There’s a lengthy record 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 take a look at what the Somogyi impact is admittedly and find out how to deal with it if it occurs to you.
What’s the impact of Somogyi?
The Somogyi impact is once you expertise extreme hypoglycemia adopted by critical spikes – not noticing till you get up when 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 secure 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), and there’s no clear clarification concerning the spikes.
That is self-protection on your physique. Nevertheless, it solely happens when hypoglycemia is extreme sufficient to trigger glycogen dumping from the liver.
This physiological glycogen “backup plan” can even happen at different occasions of the day, however the Somogyi impact refers back to the extreme, low, low peak 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 mistaken dose/sort of insulin
As juggling many variables of glucose management all through the day, the somogie impact is without doubt one of the extra critical penalties of maximum glucose variability.
Understand that quickly appearing insulin stays within the physique for about 4 hours. Because of this insulin taken at 9pm can result in extreme hypoglycemia at midnight or 1am.
This act of blood sugar and insulin juggling will not be simple!
If you happen to suppose you have skilled somogyi results…
Sadly, there are lots of that may trigger hyperglycemia within the morning.
Figuring out many variables which will have affected blood glucose ranges will not be easy, and the somogyi impact most likely will not occur repeatedly with out waking up sooner or later within the evening because of regular signs of hypoglycemia.
First, discuss to your medical workforce or diabetic educator about your issues and potential somogyi results.
Secondly, get up a couple of times in the midst of the evening and set an alarm a number of nights to test your blood sugar ranges.
Third, we share blood glucose outcomes with our well being care workforce to determine proof of somogyi results. This may help you regulate insulin or different medicines.
Lastly, if you’re not utilizing CGM but, begin a dialog together with your healthcare workforce. 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 look like a results of the somogie impact, As an alternative, ask your self if any of the next is feasible:
Too little basal/background insulin
If you happen to frequently expertise extreme hyperglycemia within the morning, it might be this Or it’s attributable to one of many different variables under: You may very well want to regulate together with your background insulin dose (through the bottom velocity of your pump or (Your long-acting insulin dose).
“Properly, I weigh the identical, my weight loss program is identical. Why do I would like extra insulin?”
Different variables can have a serious affect, comparable to a rise in your each day stress ranges, a lower in your exercise ranges, or a brand new treatment you take.
Seek the advice of your medical workforce about adjusting basal/background insulin to forestall this recurrent rise in blood glucose ranges.
Daybreak phenomenon
The “daybreak phenomenon” can be utilized to elucidate spikes in a constant method 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 test my blood sugar stage, I take one unit of insulin as quickly as I get a low blood sugar stage, after which the signs normally go down!)
Eat fats/carbohydrate meals within the night
For instance, you will 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 massive quantity of dietary bolus disappear the following morning.
A easy answer to that is to extend your basal velocity once you get up within the morning or take a small quantity of insulin, which acts quickly.
Too little sleep
If you happen to fall asleep at 3am after a wild evening out with pals, or when you stand as much as research for an examination, your physique will not respect you. As an alternative, 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 actually cannot management all of the little issues that have an effect on our blood sugar ranges, however the Somogyi impact ought to be prevented as soon as we now have sufficient info to know why it’s occurring. It must be taken very critically and handled as quickly as potential.
