Zing lamah thisen sugar sang tak i nei bawk em? Hei hi ‘Dawn Phenomenon’ vang pawh a ni thei!

Zunthlum i vei a nih chuan zing i thawh chuan i thisen sugar level a sang nghal tih i hmu ngai em? Zanah i damdawi ei a, i ei leh in i thunun chung pawhin engvangin nge hetiang hi a awm tih i ngaihtuah mai thei. Ngaihtuah buai suh, hei hi a chhan pakhat chu vawiin a kan sawi ‘Dawn Phenomenon’ hi a ni thei. Eng nge a nih, engvangin nge a lo awm tih leh pumpelh dan tur i lo en ang u.

Dawn Phenomenon chu eng nge ni, he zingkar hmaa thisen sugar tihpun hi?

A awlsam zawngin sawi ila, ‘Dawn Phenomenon’ hi kan taksa atanga hormone thenkhat siam chhuah avanga thisen sugar level tihpunna pianphung a ni. Hei hian zunthlum vei te chauh a nghawng a ni. Hei hi zunthlum vei i neih chhan ber a ni a, zing lamah thisen sugar sang (hyperglycemia) i neih chhan ber a ni.

Mahse, hei chauh hi zing lama thisen sugar level sang chhan a ni lo tih hre reng ang che. A chhan dang engemaw zat a awm thei bawk:

• Damdawi tlem: A chang chuan zan lama damdawi ei zat hi zing lamah a tawk lo thei a, a nghawng pawh a bo thei bawk.
• Damdawi leh ei tur inmil lo: Zanriah ei ruala damdawi ei tur zat leh hun dik tak chhut loh.
• Somogyi effect: Hei hi a kalh deuh deuh a ni. A châng chuan, zan lama insulin chhuak zat a pung a, chu chuan thisen sugar chu nasa takin a tlahniam nghal a ni. Chumi hnuah taksa chuan a chhanna atan hormone a tichhuak a, chu chuan thisen sugar a tisang leh ta a ni. Hei hi ‘Somogyi effect’ an ti a.

Hei hi engtiang chiahin nge a hluar?

Dawn Phenomenon hi a takah chuan zunthlum vei zingah chuan a awm fo thin. Research atanga a lan dan chuan Type 1 emaw Type 2 diabetes vei zinga 50% aia tam a vei a ni . Hei hian nangmah chauh i ni lo tihna a ni.

Hei hi eng symptoms nge ni?

‘Dawn Phenomenon’ chhinchhiahna ber chu zingkar hmaa thisen sugar level sang hi a ni. Hei hi zing i tho a, i glucometer i check hian i hmu thei a, CGM (Continuous Glucose Monitoring) device i hman chuan i hmu thei bawk. Vawi tam tak chu ‘Dawn Phenomenon’ hian zing lamah ni engemaw zat a zawnin thisen sugar level sang tak pattern a siam thin.

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

• Tuihal lutuk tih hriatna (polydipsia).
• riltam zawka inhriatna.
• Zun chhuah fo thin.
• Lu na.
• Thinrimna, thinrimna.
• Mit hmuh a fiah lo.

Ngaihtuah teh, mi pakhat Malani tih hming pu, zunthlum vei a awm a. Zing tin a thisen sugar a check thin. Ni thum emaw ni li emaw a zawnin a thisen sugar chu zing lamah 200mg/dL aia tam a ni. Zanah pawh a ei tur a control a, a damdawi pawh a hun takah a ei thin. A lungawi lo hle niin a hria. Zing a thawh chuan a chau deuh niin a hria a, a tuihal hle bawk. Hetiang thil hi i chungah a thleng tawh em? Tichuan ‘Dawn Phenomenon’ a ni mai thei.

Engvangin nge hetiang hi a lo awm?

Hei hi scientific fact deuh a ni a, mahse a awlsam zawngin ka sawi ang. Zing hma takah – chu chu zing dar 3 leh dar 8 inkar a ni – kan taksa hian hormone hrang hrang a tichhuak thin. A bulpui ber chu cortisol leh growth hormone te an ni . Heng hormone te hian kan liver chu glucose tam zawk siam turin signal a pe a, chu chu sugar a ni. He glucose hian zingkar min tiharh a, ni tan theihna tur chakna min pe bawk. Glucose tam zawk siam chhuah a nih chuan kan thisen sugar level a sang chho thin.

Tunah chuan zunthlum i neih loh chuan i pancreas hian hei hi a chhang tha hle a, i thisen sugar control theihna tur insulin a siam chhuak tling ta a ni. Mahse zunthlum i neih chuan i pancreas hian insulin a siam lo tak tak emaw, a siam zat hi thisen sugar sang control nan a tawk lo emaw a ni. A chang chuan , insulin resistance , chu chu i taksa cell te hian insulin an dawng tha lo tihna a ni bawk.

A dik tak chuan taksain zing thawh chhuah a inbuatsaih lai hian taksaa he natural ‘alarm system’ hian thisen sugar a tisang a ni. Hei hi zunthlum vei lo taksaah control a nih laiin, zunthlum vei taksain a ti tha thei lo.

Engtin nge hei hi i hriat chian tak?

Zing lama thisen sugar sang chhan hi ‘Dawn Phenomenon’ a ni em tih dik taka hriat theih dan tha ber chu CGM (Continuous Glucose Monitoring) hman hi a ni.

CGM hi nitin darkar 24 chhung i thisen glucose level enfiahna atana i bun thin a ni. A dik tak chuan he CGM device hian minute engemaw zat danah i thisen sugar level a teh a, chu data chu hmangin graph a siam thin. Hei hian hun kal zelah i thisen sugar level a inthlak dan kimchang takin a pe che a ni.

