Zing lamah thisen sugar sang tak i nei bawk em? Hei hi Somogyi Effect vang a ni thei ang em?

Diabetic i chungah hetiang thil hi i tawk tawh em? Zanah damdawi i ei tawh a, i thisen sugar level pawh control tha tak ni mahse, zingkar i harh a, i glucometer i check chuan i thisen sugar a sang hle. "Aw, zanah insulin ka ei tlem em tih ka hre lo," tih i ngaihtuah mai thei. Mahse hei hi a chhan chu i ngaihtuah aiin thil danglam tak a ni thei. Vawiin hian hetiang hun lai hian rinhlelh theih, mahse hriat lar vak lo dinhmun kan sawi dawn a ni. Chu chu 'Somogyi effect' a ni.

Somogyi Effect chu eng nge ni?

A awlsam zawngin, Somogyi Effect chu zanlai pelh hnua i mut laiin i thisen sugar level a tlahniam lutuk (hypoglycemia) a, chu chuan i taksain hormone a chhuah tir a, chu chuan zing i thawh chuan i thisen sugar level a tisang lutuk (hyperglycemia) a ni. Rubber band i thlah chuan kawng khatah a snap leh thin ang mai a ni. Hei hi "rebound hyperglycemia" an ti \hin.

Hei hi kum 1930 chho khan doctor pakhat Michael Somogyi chuan a hmuchhuak hmasa ber a, hei vang hian he natna hi a hming chawia sak a ni.

Mahse hetah hian hriatthiam tur pawimawh tak a awm. Scientist te chuan Somogyi Effect hi 100% proven ah an la ngai lo a, ‘theory’ a ni. Chumi awmzia chu a thleng thei tih scientific evidence awm mah se, mi zawng zawngin an pawm vek lo tihna a ni. Tun hma chuan doctor-te chuan hei hi zing lama thisen sugar sang chhan ber niin an ngai a, mahse technology thar, a bik takin continuous glucose monitoring (CGM) lo chhuahna chuan he ngaihdan hi zawhna a siam ta a ni.

Mahse, zing lama thisen sugar sang chhan tam tak zinga pakhat a nih avangin hei hi hriat a pawimawh hle.

Zing lama thisen sugar sang chhan dang engte nge ni?

Somogyi effect chauh kut zungtang kan entir hmain zing lama thisen sugar sang chhan tlangpui dang engemaw zat a awm bawk.

• Damdawi ei tlem: Zanah i zunthlum damdawi emaw insulin emaw i ei tlem lutuk chuan zing lamah a thatna a hloh thei a, thisen sugar a tisang thei bawk.
• Dawn Phenomenon: Hei hi zing lama thisen sugar sang chhan ber a ni. Hei hi chipchiar deuhin han thlir ila.
• Zanriah leh damdawi ei zat inmil lo: Zanriah ei laia carbohydrates ei zat nena inmil tura insulin dose chhut a nih loh chuan zing lamah thisen sugar level a sang thei.
• Insulin Resistance: Taksa cell-te’n insulin an chhân lêt ṭhat lohna dinhmun a ni.

Somogyi Effect leh Dawn Phenomenon hi eng nge an danglamna?

Heng pahnih hian zing lamah thisen sugar a tisang a, mahse an pahnih hian danglamna lian tak a nei a ni. Zunthlum vei i nih angin he danglamna hi hriatthiamna hi i tan a \angkai hle ang.

Dawn Phenomenon hi kan taksain zing hma (zing dar 3-4 vel) atanga hormone thenkhat (cortisol leh growth hormone ang chi) a pianphung atanga a chhuah thin hi a ni. Heng hormone te hian thisen sugar level a tisang a. Hei hi zunthlum vei lo tan pawh a dik a, mahse an taksain insulin a siam chhuak a, a control bawk. Zunthlum vei te hian hetiang hi an tih theih loh avangin zing lamah thisen sugar level sang tak an nei thin.

