Njengomntu onesifo seswekile, mhlawumbi ujonga inqanaba leswekile egazini lakho kwangoko nje ukuba uvuke kusasa. Ukuba ucinga ngako, nokuba ulawule ukutya kwakho kwaye uthathe amayeza akho ebusuku, kufuneka uzive ukhathazekile xa ubona ukuba inqanaba leswekile yakho liphezulu kusasa, akunjalo? "Ndenze yonke into kakuhle, kutheni iswekile yam inyuka kuphela kusasa?" Usenokucinga. Kukho izizathu ezibini eziphambili zoku. Esinye yiDawn Phenomenon, kwaye esinye yiSomogyi Effect. Nangona la magama mabini engaqhelekanga, ungoyiki. Masithethe ngale nto ngokulula.
Ubudlelwane Phakathi kwe-Insulin, iShukela egazini, kunye nokulala
Okokuqala, masibazi abalinganiswa abaphambili kweli bali. Umthombo oyintloko wamandla emzimbeni wethu luhlobo lweswekile ebizwa ngokuba yiglucose. Ifana nepetroli yemoto. Ihomoni enceda ekuthatheni le glucose egazini lethu iye kwiiseli zethu kwaye yenze amandla yi-insulin. Ngamafutshane, i-insulin ifana nesitshixo esivula iingcango zeeseli zethu kwaye sivumele iglucose ingene.
Xa silele, umzimba wethu awudingi mandla angako. Kufana nemoto esandula ukuqalisa. Nangona kunjalo, xa kufika ixesha lokuvuka kusasa, umzimba wethu ulungiselela umsebenzi wosuku. Emva koko umzimba uthumela umyalezo esibindini sethu, uthi, "Kulungile, ngoku lixesha lokuqala ukusebenza, khupha i-glucose engaphezulu egazini." Ngale ndlela, xa i-glucose iqokelelana egazini kusasa, umzimba womntu ophilileyo uvelisa i-insulin engaphezulu ukulawula amanqanaba eswekile.
Nangona kunjalo, emzimbeni womntu onesifo seswekile, le nkqubo ayisebenzi kakuhle. Ekubeni isixa esifunekayo se-insulin singaveliswa, inqanaba leswekile egazini liyanyuka kusasa. Oku sikubiza ngokuba yi-hyperglycemia. Ukuba oku kuyaqhubeka, kunokuba yingozi empilweni.
Yintoni le nto ibangela ukuvela kweDawn?
Ngamafutshane, iDawn Phenomenon yinkqubo yendalo yehomoni ebangela ukuba amanqanaba eswekile egazini anyuke kusasa, ngesiqhelo phakathi kwentsimbi yesi-3 kusasa kunye neyesi-8 kusasa. Oku kwahlukile kuye wonke umntu. Kodwa ukuba unesifo seswekile, umzimba wakho awunayo i-insulin eyaneleyo yokulawula ukunyuka kweswekile, ngoko ke uvuka unamanqanaba aphezulu eswekile egazini. Oku kuqhelekile malunga nesiqingatha sabantu abanesifo seswekile sohlobo loku-1 nohlobo lwesibini.
Esi asisosifo, kodwa yindlela nje yokusabela kwinkqubo yendalo emzimbeni ebangelwa sisifo seswekile. Ngoko ke ungakhathazeki ngaso.
Kodwa ungathetha nogqirha wakho uze wenze izinto ezithile ukulawula oku.
- Kuphephe ukutya ukutya okune-carbohydrate eninzi ngaphambi kokuba ulale.
- Ukutshintsha idosi kunye nexesha lokusebenzisa amayeza akho e-insulin okanye esifo seswekile (umzekelo, ukuwasebenzisa ngaphambi kokulala endaweni yokuwasebenzisa ngokuhlwa).Ungaze wenze olu tshintsho wedwa. Soloko uqhagamshelana nogqirha wakho.
- Ukuba usebenzisa ipompo ye-insulin, tshintsha useto lwayo.
Ngoko ke, yintoni iSomogyi Effect?
Isiphumo seSomogyi siyafana naleyo yenzekayo xa amanqanaba eswekile egazini lakho enyuka kusasa. Kodwa unobangela wahlukile ngokupheleleyo. Kwenzeka kuba uthatha i-insulin eninzi kakhulu ebusuku, uthatha kancinci kakhulu, okanye ungadli nto ebusuku .