CGM hman thatna chu, i mut hma leh zingkar i thawh hnua i kut zungtang atanga thisen lak a, glucometer hmanga i thisen sugar enfiah ai chuan, zan lamah i thisen sugar a tlahniam nghal (hypoglycemia) tih chiang takin i hre thei a ni. Chutiang a nih chuan ‘Dawn Phenomenon’ i tawng lo tihna a ni a, a hmaa kan sawi tawh ‘Somogyi effect’ kha i tawng tihna a ni.

CGM i hmang lo a nih pawhin doctor-te chuan ni engemaw zat chhungin i thisen sugar chhiar dan pattern an en thei a, ‘Dawn Phenomenon’ hi an ringhlel thei a ni. Chuvangin i thisen sugar chhiar dan record vawn reng a pawimawh hle.

Hei hi eng enkawl dan nge ni ang?

‘Dawn Phenomenon’ enkawlna tha ber chu insulin pump hmanga insulin pek chhuah hi a ni. Zunthlum damdawi ei hian ‘Dawn Phenomenon’ hi a pui vak lo tlangpui. Tin, hun rei tak chhunga insulin injection hian hei hi nghawng lian tak a neih a rinawm loh bawk.

I doctor chuan i basal insulin rates a siamrem thei a, i insulin pump chuan zing lamah insulin tlem tal chu automatic in a rawn pe thei bawk. Hei hian zing lama i thisen sugar level a san loh nan a pui thei a ni.

Mahse, insulin pump i hman loh chuan, emaw, insulin i ei lo tak tak a nih chuan, ‘zing phenomenon’ avanga zing thisen sugar spike control theihna tur damdawi tha ber ber leh nunphung thlak danglamna tur zawng turin nang leh i doctor hian trial and error engemaw zat in tih a ngai mai thei. Entirnan, i doctor chuan tlai lama i exercise tihpun tur leh i zanriah ei tur a protein awm zat chu carbohydrates tamna nena khaikhin chuan tihpun turin a fuih thei che a ni.

Hei hi a veng thei lo em ni?

‘Dawn Phenomenon’ hi taksaa thil thleng (natural process) atanga lo chhuak a nih avangin, a pumpelh vek theihna tur engmah a awm tak tak lo.

Mahse, insulin pump i hman chuan i doctor thupek angin i basal insulin rates i siamrem thei a, nakin lawkah ‘dawn phenomenon’ avanga thisen sugar spike tur chu eng emaw chen i control thei bawk.

Hei hian eng side effect nge a neih theih?

Zing lama thisen sugar sang enkawl loh avanga ‘dawn phenomenon’ avanga side effect ber chu i A1C tihpun hi a ni. A1C test hian thla thum kalta chhunga i thisen glucose (sugar) level average a tarlang a.

I A1C level a san chuan zunthlum kaihhnawih harsatna i neih theihna a sang zawk. He risk hi a sang hle a, kum tam tak chhung i A1C level a sang reng chuan. Diabetes complications te chu:

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

Research atanga a lan dan chuan zunthlum vei te hian an A1C level chu 7% hnuai lam an vawng reng thei a nih chuan zunthlum kaihhnawih harsatna an neih theihna chu an ti tlem thei a ni.

‘Dawn Phenomenon’ hi a tlangpuiin harsatna awm reng a ni a, chu chu enkawl loh chuan nitin darkar engemaw zat thisen sugar level a sang thei tihna a ni. Hei hian hun kal zelah zunthlum natna vei theihna a tipung a ni.

Engtikah nge Doctor ka hmuh ang?

Zing lamah thisen sugar level sang tak i neih fo chuan i zunthlum enkawlna kawnga puitu doctor nen inbiakna neih a pawimawh hle. I thisen sugar level a enfiah thei a, hei hi Dawn Phenomenon vang a ni em tih a hre thei a, i tan enkawlna tur dik tak a rawn rawt thei bawk.

Zing lama thisen sugar level sang chho zel, ‘dawn phenomenon’ tawn hi a lungchhiatthlak tak zet a, a ti lungngai thei tak zet a ni. Mahse, i sualna a ni lo tih hre reng ang che. Zing lama i sugar spike enkawl dan tur chu one-size-fits-all approach a awm lo. Chuvângin, i tâna enkawlna dik tak hmuh nân hun engemaw chen a la ngai thei a ni. I doctor chuan ruahmanna tha ber siam turin a pui thei che a ni. Chuvangin tanpuina dil hreh suh. Tuna hma i lak hian hun rei tak chhunga nghawng tha lo i neih loh nan a pui thei che a ni.

Hriat reng tur pawimawh ber chu

Okay, chuvangin tunah chuan kan sawi tawh ‘Dawn Phenomenon’ kha in hriatthiam ka beisei. Zunthlum vei i khawsa a nih chuan zing lama thisen thlum a san dan hi fimkhur hle ang che tih hre reng ang che.

Hei hi i sualna a ni lo va, hei hi chinfel dan tur a awm bawk.

• Hemi chungchang hi i doctor nen inhawng takin sawi rawh.
• I thisen sugar level, ei leh in leh damdawi te dik takin ziak rawh.
• CGM i hman theih chuan a data pek hi a hlu hle.
• Insulin pump chungchang hi doctor nen sawiho la, hei hi solution tha tak a ni thei.
• Hlauthawng suh, beidawng suh, i doctor nen thawk ho la, i tana solution tha ber zawng rawh.

Zunthlum vei hian nun hrisel leh hlim takin i nung thei tih hre reng ang che. Awareness, care, leh doctor thurawn zawm mai a ngai a ni. Ni ropui tak hmang rawh!

` Dawn Phenomenon, zunthlum, zing thisen sugar sang, hyperglycemia, Somogyi effect, insulin pump, A1C