Prevent hypoglycemia at night and let people with sugar fall asleep at ease, these three symptoms should be vigilant
When it comes to hypoglycemia, diabetes patients are certainly no strangers, and it is one of the most common acute complications of diabetes. According to the survey, the incidence of hypoglycemia in diabetic patients was 3.1 times/person-year, and 0.9 times/person-year at night. If hypoglycemia occurs during the day, the patient's discomfort is easy to express, which is convenient for themselves and their family members to detect and deal with in time. For some elderly patients or patients with frequent hypoglycemia, if they are not detected in time, severe hypoglycemia can directly lead to coma and sudden death. Therefore, the prevention of nocturnal hypoglycemia is regarded as the focus of the safety management of diabetic patients.
In the usual health education work, there are often patients who say that the blood sugar is more than three o'clock without any symptoms, which is called asymptomatic hypoglycemia. Nocturnal hypoglycemia also occurs frequently in diabetic patients, often asymptomatic hypoglycemia. Because patients are asleep at night, it is often difficult to detect the occurrence of hypoglycemia.
Although it is difficult to find the symptoms of hypoglycemia in deep sleep, patients can find it from some clues after waking up. When the following conditions occur, it is often suggested that patients may have hypoglycemia at night:
(1) Often awakened by nightmares, accompanied by symptoms such as palpitation, sweating, and tremors;
(2) Dizziness, headache and weakness after getting up;
(3) Underwear and bedding are damp when getting up in the morning;
The fasting blood sugar the next morning was higher than the blood sugar before bed the day before. This phenomenon is called "Sumujie phenomenon", which refers to the rebound hyperglycemia in the morning after hypoglycemia at night. At this time, do not increase the amount of the drug without authorization, as a result, the fasting blood sugar does not drop but rises, and the risk will increase. Therefore, when patients find high blood sugar on an empty stomach in the morning, they need to contact the competent doctor in time, and do not increase the amount of drugs without authorization. If it is the fasting hyperglycemia caused by the Sumujie phenomenon, then what needs to be done is to reduce the dose.
So, how to avoid the occurrence of nighttime hypoglycemia? You need to pay attention to the following three aspects:
- Diet:
Irregular diet, insufficient or unbalanced food types and amounts are all likely to cause hypoglycemia. Therefore, people with diabetes should change their living habits and eat regularly and quantitatively. Also, be careful not to drink alcohol at night.
- Sports:
Irregular exercise, temporary increase in the time, intensity, and frequency of exercise, without timely addition of meals or reduction of medication, can also easily lead to hypoglycemia. The amount of exercise after dinner should not be too large. It is recommended that elderly diabetic patients or diabetic patients with large blood sugar fluctuations monitor blood sugar before going to bed to prevent the occurrence of nighttime hypoglycemia.
- Drugs:
For diabetic patients who inject premixed insulin before dinner or inject medium-acting or long-acting insulin before bedtime, it is best to choose the buttocks or thighs as the injection site to delay the absorption of insulin and reduce the occurrence of nocturnal hypoglycemia.
I hope this article can be helpful to you who are reading, can prevent the occurrence of hypoglycemia at night, and let you sleep peacefully.