth hormone ang chi) chhuah avanga thisen sugar level natural increase a ni. Hei hi thil pangngai a ni.

Mahse Somogyi effect -ah chuan hormone te pawhin hna an thawk a, mahse zan lama sugar tlahniam nghal (hypoglycemia) vang a ni. dawn phenomenon-ah chuan hetiang zat sugar tlahniam avang hian sugar a pung lo.

Thil pawimawh dang chu, dawn phenomenon, zing lama thisen sugar tihpun chhan zingah , Somogyi effect aiin a tam zawk hle.

Somogyi effect hi eng symptoms nge ni?

Somogyi effect chhinchhiahna ber chu zing i thawh hian i thisen sugar level a sang a ni. I glucometer i en emaw, CGM (Continuous Glucose Monitoring) device i hmang emaw, zing lamah i sugar level a sang tih a lang ang.

I thisen sugar a san dan azirin zing i thawh hian hetiang symptoms hi i nei thei a ni:

• Tuihal tuihal (polydipsia) fo thin.
• A hma aia riltam zawka inhria.
• Zun chhuah fo thin .
• Lu na.
• Lungngaihna leh thinrimna (irritability).

Engvangin nge Somogyi effect hi a lo awm?

Somogyi effect theory ang chuan zanlai pelh hnua i mut laiin i thisen sugar level a tlahniam lutuk (hypoglycemia) a nih chuan insulin i ei avang hian i taksa chuan chu sugar hniam dinhmun atang chuan ‘chhanchhuah’ che a tum ang.

He ‘chhanchhuah hna’ atan hian taksa hian hormone engemaw zat a tichhuak thin. A bulpui berte chu:

• Adrenaline a awm bawk
• Corticosteroid hmanga tihdam theih a ni
• Growth hormone a ni
• Glucagon a ni

Heng hormone te hian i liver hian i thisenah a tlangpui aia tam glucose, a nih loh leh sugar a chhuah tir thin. Hetianga glucose chhuah hian i thisen sugar level a tisang a ni. Diabetes i neih chuan i pancreas hian he sugar level sang hi control turin insulin a siam tling lo a, a siam chhuak lo tak tak bawk. Hei vang hian i thisen sugar level a sang reng a ni.

Zunthlum vei lo miah chuan taksain a pianphungah thisen sugar level a control a, range engemaw zat chhungah a dah a ni. Chuvangin Somogyi effect hian zunthlum nei lote a nghawng lo.

Engtin nge hetiang doctor hi i hmuh theih ang?

Dik tak chuan Somogyi effect hi zing thisen sugar spike thlentu a ni lo va, chuvangin hriat a harsa deuh thei. Tin, ka sawi tawh ang khan zirchianna thar ber ber chuan zing thisen sugar sang lutuk chhan a ni lo mai thei tih a tarlang bawk. Chuvângin, doctor-in ‘Okay, hei hi a ni’ tia dik taka a hriat chhuah chu thil harsa tak a ni thei a, thil theih loh pawh a ni thei bawk.

Zing lama thisen sugar sang i neih fo chuan i zunthlum enkawltu doctor nen inbiakna neih a tha ber. I thisen sugar level a inthlak danglam dan a en ang a, a chhan zawng chhuah a tum ang. Chutianga tih theih dan tha ber chu CGM (Continuous Glucose Monitoring) device hman hi a ni.

CGM i hmang lo a nih chuan i doctor chuan ni khatah vawi tam tak i thisen sugar level enfiah turin a hrilh mai thei che a ni. Entir nan:

• Zanriah ei kha darkar hnih hnuah.
• Mut hmain.
• Zanlai velah (entir nan, zing dar 2 emaw 3 vel).
• Zingkar a thawh veleh.

Tin, zanah eng ei tur nge i ei, engzat nge i ei, zanah exercise i tih chuan eng ang exercise nge i tih leh eng chen nge i tih ang chi te chipchiar taka record turin an hrilh bawk.

Heng zawng zawng hi a khawlkhawm chauhvin doctor chuan zing lama thisen sugar sang chhan hi a hre thei ang.

Somogyi effect hi engtin nge enkawl a nih?

Zan lama i thisen sugar level awm dan tur ngaihtuah turin i doctor nen in thawhhona hnuah, zing thisen sugar sang lutuk venna atana i tihdanglam theih dan tur an hrilh ang che. Mi tin taksa hi a danglam vek tih hre reng la, thisen sugar level tichhe thei thil tam tak a awm bawk. Chuvangin, zing thisen sugar spike venna atana i tih theih chu mi hrang hrangah a inang lo thei.

I doctor chuan hetiang hi a rawn rawt thei ang:

• I zunthlum damdawi emaw insulin emaw dose thlak danglam.
• Zanriah ei tur chi hrang hrang thlak danglam. Entîr nân, protein, carbohydrates, a nih loh leh thau tamna ei tûr i ei a ngai mai thei a, a nih loh leh i ei tlem a ngai mai thei bawk.
• A theih chuan insulin pump lama inthlak chuan insulin dose dik zawkin i control thei ang.
• Zan lama exercise neih hun thlak danglam.

Hei hian eng harsatna nge a thlen theih?

