To prevent hypoglycemia at night and let sugar lovers sleep peacefully, these three symptoms should be vigilant

When it comes to hypoglycemia, diabetic patients are certainly no strangers, it is one of the most common acute complications of diabetes. According to the survey, the incidence of hypoglycemia in diabetic patients is 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 himself and his family members to detect and deal with in time. If it occurs at night, especially between 1:00 and 3:00 in the morning, when the patient is sleeping, the symptoms are not easy to be noticed, especially Some elderly patients or patients with frequent hypoglycemia, if not detected in time, severe hypoglycemia can directly lead to coma and sudden death, so the prevention of nocturnal hypoglycemia is regarded as the focus of the safety management of diabetic patients.

In the usual health and education work, patients often say that their blood sugar is more than three o'clock without any symptoms, which is called asymptomatic hypoglycemia. Nocturnal hypoglycemia often occurs in diabetic patients, often asymptomatic hypoglycemia, because patients are in a deep sleep 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 situations occur, it often prompts patients that hypoglycemia may have occurred at night:

(1) Often awakened by nightmares, accompanied by symptoms such as palpitation, sweating, and hand shaking;

(2) Dizziness, headache, and weakness after getting up;

(3) Underwear and bedding are wet when you get up in the morning;

The fasting blood sugar the next morning is higher than the blood sugar before going to bed the day before. This phenomenon is called the "Sumoji phenomenon", which refers to the rebound hyperglycemia in the morning after hypoglycemia occurs at night. At this time, avoid increasing the amount of drugs without authorization, as a result, the fasting blood sugar will not drop but rise, and the risk will also increase. Therefore, when the patient finds high blood sugar on an empty stomach in the morning, he needs to contact the doctor in charge in time, and do not increase the dose of the drug without authorization. If the fasting hyperglycemia is caused by the Sumojie phenomenon, then what needs to be done is to reduce the dosage.

So, how to avoid the occurrence of nighttime hypoglycemia? Diabetic friends need to pay attention to the following three aspects:

1. Diet:

Irregular diet, insufficient or unbalanced intake of food types and amounts can easily cause hypoglycemia. Therefore, sugar lovers should change their living habits and eat regular and quantitative meals. In addition, it should be noted that do not drink alcohol at night.

2. Sports:

Irregular exercise, temporarily increasing the time, intensity, and frequency of exercise, and failing to add meals or reduce medication in time can also easily cause 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 their blood sugar before going to bed to prevent the occurrence of nocturnal hypoglycemia.

3. Drugs:

Diabetic patients who inject premixed insulin before dinner or inject intermediate-acting or long-acting insulin before going to bed should 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, and can prevent the occurrence of hypoglycemia at night, so that you can sleep with peace of mind.