Mahse Somogyi Effect erawh a danglam thung. Zanlai pelh hnua thisen sugar tlahniam (hypoglycemia) avanga lo awm a ni. Dawn Phenomenon-ah chuan zanah thisen sugar tlahniam a awm lo.

An pahnih inthlauhna bulpui te han thlir ila.

Somogyi effect hi eng symptoms nge ni?

Chumi chhinchhiahna ber chu zing i thawh chuan thisen sugar level sang hi a ni. Mahse, zan lamah thisen sugar tlahniam chhinchhiahna i nei thei bawk.

Zing lama thisen sugar sang (Hyperglycemia) natna lan chhuah dan .

• Tuihalna a pung: Eng ang pawhin tui i in pawhin tui i hmu tlem hle ang tih hriat.
• Zun tam: A tlangpui aia tam zun a ngai.
• Riltam a pung: Zing lamah a tlangpui aia riltam zawka inhriat.
• Lu na: Zingkar thawh veleh lu na.
• Thinrim: Thil tenau avanga thinrim.

Zan lama thisen sugar tlahniam (Nocturnal Hypoglycemia) natna lan chhuah dan .

I mut avangin heng symptoms te hi i hre lo mai thei.

• Mut laia thawk hah: Thawmhnaw hah lutuk, sheet leh pajama a hnim.
• Mumang tha lo: Mut atanga harh chhuah, mumang hlauhawm tak a neih hnua harh chhuah.
• Mut hahdam lo: Tossing leh turn, muhil hahdam lo.
• Zingkar i harh huna chau tih hriat: Zing lama chau leh groggy tih hriatna, mut that hnuah pawh.

Zanah hetiang symptoms i neih a, zing lama i thisen sugar a san chuan Somogyi effect hi i ringhlel mai thei.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Ngaihtuah teh, zanah insulin injection i ei emaw, zanriah ei hmain exercise i la emaw a ni. Hemi avang hian zanlai pelh hnuah i mut laiin, i hriat loh pawhin i thisen sugar level chu hlauhawm takin a tlahniam (`hypoglycemia`).

Hetih lai hian i taksa chuan, "Aw, thil tha lo tak a thleng dawn!" Chuvangin taksa chuan emergency action a la a, "chhanchhuah" che a ni. Chu chu thisenah hormone engemaw zat a chhuah nghal a, chu chu emergency-ah a thawk chhuak thin tihna a ni.

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

Heng hormone te hi an inzawm khawm chuan i liver ah signal an thawn a, "I thisenah sugar chu rang takin chhuah tir rawh!" Chumi hnuah chuan liver chuan chutah chuan glucose tam tak, chuta dahkhawm chu i thisenah a chhuah nghal a.

Zunthlum vei lo chunga hetiang thil a thlen chuan an taksain insulin a siam chhuak a, chu chuan sugar level sang chu a control a ni. Mahse, zunthlum vei i taksain chutiang chu a tih theih loh avangin, sugar level sang chu a sang zel mai a, zing i thawh chuan sugar level sang (hyperglycemia) i hmu thin Chutiang chu a ni, a awlsam zawngin.

Engtin chiah nge he dinhmun hi i hmuh?

Zing lama thisen sugar sang chhan tam tak a awm avangin hei hi Somogyi effect a ni em tih hriat a harsa deuh thei. Tin, kan sawi tawh ang khan hei hi thil awmze nei lutuk anga ngaih a nih tawh loh avangin doctor tan pawh "diagnose" chu thil harsa tak a ni thei bawk.

A tha ber chu, zingah thisen sugar sang i neih chhunzawm zel chuan, chumi chungchang chu i zunthlum doctor nen inbiakna neihpui hi a ni. I thisen sugar level a inthlak dan enin a chhan hriat a tum ang.

Chutianga tih theih dan tha ber chu Continuous Glucose Monitoring (CGM) device hman hi a ni. Hei hian zankhuain i thisen sugar level a inthlak dan graph chiang tak a hmu thei a ni.

