Some people with diabetes will experience the dawn phenomenon , how is this different from the aver

In this part of the patient, the blood sugar spikes in the early morning and is at a normal, controllable level at night and during the day.

In some people with diabetes, a "dawn phenomenon" occurs. Glycaemic control is acceptable and stable in this subset of patients at night or most of the day, but hyperglycaemia occurs at dawn, especially after breakfast, suggesting that these patients may have rhythm abnormalities in insulin sensitivity.

First of all, we need to understand what the "dawn phenomenon" is. Blood sugar is well controlled at night, and there is no hypoglycemia, but only a period of high blood sugar in the morning, which is called the dawn phenomenon. The dawn phenomenon is mainly caused by increased secretion of hormones that antagonize the action of insulin, such as cortisol and growth hormone.

The difference between patients with the dawn phenomenon is that blood sugar is normal at night, and at 5-7 a.m. because of the increase in glycemic hormones in the body, which leads to an increase in fasting blood sugar. However, the long-term high blood sugar of common diabetes will greatly harm human health.

Personally, I think that the reason why many patients will have the dawn phenomenon is probably that the degree of his disease in this patient is relatively deep, and he should step up**.

Because there are many different hormones in the human body, many hormones have the effect of raising blood sugar, such as glucocorticoids, thyroid hormones, glucagon, etc., and the peak of the secretion of these hormones generally occurs in the early morning to morning, so it is easy to cause blood sugar to rise, which is the so-called "dawn phenomenon".

There are two main conditions when the blood sugar rises in the early morning, if the blood sugar is well controlled at night, there is no hypoglycemia, and the blood sugar is high only for a period of time in the early morning, which is the "dawn phenomenon". To identify the cause of the elevated fasting blood glucose in the early morning, patients may use multiple blood glucose measurements in the middle of the night. It is common practice to test blood glucose at 3 a.m. to determine the presence of hypoglycemia, and then to test your blood glucose in the morning.

If blood sugar does not fall below normal at 3 a.m. and fasting blood sugar rises early in the morning, it is called the "dawn phenomenon".

Elevated fasting blood glucose due to the "dawn phenomenon" can be resolved by adding intermediate-acting insulin before bedtime, adjusting insulin, or taking oral hypoglycemic drugs. It turns out that diabetic patients with "dawn phenomenon" can add subcutaneous injection of intermediate-acting insulin before bedtime on the basis of oral hypoglycemic drugs during the day, which can receive good results and control the phenomenon of high fasting blood sugar in the morning. However, it should be noted that you need to add a bedtime snack before the injection, such as half a glass of milk and two biscuits, to avoid hypoglycemia after insulin injection.

Once fasting blood sugar is satisfactorily controlled in the morning, it is easy to control blood sugar after meals during the day.

However, at the same time, experts also pointed out that when fasting blood sugar rises in the morning, do not easily take hypoglycemic drugs, but should first find out the cause of the increase in fasting blood sugar in the morning, and then adjust the dose of hypoglycemic drugs or insulin under the guidance of specialists to avoid hypoglycemia and life-threatening.

The dawn phenomenon of diabetes is a concept that is often mentioned in diabetes, because in addition to insulin in the human body, it can lower blood sugar and play a role in lowering blood sugar, and the remaining other factors, including thyroid hormone and adrenal hormones, which are hormones that have a strong effect on anti-insulin and have a glycemic effect, including glucagon and so on.

In the early hours of the morning, the hormone secretion of the human body has a regular peak and low peak, mainly at about three o'clock to seven o'clock, there may be a wave of hormone secretion peak. Therefore, in this case, a large amount of hormone secretion will cause an increase in blood sugar, so this situation is called the dawn phenomenon.

In this case, it must be carried out according to its factors, because in the case of insulin resistance, in addition to the increase in hormone secretion, there are also drug factors, or the physiological state factors themselves, and it is still high after correcting the state, and it may be necessary to further adjust the drug intervention.

Drugs used in long-acting or oral medications, or even a fraction of medium- or long-acting insulin injected subcutaneously at bedtime, can still help with this dawn.