Somogyi effect hi zing thisen sugar spike chhan tak tak a nih leh nih loh, thil pawimawh pahnih a tarlang a ni. Zunthlum vei te chuan heng harsatna pahnih hi pumpelh an tum tur a ni:

• Thisen sugar level sang zel.
• Thisen sugar level hniam (hypoglycemia) hi zan lamah a awm thin.

Thisen sugar level a sang chhunzawm zel

I thisen sugar level a san zel chuan i HbA1c (A1C) level a sang ang a, i Time in Range (TIR) ​​pawh a tlahniam ang. HbA1c test hian thla thum kalta chhunga i thisen sugar level average a teh a ni. TIR hi i thisen sugar level target range chhunga a awm ni zat percentage a ni.

I A1c leh TIR level a chhe poh leh, a bik takin kum tam tak a awm tawh chuan zunthlum avanga harsatna i neih theihna a sang zawk. Heng harsatna hrang hrangte entirnan:

• Mit lam natna (Retinopathy) .
• Kal lama harsatna (Nephropathy) .
• Neuropathy natna a ni
• Lung natna

Zirchianna atanga a lan dan chuan zunthlum vei te hian an A1c level 7% aia hniam an dah chuan heng harsatna an tawh theihna tur hi a ti tlem thei a ni.

Zing lama thisen sugar sang hi harsatna awm reng a ni thei a, enkawl loh chuan ni khatah darkar engemaw zat i thisen sugar level a sang reng thei bawk. Hei hian hun kal zelah zunthlum harsatna i neih theihna a tipung a ni.

Zan khat chhunga thisen sugar tlahniam episodes

Zunthlum vei tam tak tan chuan thisen sugar hniam, emaw hypoglycemia hi thisen sugar 70 mg/dL (milligrams per deciliter) aia hniam a nih chuan a ni.

Thisen sugar level a tlahniam chuan mi tam tak chuan hetiang symptom hi an nei thin:

• I taksa a nghing ang maia inhriatna.
• riltam lutuk (polyphagia) tih hriatna.
• Thawmhnaw hak leh khawsik tih hriat.
• Luak chhuak, lu hah lutuk tih hriatna.
• Heart rate a sang chho zel.

Mahse, i mut laiin i thisen sugar a tlahniam a nih chuan i harh a, a natna lan chhuah dan i hriat theih nan hun rei tak a la ngai thei. Hei hi a hlauhawm thei a, hypoglycemia na tak chuan nunna a tichhe thei bawk. Zanah thisen sugar tlahniam chhinchhiahna chu a danglam deuh thei a, chungte chu:

• Mut theih lohna, mut a nuam lo tih hriat.
• Zing i thawh chuan chau leh ngaihtuahna seng lo anga inhriatna.
• Mumang tha lo neih.
• I thawmhnaw emaw, khum emaw i hak chu thawmhnaw avang hian a hnim a ni.

Thisen sugar hniam nia inhriatna tur symptom eng pawh nei ila, i thisen sugar level enfiah a, a hniam zia hriat a pawimawh. Hei hian enkawl dan tur i rel thei ang. Hypoglycemia enkawl nan chuan fast-acting carbohydrates ei tur a ni a, chu chu sugar (banana emaw apple juice ang chi) a ni.

Zanah thisen thlum i neih tlem fo chuan doctor nen pawh sawipui ngei ang che. In pahnih hian in diabetes management plan chu a lo thleng leh tawh loh nan in siamrem thei a ni.

Engtikah nge Doctor ka hmuh ang?

Zing lamah thisen sugar level sang tak i tawk fo a nih chuan i zunthlum enkawlna kawnga puitu doctor nen inbiakna neih a pawimawh hle. I thisen sugar level a test thei a, Somogyi effect hi a chhan a nih leh nih loh a hre thei a, thil dang a awm em tih a hre thei a, i tana tha tur treatment plan a rawt thei bawk.

Zing lama thisen sugar sang neih hi a tithinur thei tak zet a, a nuam lo thei bawk. Hei hi one-size-fits-all solution a awm lo. Chuvângin, i tâna solution dik tak zawn nân hun engemaw chen a la ngai mai thei. I doctor chuan i tih tur tha ber tur thutlukna siam turin a pui thei che a ni. An tanpuina dil hlau suh. Tuna hma i lak hian hun rei lote leh hun rei tak chhunga harsatna i tawh loh nan a pui thei che a ni.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi tawh Somogyi effect kha i hrethiam tawh zawk. Hei chauh hi zing lama sugar a pun chhan a ni lo tih hre reng ang che. Mahse, fimkhur a pawimawh hle.

• A pawimawh ber chu, zingkar a thisen sugar sang tak i neih reng chuan ngaihthah suh. I doctor nen inbia ngei ang che.
• CGM (Continuous Glucose Monitoring) i hman chuan i doctor puihna zawng la, data dik taka zirchian rawh.
• Zanah thisen sugar hniam (hypoglycemia) hi a hlauhawm hle. Heng symptoms te hi i neih chuan i doctor hnenah pawh hrilh bawk ang che.
• I ei leh in, exercise leh damdawi hman dan tur chu i doctor nen sawiho la, i tana tha ber tur angin siamrem rawh.

Zunthlum vei nun hi thil harsa tak a ni a, mahse a enkawl dan dik tak chuan nun hrisel tak i hmang thei a ni. Hlau suh, a tha em?

` Somogyi effect, zunthlum, zing lama sugar spike, hypoglycemia, hyperglycemia, insulin te a awm bawk