CGM i hmang lo a nih chuan i doctor chuan hetiang thil hi ti turin a hrilh thei che a ni:

Ni engemaw zat hetianga tih a, i doctor hnena a chhiar dan entir hian zan lama thil thlengte chu a hre chiang thei ang. Zanlai pelh hnuah i thisen sugar a hniam a, zing lamah a sang a nih chuan Somogyi effect a ni thei.

Hei hi eng solution nge tih theih ang?

A chhan i hriat chian hnuah chuan nang leh i doctor hian a chinfel dan tur zawng turin in thawk ho tur a ni. Mi zawng zawng hi kan danglam vek a, chuvang chuan one-size-fits-all solution a awm lo. I tâna ṭha ber tûr zawn nân hun engemaw chen a ngai mai thei.

I doctor chuan heng ang solution hi a rawn rawt thei ang:

• Insulin emaw damdawi ei tur thlak danglam: Zanah insulin dose tlem tal tihtlem turin an ti mai thei che.
• Zanriah ei tur thlak danglam: Zanriah ei tur carbohydrates, protein, thau i ei zat thlak danglam turin an fuih mai thei. Mut hmain chawhmeh tlemte ei turin an fuih thei bawk.
• Insulin Pump-a inthlak: A theih chuan insulin pump hian insulin dose dik zawkin a control thei a ni.
• I workout hun thlak danglam: Zanlai emaw, zan emawa exercise i tih chuan i workout hun leh intensity thlak danglam i duh mai thei.

Hei hi ngaihthah a nih chuan eng harsatna nge thleng thei?

Somogyi effect hi a thleng tak tak emaw, a thleng tak tak lo emaw pawh ni se, he dinhmun hian zunthlum vei te hian kan hriat tur thupui pahnih a siam a ni:

1. Thisen sugar level sang zel.

2. Zanah thisen sugar level hniam theihna a awm.

1. Thisen sugar level sang zel

Zing tin darkar engemaw zat thisen sugar level sang neih hi i zunthlum enkawlna zawng zawng atan a tha lo. I `A1C` value a tisang thei. `A1C` hi thla thum kalta chhunga i thisen sugar level averages hriat theihna test a ni. Hun rei tak chhunga `A1C` value sang chuan zunthlum avanga harsatna i neih theihna a tipung a ni.

• Mit tichhe thei (Retinopathy) .
• Kal chhiatna (Nephropathy) .
• Neuropathy (nerve tichhe thei) .
• Lung natna

2. Zanah thisen sugar level hniam theihna a awm

Mi tam tak chuan an thisen sugar 70 mg/dL aia hniam a nih chuan hypoglycemia symptoms an nei thin. An nghing thei a, an riltam a, an thawk hah thei bawk. Mahse i mut laiin hetiang hi a thleng a nih chuan a natna lan chhuah dan hriat a, kaihthawh che a tlai tawh mai thei. Hypoglycemia na tak hian nunna a tichhe thei a ni.

Zanah thisen sugar tlakhniam i tawk fo a nih chuan, chu chu i doctor hnenah sawipui ngei ang che. I enkawlna tur ruahmanna chu a ven theih nan tihdanglam a ngai mai thei.

Engtikah nge doctor i hmuh ngei ang?

Zing i thawh hian thisen sugar sang tak i neih fo chuan ngaihthah suh. Diabetes doctor hnenah hrilh a pawimawh. I chhiar dante chu a en thei a, a chhan chu Somogyi effect emaw, Dawn phenomenon emaw, thil dang emaw a nih leh nih loh a hre thei a, i tan enkawlna tha ber a pe thei che a ni.

Zing lama thisen sugar sang neih hi a lungchhiatthlak tak zet a ni. Mahse, mi zawng zawng tan solution pakhat chauh a awm loh avangin, i tana solution dik tak zawn nan hun engemaw chen a ngai mai thei. Dawhthei takin doctor nen thawk ho rawh. Tuna hma lak hian hun rei lote leh hun rei tak chhunga harsatna i tawh loh nan kawng thui tak a zawh thei a ni.