Khawucinge nje ngoku. Uthathe i-insulin eninzi kakhulu ebusuku. Emva koko phakathi kobusuku, inqanaba leswekile egazini lakho liyehla kakhulu. Oku sikubiza ngokuba yi-hypoglycemia. Umzimba usabela koku kwehla ngoloyiko. Ukucinga, "Owu, iswekile yam iyehla, kufuneka ndinyuse inqanaba leswekile yam ngokukhawuleza," umzimba ngequbuliso ukhupha iihomoni ezininzi ezisebenza ngokuchasene ne-insulin (umz., i-cortisol, i-growth hormone). Ngenxa yoko, inqanaba leswekile ephantsi liyenyuka ngequbuliso. Oko kukuthi, inqanaba leswekile liyehla kakhulu, lize linyuke kakhulu kwakhona. Oku kubizwa ngokuba yi-'Rebound Hyperglycemia'. Le meko ixhaphake kakhulu kubantu abanesifo seswekile sohlobo 1.
Kodwa uphando olutsha, ingakumbi izifundo ezisebenzisa iiContinuous Glucose Monitors (CGMs) , lufumanise ukuba iSomogyi Effect ayiqhelekanga njengoko bekucingwa ngaphambili. Ezinye iingcali ngoku zikholelwa ukuba iDawn Phenomenon, okanye ukungazinzi kwedosi ye-insulin, isenokuba yimbangela yokunyuka kwamaxesha amaninzi kusasa kunokuba ibe yiSomogyi Effect.
Uyazi njani umahluko phakathi kwezi zimbini?
Zombini ezi meko zibangela iswekile ephezulu egazini ekuseni, kodwa unyango lwahlukile kuba izizathu zahlukile. Ngoko ke ugqirha wakho kuya kufuneka amisele ukuba yeyiphi kwezi zimbini onazo. Ukuze akuncede kuloo nto, ugqirha wakho unokukucela ukuba ujonge amanqanaba eswekile egazini lakho ezinzulwini zobusuku (malunga nentsimbi yesi-2 ukuya kweyesi-3 kusasa) kangangeentsuku ezimbalwa. Ukuba usebenzisa i-CGM, iya kuyifumana ngokuzenzekelayo le datha.
Le theyibhile ingezantsi ichaza ngakumbi umahluko ophambili phakathi kwezi zimbini.
| Uphawu | Isiganeko Sokukhanya Kwelanga | Isiphumo seSomogyi |
|---|---|---|
| Isizathu esiphambili | Inkqubo yendalo yehomoni emzimbeni. | Amanqanaba eswekile ayehla ezinzulwini zobusuku, kulandele ukuphinda-phinda kwamanqanaba eswekile. |
| Amanqanaba eswekile egazini ezinzulwini zobusuku (2-3 kusasa) | Iqhelekile okanye iphezulu. | Iswekile yegazi ephantsi. |
| Indlela yonyango | Ukungasebenzisi iicarbohydrates ngaphambi kokulala, ukutshintsha amayeza/ixesha le-insulin okanye idosi. | Ukunciphisa umthamo we-insulin, ukutya ukutya okulula ngaphambi kokulala. |
Zithini iimpawu zezi meko zombini?
Uphawu oluphambili kukuphakama kwamanqanaba eswekile egazini xa uvuka kusasa. Ukongeza, kuxhomekeke ekubeni amanqanaba eswekile egazini lakho aphezulu kangakanani, unokufumana iimpawu ezifana nezi:
- Ndiziva ndinxaniwe ngaphezu kwesiqhelo
- Ndiziva ndilambile kakhulu kunesiqhelo
- Ukudinga rhoqo ukuchama
- Intloko ebuhlungu
- Ndiziva ndingakhululekanga kwaye ndinomsindo
Nokuba kukho naziphi na ezi mpawu, kungcono ukugcina ingxelo yamanqanaba eswekile yakho uze ubone ugqirha wakho.
Umyalezo Wokuya Ekhaya
- Isizathu sokuba amanqanaba eswekile yakho anyuke ekuseni isenokuba yiDawn Phenomenon, inkqubo yendalo emzimbeni, okanye iSomogyi Effect, ebangelwa kukwehla kwamanqanaba eswekile ezinzulwini zobusuku.
- Eyona ndlela ilungileyo yokwazi ukuba zeziphi kwezi zimbini onazo kukujonga amanqanaba eswekile egazini lakho ezinzulwini zobusuku (2-3 kusasa) kangangeentsuku ezimbalwa, njengoko ugqirha wakho ekucebisile.
- Ungaze utshintshe amayeza akho e-insulin okanye eswekile ngokwakho ngaphandle kwemvume kagqirha wakho. Ukwenza njalo kunokuba yingozi.
- Ukuba amanqanaba eswekile yakho yasekuseni ahlala ephezulu, thetha nogqirha wakho ngayo loo nto. Uza kukunika isisombululo esifanelekileyo.
- Ukubhala phantsi amanqanaba eswekile egazini lakho, ukutya okutyayo, kunye namayeza kuya kunceda ugqirha wakho enze izigqibo ezifanelekileyo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho