Diabetes should be familiar to everyone, which is a chronic, lifelong metabolic disease characterized by elevated blood sugar.
Regardless of the factor that causes the blood sugar to rise, as long as it exceeds the diagnostic criteria for diabetes, it can be clinically diagnosed as diabetes. It is just that because the specific causes of diabetes are different, there are also different types of clinical divisions!
Diabetes is mainly divided into two categories: type 1 and type 2 diabetes, and more than 90 to 95% of the nearly 130 million diabetic patients in the mainland belong to the latter type 2 diabetes.
Since there is no clinical cure for diabetes, after the diagnosis and life adjustment are ineffective, patients can only rely on long-term medication to control blood sugar growth.
Among the patients receiving treatment, some patients have a special "dawn phenomenon". The so-called dawn phenomenon refers to the fact that sugar friends have good blood sugar control at night, smooth and no fluctuations.
In the absence of hypoglycemia, at 3-8 o'clock at dawn by the imbalance of various hormone secretions, resulting in hyperglycemia in the early morning, so clinically call this symptom dawn phenomenon.
In clinical view, the reason why there is a dawn phenomenon occurs is because after midnight, the secretion of growth hormone in the patient's body increases. Growth hormone has the effect of promoting blood sugar height, and the increase in the level of growth hormone in the blood requires more insulin to maintain blood sugar balance.
Normal people's islet β cells will automatically secrete more insulin, so blood sugar remains at normal levels.
However, due to the problems of insulin resistance and impaired islet function in diabetic patients, especially in patients with insulin-dependent (type 1) diabetes mellitus, blood glucose will increase significantly in the early morning. However, people with type 2 diabetes may also experience dawn.
Once the dawn phenomenon occurs, sugar friends should pay attention to the following three things:
1. Adjust the medicinal dose
The most fundamental cause of the dawn phenomenon is the insufficient level of insulin in diabetic patients. The vast majority of diabetics use long-acting insulin at night, so patients can adjust by increasing the dosage of medicine, but patients should consult a doctor in detail before adjusting the dose of medicine.
It is worth noting here that in order to avoid the appearance of hypoglycemia, if the medicinal dose is increased, it needs to be adjusted in the diet;
2. Adjust the medication time
Different types of insulin therapy patients have certain differences in the time and frequency of injection drugs. Some patients are injected twice a day, once at noon and once in the evening.
Such patients can move the time of insulin injections backwards at night and actively check fasting blood glucose levels in the morning. If the patient is injected three times a day, the time for the morning injection of insulin can be advanced;
3. Pay attention to psychological regulation
If the patient has excessive psychological pressure and burden, not only does not have any benefit for immune function, but even affects the sleep state, and affects the patient's endocrine balance, resulting in excessive secretion of epinephrine and glucocorticoids, and the glycemic index is therefore elevated.
Therefore, sugar friends should also pay attention to releasing psychological pressure, maintaining emotional stability and adequate sleep.
All in all, dawn is one of the common symptoms of diabetics, and it is associated with multiple factors.
To avoid the dawn phenomenon, patients should strictly follow the doctor's recommendations, have excellent medication compliance, and regularly check blood glucose.
Once the dawn phenomenon occurs, it is necessary to seek medical consultation in time to see if it is necessary to adjust the dosage and time of medication.