Zunthlum vei i nih angin zing i thawh veleh i thisen sugar level i check nghal mai thei. I ngaihtuah chian chuan i ei leh in i thunun a, zan lamah i damdawi i ei a nih pawhin zing lama i sugar level a sang tih i hmuh hian i lungkham ve ngei tur a ni, a dik em? "Engkim ka ti dik vek a, engvangin nge ka sugar hi zing lamah chauh a pung?" I ngaihtuah mai thei bawk. Hei hi chhan lian tak pahnih a awm a. Pakhat chu Dawn Phenomenon a ni a, pakhat chu Somogyi Effect a ni. Hming pahnih hi mak deuh mah se, hlau suh. Hemi chungchang hi awlsam takin han sawi ila.
Insulin, Thisen Sugar leh Mut Inzawmna
A hmasain he thawnthua mi pawimawh ber berte hi i hre hmasa ang u. Kan taksa chakna bulpui ber chu sugar chi khat, glucose an tih hi a ni. Car tan gasoline ang mai a ni. Kan thisen atanga he glucose hi kan cell-a lak luh a, chakna siam tura puitu hormone chu insulin a ni. A awlsam zawngin insulin hi kan cell kawngkhar hawnsaktu leh glucose luhtirtu chabi ang a ni.
Kan mut lai hian kan taksa hian chakna a mamawh vak lo. Car start thar ang mai a ni. Amaherawhchu, zing thawh hun a lo thlen chuan kan taksa hian nileng hna thawk turin a inbuatsaih a. Tichuan taksa chuan kan liver-ah signal a thawn a, "Okay, tunah hian hna thawh tan hun a ni a, thisenah glucose tlem tal chhuah tir leh rawh," a ti a. Chutiang chuan zing lama thisenah glucose a pungkhawm chuan mi hrisel taksain sugar level control turin insulin a siam tam zawk a ni.
Amaherawhchu, zunthlum vei taksaah chuan he thil kalphung hi a thleng dik lo. Insulin mamawh zat siam chhuah a nih loh avangin zing lamah thisen sugar level a sang chho zel a. Hei hi hyperglycemia kan ti a. Hetianga a kal zel chuan hriselna atan a pawi thei hle.
He Dawn Phenomenon hi eng nge ni?
A awlsam zawngin, Dawn Phenomenon hi natural hormonal process a ni a , zingkar hmasa berah thisen sugar level a tisang a, a tlangpuiin zing dar 3 leh zing dar 8 inkarah a tisang a, hei hi mi zawng zawng tan a danglam vek a ni. Mahse zunthlum i vei chuan i taksain sugar sang chho zel control turin insulin a nei tlem a, chuvangin thisen sugar level sang tak nen i harh chhuak thin. Hei hi Type 1 leh Type 2 diabetes vei zinga a chanve velin a awm fo thin.
Hei hi natna a ni lo va, zunthlum avanga taksaa thil awm dan pangngai (natural process) chhanna mai a ni. Chuvangin ngaihtuah buai suh.
Mahse i doctor nen in inbia a, hei hi control turin thil engemaw zat i ti thei bawk.
- Mut hmain ei tur carbohydrate tamna ei loh tur.
- Insulin emaw zunthlum damdawi ei tur dose leh hun thlak danglam (entir nan, tlai lam ni lovin mut hmaa ei).Heng inthlak danglamna te hi nangmah chauhin siam ngai suh. Doctor rawn hmasa phawt ang che.
- Insulin pump i hman chuan a settings thlak rawh.
Chuti a nih chuan, he Somogyi Effect hi eng nge ni?
Somogyi Effect hi zing lama i thisen sugar level a san chuan a thleng ve tho a ni. Mahse a chhan chu a danglam vek. Zanah insulin i ei tam lutuk vang te, i ei tlem lutuk vang te, zan lama chaw ei loh vang te a ni .
