Semunhu ane chirwere cheshuga, ungangotarisa huwandu hweshuga muropa rako paunomuka mangwanani. Kana uchifunga nezvazvo, kunyangwe wakadzora kudya kwako uye watora mishonga yako husiku, unofanirawo kunetseka paunoona kuti huwandu hweshuga yako hwakwira mangwanani, handiti? "Ndakaita zvese nemazvo, sei shuga yangu ichingowedzera mangwanani chete?" Ungafungawo. Pane zvikonzero zviviri zvikuru zveizvi. Chimwe ndicho Dawn Phenomenon, uye chimwe ndicho Somogyi Effect. Kunyangwe mazita maviri aya asinganzwisisike, usatya. Ngatitaurei nezvazvo zviri nyore.
Hukama Huripo Pakati peInsulin, Shuga Muropa, uye Kurara
Kutanga, ngatizivei vatambi vakuru munyaya iyi. Simba guru remuviri wedu imhando yeshuga inonzi glucose. Yakafanana nepeturu yemotokari. Homoni inobatsira kutora glucose iyi kubva muropa redu kuenda mumasero edu uye kugadzira simba iinsulin. Zvichitaurwa zviri nyore, insulin yakafanana nekiyi inovhura masuo emasero edu uye inobvumidza glucose kupinda.
Patinenge takarara, muviri wedu haudi simba rakawanda. Zvakafanana nemota ichangobva kutanga kushanda. Zvisinei, kana yasvika nguva yekumuka mangwanani, muviri wedu unenge uchigadzirira basa rezuva. Ipapo muviri unotumira chiratidzo kuchiropa chedu, uchiti, "Zvakanaka, ikozvino inguva yekutanga kushanda, buritsa glucose yakawanda muropa." Nenzira iyi, kana glucose yaungana muropa mangwanani, muviri wemunhu ane hutano unoburitsa insulin yakawanda kudzora huwandu hweshuga.
Zvisinei, mumuviri wemunhu ane chirwere cheshuga, maitiro aya haaitike nemazvo. Sezvo huwandu hunodiwa hwe insulin husingagadzirwe, huwandu hweshuga muropa hunowedzera mangwanani. Tinoti izvi zvinonzi hyperglycemia. Kana izvi zvikaramba zvichiitika, zvinogona kukuvadza hutano.
Chii ichi chiitiko cheDawn?
Zvichitaurwa zviri nyore, Dawn Phenomenon ihomoni yechisikigo inoita kuti huwandu hweshuga muropa hukwire mangwanani-ngwanani, kazhinji pakati pa3am na8am. Izvi zvakasiyana kune wese munhu. Asi kana uine chirwere cheshuga, muviri wako hauna insulin yakakwana yekudzora huwandu hweshuga muropa, saka unomuka uine huwandu hweshuga muropa hwakakwira. Izvi zvinowanzoitika muinenge hafu yevanhu vane chirwere cheshuga cheType 1 neType 2.
Ichi hachisi chirwere, asi kungori mhinduro kune zvinoitika mumuviri zvinokonzerwa nechirwere cheshuga. Saka usazvidya mwoyo nazvo.
Asi unogona kutaura nachiremba wako woita zvimwe zvinhu kudzora izvi.
- Dzivisa kudya chikafu chine makabhohaidhiretsi akawanda usati warara.
- Kuchinja dose nenguva yemushonga wako we insulin kana chirwere cheshuga (semuenzaniso, kuutora usati warara pane kunwa manheru).Usambofa wakachinja zvinhu izvi wega. Gara uchibvunza chiremba wako.
- Kana ukashandisa pombi ye insulin, chinja marongero ayo.
Saka, chii chinonzi Somogyi Effect?
Mhedzisiro yeSomogyi inoitikawo kana huwandu hweshuga muropa rako hukakwira mangwanani. Asi chikonzero chacho chakasiyana zvachose. Izvi zvinoitika nekuti unotora insulin yakawandisa husiku, unotora shoma, kana kuti unorega kudya husiku .
