Usiku wa hypoglycemia ndi nthawi ya shuga wotsika kwambiri usiku; izi ndizofala ndipo zimakhudza pafupifupi munthu aliyense yemwe ali ndi matenda a shuga a mtundu wa 1 komanso ochepa omwe ali ndi matenda a shuga a mtundu wa 2.
Kugona Kwambiri Kumakhudza Katundu wa Shuga
Kuti muzimvetsetsa ubongo wa usiku, ndikofunikira kudziwa momwe kugona kumakhudzira kupanga shuga. Kawirikawiri thupi limapanga mahomoni awiri - glucagon ndi epinephrine - zomwe zimamenyana ndi magawo otsika a shuga.
Komabe, kupanga glucagon kumakhala kuchepa usiku. Kuwonjezera apo, mtundu wa shuga wa mtundu wa 1 umapangitsa kuti glucagon isapangidwe, zomwe zimapweteka kwambiri ndi gawo lililonse la hypoglycemia.
Zinthu zina, kuphatikizapo nthawi yayitali pakati pa chakudya ndi kuchuluka kwa mphamvu ya insulini , zimathandizanso kuti hypoglycemia ikagonere.
Zizindikiro
Ngakhale kuti chizindikiro choyambirira cha hypoglycemia chimaphatikizapo kutukuta, mtima kuthamanga, kugwedezeka, njala ndi nkhawa, usiku umakhala ndi vuto lachisawawa, ngati zizindikiro za izi zimachitika sizingakhale zowoneka pogona.
Yang'anirani kutuluka kwa usiku , khalidwe labwino la kugona, kupweteka mutu kapena kutopa kwakumveka, ndi kupitirira magazi ambiri m'magazi m'mawa, chomwe ndi "chiwonongeko" m'zigawo za shuga zamagazi zotchedwa Somogyi effect .
Ngati munthu samadzutsa pa nthawi ya usiku, shuga yamagazi imakhala yosasamalidwa ndipo imatha kupita ku chinyengo chotchedwa hypoglycemia, chomwe chimakhala ndi kugona ndi kusokonezeka ndi zizindikiro zomwe zimangokhala zowonongeka pogona.
Usiku wa hypoglycemia sungadziŵike mpaka magulu a shuga a magazi ali otsika kwambiri, mwinamwake otsika mokwanira kuti awonongeke.
Kupewa
Pofuna kupewa kapena kupewa kutentha kwa mimba usiku, ndibwino kukhalabe madzulo masana ndi madzulo a chakudya, ntchito, ndi insulini dosing.
Kuganizira Kwambiri za Insulin Dosing
Nthawi komanso kuchepetsa nthawi ya insulin yogwira ntchito nthawi yamadzulo ndizofunika kwambiri kuti muteteze matenda a hypoglycemia usiku. Kuteteza thupi kwa nthawi yayitali kumagwira ntchito pakati pa maola anayi ndi asanu ndi atatu pambuyo pa jekeseni. Pomwe chakudya chamadzulo chimachitika nthawi yayitali, chiwerengero cha insulini chimayambira nthawi yogona. Mwa kusintha nthawi ya mlingo wa insulin wautali nthawi yayitali, imayambitsa mazira a hypoglycemic pafupi ndi maola akukwera, pamene zizindikiro za hypoglycemia zimadziwika mosavuta ndi kuchiritsidwa.
Ndikofunika kwambiri kupewa kupeŵa kutaya insulini wambiri - makamaka kuchitapo kanthu kwa nthawi yayitali - kupewa matenda a hypoglycemia usiku. Mwachitsanzo, ngati madzulo a shuga m'magazi amatha kudya chakudya chambiri, munthu akhoza kuyesedwa kuti apereke mlingo wochulukirapo kusiyana ndi mlingo wa insulin wanthaŵi yayitali komanso yogwira ntchito kuti athe kuchiza matenda a hyperglycemia. Ngakhale kuti izi zingagwire bwino masana, kusintha kwa mahomoni kumasulidwa usiku, ndi kugwiritsira ntchito glucagon yapamtunda pogona, kumapereka shuga wambiri kusiyana ndi kuyembekezera mwazi poyerekeza ndi mlingo wa insulini, zomwe zimayambitsa hypoglycemia.
Kudya zakudya zowonongeka za zakudya zowonjezera - monga zipatso zouma, granola kapena oatmeal - zingathandize kuchepetsa kupweteka kwa m'mimba usiku pogwiritsa ntchito shuga yowonjezereka kuti izitsatira ndondomeko ya insulini yaitali.
Kudya ndi Kugwiritsa Ntchito Malangizo
Hypoglycemia ikhoza kuchitika ngati anthu amayembekezera nthawi yayitali pakati pa chakudya kapena kuchita masewera olimbitsa thupi popanda kudya. Mankhwala ayenera kutengedwa kuti adye chotupitsa pakati pa chakudya pakufunika. Komanso, nthawi yochita masewera olimbitsa thupi ndi kudya ndi zofunika.
Kuchita masewera olimbitsa thupi kungayambitse m'magologalamu a glycogen, omwe amachititsa kuti magazi a m'magazi amachepetse pafupi maola anayi kapena asanu ndi atatu. Choncho, masewera a masana kapena madzulo amachititsa kuti usiku uzikhala wodwala matenda a hypoglycemia. Kudya pang'onopang'ono chakudya chokhazikika - monga zipatso zouma, mtedza, kapena granola - pambuyo pochita masewera olimbitsa thupi kungathandize kuthana ndi mtundu umenewu wa hypoglycemia.
Zotsatira:
"Nocturnal Hypoglycemia - Usiku Usiku Hypo." Diabetes.co.uk