Hei hi han mitthla teh. Zanah insulin i ei tam lutuk tlem a. Tichuan zanlai pelh hnuah i thisen sugar level a tlahniam hle. Hei hi hypoglycemia kan ti a. Taksa hian he drop hi a chhang let a, hlauthawng takin a chhang let thin. "Aw, ka sugar a tlahniam a, ka sugar level tihsan vat a ngai" tih ngaihtuah hian taksain insulin dodaltu hormone tam tak (e.g., cortisol, growth hormone) a tichhuak nghal a. Chuvang chuan sugar level hniam chu a sang nghal vek a ni. Chu chu, sugar level a tlahniam hle a, chutah chuan a sang chho leh ta a ni. Hei hi ‘Rebound Hyperglycemia’ an ti a. Hetiang dinhmun hi Type 1 diabetes vei te zingah a tam zawk.
Mahse zirchianna thar, a bik takin Continuous Glucose Monitors (CGMs) hmanga zirchiannaah chuan Somogyi Effect hi a hmaa ngaihtuah angin a awm lo tih hmuhchhuah a ni. Tunah chuan mithiam thenkhat chuan Somogyi Effect aiin Dawn Phenomenon, a nih loh leh insulin dose instability hi zing lama spike tam tak thlentu a ni thei niin an ngai.
Engtin nge heng pahnih inthlauhna hi i hriat chian theih ang?
Heng natna pahnihte hian zing lamah thisen sugar a tisang a, mahse a chhan a inang lo avangin a enkawl dan a inang lo. Chuvangin i doctor chuan heng pahnih zingah hian eng nge i neih tih a hriat chian a ngai ang. Chutianga pui turin i doctor chuan zanlai (zing dar 2-3 a.m. vel)-ah ni engemaw zat chhung i thisen sugar level enfiah turin a ti thei che a ni. CGM i hman chuan he data hi a hmu nghal mai ang.
A hnuaia table hian an pahnih inthlauhna ber chu a sawifiah belh a ni.
| Mihring ziarang | Dawn Phenomenon tih hi a ni | Somogyi A nghawng dan |
|---|---|---|
| A chhan ber | Taksa chhunga hormone awm dan pangngai (natural hormonal process) a ni. | Zanlai pelh hnuah sugar level a tlahniam a, chumi hnuah sugar level a tlahniam leh bawk. |
| Zanlai (zing dar 2-3) chhunga thisen sugar level . | Normal emaw high emaw a ni thei. | Thisen thlum hniam. |
| Enkawl dan tur | Mut hmaa carbohydrates ei loh, damdawi/insulin timing leh dosage thlak danglam. | Insulin dose tihtlem, mut hmaa snack ei. |
Heng pahnih hi eng symptoms nge ni?
A lan chhuah dan ber chu zing i thawh chuan thisen sugar level sang a ni. Chu bakah, i thisen sugar level a san dan azirin, symptoms te pawh i nei thei bawk:
- A hma aia tuihal zawka inhria
- A hma aia riltam zawka inhria
- Zun chhuah a ngai fo thin
- Lu na
- Hrehawm lo leh thinrim tih hriat
Heng symptoms zawng zawng hi eng pawh ni se, i sugar level record a, doctor pan a tha ber.
Take-Home Thuchah a ni
- Zing lama i sugar level a san chhan chu taksaa thil awm dan pangngai Dawn Phenomenon emaw, zanlai pelh hnua sugar level tlahniam avanga lo awm Somogyi Effect emaw a ni thei.
- Heng pahnih zingah hian eng nge i neih tih chiang taka hriat theih dan tha ber chu i thisen sugar level chu zanlai (zing dar 2-3) ah ni engemaw zat chhung enfiah hi a ni a, i doctor thurawn angin.
- Insulin emaw, zunthlum damdawi emaw chu doctor phalna la hmasa lovin nangmah chauhin thlak ngai suh. Chutianga tih chu thil hlauhawm tak a ni thei.
- Zing lama i sugar level a sang reng a nih chuan i doctor nen sawiho rawh. Ani chuan a solution dik ber a pe ang che.
- I thisen sugar level, ei leh in leh damdawi te diary-a i ziah hian i doctor chu thutlukna dik siam turin a pui ang.
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