“Dawn phenomenon” of diabetic patients

diabetes The patient's

Why do diabetic patients have severe hypoglycemia during the night? To understand this reason, you first need to learn to identify the “dawn phenomenon” and “somoki reaction.” Dawn phenomenon – Diabetes patients with blood sugar control at night can be stable and stable, that is, without hypoglycemia, at dawn (3 to 9 o’clock in the morning) due to imbalance between various hormones caused by early morning hyperglycemia. The Somoki reaction is also known as rebounding hyperglycemia, which means that there was hypoglycemia before dawn, but the symptoms were mild, transient and undetected, followed by rebound hyperglycemia after hypoglycemia. Therefore, it is difficult to tell whether the fasting blood glucose in the morning is a dawn phenomenon or a Somoki reaction. If you do not identify it, increase the insulin dosage at night, which may lead to severe hypoglycemia at night. Question 5: How to identify the dawn phenomenon and the ground-breaking reaction? The easiest way is to add nighttime blood sugar or wear a dynamic monitoring instrument. Question 6: What are the following views on insulin, which are correct and which are wrong? 1. If you hit insulin, you will have dependence. □ 2. As insulin plays more and more, its islet cells will degenerate and disappear. □ 3. Long-term injection of insulin will fail. □ 4. The less the insulin is played, the better the needle is better than the four needles. □ 5. You don’t have to control your diet when you get insulin. □ The correct answer is ××××× Specifically, first of all, insulin is not “addictive”. Research on type 2 diabetes in the country shows that there are many patients with newly diagnosed diabetes in the outpatient clinic. Ultimately, it does not depend on any drugs. This shows that patients with early-onset diabetes can control their blood sugar even after relying on insulin after a scientific education, exercise, and lifestyle education. Secondly, the use of exogenous insulin helps the islet cells to reduce the burden and does not cause islet cell degradation, but instead allows their islet cells to nourish. Third, regarding the dose of insulin, it is necessary to control the blood sugar within the normal range as the standard, and the top is not capped. This dose is not only related to body weight, islet function, but also directly related to changes in the body’s internal and external environment. We can reduce insulin dosage through lifestyle management, weight loss, and elimination of insulin resistance. Fourth, insulin is divided into long-acting, medium-effect, and short-acting. It cannot be said that it takes a shot of insulin to worry about it. The use of insulin requires timely detection of blood sugar adjustment. Of course, under the condition that the condition is satisfied, the fewer the number of hits, the better. Finally, the injection of extraneous insulin itself will increase weight, so limiting diet is necessary, otherwise weight gain will lead to increased demand for insulin, and also cause obesity complications. Question 7: Who must use insulin? Question 8: What are the factors that affect the action of insulin? What symptoms remind us that the amount of insulin needs to be adjusted? 1. Exercise helps increase insulin sensitivity. 2. Inflammation will increase blood sugar, so you need to add blood sugar when you have a fever. If necessary, increase the amount of insulin temporarily. 3. Insulin metabolism needs to pass through the kidneys, so if there is a problem with the kidneys, insulin will accumulate in the body and the hypoglycemic effect will increase. If the blood sugar control is not ideal before, and the blood sugar is gradually decreasing, be alert to the occurrence of kidney disease. Question 9: How do you know how much to eat? Director Zhao suggested that you should record your weight every day for a week. If you gain weight after one week, you need to reduce your food intake. This method is simple and flexible. (Edit Song Wei)