Zifukwa Ziwiri Magazi Athu Msuzi Ungakwezeke M'mawa
Mumadzuka m'mawa ndikuyang'ana shuga lanu la magazi musanadye chakudya cham'mawa. Ndipo ndizapamwamba. Pamwamba kuposa nthawi zambiri mumakhala m'mawa. Chikuchitika ndi chiani? Msuzi wamagazi wodalirika wosakanizidwa ukhoza kukhala chifukwa cha zinthu zosiyanasiyana: mwinamwake mudadya makapu ambiri usiku, musanakhale mankhwala ocheperapo kuposa momwe muyenera kuchitira kapena munaiwala kuti mutengepo .
Mwinamwake mukudwala kapena mukupanikizika kwambiri? Kapena mwinamwake sizinthu za zinthu zimenezo, koma nchiyani chomwe chikanakhoza kukhala chikukwera? Ngati mwazindikira mtundu wa shuga wambiri wamagazi m'mawa, ukhoza kukhala chifukwa cha chinachake chomwe chimatchedwa mdima wam'mawa kapena zotsatira za Somogyi. Zochitika zam'bandakucha ndi Somogyi zomwe zimakhudza zonsezi zikhoza kukweza magawo anu a magazi m'magazi m'mawa, koma pazifukwa zosiyanasiyana.
Nchiyani Chimachititsa Chisokonezo cha Somogyi ndi Zowona?
Zonsezi zimakhala zofanana kwambiri komanso zimakhudzana ndi mahomoni omwe amachititsa chiwindi kumasula shuga m'magazi anu pamene mukugona. Kusiyana kwake ndi chifukwa chake mahomoni amasulidwa.
Nthenda ya Somogyi imayambitsidwa chifukwa chokhala ndi insulini wochuluka m'magazi usiku. Izi zikhoza kuchitika kwa anthu omwe amatenga insulini nthawi yaitali , kapena ngati mukuyenera kudya chotupitsa pamaso pa kama kuti musunge mchere wanu wa magazi ndipo simunatero.
Chifukwa pali insulini yochuluka m'magazi komanso osati shuga, imayambitsa shuga kuti ugwe pansi pamene ukugona. Poyankha, thupi lanu limatulutsa mahomoni kuti agonjetse dontho. Izi nthawi zambiri zimatchedwa " hyperglycemia ". Chotsatira? Mumadzuka ndi shuga yapamwamba yamagazi yomwe imachokera kumalo osiyanasiyana.
Chiwongosoledwe cha m'mawa, pambali inayo, sichimayambitsa shuga wotsika kwambiri. Mmalo mwake, chochitika cha m'mawa chimayambitsidwa ndi mahomoni omwe thupi limatulutsa m'mawa kwambiri. Panthawiyi, thupi limapanga kuchepetsa kuchepetsa shuga ndi mahomoni. Popanda insulini yokwanira kuti athetse izi, shuga amagazi imatuluka ndipo imakhala mmawa kwambiri. Malinga ndi bungwe la American Diabetes Association, "aliyense ali ndi chiyambi chakumayambiriro ngati ali ndi matenda a shuga kapena ayi. Anthu omwe ali ndi shuga alibe mayendedwe abwino a insulini kukonzekera ndipo ndi chifukwa chake shuga yawo imatuluka."
Kodi Mungadziwe Bwanji Kusiyanitsa?
- Njira yokhayo yodziwira kuti ndi ndani yemwe angapangitse mapepala a gulcose m'mawa wanu kukwera nthawi ya pakati pa 2 ndi 3 koloko mausiku angapo mumzere, ndipo fufuzani shuga lanu la magazi. Ngati muli otsika panthawi imeneyo, zikhoza kukhala zotsatira za Somogyi. Ngati ndinu wachizolowezi kapena wamtundu, ndiye kuti chiwongosoledwe cha mdima chikhoza kukhala chokhumudwitsa. Zingakhale zosavuta, koma zingakuthandizeni kuthetsa vutoli ngati mwakhala mukuvutika kuti mukhale ndi nthawi yopuma magazi.
- Njira ina mwina kuti muwone ngati mukuyenera kuyang'anitsitsa kayendedwe ka shuga . Pulogalamu yowonongeka ya glucose (CGM) ndi chipangizo chaching'ono chomwe chimayesa nthawi yeniyeni shuga tsiku ndi tsiku. Ikhoza kukuthandizani kuti muzindikire shuga yapamwamba komanso yotsika kwambiri. Kukhala ndi chipangizochi kungatanthauze kuti simudzatha kudzuka usiku, koma makampani a inshuwalansi ali ndi zifukwa zenizeni zowunikira zomwe sizikutanthauza kuti aliyense sadzaphimbidwa.
Zimene Mungachite Kuti Muthane Nthenda ya Somogyi
- Onetsetsani kukhala ndi chotupitsa pamaso pa bedi lomwe liri ndi mapuloteni ambiri kuposa carbs.
- Dokotala wanu adziwe zomwe zikuchitika. Angasinthe mankhwala anu kapena insulini mlingo.
Zimene Mungachite Kuti Muthane ndi Mavuto a Dawn
- Idyani chakudya chamadzulo madzulo - pewani chakudya chamadzulo usiku.
- Kuchita madzulo kungathandize kusunga dzuwa lamagazi m'magulu abwino.
- Kambiranani ndi dokotala - muyenera kusintha nthawi yomwe mumamwa mankhwala kapena mtundu wa mankhwala omwe mumatenga.
Adasinthidwa pa June 29, 2016 ndi Barbie Cervoni MS, RD, CDE
> Chitsime
> Chigwirizano cha ku America cha shuga. Dawn Phenomenon. Ipezeka pa mzere. June 24, 2016: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/dawn-phenomenon.html?referrer=https://www.google.com /