Chifukwa chiyani shuga m'mawa amakhala apamwamba kuposa shuga wa usiku ndi usana?

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Ndili ndi matenda ashuga a 2 kwa zaka zambiri. Ndimatenga teoktatsid 600 m'mawa, Kozar 25 mg, Saksenda 1.2 mg, madzulo glucophage 750 mg kutalika. Usikuuno ndinayeza shuga 4.8, ndipo m'mawa 5.4. Ndikudziwa izi ndizizindikiro zabwino.

Funso ndiloti - bwanji zimachitika, mwachidziwikire, shuga yausiku imalankhula za ntchito ya chiwindi, ndipo m'mawa chiwindi chimaponyera glucogen? Inde, ndachulukitsa kulemera, kutalika kwa 178 cm. Ndili ndi chizolowezi usiku ndipo zakhala zikuchitika kwa zaka zambiri. Zikomo chifukwa chondisamalira.

Alexey Mikhailovich, 72

Moni, Alexey Mikhailovich!

Muli ndi chithandizo chamakono chotsitsa shuga komanso mashuga abwino kwambiri.

Shuga m'mawa amatha kukhala apamwamba kuposa shuga wa usiku ndi usana muzochitika zotsatirazi: pankhani ya kukana kwambiri insulin (yomwe imakhalapo nthawi zonse ndi T2DM komanso kunenepa kwambiri), pakakhala vuto la chiwindi osakwanira (mumalondola ponena za kutulutsidwa kwa glycogen: kutsitsa shuga wamagazi imatulutsa glycogen, ndipo nthawi zambiri kuposa momwe amafunikira, ndiye kuti shuga m'mawa ndiwokwera kuposa nthawi yamasana ndi usiku), ndipo pamakhalanso shuga wambiri m'mawa pambuyo pa usiku hypoglycemia (zomwe sizingatheke pamikhalidwe yanu, chifukwa shuga yanu m'mawa imakwera kwambiri, ndipo pambuyo pa hypoglycemia, timawona kuchuluka kwakukulu mu shuga m'mawa (10-15 mmol / l).

Chizolowezi chomadya usiku ndibwino kuchotsa, popeza chakudya chamadzulo chimasokoneza kupanga mahomoni ophuka ndi melatonin. Yesani kudya chakudya chamadzulo maola 4 musanagone ndipo tengani zakudya zanu zomaliza (ngati zingafunike) pasanathe maola 1.5-2 asanagone.

Endocrinologist Olga Pavlova

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