Fungidzira izvi. Wakatora insulin yakawandisa husiku. Ipapo pakati pehusiku, shuga yako yeropa inodzikira zvakanyanya. Tinoti hypoglycemia. Muviri unonzwa kuderera uku nekutya. Uchifunga kuti, "Oh, shuga yangu iri kudzikira, ndinofanira kuwedzera shuga yangu nekukurumidza," muviri unongoerekana waburitsa mahormone akawanda anoshanda kurwisa insulin (semuenzaniso, cortisol, hormone yekukura). Nekuda kweizvozvo, shuga yakaderera inomuka kamwe kamwe. Kureva kuti, shuga inodzikira zvakanyanya, yozokwira zvakare. Izvi zvinonzi 'Rebound Hyperglycemia'. Chirwere ichi chinowanzoitika kuvanhu vane chirwere cheshuga cheType 1.
Asi tsvakiridzo itsva, kunyanya zvidzidzo zvinoshandisa Continuous Glucose Monitors (CGMs) , yakawana kuti Somogyi Effect haina kuwanda sezvaifungidzirwa kare. Dzimwe nyanzvi ikozvino dzinotenda kuti Dawn Phenomenon, kana kusagadzikana kwemuyero we insulin, inogona kunge iriyo inokonzera kukwira kwakawanda kwemangwanani kwete Somogyi Effect.
Unoziva sei musiyano chaiwo pakati pezviviri izvi?
Matambudziko ese aya anokonzera shuga yeropa yakakwira mangwanani, asi marapirwo acho akasiyana nekuti zvikonzero zvacho zvakasiyana. Saka chiremba wako achafanira kuona kuti ndechipi pazviviri zvaunazvo. Kuti akubatsire, chiremba wako anogona kukukumbira kuti utarise huwandu hweshuga yeropa rako pakati pehusiku (kunenge 2-3 a.m.) kwemazuva mashoma. Kana ukashandisa CGM, ichawana data iri otomatiki.
Tafura iri pazasi inotsanangura musiyano mukuru pakati pezviviri izvi.
| Hunhu | Chiitiko cheMambakwedza | Mhedzisiro yeSomogyi |
|---|---|---|
| Chikonzero chikuru | Maitiro echisikigo emahormone mumuviri. | Huwandu hweshuga hunodzikira pakati pehusiku, zvichiteverwa nekukwira kwehuwandu hweshuga. |
| Kuwanda kweshuga muropa pakati pehusiku (2-3am) | Zvakajairika kana kuti zvakakwirira. | Shuga shoma muropa. |
| Nzira yekurapa | Kusatora makabhohaidhiretsi usati warara, kuchinja mushonga/nguva ye insulin kana dose. | Kuderedza huwandu hwe insulin, kudya chikafu usati warara. |
Ndezvipi zviratidzo zvezvirwere izvi zviviri?
Chiratidzo chikuru mazinga eshuga muropa akakwira paunomuka mangwanani. Pamusoro pezvo, zvichienderana nekuti huwandu hweshuga muropa rako hwakakwira sei, unogona zvakare kusangana nezviratidzo zvakaita se:
- Kunzwa nyota kupfuura nguva dzose
- Kunzwa nzara kupfuura zvakajairika
- Kuda kuita weti kakawanda
- Musoro
- Kunzwa kusagadzikana uye hasha
Pasinei nezviratidzo izvi, zvakanaka kuti unyore huwandu hweshuga yako woona chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Chikonzero chekukwira kweshuga yako mangwanani chingave Dawn Phenomenon, chiitiko chechisikigo mumuviri, kana Somogyi Effect, iyo inokonzerwa nekuderera kwehuwandu hweshuga pakati pehusiku.
- Nzira yakanakisisa yekuziva kuti ndeipi yeiyi miviri yaunayo ndeyekutarisa huwandu hweshuga muropa rako pakati pehusiku (2-3 am) kwemazuva mashoma, sezvakarayirwa nachiremba wako.
- Usambofa wakachinja mishonga yako ye insulin kana chirwere cheshuga wega usina mvumo yachiremba wako. Kuita izvozvo kunogona kuva nengozi.
- Kana huwandu hweshuga yako yemangwanani hwakakwira nguva dzose, taura nachiremba wako nezvazvo. Iye achakupa mhinduro yakakodzera.
- Kunyora pasi huwandu hweshuga muropa rako, chikafu chaunodya, uye mishonga yako zvichabatsira chiremba wako kuita sarudzo dzakakodzera.
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