There’s a lengthy checklist of issues that may simply spike your blood sugar ranges, however the Somogyi impact could also be one of many strangest ones.
Let’s take a more in-depth have a look at what the Somogyi impact is actually and find out how to deal with it if it occurs to you.
What’s the impact of Somogyi?
The Somogyi impact is if you expertise extreme hypoglycemia adopted by critical spikes – not noticing till you get up whilst you sleep.
Throughout Somogyi results, extreme hypoglycemia happens with out waking up from deep sleep. The liver then responds by releasing saved glycogen, breaking it down into glucose, bringing blood sugar ranges again to a protected stage.
As somebody experiencing this, you’ll discover merely sleeping in your blood sugar stage. lowand woke up with very excessive blood sugar (typically above 250 mg/dl), there isn’t a clear rationalization concerning the spikes.
That is self-protection in your physique. Nonetheless, it solely happens when hypoglycemia is extreme sufficient to trigger glycogen dumping from the liver.
This physiological glycogen “backup plan” may also happen at different instances of the day, however the Somogyi impact refers back to the extreme, low, low top that happens throughout sleep.
What causes the Somogyi impact?
In brief, it’s the results of taking extra insulin than the physique wanted together with different variables.
- An excessive amount of insulin taken simply earlier than or after train
- Insulin consumed an excessive amount of with meals
- An excessive amount of insulin to repair excessive blood sugar
- I am taking insulin however forgetting to eat
- Take non-insulin medicines that decrease blood sugar ranges
- Insulin pump malfunction
- Incorrectly take the unsuitable dose/sort of insulin
As juggling many variables of glucose management all through the day, the somogie impact is among the extra critical penalties of maximum glucose variability.
Understand that quickly performing insulin stays within the physique for about 4 hours. Which means insulin taken at 9pm can result in extreme hypoglycemia at midnight or 1am.
This act of blood sugar and insulin juggling will not be straightforward!
Should you suppose you have skilled somogyi results…
Sadly, there are a lot of that may trigger hyperglycemia within the morning.
Figuring out many variables that will have affected blood glucose ranges will not be easy, and the somogyi impact in all probability will not occur time and again with out waking up in some unspecified time in the future within the evening attributable to regular signs of hypoglycemia.
First, discuss to your medical staff or diabetic educator about your issues and potential somogyi results.
Secondly, get up a few times in the midst of the evening and set an alarm a number of nights to verify your blood sugar ranges.
Third, we share blood glucose outcomes with our well being care staff to determine proof of somogyi results. This might help you regulate insulin or different medicines.
Lastly, if you’re not utilizing CGM but, begin a dialog together with your healthcare staff. CGM can shortly present life-saving insights about these blood sugar mysteries.
Different potential causes of morning hyperglycemia
In case your morning hyperglycemia doesn’t seem like a results of the somogie impact, As a substitute, ask your self if any of the next is feasible:
Too little basal/background insulin
Should you commonly expertise extreme hyperglycemia within the morning, it could be this Or it’s attributable to one of many different variables beneath: You may very well want to regulate together with your background insulin dose (by way of the bottom velocity of your pump or (Your long-acting insulin dose).
“Effectively, I weigh the identical, my food plan is identical. Why do I would like extra insulin?”
Different variables can have a serious influence, equivalent to a rise in your day by day stress ranges, a lower in your exercise ranges, or a brand new remedy you take.
Seek the advice of your medical staff about adjusting basal/background insulin to stop this recurrent rise in blood glucose ranges.
Daybreak phenomenon
The “daybreak phenomenon” can simply clarify spikes constantly within the morning.
This recurrent hyperglycemia and insulin resistance are the wholesome and regular elements of the human physique. Hormones like cortisol, testosterone and glycogen all work, however inevitably require insulin.
Many individuals merely take a small bolus of insulin to elucidate the blood sugar spikes this causes. (Personally, if I rise up and verify my glucose stage, I take one unit of insulin as quickly as I get low, after which the signs often go down!)
Eat fats/carbohydrate meals within the night
For instance, you may get sufficient insulin to technically cowl the carbohydrates and fat of pizza you ate final evening at 8pm, however the long-term results of insulin resistance from high-fat meals can simply result in blood sugar spikes when the big quantity of dietary bolus disappear the subsequent morning.
A easy resolution to that is to extend your basal velocity if you get up within the morning or take a small quantity of insulin, which acts quickly.
Too little sleep
Should you fall asleep at 3am after a wild evening out with mates, or for those who stand as much as examine for an examination, your physique will not recognize you. As a substitute, it responds by producing extra cortisol and making up for the desperately craving lack of relaxation. Elevated cortisol manufacturing can result in cussed hyperglycemia ranges all day lengthy!
We definitely cannot management all of the little issues that have an effect on our blood sugar ranges, however the Somogyi impact must be prevented as soon as we have now sufficient info to grasp why it’s taking place. It must be taken very severely and handled as quickly as doable.