There are mainly the following 4 categories that cannot be eaten.

1. First of all, don't eat foods that are too sweet, contain starch, high carbohydrates, and raise blood sugar quickly, such as some starchy foods, and there are rice noodles and rice noodles in Guangdong, which may cause large fluctuations in blood sugar. There are also some patients who like to drink porridge, and they should also pay attention to it, because these are easy to absorb and will cause a rapid rise in blood sugar. In addition, there are also drinks, sugar water, etc., which are mainly based on sugar, and after drinking, blood sugar may rise very significantly, which will cause certain damage to the body.

2. Don't eat too fatty, that is, don't eat high-fat and high-calorie, because these things will cause insulin resistance to the body, increase fat, increase cholesterol, and are also one of the high-risk factors for cardiovascular and cerebrovascular complications.

3. It is not recommended for patients to eat too salty, because too much salt may have a certain relationship with difficult blood pressure control, because it is often said that diabetes and high blood pressure are brothers, and they are often complicated together.

4. There is also the problem of drinking, because some patients still like to drink, and diabetic patients are not recommended to drink too much alcohol. Because drinking alcohol will cause blood sugar fluctuations, increase calorie intake, and drinking alcohol also has a certain damaging effect on the liver. Medical Federation ** Super Energy Group Qingfeng Plan

Diabetic patients have low blood sugar at night, and their blood sugar will rise in the morning, because the blood sugar hormone in the body will surge at dawn, which will promote the body's liver glycogen synthesis and release into the blood, resulting in high blood sugar.

Diabetic patients have blood sugar in their bodies that rise at dawn due to the body's own actions. There is a medical justification for this, and it is recommended to eat less at night when you go to bed. Reduce sugar intake.

The "dawn phenomenon" refers to a marked increase in blood sugar in the early morning, which is caused by excessive secretion of adrenal corticosteroids in the early morning.

It is mainly caused by the defective function of insulin B cells and insufficient insulin secretion in diabetic patients. This condition is often seen in people with insulin-dependent diabetes.

First of all, I would like to introduce you to what the dawn phenomenon is, which refers to the hyperglycemia that occurs at dawn in diabetic patients. In this case, the blood sugar control during the day is quite satisfactory, but the blood sugar is very high every morning.

One possibility is that the medication is not enough at night, or the medication is too early, and the effect of the drug cannot last until the morning, resulting in a gradual increase in blood sugar from 4 o'clock in the morning, which is what we often call the dawn phenomenon. Another possibility is:

Su Mujie reaction, that is, the patient overdoses at night and causes hypoglycemia during sleep, at this time, all the glucose-raising mechanisms are mobilized to avoid shock caused by hypoglycemia, so the blood sugar will rise very high, in short, it is the anti-tone hyperglycemia after hypoglycemia.

These two conditions must be distinguished because the two regimens are opposite, with the former requiring an increase in evening medication and the latter requiring a reduction. The best way to identify this is a series of blood glucose measurements at night.

My advice to you is that you should take a time to measure your blood sugar and collect the corresponding data. The most common test is: before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, and 3 o'clock at night.

This will tell you what your mother's blood sugar is during the day and how your blood sugar is at night. If it is normal during the day, but it is high at night or early in the morning, then you have to consider whether there is a dawn phenomenon, and you should measure it every hour or two at night to understand the change in blood sugar at night, so as to distinguish whether it is a dawn reaction or a Su Mujie reaction. The dawn response should be a gradual increase in blood sugar at night, while Su Mujie's reaction is to decrease first and then increase at night.

As for whether the medication is enough, it must be adjusted according to the measured blood sugar level, otherwise it is difficult to say whether the medicine you are using controls blood sugar.

Because you have to test many times, it is recommended that you go to the hospital for inpatient testing, and if you buy a blood glucose meter, you can also test it at home.

The "dawn phenomenon" of diabetes

It refers to the phenomenon that diabetic patients do not have hypoglycemia at night, but the fasting blood sugar increases significantly in the morning. The dawn phenomenon is more common in patients with type 1 diabetes who receive insulin**.