Diabetes dawn phenomenon, how to deal with the treatment?

You can take some hypoglycemic drugs in advance before going to bed, so that you can control your blood sugar in advance, and the effect is better.

The dawn phenomenon of diabetes mellitus refers to the patient's blood sugar is stable at night and has a significant increase in blood sugar in the early morning. The patient is confused and does not know what is causing the increase in blood sugar. The dawn phenomenon may be related to glycemic hormones.

When people wake up in the morning, they secrete more glycemic hormones, causing blood sugar to rise. In order to prevent the dawn of diabetes, patients can use long-acting insulin and drugs that inhibit liver glucose output, such as metformin, insulin sensitizers, etc., before going to bed, and do not consume high-calorie foods, such as milk, oily foods, etc. The specific medication should be combined with clinical practice, and the doctor's face-to-face guidance shall prevail.

The dawn phenomenon of diabetes mellitus refers to the good control of blood sugar at night and the occurrence of hypoglycemia, but at dawn, there is an increase in blood sugar for a short time, which may be due to the increased secretion of some insulin-antagonistic hormones such as cortisol, growth hormone, and glucagon in the early morning, or the insufficient insulin effect, which is insufficient to inhibit the decomposition and output of liver glycogen induced by glucagon during fasting. It is common in patients who have poor nighttime sleep, are obese, have fatty liver disease, or have sleep apnea syndrome. In layman's terms, it is the phenomenon of diabetes dawn, which is that diabetic patients wake up in the morning when their blood sugar is particularly high.

Growth hormone, glucocorticoids, etc., during this time of dawn, the secretion of these glycemic hormones is gradually increasing, so blood sugar will gradually increase. For healthy people, when blood sugar is mildly elevated, it can secrete enough insulin to suppress them, and then control blood sugar so that it does not rise. However, for patients with diabetes, their insulin secretion will be impaired or have insulin resistance, so they will not be able to secrete enough insulin, or produce enough physiological effects to antagonize this phenomenon of dawn hyperglycemia.

If you want to choose insulin, choose long-acting, if you want to choose oral medicine, you should choose some action time can be 24 hours, such as once a day, the time is very long, if the action time is less than 24 hours, then it may be at night to let the patient take some medicine, let this drug lower the blood sugar the next morning, through this method to solve the patient's dawn phenomenon. It is generally believed that the dawn phenomenon is caused by the excessive secretion of glucocorticoids, growth hormones, etc., which raise blood sugar in the early morning. The best way to combat the dawn phenomenon is to use an insulin pump and increase the morning insulin dose appropriately.

If you are injecting insulin subcutaneously, you can inject medium-acting insulin before bedtime (around 10 o'clock at night), so that the peak effect of insulin will be about 4 o'clock in the morning, which also has a certain effect. Taking metformin before bedtime can lower nighttime blood sugar, but it is important to prevent nocturnal hypoglycemia. The oral drug diphenylcycladine has a certain effect of inhibiting hormone secretion, and taking it before bed has the effect of inhibiting the secretion of glucocorticoids and growth hormone.

In addition, bromocriptine also has the effect of lowering fasting blood sugar, and it can also be tried. Therefore, the first thing to do is to correct these triggers, such as weight control, improve fatty liver, improve sleep at night, and take some corresponding medications when necessary.

The dawn of diabetes phenomenon is when diabetic patients wake up in the morning with very high blood sugar. Some hormones in the body begin to be released, including catecholamines and growth hormone, which are antagonistic to insulin, and insulin lowers blood sugar.

At this time, you should go to the hospital for examination, be sure to eat a light diet, do not eat high-sugar and high-salt food, do not eat supper, do not smoke, do not drink, must strengthen exercise, and eat more vegetables and fruits.

When diabetes mellitus occurs at dawn, blood sugar should be tested in time, medication should be carried out, and trisomatostatin** should be used.

It can be treated with acupuncture, Chinese medicine, Western medicine, acupuncture and blood sugar lowering drugs.

It can be done by taking medication**, so that the problem of diabetes can be improved, and the diabetes can be reduced quickly.